Long-Term Effects of Coordinative Training in Degenerative Cerebellar Disease

被引:103
作者
Ilg, Winfried [1 ,2 ]
Broetz, Doris [3 ]
Burkard, Susanne [4 ]
Giese, Martin A. [1 ,2 ]
Schoels, Ludger [5 ,6 ]
Synofzik, Matthis [5 ,6 ]
机构
[1] Univ Tubingen, Dept Cognit Neurol, Hertie Inst Clin Brain Res, Tubingen, Germany
[2] Univ Tubingen, Werner Reichardt Ctr Integrat Neurosci, Tubingen, Germany
[3] Univ Tubingen, Inst Med Psychol & Behav Neurobiol, MEG Ctr, Tubingen, Germany
[4] Univ Clin Tubingen, Ctr Theory, Ctr Neurol, Tubingen, Germany
[5] Univ Tubingen, Dept Neurodegenerat, Hertie Inst Clin Brain Res, Tubingen, Germany
[6] Univ Tubingen, German Res Ctr Neurodegenerat Dis, Tubingen, Germany
关键词
cerebellum; cerebellar ataxia; neurorehabilitation; motor control; dynamic balance; FRIEDREICH ATAXIA; ARM MOVEMENTS; ADAPTATION; GAIT; REHABILITATION; TREADMILL; THERAPY; BALANCE; LESIONS; SCALE;
D O I
10.1002/mds.23222
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Few clinical studies have evaluated physiotherapeutic interventions for patients with degenerative cerebellar disease. In particular, evidence for long-term effects and transfer to activities of daily life is rare. We have recently shown that coordinative training leads to short-term improvements in motor performance. To evaluate long-term benefits and translation to real world function, we here assessed motor performance and achievements in activities of daily life 1 year after a 4 week intensive coordinative training, which was followed by a home training program. Effects were assessed by clinical rating scales, a goal attainment score and quantitative movement analysis. Despite gradual decline of motor performance and gradual increase of ataxia symptoms due to progression of disease after 1 year, improvements in motor performance and achievements in activities of daily life persisted. Thus, also in patients with degenerative cerebellar disease, continuous coordinative training leads to long-term improvements, which translate to real world function. (C) 2010 Movement Disorder Society
引用
收藏
页码:2239 / 2246
页数:8
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