Balance training in ataxic neuropathies. Effects on balance and gait parameters

Missaoui, B.; Thoumie, P.

doi:10.1016/j.gaitpost.2013.01.017

Cited by 31 publications

(37 citation statements)

References 18 publications

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“…The results suggest that there is a possibility that the intervention improves the motor function in patient with ataxic neuropathies [69].…”

Section: Balance Trainingmentioning

confidence: 84%

“…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. Furthermore, the functional independence measure (FIM) was often used to measure the ADL in patients with cerebellar ataxia [4,50].…”

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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“…The results suggest that there is a possibility that the intervention improves the motor function in patient with ataxic neuropathies [69].…”

Section: Balance Trainingmentioning

confidence: 84%

Section: Evaluation For Ataxia Balance Gait Ability and Adlmentioning

confidence: 99%

Physical Therapy for Cerebellar Ataxia

Matsugi¹

2017

Neurological Physical Therapy

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“…For visual (VR) and visual-tactile restriction (VTR) conditions, this result could be attributed to the processing of other intact sensory inputs, such as proprioceptive information, which could compensate for the visual and tactile inputs absence (Norman & Bartholomew, 2011;Ozdemir, Pourmoghaddam, & Paloski, 2013;Wong, Gnanakumaran, & Goldreich, 2011). In fact, studies showed that, in cases of absence or limitations in one or more categories of sensory input in healthy participants (Levy-Tzedek et al, 2012) or in patients with neurological diseases affecting the sensory system (Missaoui & Thoumie, 2013;Riva et al, 2014), mechanisms based on the increase in processing of the remaining sensory inputs could be activated to compensate the deficiency to control the performance of well-learned tasks. The new evidence emerging from the present study suggests that similar compensatory mechanisms are also efficient during the leaning of a novel skill.…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, recent studies have called into question whether online feedback is, in fact, fundamental to the learning process (Wierinck, Puttemans, & van Steenberghe, 2006;Wu et al, 2011). Studies showing that (1) patients with sensory impairments do not show difficulty learning new motor skills (Missaoui & Thoumie, 2013;Riva et al, 2014); (2) untrained segments are able to improve their performance on a new motor skill after the training of a distinct body segment, therefore, without online sensory feedback (Harley & Prilutsky, 2012), and (3) learning by mental practice (Gentili, Papaxanthis, & Pozzo, 2006;Schuster et al, 2011), i.e. the repeated use of motor or kinesthetic imagery by internal rehearsal of movement from a first-person perspective without any overt physical movement and, consequently, with zero online sensory feedback indicate that the feedback function in motor learning is not yet fully understood.…”

Section: Introductionmentioning

confidence: 99%

Effects of Online Sensory Feedback Restriction during the Training on Immediate and Long-Term Learning on a Finger Opposition Tapping Task

Piemonte

Kopczynski

Voos

et al. 2015

Journal of Education and Training Studies

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Background: Online sensory feedback has been considered fundamental for motor learning. The sensory inputs experienced in previous attempts can be processed and compared to allow the online refinement of subsequent attempts, resulting on performance improvement. However, numerous studies have provided direct and indirect evidence that learning new motor abilities is possible, regardless of online sensory feedback. Objective: The purpose of this study was to investigate the influence of online sensory feedback on learning a new motor skill. Methods: We investigated the immediate and the 28-day delayed performance of a single-session training (4 blocks of 600 movements) performed under 4 different conditions of online sensory restriction: (1) no restriction; (2) visual input restriction; (3) visual and tactile input restriction and (4) total input restriction (mental practice), in 40 young healthy participants (mean age 26.6±3.6 years). The task consisted of performing finger opposition sequences using the dominant hand (right). Results: The training condition did not influence immediate or delayed performance in terms of accuracy or speed. Conclusion: As all conditions resulted in a similar amount of performance improvement, the level of online feedback available during training did not affect the learning process. Probably, according to the sensory inputs availability on the training conditions, equally efficient strategies are developed to improve performance in terms of speed and accuracy.

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“…proprioceptive balance training as part of mixed programmes that include lower limb strengthening (Ites et al, 2011) and improvements in laboratory based balance measures after multi-sensory balance training (Missaoui & Thoumie, 2013). It would appear that functional training requires several weeks to demonstrate change, but some of the higher tech approaches may give faster results.…”

Section: Fatigue and Fatigabilitymentioning

confidence: 99%