Recovery of balance and walking in people with ataxia after acute cerebral stroke: study protocol for a prospective, monocentric, single-blinded, randomized controlled trial
IntroductionPosterior circulation stroke can lead to ataxia, manifesting in a loss of coordination and balance. Patients experience difficulty in activities of daily living and an increased risk of falling, both profoundly affecting quality of life. In individuals with neurodegenerative diseases, co...
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| Published in: | Frontiers in stroke Vol. 3 |
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| Main Authors: | , , , , , , , , , |
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05.08.2024
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| Abstract | IntroductionPosterior circulation stroke can lead to ataxia, manifesting in a loss of coordination and balance. Patients experience difficulty in activities of daily living and an increased risk of falling, both profoundly affecting quality of life. In individuals with neurodegenerative diseases, coordination exercises have been shown to lead to a reduction in ataxic symptoms. There is, however, limited evidence on the effect of physical therapy, specifically coordination exercises in patients with stroke-related ataxia. We therefore present a study protocol for a prospective trial.MethodsThe purpose of this trial is to investigate the effects of coordination exercises compared to standard physiotherapy on balance and walking in ataxic stroke patients. Therefore, a prospective, single-blinded randomized controlled trial is currently ongoing at the Clinical Department of Neurology, Medical University of Innsbruck, Austria, in collaboration with two local rehabilitation facilities in Austria, Hochzirl Hospital and the Clinic for Rehabilitation Münster. Balance is the primary outcome of the study as assessed using the Berg Balance Scale. Secondary outcomes are concerned with walking, risk and number of falls, independence in daily life, and quality of life, rated using appropriate scales and scores. Patients are allocated applying a 1:1 ratio and a stratified block randomization. In both groups recruited individuals undergo five 45-min treatment sessions per week, totaling 20 sessions of coordination exercises (IG) or standard physiotherapy (CG) over the course of 4 weeks. Data is collected at the baseline (T0), after the 4-week supervised practice (T1), and after another 8 weeks of independent home-based training (T2).DiscussionThis is the first randomized controlled trial investigating the effects of coordination exercises on balance and walking in people with stroke-related ataxia. As stroke guidelines emphasize the limited evidence of treatment for ataxic symptoms, this study aims to contribute further knowledge regarding tailored interventions for these patients.Clinical Trial RegistrationGerman Clinical Trials Registry (drks.de). Identifier: DRKS00020825. |
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| AbstractList | IntroductionPosterior circulation stroke can lead to ataxia, manifesting in a loss of coordination and balance. Patients experience difficulty in activities of daily living and an increased risk of falling, both profoundly affecting quality of life. In individuals with neurodegenerative diseases, coordination exercises have been shown to lead to a reduction in ataxic symptoms. There is, however, limited evidence on the effect of physical therapy, specifically coordination exercises in patients with stroke-related ataxia. We therefore present a study protocol for a prospective trial.MethodsThe purpose of this trial is to investigate the effects of coordination exercises compared to standard physiotherapy on balance and walking in ataxic stroke patients. Therefore, a prospective, single-blinded randomized controlled trial is currently ongoing at the Clinical Department of Neurology, Medical University of