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A rehabilitation program to increase balance and mobility in ataxia of Charlevoix-Saguenay: An exploratory study

Lessard Isabelle, Masterman Viviane, Côté Isabelle, Gagnon Cynthia et Duchesne Élise. (2022). A rehabilitation program to increase balance and mobility in ataxia of Charlevoix-Saguenay: An exploratory study. PLOS ONE, 17, (12), e0279406.

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URL officielle: https://doi.org/10.1371/journal.pone.0279406

Résumé

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.

Type de document:Article publié dans une revue avec comité d'évaluation
ISSN:1932-6203
Volume:17
Numéro:12
Pages:e0279406
Version évaluée par les pairs:Oui
Date:2022
Identifiant unique:10.1371/journal.pone.0279406
Sujets:Sciences de la santé
Sciences de la santé > Sciences de l'activité physique et réadaptation
Sciences de la santé > Sciences de l'activité physique et réadaptation > Physiothérapie
Département, module, service et unité de recherche:Départements et modules > Département des sciences de la santé > Unité d'enseignement en physiothérapie
Mots-clés:activities of daily living, spastic ataxia Charlevoix-Saguenay, cerebellar ataxia, muscle spasticity, postural balance, spinocerebellar ataxias, activités de la vie quotidienne, ataxie spastique Charlevoix-Saguenay, ataxie cérébelleuse, spasticité musculaire, équilibre postural, ataxies spinocérébelleuses.
Déposé le:19 janv. 2023 18:30
Dernière modification:19 janv. 2023 18:30
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