Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Core Stability Training with Conventional Balance Training Improves Dynamic Balance in Progressive Degenerative Cerebellar Ataxia


Affiliations
1 Dept. of Rehabilitation Sciences, Hamdard University, New Delhi, India
2 Dept. of Rehabilitation Sciences, Jamia Hamdard, New Delhi, India
3 Neurology Dept., A.I.I.M.S., New Delhi, India
4 Neurology Dept., IHBAS hospital, New Delhi, India
     

   Subscribe/Renew Journal


Background and Purpose: Disorder of balance and gait is the commonest feature found in Cerebellar ataxia patients. Purpose was to see the effect of Core stability training along with balance training on dynamic balance in progressive degenerative Cerebellar Ataxia.

Methods: 20 subjects of progressive Degenerative condition (18 SCA subjects and 2 olivopontocerebellar atrophy) were systematically assigned in two groups, group A (n=10) in core and balance training and group B (n=10) in balance and relaxation training. Treatment was given 1 hour per session for each group, 3 days a week for 4 weeks. The outcomes of the study were measured by Balance Evaluation System Test (BESTest) and Modified falls efficacy scale (MFES).

Results: Core stability training group showed significant improvement on BESTest at follow up compared to conventional balance training group. There was no statistical difference found in the MFEscale among the two groups but the results were clinically significant till follow up for core stability training group.

Conclusion: Core stability training can be included as an adjunct to conventional balance training in improving dynamic balance in patients with progressive degenerative Cerebellar ataxia.


Keywords

Cerebellar Ataxia, Core Stability Training, Dynamic Balance, Falls
Subscription Login to verify subscription
User
Notifications
Font Size


  • M.Halliet.Hand book of Clinical Neurophysiology.Elsevier2003; 1: 498.

  • Ganesan Mohan, Pramod Kumar Pal,Kumar R. Sendhil, Kandavel Thennarasu, B.R. Usha. Quantitative evaluation of balance in patients with spinocerebellar ataxia type 1: A case control study. Parkinsonism and Related Disorders 2009; 15: 435–439.

  • Maaike Bakker, John H.J. Allum, Jasper E. Visser, Christian Grüneberg, Bart P. van de Warrenburg, Berry H.P. Kremer, et al. Postural responses to multidirectional stance perturbations in cerebellar ataxia. Experimental Neurology 2006; 202: 21–35.

  • Asaka T, Wang Y, Fukushima J, Latash ML. Learning effects on muscle modes and multi-mode postural synergies. Exp Brain Res. 2008 Jan; 184(3):323-38.

  • Susanne M.Morton, AmyJ.Bastain. Relative contributions of balance and voluntary legcoordination deficits to cerebellar gait ataxia. J. Neurophysiol 2003;89:1844-1856

  • Darcy Ann Umphred PT PhD FAPTA.Neurological Rehabilitation. 5th Ed.

  • DeLisa, Joel A.; Gans, Bruce M.; Walsh, Nicolas E.; Bockenek et al. Physical Medicine & Rehabilitation: Principles and Practice, 4th Edition Lippincott Williams & Wilkins2005

  • John D. Willson, MSPT, Christopher P. Dougherty, DO, Mary Lloyd Ireland, MD, and Irene Mc Clay Davis, PhD, PT Volume 13,. J Am Acad Orthop Surg 2005;13:316- 325.

  • Gardner-Morse MG, Stokes IA. The effects of abdominal muscle co activation on lumbar spine stability. Spine (Phila Pa 1976). 1998 Jan 1; 23(1):86-91.

  • Libenson.C Spinal stabilization training. Journal of bodywork and movement therapy 1997; 1(2): 87-90.

  • Danneels LA, Vanderstraeten GG, Cambier DC, Witvrouw EE, Bourgois J, Dankaerts W et al.. Effects of three different training modalities on the cross sectional area of the lumbar multifidus muscle in patients with chronic low back pain. Br J Sports Med. 2001 Jun; 35(3):186-91.

  • JNicole L. Kahle, BS; Phillip A. Gribble. Core Stability Training in Dynamic Balance Testing Among Young, Healthy Adults. Athletic Training & Sports Health Care 2009; 1(2): 13. Akuthota V, Nadler SF. Core strengthening. Arch Phys Med Rehabil 2004; 85(3 Suppl1):S86-92.

  • Hodges PW. Core stabilization exercises in Chronic Low Back Pain. Orthopaedic Clinics of North America2003; 34:245-254Mario-Ubaldo Manto, Massimo Pandolfo. The Cerebellum and its disorders. Cambridge 2002.