Innsbruck, Austria, in collaboration with two local rehabilitation facilities in Austria, Hochzirl Hospital and the Clinic for Rehabilitation Münster. Balance is the primary outcome of the study as assessed using the Berg Balance Scale. Secondary outcomes are concerned with walking, risk and number of falls, independence in daily life, and quality of life, rated using appropriate scales and scores. Patients are allocated applying a 1:1 ratio and a stratified block randomization. In both groups recruited individuals undergo five 45-min treatment sessions per week, totaling 20 sessions of coordination exercises (IG) or standard physiotherapy (CG) over the course of 4 weeks. Data is collected at the baseline (T0), after the 4-week supervised practice (T1), and after another 8 weeks of independent home-based training (T2).DiscussionThis is the first randomized controlled trial investigating the effects of coordination exercises on balance and walking in people with stroke-related ataxia. As stroke guidelines emphasize the limited evidence of treatment for ataxic symptoms, this study aims to contribute further knowledge regarding tailored interventions for these patients.Clinical Trial RegistrationGerman Clinical Trials Registry (drks.de). Identifier: DRKS00020825. |
| Author | Kiechl, Stefan Seebacher, Barbara Steiger, Ruth Mayer-Suess, Lukas Greimann, Raphaela Grams, Astrid Kofler, Markus Brenneis, Christian Pachmann, Ulrike Meier, Patricia |
| Author_xml | – sequence: 1 givenname: Patricia surname: Meier fullname: Meier, Patricia – sequence: 2 givenname: Lukas surname: Mayer-Suess fullname: Mayer-Suess, Lukas – sequence: 3 givenname: Stefan surname: Kiechl fullname: Kiechl, Stefan – sequence: 4 givenname: Ulrike surname: Pachmann fullname: Pachmann, Ulrike – sequence: 5 givenname: Raphaela surname: Greimann fullname: Greimann, Raphaela – sequence: 6 givenname: Markus surname: Kofler fullname: Kofler, Markus – sequence: 7 givenname: Christian surname: Brenneis fullname: Brenneis, Christian – sequence: 8 givenname: Astrid surname: Grams fullname: Grams, Astrid – sequence: 9 givenname: Ruth surname: Steiger fullname: Steiger, Ruth – sequence: 10 givenname: Barbara surname: Seebacher fullname: Seebacher, Barbara |
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| Cites_doi | 10.1136/jnnp.53.7.576 10.1007/s10198-004-0264-z 10.1055/s-0028-1109151 10.3389/fnins.2022.806406 10.1093/ageing/afi196 10.1007/s00415-013-7087-8 10.1016/S0140-6736(13)61953-4 10.1016/j.cortex.2014.09.022 10.3109/07853890109002087 10.1002/mds.23222 10.1186/s12984-019-0553-5 10.3138/ptc.41.6.304 10.2340/16501977-1908 10.3233/NRE-2005-20204 10.1016/j.ridd.2014.09.010 10.3390/s20164545 10.3389/fnbeh.2018.00010 10.1016/j.gaitpost.2013.09.011 10.1177/1545968311425918 10.1177/23969873231191304 10.1080/09593985.2016.1202364 10.1093/geronj/45.6.M192 10.1097/01.NPT.0000260567.24122.64 10.3109/09593985.2013.819952 10.1055/s-0031-1287805 10.1136/bmj.g1687 10.1093/geronj/47.3.M93 10.1177/1545968311412053 10.1161/STR.0000000000000098 10.2522/ptj.20090029 10.1016/j.rehab.2014.01.002 10.1310/tsr1405-56 10.1093/brain/120.10.1753 10.1177/003693305700200504 10.3109/03790799009166594 10.1055/s-0032-1308126 10.1016/j.apmr.2007.11.006 10.1111/j.1532-5415.1991.tb01616.x 10.1155/2018/2892065 10.1016/S0004-9514(14)60296-8 10.1186/1471-2288-12-127 10.2522/ptj.20070205 10.1159/000448303 10.1212/WNL.0b013e3182749e67 10.1177/17474930211041949 10.1007/s12311-022-01373-9 10.1212/01.wnl.0000219042.60538.92 10.3109/09593980903015235 10.1212/WNL.0b013e3181c33adf 10.1080/09638280600747637 10.1016/S0895-4356(03)00141-0 |
