Use of trunk stabilization and locomotor training in an adult with cerebellar ataxia: a single system design

Physiotherapy Theory and Practice
Jane E Freund, Deborah M Stetts

Abstract

The purpose of this study is to describe the effects of trunk stabilization training and locomotor training (LT) using body-weight support on a treadmill (BWST) and overground walking on balance, gait, self-reported function, and trunk muscle performance in an adult with severe ataxia secondary to brain injury. There are no studies on the effectiveness of these combined interventions in persons with ataxia. The subject was a 23-year-old male who had a traumatic brain injury 13 months prior. An A-B-A withdrawal single-system design was used. Outcome measures were Berg Balance Test (BBT), timed unsupported stance, Functional Ambulation Category (FAC), 10-meter walk test (10-MWT), Outpatient Physical Therapy Improvement in Movement Assessment Log (OPTIMAL), transverse abdominis (TrA) thickness, and isometric trunk endurance tests. Performance on the BBT, timed unsupported stance, FAC, 10-MWT, and OPTIMAL each improved after 10 weeks of intervention. In additions, TrA symmetry at rest improved as did right side-bridge endurance time. LT, using BWST and overground walking, and trunk stabilization training may be effective in improving balance, gait, function, and trunk performance in individuals with severe ataxia. Further research ...Continue Reading

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Citations

Nov 14, 2013·The Cerebellum·W IlgD Timmann
Dec 23, 2011·Rehabilitation Research and Practice·Marianne Anke StephanDiserens Karin
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Jun 28, 2012·Physiotherapy Theory and Practice·Jane E Freund, Deborah M Stetts
Feb 15, 2014·Neurorehabilitation and Neural Repair·Jennifer L Keller, Amy J Bastian
Sep 21, 2019·The Journal of International Medical Research·Giuseppe LanzaAlessia Bramanti
Dec 31, 2019·BioMed Research International·Elisabetta PeriEmilia Biffi
Mar 15, 2018·Rehabilitation Research and Practice·Laura Alice Santos de OliveiraErika de Carvalho Rodrigues
Dec 19, 2020·Physical Therapy·Rachel ReoliAmy Bastian

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