  • Jull GA, Richardson C, Toppenberg R, Comerford M and Bui B: Towards a measurement of active muscle control for lumbar stabilization. Australian journal of physiotherapy 1993;39: 187-193

  • Richardson C, Jull G, Toppenberg R, Comerford M. Techniques of active lumbar stabilization for spinal protection: A pilot study. Australian Journal of Physiotherapy 1992; 38(2): 105-112

  • Clinical sports medicine 3 Ed; Mc Graw Hill Professional. Brukner and Khan.

  • Shirley Sahrmann. Treatment and Diagnosis of Movement Impairment Syndromes, Mosby,

  • Zampieri C, Di Fabio RP. Balance and eye movement training to improve gait in people with progressive supranuclear palsy: quasirandomized clinical trial. Phys Ther. 2008;88:1460–1473

  • Ilg W, Synofzik M, Brötz D, Burkard S, Giese MA, Schöls L. Intensive coordinative training improves motor performance in degenerative cerebellar disease. Neurology. 2009 Dec 1; 73(22):1823-30.

  • Sullivan.P, Towmey.L, Allison.G. Altered abdominal muscle recruitment in patients with chronic low back pain following a specific exercise intervention. Journal of Sports Physical Therapy, 1998; 27(2):114-124.

  • Horak FB, Wrisley DM, Frank J.The Balance Evaluation Systems Test (BESTest) to differentiate balance deficits. Phys Ther. 2009 May; 89(5): 484-98.

  • Hill KD, Schwarz JA, Kalogeropoulos AJ, Gibson SJ. Fear of falling revisited. Arch Phys Med Rehabil. 1996 Oct; 77(10):1025-9.

  • C. Libenson. Spinal stabilization training. Journal of bodywork and movement therapy 1997; 1(2): 87-90.

  • Konin JG, Beil N, Werner G. Functional rehabilitation. Facilitating the serape effect to enhance extremity force production. AthlTher Today 2003;8:54-6

  • Carolyn Richardson, Gwendolen Jull, Rowena Toppenber, Mark Comerford. Techniques of active lumbar stabilization for spinal protection: A pilot study. Australian Journal of Physiotherapy 1992; 38(2): 105-112

  • Tadayoshi Asaka, Yun Wang. Feed forward postural muscle modes and multi-mode coordination in mild cerebellar ataxia. Exp Brain Res 2011; 210:153-163.

  • Tadayoshi Asaka, Yun Wang, E, Junko Fukushima, E Mark, L. Latash. Learning effects on muscle modes and multi- mode postural synergies. Exp Brain Res 2008; 184:323-338.

  • Winfried Ilg PhD, Doris Brötz PT, Susanne Burkard PT, Martin A. Giese PhD, Ludger Schöls MD,*,Matthis Synofzik MD. Long-term effects of coordinative training in degenerative cerebellar disease.2010; 25 (13):2239–22462000997

  • Hill K. Studies of balance in older people. [PhD]. The University of Melbourne, 1998.


Abstract Views: 1061

PDF Views: 0




  • Core Stability Training with Conventional Balance Training Improves Dynamic Balance in Progressive Degenerative Cerebellar Ataxia

Abstract Views: 1061  |  PDF Views: 0

Authors

Khan Neha Tabbassum
Dept. of Rehabilitation Sciences, Hamdard University, New Delhi, India
Nayeem-U-Zia
Dept. of Rehabilitation Sciences, Jamia Hamdard, New Delhi, India
Harpreet Singh Sachdev
Neurology Dept., A.I.I.M.S., New Delhi, India
K. Suman
Neurology Dept., IHBAS hospital, New Delhi, India

Abstract


Background and Purpose: Disorder of balance and gait is the commonest feature found in Cerebellar ataxia patients. Purpose was to see the effect of Core stability training along with balance training on dynamic balance in progressive degenerative Cerebellar Ataxia.

Methods: 20 subjects of progressive Degenerative condition (18 SCA subjects and 2 olivopontocerebellar atrophy) were systematically assigned in two groups, group A (n=10) in core and balance training and group B (n=10) in balance and relaxation training. Treatment was given 1 hour per session for each group, 3 days a week for 4 weeks. The outcomes of the study were measured by Balance Evaluation System Test (BESTest) and Modified falls efficacy scale (MFES).

Results: Core stability training group showed significant improvement on BESTest at follow up compared to conventional balance training group. There was no statistical difference found in the MFEscale among the two groups but the results were clinically significant till follow up for core stability training group.

Conclusion: Core stability training can be included as an adjunct to conventional balance training in improving dynamic balance in patients with progressive degenerative Cerebellar ataxia.


Keywords


Cerebellar Ataxia, Core Stability Training, Dynamic Balance, Falls

References