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| References | Thieme (B52) 2009; 5 Greiner (B16) 2005; 6 B23 Ilg (B20) 2010; 25 Duncan (B10) 1992; 47 Schuster (B46) 2012; 12 Taube (B51) 2015; 64 Molinari (B38) 1997; 120 Marquer (B35) 2014; 57 Winstein (B54) 2016; 47 Synofzik (B50) 2013; 260 Cabaraux (B6) 2023; 22 Duncan (B11) 1990; 45 Schmitz-Hübsch (B45) 2006; 66 Bultmann (B5) 2014; 39 Ruffieux (B43) 2018; 12 Miyai (B37) 2012; 26 Lam (B30) 2010; 26 Yardley (B55) 2005; 34 Blum (B3) 2008; 88 Rabin (B41) 2001; 33 Ilg (B21) 2012; 79 Ma (B31) 2022; 16 Kwakkel (B29) 2023; 8 De Bartolo (B9) 2020; 20 Kim (B26) 2019; 16 Meier (B36) 2021 Rankin (B42) 1957; 1957 Kempen (B25) 2007; 29 B47 Vickers (B53) 2003; 56 Belas Dos Santos (B1) 2018; 2018 Stoykov (B49) 2005; 20 Kelly (B24) 2016; 32 Berg (B2) 1989; 41 Malouin (B32) 2010; 90 Feigin (B12) 2014; 383 Hatakenaka (B17) 2012; 26 Malouin (B33) 2008; 89 Sartor-Glittenberg (B44) 2014; 30 Oostra (B39) 2015; 47 Brötz (B4) 2007; 5 Malouin (B34) 2007; 31 Hoffmann (B18) 2014; 348 B19 Collin (B8) 1990; 53 Funke (B13) 2009 Podsiadlo (B40) 1991; 39 Stevenson (B48) 2001; 47 Kim (B27) 2016; 40 Gerdes (B14) 2012; 51 Collen (B7) 1990; 12 Kruger (B28) 2007; 14 Ilg (B22) 2009; 73 Giagazoglou (B15) 2015; 36 |
| References_xml | – volume: 53 start-page: 576 year: 1990 ident: B8 article-title: Assessing motor impairment after stroke: a pilot reliability study publication-title: J. Neurol. Neurosurg. Psychiat. doi: 10.1136/jnnp.53.7.576 – volume: 6 start-page: 124 year: 2005 ident: B16 article-title: Validating the EQ-5D with time trade off for the German population publication-title: Eur. J. Health Econ. doi: 10.1007/s10198-004-0264-z – volume: 5 start-page: 5 year: 2009 ident: B52 article-title: Functional Gait Assessment - deutsche Version Übersetzung eines Instruments zur Beurteilung der Balancefähigkeit während des Gehens publication-title: Physioscience doi: 10.1055/s-0028-1109151 – volume: 16 start-page: 806406 year: 2022 ident: B31 article-title: Brain function and upper limb deficit in stroke with motor execution and imagery: a cross-sectional functional magnetic resonance imaging study publication-title: Front. Neurosci. doi: 10.3389/fnins.2022.806406 – volume: 34 start-page: 614 year: 2005 ident: B55 article-title: Development and initial validation of the Falls Efficacy Scale-International (FES-I) publication-title: Age Ageing doi: 10.1093/ageing/afi196 – volume: 260 start-page: 2656 year: 2013 ident: B50 article-title: Videogame-based coordinative training can improve advanced, multisystemic early-onset ataxia publication-title: J. Neurol. doi: 10.1007/s00415-013-7087-8 – volume: 383 start-page: 245 year: 2014 ident: B12 article-title: Global and regional burden of stroke during 1990-2010: findings from the Global Burden of Disease Study 2010 publication-title: Lancet doi: 10.1016/S0140-6736(13)61953-4 – volume: 64 start-page: 102 year: 2015 ident: B51 article-title: Brain activity during observation and motor imagery of different balance tasks: an fMRI study publication-title: Cortex doi: 10.1016/j.cortex.2014.09.022 – volume: 33 start-page: 337 year: 2001 ident: B41 article-title: EQ-5D: a measure of health status from the EuroQol Group publication-title: Ann. Med. doi: 10.3109/07853890109002087 – volume: 25 start-page: 2239 year: 2010 ident: B20 article-title: Long-term effects of coordinative training in degenerative cerebellar disease publication-title: Mov. Disord. doi: 10.1002/mds.23222 – volume: 16 start-page: 99 year: 2019 ident: B26 article-title: Robot-assisted gait training for balance and lower extremity function in patients with infratentorial stroke: a single-blinded randomized controlled trial publication-title: J. Neuroeng. Rehabil. doi: 10.1186/s12984-019-0553-5 – volume: 41 start-page: 304 year: 1989 ident: B2 article-title: Measuring balance in the elderly: preliminary development of an instrument publication-title: Physiother. Canada doi: 10.3138/ptc.41.6.304 – volume: 47 start-page: 204 year: 2015 ident: B39 article-title: Influence of motor imagery training on gait rehabilitation in sub-acute stroke: a randomized controlled trial publication-title: J. Rehabil. Med. doi: 10.2340/16501977-1908 – volume: 20 start-page: 85 year: 2005 ident: B49 article-title: Beneficial effects of postural intervention on prehensile action for an