Effects of different exercise modalities on ataxia in multiple sclerosis patients: a randomized controlled study

Salcı, Yeliz; Fil, Ayla; Armutlu, Kadriye; Yıldız, F.; Kurne, Aslı; Aksoy, Songül; Nurlu, Gülay; Karabudak, Rana

doi:10.1080/09638288.2016.1236411

Cited by 32 publications

(13 citation statements)

References 37 publications

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“…In addition, task-oriented training enhances ambulation and postural control in MS patients due to the promotion of motor learning (51). In general, combinations of these physiotherapy approaches are thought to be most beneficial (52). …”

Section: Treatments For Cerebellar Disease In Msmentioning

confidence: 99%

Cerebellar Dysfunction in Multiple Sclerosis

Wilkins

2017

Front. Neurol.

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Multiple sclerosis (MS) commonly affects the cerebellum causing acute and chronic symptoms. Cerebellar signs contribute significantly to clinical disability, and symptoms such as tremor, ataxia, and dysarthria are particularly difficult to treat. Increasing knowledge concerning the pathophysiology of cerebellar disease in MS from human postmortem studies, experimental models, and clinical trials has raised the hope that cerebellar symptoms will be better treated in the future.

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Section: Treatments For Cerebellar Disease In Msmentioning

confidence: 99%

Cerebellar Dysfunction in Multiple Sclerosis

Wilkins

2017

Front. Neurol.

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“…In 2014, Keller and Bastian found statistically signifi cant walking improvements in people with cerebellar ataxia following a balance home exercise program but specifi ed that the program must present a signifi cant balance challenge [8]. Salci, et al, investigated several ataxia exercise protocols in 2017 and found that balance training alone is not suffi cient for successful rehabilitation, and is best accompanied by a combination of lumbar stabilization exercises and taskoriented training [9]. Citation: Karim…”

Section: Introductionmentioning

confidence: 99%

Use of a Zorb Bumper Ball in rehabilitation of a patient with ataxic multiple sclerosis: A case report

Karim¹,

Holt²,

Sutliff³

2019

J Neurol Neurol Sci Disord

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Multiple sclerosis affecting the cerebellum and associated pathways can result in debilitating ataxia. Recent research has shown that reinforcement and goal-based learning may be more effective in improving motor outcomes than error-based motor learning in patients with cerebellar defi cits due to decreased intrinsic feedback mechanisms. The case patient initially presented with debilitating ataxia and required a weighted bariatric rollator and Contact Guard Assistance (CGA) for all ambulation. He showed minimal improvement after completing traditional physical therapy which involved compensatory treatment strategies. The patient's rehabilitation goal was to ambulate without an assistive device. After one year of physical therapy treatment, an infl atable Zorb Bumper Ball was purchased for trial use during therapy sessions as a low-cost, versatile alternative to harnessed gait training. The rationale for this novel intervention was to promote maximization of reinforcement learning during balance and gait training, increased patient engagement, and reduced risk of injury during ambulation without upper extremity support. After four sessions (60 minutes per week for four weeks) of utilizing the Zorb Bumper Ball in physical therapy, the patient was able to transition to performing functional outcome measures (25 Foot Walk Test (25FWT), Timed Up and Go (TUG), and 5 Times Sit to Stand (5×STS)) and overground ambulation without an assistive device for the fi rst time in 3 years. During the year following treatment with the Zorb Bumper Ball, average times for the 25FWT, TUG, and 5×STS were not statistically different with and without an assistive device, however, the patient was able to reach his goal of independent ambulation without an assistive device. A Zorb Bumper Ball may be a safe, affordable, and portable means of training unassisted gait in patients with cerebellar ataxia.

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“…Clinical scales are often used for investigating the effect of physical therapy. In cerebellar ataxia, the most often used specific scales for the severity of cerebellar ataxia in previous studies were the scale for the assessment and rating of ataxia (SARA) [5, 10, 16, 56-59] and international cooperative ataxia rating scale (ICARS) [55,57,[60][61][62][63][64]. These scales include the measurement of not only incoordination movement of the upper and lower extremities but also balance in sitting, standing, and gait [10, 56,62].…”

Section: Evaluation For Ataxia Balance Gait Ability and Adlmentioning

confidence: 99%

“…In cerebellar ataxia, the most often used specific scales for the severity of cerebellar ataxia in previous studies were the scale for the assessment and rating of ataxia (SARA) [5, 10, 16, 56-59] and international cooperative ataxia rating scale (ICARS) [55,57,[60][61][62][63][64]. These scales include the measurement of not only incoordination movement of the upper and lower extremities but also balance in sitting, standing, and gait [10, 56,62]. The Berg balance scale (BBS) was most often used in previous studies to measure balance ability comprehensively [5,16,26,28,51,54,62,[65][66][67][68][69][70].…”

Section: Evaluation For Ataxia Balance Gait Ability and Adlmentioning

confidence: 99%

“…These scales include the measurement of not only incoordination movement of the upper and lower extremities but also balance in sitting, standing, and gait [10, 56,62]. The Berg balance scale (BBS) was most often used in previous studies to measure balance ability comprehensively [5,16,26,28,51,54,62,[65][66][67][68][69][70]. Timed up and go test [54,64,69], 10-m walk test [5,66], 2-min walking test [62], and 6-min walking test [10] were used to measure the gait ability in previous studies.…”

Section: Evaluation For Ataxia Balance Gait Ability and Adlmentioning

confidence: 99%

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Physical Therapy for Cerebellar Ataxia

Matsugi¹

2017

Neurological Physical Therapy

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Ataxia, the incoordination and balance dysfunction in movements without muscle weakness, causes gait and postural disturbance in patients with stroke, multiple sclerosis, and degeneration in the cerebellum. The aim of this article was to provide a narrative review of the previous reports on physical therapy for mainly cerebellar ataxia offering various opinions. Some systematic reviews and randomized control trial studies, which were searched in the electronic databases using terms "ataxia" and "physical therapy," enable a strategy for physical therapy for cerebellar ataxia. Intensive physical therapy more than 1 hour per day for at least 4 weeks, focused on balance, gait, and strength training in hospital and home for patients with degenerative cerebellar ataxia can improve ataxia, gait ability, and activity of daily living. Furthermore, the weighting on the torso, using treadmill, noninvasive brain stimulation over the cerebellum for neuromodulation to facilitate motor learning, and neurophysiological assessment have a potential to improve the effect of physical therapy on cerebellar ataxia. Previous findings indicated that physical therapy is time restricted; therefore, its long-term effect and the effect of new optional neurophysiological methods should be studied.

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Effects of different exercise modalities on ataxia in multiple sclerosis patients: a randomized controlled study

Cited by 32 publications

References 37 publications

Cerebellar Dysfunction in Multiple Sclerosis

Cerebellar Dysfunction in Multiple Sclerosis

Use of a Zorb Bumper Ball in rehabilitation of a patient with ataxic multiple sclerosis: A case report

Physical Therapy for Cerebellar Ataxia

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