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Exergame trainings might have therapeutic value in ataxic patients. The aim of this study was to investigate the effect of exergame training with an exercise program on postural control by comparing it with traditional balance and coordination exercise program. Nineteen patients were randomly allocated to two groups. In the first group, exergame training and an exercise program (EEP) were applied together for the first 8 weeks; after 10 weeks washout, a conventional exercise program (CEP) was applied for the second 8 weeks. In the second group, the CEP was applied first followed by the EEP. Outcome measures were Limits of Stability test (LoS), International Classification Ataxia Ratio Scale (ICARS), Berg Balance Scale (BBS), and Timed-Up and Go test with a cognitive task (TUG-C), Reactive postural control and sensory orientation subscales of the Mini-BESTest. Seventeen patients (mean age ± SD, 32.53 ± 11.07 years) completed the study. ICARS, BBS scores improved only after EEP ( p < 0.05). While there was no change in the RT and MVL parameters of the LoS test after EEP, the MXE, EPE, and DCL parameters improved significantly ( p < 0.05). The MXE and MVL parameters of LoS improved after CEP ( p < 0.05). There were no significant improvements in the Mini-BESTest’s reactive postural control and sensory orientation subscale scores after both EEP and CEP ( p > 0.05). The results of the present study demonstrated that exergame training can be used as a complementary training option in physiotherapy to improve postural control in patients with ataxia. ClinicalTrial.gov Identifier: NCT03607058

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The aim of this study was to formulate an exercise program according to GAS, an approach that reflects the patients' point of view and expectations and investigate the effects of this program in ataxia rehabilitation. This study was designed as an assessor-blinded, single-group trial, and 24 patients with cerebellar ataxia were included. Treatment goals, postural control, disease severity, and daily living activities were assessed pre- and post-treatment using the Goal Attainment Scaling (GAS), the Sensory Organization Test (SOT), the International Cooperative Ataxia Rating Scale (ICARS), and the Barthel Index (BI), respectively. An exercise program was applied by taking patients' individual expectations and treatment goals into account. The participants enrolled in the physiotherapy program for 8 weeks, 3 days a week for 1 hour per day. The mean age of the patients was 34.00 ± 9.15 years. While the GAS, kinetic functions ICARS subscores, ICARS total scores, SOT-composite, and BI scores improved significantly after treatment (p < 0.05), other ICARS subscores did not change after treatment (p > 0.05). The results showed that putting the patient at the center of the evaluation and treatment process while formulating a treatment plan had a positive effect on treatment outcome. If the functions that patients consider important are known and the treatment process concentrates on these functions, a patient's participation in his/her individual treatment is supported by increasing his/her motivation and contribution to more successful rehabilitation practices.

Objective:The aim of this study was to investigate the physical activity of adults with muscle diseases relative to healthy controls. Materials and Methods: Individuals participated in this cross-sectional study by completing the International Physical Activity Questionnaire-Long Form and using SenseWear Armband Activity Monitor over a 5-day period to assess physical activity levels subjectively and objectively. Results: Forty healthy controls (16 males, 24 females) (aged 30.40±4.55 years) and 40 adults with muscle diseases (21 males, 19 females) (aged 32.67±6.57 years) participated in this study. We found that SenseWear Armband (step counts, duration of moderate and vigorous physical activity) and International Physical Activity Questionnaire (walking physical activity, vigorous physical activity, working physical activity, and total physical activity) parameters were significantly lower in the adults with muscle disease group than the healthy controls (p<0.05), whereas the total amount of energy expenditure was similar between the groups (p>0.05). Conclusion: Adults with muscle diseases expend the same amount of energy as healthy controls, but over fewer steps. This difference between energy expenditure and number of steps could be due to the higher energy requirements for walking in adults with muscle diseases. These findings will help healthcare professionals plan treatment strategies for adults with muscle diseases.Amaç: Bu çalışmanın amacı, erişkin kas hastalarının fiziksel aktivitelerini sağlıklı bireylerle karşılaştırarak araştırmaktır. Gereç ve Yöntem: Bu kesitsel çalışmaya katılan bireyler, fiziksel aktivite düzeylerinin subjektif ve objektif olarak değerlendirilmesi için Uluslararası Fiziksel Aktivite Anketi-Uzun Versiyon'u tamamladı ve bireylere 5 gün boyunca SenseWear Armband Aktivite Monitörü takıldı. Bulgular: Çalışmaya 40 erişkin kas hastası (21 erkek, 19 kadın) (32,67±6,57 yıl) ve 40 sağlıklı kontrol (16 erkek, 24 kadın) (30,40±4,55 yıl) katıldı. SenseWear Armband'dan elde edilen adım sayısı, orta şiddetli fiziksel aktivite süresi ve şiddetli fiziksel aktivite süresi; Uluslararası Fiziksel Aktivite Anketi'nden elde edilen yürüyüş aktivitesi, şiddetli fiziksel aktivite, iş aktivitesi ve toplam fiziksel aktivite parametreleri erişkin kas hastalarında sağlıklı kontrollere göre anlamlı düzeyde düşük bulunurken (p<0,05); toplam enerji harcaması gruplar arasında benzer bulundu (p>0,05). Sonuç: Sonuç olarak, erişkin kas hastaları sağlıklı kontrollerle daha az adım sayısında aynı miktarda enerji harcadılar. Enerji harcaması ve adım sayısı arasındaki bu fark, erişkin kas hastalarında yürümek için daha yüksek enerji gereksinimlerine bağlı olabilir. Bu bulgular, sağlık çalışanlarının erişkin kas hastaları için tedavi stratejilerini planlamasına yardımcı olacaktır. Abstract ÖzAd dress for Cor res pon den ce/Ya z'fl ma Ad re si:

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