individual with ataxia resulting from brainstem stroke publication-title: NeuroRehabilitation doi: 10.3233/NRE-2005-20204 – volume: 36 start-page: 13 year: 2015 ident: B15 article-title: Can balance trampoline training promote motor coordination and balance performance in children with developmental coordination disorder? publication-title: Res. Dev. Disabil. doi: 10.1016/j.ridd.2014.09.010 – volume: 20 start-page: 164545 year: 2020 ident: B9 article-title: Sensorized assessment of dynamic locomotor imagery in people with stroke and healthy subjects publication-title: Sensors doi: 10.3390/s20164545 – volume: 12 start-page: 10 year: 2018 ident: B43 article-title: Balance training reduces brain activity during motor simulation of a challenging balance task in older adults: an fMRI study publication-title: Front. Behav. Neurosci. doi: 10.3389/fnbeh.2018.00010 – volume: 39 start-page: 563 year: 2014 ident: B5 article-title: Functional recovery and rehabilitation of postural impairment and gait ataxia in patients with acute cerebellar stroke publication-title: Gait Post. doi: 10.1016/j.gaitpost.2013.09.011 – volume: 26 start-page: 515 year: 2012 ident: B37 article-title: Cerebellar ataxia rehabilitation trial in degenerative cerebellar diseases publication-title: Neurorehabil. Neural Repair doi: 10.1177/1545968311425918 – volume: 8 start-page: 880 year: 2023 ident: B29 article-title: Motor rehabilitation after stroke: European Stroke Organisation (ESO) consensus-based definition and guiding framework publication-title: Eur. Stroke J doi: 10.1177/23969873231191304 – volume: 32 start-page: 430 year: 2016 ident: B24 article-title: Rehabilitation of ataxic gait following cerebellar lesions: applying theory to practice publication-title: Physiother. Theory Pract doi: 10.1080/09593985.2016.1202364 – volume: 45 start-page: M192 year: 1990 ident: B11 article-title: Functional reach: a new clinical measure of balance publication-title: J. Gerontol. doi: 10.1093/geronj/45.6.M192 – volume: 31 start-page: 20 year: 2007 ident: B34 article-title: The Kinesthetic and Visual Imagery Questionnaire (KVIQ) for assessing motor imagery in persons with physical disabilities: a reliability and construct validity study publication-title: J. Neurol. Phys. Ther. doi: 10.1097/01.NPT.0000260567.24122.64 – volume: 30 start-page: 138 year: 2014 ident: B44 article-title: A multidimensional physical therapy program for individuals with cerebellar ataxia secondary to traumatic brain injury: a case series publication-title: Physiother. Theory Pract. doi: 10.3109/09593985.2013.819952 – volume: 51 start-page: 289 year: 2012 ident: B14 article-title: “Scores of Independence for Neurologic and Geriatric Rehabilitation (SINGER)”—development and validation of a new assessment instrument publication-title: Rehabilitation doi: 10.1055/s-0031-1287805 – volume: 348 start-page: g1687 year: 2014 ident: B18 article-title: Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide publication-title: Br. Med. J. doi: 10.1136/bmj.g1687 – volume: 47 start-page: M93 year: 1992 ident: B10 article-title: Functional reach: predictive validity in a sample of elderly male veterans publication-title: J. Gerontol. doi: 10.1093/geronj/47.3.M93 – year: 2009 ident: B13 publication-title: Selbstständigkeits-Index für die neurologische und geriatrische Rehabilitation - SINGER - Manual zur Stufenzuordnung – volume: 26 start-page: 293 year: 2012 ident: B17 article-title: Impaired motor learning by a pursuit rotor test reduces functional outcomes during rehabilitation of poststroke ataxia publication-title: Neurorehabil. Neural Repair doi: 10.1177/1545968311412053 – volume: 47 start-page: e98 year: 2016 ident: B54 article-title: Guidelines for adult stroke rehabilitation and recovery: a guideline for healthcare professionals from the American Heart Association/American Stroke Association publication-title: Stroke doi: 10.1161/STR.0000000000000098 – volume: 90 start-page: 240 year: 2010 