Journalartikel

Motor Function Improvement in Children with Ataxia Receiving Interval Rehabilitation, Including Vibration-Assisted Hometraining: A Retrospective Study


AutorenlisteMartakis, Kyriakos; Stark, Christina; Alberg, Evelyn; Bossier, Christiane; Semler, Oliver; Schoenau, Eckhard; Duran, Ibrahim

Jahr der Veröffentlichung2019

Seiten304-312

ZeitschriftKlinische Pädiatrie

Bandnummer231

Heftnummer6

ISSN0300-8630

eISSN1439-3824

DOI Linkhttps://doi.org/10.1055/a-1001-2284

VerlagGeorg Thieme Verlag


Abstract
Background Physiotherapy, including vibration-assisted therapy, has been proven to be effective for patients with ataxic cerebral palsy. Herewith, we studied the effect of a functional, goal-oriented interval rehabilitation program, including vibration-assisted home-training on the motor function of children with congenital ataxias. Patients 45 children (mean age 7.7 years, SD 4.70) with ataxia, having received a 6-month home-based side-alternating vibration-assisted therapy combined with intensive, goal-oriented, functional rehabilitation intervals, were included in the study, classified according to the progressive or non-progressive ataxia character. Method Retrospective analysis of the prospectively collected data of the registry of the Cologne rehabilitation program "Auf die Beine". Motor abilities have been assessed prior to the intervention (M0), after 6 months of home-training (M6) as well as in a follow-up 6 months later (M12). We performed a gait analysis, a 1-minute walking test (1-MWT), and the Gross Motor Function Measure (GMFM-66). Results The GMFM-66 improvement (M6-M0 vs. M12-M6) was statistically significant with median improvement of 2.4 points (non-progressive) and 2.9 points (progressive) respectively, and clinically relevant. The 1-MWT improvement was statistically significant and clinically relevant for non-progressive ataxia. Conclusion The intensive training, including vibration-assisted therapy significantly improved the motor function of children with ataxia. Six months later the skills were preserved in children with progressive ataxia and could be further developed in non-progressive forms.



Zitierstile

Harvard-ZitierstilMartakis, K., Stark, C., Alberg, E., Bossier, C., Semler, O., Schoenau, E., et al. (2019) Motor Function Improvement in Children with Ataxia Receiving Interval Rehabilitation, Including Vibration-Assisted Hometraining: A Retrospective Study, Klinische Pädiatrie, 231(6), pp. 304-312. https://doi.org/10.1055/a-1001-2284

APA-ZitierstilMartakis, K., Stark, C., Alberg, E., Bossier, C., Semler, O., Schoenau, E., & Duran, I. (2019). Motor Function Improvement in Children with Ataxia Receiving Interval Rehabilitation, Including Vibration-Assisted Hometraining: A Retrospective Study. Klinische Pädiatrie. 231(6), 304-312. https://doi.org/10.1055/a-1001-2284



Schlagwörter


ATAXIACEREBELLAR-ATAXIACEREBRAL-PALSYGROSS MOTOR FUNCTIONneuromuscular interactionPhysiotherapyRELIABILITYwhole body vibration


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