Functional Trunk Training in Ataxia Patients
Study Details
Study Description
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.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
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.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Active Comparator: Control Routine training; mat exercises and perturbation training |
Other: Routine 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.).
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Experimental: Study Trunk training; Functional training, mat exercises and perturbation training |
Other: Functional 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).
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Outcome Measures
Primary Outcome Measures
- The Functional Independence [through of te study, average 8 weeks]
The Functional Independence Scale for Children (WeeFIM) was used determine to independence level.
- 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 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 Outcome Measures
- 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
Eligibility Criteria
Criteria
Inclusion Criteria:
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Without any communication impairment (seeing, hearing, hearing),
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Have not had surgery for the upper and lower extremities in the last 6 months,
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Between the ages of 5 and 18,
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The mental level determined by the pediatrician is sufficient,
Exclusion Criteria:
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Patients who want to leave the study at any stage of the study
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Patients who do not attend regular training
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Hasan kalyoncu üniversitesi | Gaziantep | Eyalet/Yerleşke | Turkey | 27100 |
Sponsors and Collaborators
- Hasan Kalyoncu University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- Corben LA, Tai G, Wilson C, Collins V, Churchyard AJ, Delatycki MB. A comparison of three measures of upper limb function in Friedreich ataxia. J Neurol. 2010 Apr;257(4):518-23. doi: 10.1007/s00415-009-5352-7. Epub 2009 Oct 13.
- Freund JE, Stetts DM, Vallabhajosula S. Relationships between trunk performance, gait and postural control in persons with multiple sclerosis. NeuroRehabilitation. 2016 Jun 30;39(2):305-17. doi: 10.3233/NRE-161362.
- Freund JE, Stetts DM. Use of trunk stabilization and locomotor training in an adult with cerebellar ataxia: a single system design. Physiother Theory Pract. 2010 Oct;26(7):447-58. doi: 10.3109/09593980903532234.
- Van de Warrenburg BP, Bakker M, Kremer BP, Bloem BR, Allum JH. Trunk sway in patients with spinocerebellar ataxia. Mov Disord. 2005 Aug;20(8):1006-13.
- 2020/107