Ataxia
Conditions
Brief summary
This study was planned to investigate the effects of exercise training based on Microsoft Kinect application on balance and postural control in ataxic patients.
Detailed description
Patients who meet the inclusion criteria will be divided into two groups randomly: 'Kinect and exercise training' and 'exercise training'. The assessments will be made by a blind investigator four times, before and after the implementation of both protocols. The evaluations will take approximately 1 hour. The demographic information of the cases will be recorded. Designed as cross over study, two treatment protocols will be used in this study. The first protocol will be Xbox Kinect application plus exercise program, the second protocol will be only exercise program. At the beginning of the study, 2 groups will be allocated (Group A and Group B) randomly. For group A, the Xbox Kinect application plus exercise program will be applied for the first 8 weeks. For group B, only exercise program will be applied therapy first 8 weeks. All assessments will be repeated before and after each therapy period. Exercise program will consist of selected balance, coordination and walking exercises according to the individual needs of patients. After 10 weeks washout period, patients will be included in the other group. All patients will take the treatment 1-hour, 3 days in a week for 8 weeks.
Interventions
OTHERKinect + Exercise Training
Kinect + Exercise Training : Patients will play Xbox Kinect games for 40 minutes and take the treatment for 20 minutes, 3 days in a week for 8 weeks. After 10 weeks washout period, patients will take the treatment 1-hour, 3 days in a week for 8 weeks.
OTHERExercise Training
Exercise Training: Patients will take the treatment 1-hour, 3 days in a week for 8 weeks. After 10 weeks washout period, patients will play Xbox Kinect games for 40 minutes and take the treatment for 20 minutes, 3 days in a week for 8 weeks.
Sponsors
Hacettepe University
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* Clinical diagnosis of ataxia * Ataxic patients who are able to walk 25 m independently * Ataxic patients who had a Mini Mental Test Score of 24 points and over;
Exclusion criteria
* Clinical diagnosis of systemic problems (Diabetes Mellitus, Hypertension) * Clinical diagnosis of cognitive impairment * Patients who have fallen at least once in the last 6 months * Patients who had Berg Balance Scale score of 40 points and below
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Limits of Stability Test of Neurocom Balance Master (Static Posturography) | change from baseline in dynamic balance component of postural control at 8 weeks | Limits of stability test (LOS) assesses dynamic balance during the performance of specific tasks with visual feedback. It quantifies objectively the maximum distance a person can lean in a given direction without losing balance, stepping or reaching for assistance |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Timed Up and Go test (TUG) | change from baseline in falling risk at 8 weeks | TUG was developed to determine falling risk and measure the progress of balance, sit to stand, and walking. |
| Functional Reach Test (FRT) | change from baseline in dynamic balance at 8 weeks | FRT is a quick and simple, single-task dynamic test that defines functional reach as the maximal distance one can reach forward beyond arm's length, while maintaining a fixed base of support in the standing position. It is a dynamic rather than a static test and measures a person's margin of stability as well as ability to maintain balance during a functional task. |
| 10 meter Walk Test (10mWT) | change from baseline in gait speed at 8 weeks | The 10mWTis a performance measure used to assess walking speed in metres per second over a short distance. It can be employed to determine functional mobility and gait. |
| Trunk Impairment Scale | change from baseline in impairment of trunk at 8 weeks | It was developed to measure the motor impairment of the trunk through the evaluation of static and dynamic sitting balance as well as co-ordination of trunk movement. Three subscales: static sitting balance, dynamic sitting balance and coordination. There are 17 items in this scale and for each item, a 2-, 3- or 4-point ordinal scale is used. On the static and dynamic sitting balance and coordination subscales the maximal scores that can be attained are 7, 10 and 6 points. The total score for this scale ranges between 0 for a minimal performance to 23 for a perfect performance. The total score is obtained by summing the scores of the subscales. |
| Dynamic Gait Index (DGI) | change from baseline in balance, fall risk and gait at 8 weeks | The DGI was developed as a clinical tool to assess gait, balance and fall risk. It evaluates not only usual steady-state walking, but also walking during more challenging tasks. The DGI was developed as a clinical tool to assess gait, balance and fall risk. It evaluates not only usual steady-state walking, but also walking during more challenging tasks. 8 functional walking tests are performed by the subject and marked out of three according to the lowest category which applies. 24 is the total individual score possible. Scores of 19 or less have been related to increase incidence of falls. |
| International Cooperative Ataxia Rating Scale | change from baseline in severity of ataxic symptoms at 8 weeks | The International Cooperative Ataxia Rating Scale was developed to quantify the level of impairment as a result of ataxia as related to hereditary ataxias. The scale is scored out of 100 with 19 items and 4 subscales of postural and gait disturbances, limb ataxia, dysarthria, and oculomotor disorders. the maximum score is 100, the minimum score is 0 in this scale. Higher scores indicate higher levels of impairment. Postural and gait disturbances subscale has 7 items (0-34 points), limb ataxia subscale has 7 items (0-52 points), Dysarthria subscale has 2 items (0-4 points) and oculomotor disorders subscale has 3 items (0-6 points). The total score is obtained by summing the scores of the sub-scales. |
| Rhythmic Weight Shift (RWS) of Neurocom Balance Master (Static Posturography) | change from baseline in directional control and movement velocity while move the center of gravity at 8 weeks | RWS test quantifies the patient's ability to rhythmically move their Center of Gravity (COG) from left to right (lateral) and forward to backward (anterior/ posterior) between two targets at three distinct speeds: slow, medium, and fast. |
| Unilateral Stance Test (US) of Neurocom Balance Master (Static Posturography) | change from baseline in postural sway velocity at 8 weeks | The US quantifies postural sway velocity with the patient standing on either the right or left foot with eyes open and with eyes closed. |
| Weight Bearing Squat (WBS) of Neurocom Balance Master (Static Posturography) | change from baseline in weight bearing at 8 weeks | During the WBS, the patient is instructed to maintain equal weight on each leg while standing erect and then squatting in three positions of knee flexion. The percentage of body weight borne by each leg is measured with the patient standing at 0° (erect), 30°, 60°, and 90° of knee flexion. |
| Walk Across (WA) of Neurocom Balance Master (Static Posturography) | change from baseline in gait characteristics at 8 weeks | The WA quantifies characteristics of gait as the patient walks across the length of the force plate. The test characterizes steady state gait by having the patient begin well behind and continuing beyond the force plate. Measured parameters are average step width, average step length, speed and step length symmetry. |
| Berg Balance Scale (BBS) | change from baseline in balance performance at 8 weeks | A 14-item objective measure designed to assess static balance and fall risk. Static and dynamic activities of varying difficulty are performed.Item-level scores range from 0-4, determined by ability to perform the assessed activity. Item scores are summed. Maximum score is 56. |
Countries
Turkey (Türkiye)
Outcome results
None listed