Ataxia, Spinocerebellar, Ataxias, Hereditary
Conditions
Keywords
ataxia,rehabilitation,trunk,disabilities
Brief summary
The study is to examine the effect of functional trunk training on trunk control and upper extremity functions in patients with autosomal recessive ataxia.
Detailed description
Hereditary ataxias are a group of genetic diseases characterized by slow progressive gait disturbance. In addition, coordination disorders can be seen in extremities, speech and eye movements. Atrophy is common in the cerebellum. Friedreich's ataxia, ataxia telangiectasia, ataxia with vitamin E deficiency, infantile-onset spinocerebellar atrophy and Marinesco-Sjögren syndrome are autosomal recessive hereditary ataxias. The constant main sign of autosomal recessive ataxia is progressive ataxia. The trunk has an important role on dynamic stabilization for postural reactions and limb movements. A good trunk support enables movements in other parts of the body to occur more regularly. Trunk stabilization is important to support upper and lower extremity movements, to meet the loads, and to protect the spinal cord. The relationship between upper extremity function, daily living activities and trunk functions has been emphasized in many studies but comparative studies about the rehabilitation were very less. This study is to evaluate the effect o functional trunk training in patients with autosomal recessive ataxia.
Interventions
OTHERFunctional training
The therapy program was planned for 8 weeks and the sessions were performed in 45 minutes (min) for 3 days a week. The functional reach (forward-lateral-cross), trunk rotation exercises were performed in the sitting positions.(25min) Facilitation of trunk extension and elongation in the prone position (10 min). Thoracic mobilization on exercise ball (10min).
OTHERRoutine training
The therapy program was planned for 8 weeks and the sessions were performed in 45 minutes (min) for 3 days a week. The strengthening exercises were applied on the mat (3x10 for the first 4 weeks and 3x15 repetition for the last 4 weeks). Eyes open-closed perturbation training was performed for trunk control in sitting and standing positions (10 min.).
Sponsors
Hasan Kalyoncu University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Intervention model description
Participants were divided in two groups. Two groups will get two different intervention.
Eligibility
Sex/Gender
ALL
Age
5 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* Without any communication impairment (seeing, hearing, hearing), * Have not had surgery for the upper and lower extremities in the last 6 months, * Between the ages of 5 and 18, * The mental level determined by the pediatrician is sufficient,
Exclusion criteria
* Patients who want to leave the study at any stage of the study * Patients who do not attend regular training
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Trunk impairment | through of te study, average 8 weeks | The Trunk Disorder Scale (TIS) was used to assess static and dynamic sitting balance and trunk coordination |
| The Functional Independence | through of te study, average 8 weeks | The Functional Independence Scale for Children (WeeFIM) was used determine to independence level. |
| The severity of ataxia | through of te study, average 8 weeks | The International Ataxia Rating Scale (ICARS) was used to determine the severity |
| The quality of life | through of te study, average 8 weeks | The Children's Quality of Life Scale (PedsQL) was used determine to quality of life level. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Upper extremity functional performance | through of te study, average 8 weeks | The 9-Hole Peg test was used to evaluate upper extremity performance |
| Functional Reach Test | through of te study, average 8 weeks | Functional Reach Test was used determine to dynamic trunk balance |
Countries
Turkey (Türkiye)
Outcome results
None listed