A rehabilitation program to increase balance and mobility in ataxia of Charlevoix-Saguenay: An exploratory study.
A rehabilitation program to increase balance and mobility in ataxia of Charlevoix-Saguenay: An exploratory study.
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DOI：
10.1371/journal.pone.0279406
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发表时间：
2022
期刊：
影响因子：
3.7
通讯作者：
Duchesne, Elise
中科院分区：
文献类型：
--
作者：
Lessard, Isabelle;Masterman, Viviane;Cote, Isabelle;Gagnon, Cynthia;Duchesne, Elise
常染色体隐性夏勒瓦-萨格奈痉挛性共济失调 (ARSACS) 的特点是平衡障碍和活动受限，这两者都会增加跌倒的风险。本研究的目的是探讨旨在增强躯干和下肢运动控制的康复计划对平衡和行走能力以及日常生活活动完成度的影响。在这项探索性研究中，小组监督康复计划每周进行 3 次，持续 8 周（两次在康复健身房进行，一次在泳池进行）。结果测量包括渥太华坐位量表、伯格平衡量表、改良的特定活动平衡信心量表、30 秒椅子站立测试、10 米步行测试、巴塞尔指数以及共济失调评估和评级量表。项目结束时，整个小组在平衡、躯干控制、最大和自我选择的步行速度差异、共济失调严重程度和日常生活特定活动的完成度方面都有显着改善。在个人层面上，所有参与者至少在两项结果测量中都超出了测量的标准误差。此外，大多数参与者报告了与平衡、姿势和功能活动性相关的许多明显改善。这项研究为 ARSACS 门诊患者的康复计划效果提供了令人鼓舞的结果。团体干预可以对他们的日常生活产生积极影响，并改善为该人群提供的医疗保健服务。未来需要进行更大样本量的研究，包括对照组和其他形式的共济失调，以验证我们的结果并进行推广。
Autosomal recessive spastic ataxia of Charlevoix-Saguenay (ARSACS) is characterized by balance impairment and mobility limitations, which both increase the risk of falling. The objective of this study was to explore the effects of a rehabilitation program aimed at increasing trunk and lower limb motor control on balance and walking abilities, and accomplishment of activities of daily living. In this exploratory study, a group-supervised rehabilitation program was performed three times a week for 8 weeks (two sessions at a rehabilitation gym and one pool session). Outcome measures included the Ottawa Sitting Scale, Berg Balance Scale, modified Activities-specific Balance Confidence Scale, 30-Second Chair Stand Test, 10-Meter Walk Test, Barthel Index, and Scale for the Assessment and Rating of Ataxia. Significant improvements in balance, trunk control, maximal and self-selected walking speed difference, ataxia severity and accomplishment of specific activities of daily living were noted for the whole group at the end of the program. At the individual level, all participants improved beyond the standard error of measurement in at least two outcome measures. Also, most participants reported many perceived improvements related to balance, posture and functional mobility. This study provides encouraging results on the effects of a rehabilitation program for ambulatory people with ARSACS. Group intervention could have a positive impact on their daily lives and improve the health care service offered to this population. Future studies with larger sample sizes including control groups and other forms of ataxia are necessary to validate our results to generalize them.
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影响因子：
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作者：
Mak, Margaret K. Y.;Pang, Marco Y. C.
通讯作者：
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