The effect of weights on lower limbs in static and dynamic balance for ataxia sufferers

Authors

  • Márcio Luís Dias Universidade Estadual de Campinas
  • Fernanda Toti Universidade Estadual de Campinas
  • Sara Regina Meira Almeida Universidade Estadual de Campinas
  • Telma Dagmar Oberg Universidade Estadual de Campinas

DOI:

https://doi.org/10.11606/issn.2317-0190.v16i3a103200

Keywords:

Cerebellar Ataxia, Lower Extremity, Musculoskeletal Equilibrium, Gait Ataxia

Abstract

The object of this research was to evaluate the effect of ataxia sufferers using weights on the lower members while walking. It is believed that weights on lower members benefits the gait quality of ataxia patients, altering the motor programming and neural connections in the cerebellum that are alterable in motor learning. Twentyone individuals were randomly divided into two groups: with weights (GP n=10) and without weights (SP n=11). Everyone did 20 sessions of physiotherapy and were evaluated before (first evaluation), after treatment (second evaluation), and after 30 days (third evaluation), by means of the Berg Balance, Dynamic Gait Index, Equiscale, Inter-national Cooperative Ataxia Rating Scale, Functional Independence Measure. The ANOVA analysis was used for repeated measurements to compare the evolution of variables over time, with a significance the GP individuals managed better results with balance, coordination, and functional independence than those without weights. The GP group managed to maintain the benefit from the first through third evaluations on all scales except the DGI. The study proved the effectiveness of weights in improving the static and dynamic balance, the gait coordination, and functional independence.

Downloads

Download data is not yet available.

References

Ferrarin M, Gironi M, Mendozzi L, Nemni R, Mazzoleni P, Rabuffetti M. Procedure for the quantitative evaluation of motor disturbances in cerebellar ataxic patients. Med Biol Eng Comput. 2005;43(3):349-56.

Ghez C,Thach WT. O cerebelo. In: Kandel ER, Schwartz JH, Jessell TM. Princípios da neurociência. 4 ed. Barueri: Manole; 2003. p. 832-52.

Morton SM, Bastian AJ. Relative contributions of balance and voluntary leg-coordination deficits to cerebellar gait ataxia. J Neurophysiol. 2003;89(4):1844-56.

Stolze H, Klebe S, Petersen G, Raethjen J, Wenzelburger R, Witt K, et al. Typical features of cerebellar ataxic gait. J Neurol Neurosurg Psychiatry. 2002;73(3):310-2.

Clopton N, Schultz D, Boren C, Porter J, Brillhart T. Effects of Axial Weight Loading on Gait for Subjects with Cerebellar Ataxia: Preliminary Findings. Neurology Report. 2003;27(1):15-21.

Timmann D, Citron R,Watts S, Hore J. Increased variability in finger position occurs throughout overarm throws made by cerebellar and unskilled subjects. J Neurophysiol. 2001;86(6):2690-702.

Bastian AJ, Zackowski KM,Thach WT. Cerebellar ataxia: torque deficiency or torque mismatch between joints? J Neurophysiol. 2000;83(5):3019-30.

Pérez-Avila I, Fernandez-Vieitez JA, Martinez-Góngora E, Ochoa-Mastrapa R,Velázquez-Manresa MG. Efectos de um programa de ejercicios físicos sobre variables neurológicas cuantitativas em pacientes com ataxia espinocerebelosa tipo 2 em estadio leve. Rev Neurol. 2004;39(10):907-10.

Miyamoto ST, Lombardi Junior I, Berg KO, Ramos LR, Natour J. Brazilian version of the Berg balance scale. Braz J Med Biol Res. 2004;37(9):1411-21.

Tesio L, Perucca L, Franchignoni FP, Battaglia MA.A short measure of balance in multiple sclerosis: validation through Rasch analysis. Funct Neurol. 1997;12(5):255-65.

Shumway-Cook A, Baldwin M, Polissar NL, Gruber W. Predicting the probability for falls in community-dwelling older adults. Phys Ther. 1997;77(8):812-9.

Trouillas P, Takayanagi T, Hallett M, Currier RD, Subramony SH, Wessel K, et al. International Cooperative Ataxia Rating Scale for pharmacological assessment of the cerebellar syndrome.The Ataxia Neuropharmacology Committee of the World Federation of Neurology. J Neurol Sci. 1997;145(2):205-11.

Granger CV, Cotter AC, Hamilton BB, Fiedler RC, Hens MM. Functional assessment scales: a study of persons with multiple sclerosis. Arch Phys Med Rehabil. 1990;71(11):870-5.

Morgan MH. Ataxia and weights. Physiotherapy. 1975;61(11):332-4.

Shumway-Cook A,Woollacott MH. Controle motor: teoria e aplicaçoes práticas. Sao Paulo: Manole; 2003.

Manto M, Godaux E, Jacquy J. Cerebellar hypermetria is larger when the inertial load is artificially increased.Ann Neurol. 1994;35(1):45-52.

Bastian AJ. Cerebellar limb ataxia: abnormal control of self-generated and external forces.Ann N Y Acad Sci. 2002;978:16-27.

Aruin A, Shiratori T. Anticipatory postural adjustments while sitting: the effects of different leg supports. Exp Brain Res. 2003;151(1):46-53.

Lucy SD, Hayes KC. Postural sway profiles: Normal subjects and subjects with cerebellar ataxia. Physiother Can. 1985;37:140-7.

Ioffe ME, Ustinova KI, Chernikova LA, Kulikov MA. Supervised learning of postural tasks in patients with poststroke hemiparesis, Parkinson's disease or cerebellar ataxia. Exp Brain Res. 2006;168(3):384-94.

Published

2009-09-09

Issue

Section

Original Article

How to Cite

1.
Dias ML, Toti F, Almeida SRM, Oberg TD. The effect of weights on lower limbs in static and dynamic balance for ataxia sufferers. Acta Fisiátr. [Internet]. 2009 Sep. 9 [cited 2024 May 18];16(3):116-20. Available from: https://www.revistas.usp.br/actafisiatrica/article/view/103200