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allied
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Page 48
April 17-18, 2019 | Frankfurt, Germany
Parkinson’s, Huntington’s & Movement Disorders
International Conference on
Journal of Brain and Neurology | Volume 3
Notes:
Increase or alleviate weight in individuals with SCA? Two lines of evidence for the
physiotherapeutic approach
Laura Oliveira
IFRJ/UNISUAM, Brazil
S
pinocerebellar ataxia (SCA) comprises a family
of autosomal dominant inherited disorders
that result from progressive degeneration of the
cerebellum and its associated systems. Besides
cerebellar deterioration, SCA is accompanied by
degeneration of other nervous system sites. It
leads to non-cerebellar signs such as pyramidal
and extrapyramidal losses, uncommon in ataxia of
other etiologies that can worsen the impairments
of people with SCA. The most common motor
deficiencies in SCA are related to gait and
body balance, with increased risk of falls and
predisposition to physical inactivity, followed by
cardiorespiratory capacity limitation. Despite the
huge recent advances in neurogenetic research,
an effective pharmacological approach to face
this condition is still unknown. In this context,
rehabilitation strategies could represent an
alternative to improve the physical condition and
to reduce the impairments of these individuals.
In this lecture I will present two lines of
intervention. First, the results of a study in which
gait, cardiopulmonary capacity, and balance were
challenged during gait using a partial body weight
support (BWS) and a treadmill will be discussed.
The effects of this training over functionality
and quality of life will be also presented. In few
words, gait training using partial BWS significantly
increased gait performance, treadmill inclination,
durationofexercise,andcardiopulmonarycapacity
in individuals with SCA. Balance improvements
were also found. In the second part, I will show
an opposite line of intervention: the effects of
progressive addition of external loads over the
performance in tests of postural stability and
gait, and the comparison of load addition over
different body parts (waist girdle, pelvic girdle and
lower limbs). The evaluation instruments used
in this part were a posturography examination,
kinematic gait analysis, Scale for the Assessment
and Rating of Ataxia, Modified Dynamic Gait
Index, Berg balance scale, Inventory of Non-Ataxia
Signs and SCA Functional Index.
e
:
lauraoliveira.ft@gmail.com