The study is to examine the effect of functional trunk training on trunk control and upper extremity functions in patients with autosomal recessive ataxia.
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 Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
20
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).
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.).
Hasan kalyoncu üniversitesi
Gaziantep, Eyalet/Yerleşke, Turkey (Türkiye)
The Functional Independence
The Functional Independence Scale for Children (WeeFIM) was used determine to independence level.
Time frame: through of te study, average 8 weeks
Trunk impairment
The Trunk Disorder Scale (TIS) was used to assess static and dynamic sitting balance and trunk coordination
Time frame: through of te study, average 8 weeks
The severity of ataxia
The International Ataxia Rating Scale (ICARS) was used to determine the severity
Time frame: through of te study, average 8 weeks
The quality of life
The Children's Quality of Life Scale (PedsQL) was used determine to quality of life level.
Time frame: through of te study, average 8 weeks
Upper extremity functional performance
The 9-Hole Peg test was used to evaluate upper extremity performance
Time frame: through of te study, average 8 weeks
Functional Reach Test
Functional Reach Test was used determine to dynamic trunk balance
Time frame: through of te study, average 8 weeks
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