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The Effect of Balance Training based on the Berg Balance Scale for the Balance Function in Patients with Cerebellar Ataxia

Affiliations

  • Department of Physical Medicine and Rehabilitation, Asan Medical Center, Seoul, Korea, Republic of
  • Department of Sport and Leisure Studies, Korea University, Seoul, South Korea
  • Department of Physical Education, Korea University, Seoul, Korea, Republic of

Abstract


Objective: This paper aims to evaluate the effects of balance training on Berg balance scale on balance function in patients with cerebellar ataxia. Methods/Statistical analysis: A total of 21 patients with cerebellar ataxia were randomly assigned to the experimental group (n=14) for balance training based on Berg Balance Scale and to the control group (n=7) for therapeutic exercise based on neurodevelopmental treatment. Each patient received 14 treatment sessions of 30 minutes each. Patients were evaluated by physical therapist before and after treatment as well as 1-month post-treatment using the Berg balance scale and Timed up and go test. Findings: At the end of treatment, the experimental and control groups showed significant improvements in all outcome measures. Berg balance scale (BBS) group showed the better clinical outcomes for balance training compared to neurodevelopmental treatment(NDT) group and NDT-BBS group. Improvements/ Applications: Balance training based on berg balance scale can improve balance ability in patients with cerebellar ataxia.

Keywords

Balance Training, Berg Balance Scale, Cerebellar Ataxia, Neurodevelopment Treatment, Physical Therapy, Rehabilitation.

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References


  • Cohen H, Blatchly CA, Gombash LL. A study of the clinical test of the sensory integration and balance. Physical Therapy. 1993 Jun; 73(6):346–51.
  • Cohen J. Statistical power analysis for the behavioral sciences. 2nd (edn), Academic Press: New York; 1988.
  • Nashner LM. Sensory, neuromuscular and biomechanical contributions to human balance. Proceedings of the Forum of the American Physical Therapy Association: Nashville;1989 Jun. p. 13–15.
  • Goldie PA, Evans O, Matyas TA. Performance in the stability limits test during rehabilitation. Gait and Posture. 1996 Oct; 4(4):315–22.
  • Ashburn A, Hyndman D, Pickering R, Yardley L, Harris S. Predicting people with stroke at risk of falls. Age and Ageing. 2008 May; 37(3):270–6.
  • Lamb SE, Ferrucci L, Volapto S, Fried LP, Guralnik JM. Risk factors for falling in home-dwelling older women with stroke: The Women’s Health and Aging Study. Stroke. 2003 Feb; 34(2):494–501.
  • Tideiksaar R. Falling in old age: prevention and treatment. 2nd (edn), New York, Springer; 1997.
  • Alexander BH, Rivara FP, Wolf ME. The cost and frequency of hospitalization for fall related injuries in older adults. American Journal of Public Health. 1992 Jul; 82(7):1020–3.
  • Hausdorff JM, Rios DA, Edelberg HK. Gait variability and fall risk in community living older adults: A 1-year properctive study. Archives of Physical Medicine and Rehabilitation. 2001 Aug; 82(8):1050–6.
  • Bongue B, Dupré C, Beauchet O, Rossat A, Fantino B, Colvez A. A screening tool with five risk factors was developed for fall-risk prediction in community-dwelling elderly. Journal of Clinical Epidemiology. 2011 Oct; 64(10):1152–60.
  • Roig M, Eng JJ, MacIntyre DL, Road JD, FitzGerald JM, Burnset J. Falls in people with chronic obstructive pulmonary disease: An observational cohort study. Respiratory Medicine. 2011 Mar; 105(3):461–9.
  • Allen NE, Schwarzel AK, Canning CG. Recurrent falls in Parkinson’s disease: A systematic review. Parkinsons Disease. 2013 Mar; 2013(2).
  • Weerdesteyn V, Mark de Niet, Hanneke JR, Alexander CH. Falls in individuals with stroke. Journal of Rehabilitation Research and Development. 2008 Mar; 45(8):1195–214.
  • Juyeun K, Youngwhee L, Okkyung H. Factors related to fall in elderly patients with osteoporosis. Journal of Korean Academy Adult Nursing. 2009 Apr; 21(2):257–67.
  • Junghee K, Oksoo K. Balance confidence and balance ability among community-residing stroke patients. Journal of Korean Academy Adult Nursing. 2010 Aug; 22(4):430–7.
  • Soongnang J, Sungil C, Sangwoo O, Eonsook L, Hyunwook B. The validity and reliability of Korean Fall Efficacy Scale (FES) and Activities-specific Balance Confidence Scale (ABC). Journal of Korean Geriatrics Society. 2003 Dec; 7(4):255–68.
  • Ferrarin M, Gironi M, Mendozzi L, Nemni R, Mazzoleni P, Rabuffetti M. Procedure for the quantitative evaluation of motor disturbances in cerebellar ataxic patients. Medical and Biological Engineering and Computing. 2005 May; 43(3):349–56.
  • Whitney SL, Marchetti GF, Schade A. The relationship between falls history and computerized dynamic posturography in persons with balance and vestibular disorder. Archives of Physical Medicine and Rehabilitation. 2006 Mar; 87(3):402–7.
  • Rogers ME, Rogers NL, Takeshima N, Islam M. Method to assess and improve the physical parameters associated with fall risk in older adults. Preventive Medicine. 2003 Mar; 36(3):255–64.
  • Wolfson L, Judge J, Whipple R, King M. Strength is a major factor in balance, gait, and the occurrence of falls. Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 1995 Nov; 64–7.
  • Jette AM, Branch LG. The Framingham disability study: 2 physical disability among the aging. American Journal of Public Health. 1981 Nov; 71(11):1211–16.
  • Rubenstein LZ, Josephson KR, Trueblood PR, Loy S, Harker JO, Pietruszka FM, Robbins AS. Effects of a group exercise program on strength, mobility, and falls among fall-prone elderly men. Journal of Gerontology Series A Biological Science and Medical Science. 2000 Jun; 55(6):M317–21.
  • Binder EF, Schechtman KB, Ehsani AA, Steger-May K, Brown M, Sinacore DR, Yarasheski KE, Holloszy JO. Effects of exercise training on frailty in community-dwelling older adults: results of a randomized, controlled trial. Journal of the American Geriatrics Society. 2002 Dec; 50(12):1921–8.
  • Nelson ME, Layne JE, Bernstein MJ, Nuernberger A, Castaneda C, Kaliton D, Hausdorff J, Judge JO, Buchner DM, Roubenoff R, Singh MAF. The effects of multidimensional home-based exercise on functional performance in elderly people. Journal of Gerontology Series A: Biological Science and Medical Science. 2004 Feb; 59(2):154–60.
  • Mackinnon CD, Winter DA. Control of whole body balance on the frontal plane during human walking. Journal of Biomechanical. 1993 Jun; 26(6):633–44.
  • Hase K, Stein RB. Turning strategies during human walking. Journal of Neurophysiology. 1999 Jun; 81(6):2914–22.
  • Englund U, Littbrand H, Sondell A, Pettersson U, Bucht G. A 1-year combined weight-bearing training program is beneficial for bone mineral density and neuromuscular function in older women. International Osteoporosis. 2005 Sep; 16(9):1117–23.

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