ident: B32 article-title: Mental practice for relearning locomotor skills publication-title: Phys. Ther. doi: 10.2522/ptj.20090029 – volume: 57 start-page: 67 year: 2014 ident: B35 article-title: The assessment and treatment of postural disorders in cerebellar ataxia: a systematic review publication-title: Ann. Phys. Rehabil. Med. doi: 10.1016/j.rehab.2014.01.002 – volume: 14 start-page: 56 year: 2007 ident: B28 article-title: The rehabilitation of patients recovering from brainstem strokes: case studies and clinical considerations publication-title: Top. Stroke Rehabil. doi: 10.1310/tsr1405-56 – volume: 120 start-page: 1753 year: 1997 ident: B38 article-title: Cerebellum and procedural learning: evidence from focal cerebellar lesions publication-title: Brain doi: 10.1093/brain/120.10.1753 – volume: 1957 start-page: 504 year: 1957 ident: B42 article-title: Cerebral vascular accidents in patients over the age of 60. II. Prognosis publication-title: Scot. Med. J doi: 10.1177/003693305700200504 – volume: 12 start-page: 6 year: 1990 ident: B7 article-title: Mobility after stroke: reliability of measures of impairment and disability publication-title: Int. Disabil. Stud. doi: 10.3109/03790799009166594 – volume: 5 start-page: 26 year: 2007 ident: B4 article-title: Koordination im Mittelpunkt: Physiotherapiekonzept bei zerebellärer Ataxie publication-title: Physiopraxis doi: 10.1055/s-0032-1308126 – ident: B47 – ident: B23 – volume: 89 start-page: 311 year: 2008 ident: B33 article-title: Reliability of mental chronometry for assessing motor imagery ability after stroke publication-title: Arch. Phys. Med. Rehabil. doi: 10.1016/j.apmr.2007.11.006 – volume: 39 start-page: 142 year: 1991 ident: B40 article-title: The timed “Up & Go”: a test of basic functional mobility for frail elderly persons publication-title: J. Am. Geriatr. Soc. doi: 10.1111/j.1532-5415.1991.tb01616.x – volume: 2018 start-page: 2892065 year: 2018 ident: B1 article-title: A comparative study of conventional physiotherapy versus robot-assisted gait training associated to physiotherapy in individuals with ataxia after stroke publication-title: Behav. Neurol. doi: 10.1155/2018/2892065 – volume: 47 start-page: 29 year: 2001 ident: B48 article-title: Detecting change in patients with stroke using the Berg Balance Scale publication-title: Aust. J. Physiother. doi: 10.1016/S0004-9514(14)60296-8 – volume: 12 start-page: 127 year: 2012 ident: B46 article-title: Two assessments to evaluate imagery ability: translation, test-retest reliability and concurrent validity of the German KVIQ and Imaprax publication-title: BMC Med. Res. Methodol. doi: 10.1186/1471-2288-12-127 – volume: 88 start-page: 559 year: 2008 ident: B3 article-title: Usefulness of the Berg Balance Scale in stroke rehabilitation: a systematic review publication-title: Phys. Ther. doi: 10.2522/ptj.20070205 – volume: 40 start-page: 72 year: 2016 ident: B27 article-title: Clinical stroke syndromes publication-title: Front. Neurol. Neurosci. doi: 10.1159/000448303 – volume: 79 start-page: 2056 year: 2012 ident: B21 article-title: Video game-based coordinative training improves ataxia in children with degenerative ataxia publication-title: Neurology doi: 10.1212/WNL.0b013e3182749e67 – year: 2021 ident: B36 article-title: Rehabilitation of gait ataxia in patients with acute stroke publication-title: Int. J. Stroke doi: 10.1177/17474930211041949 – volume: 22 start-page: 394 year: 2023 ident: B6 article-title: Consensus paper: ataxic gait publication-title: Cerebellum doi: 10.1007/s12311-022-01373-9 – volume: 66 start-page: 1717 year: 2006 ident: B45 article-title: Scale for the assessment and rating of ataxia: development of a new clinical scale publication-title: Neurology doi: 10.1212/01.wnl.0000219042.60538.92 – volume: 26 start-page: 251 year: 2010 ident: B30 article-title: The validity and reliability of a 6-Metre Timed Walk for the functional assessment of patients with stroke publication-title: Physiother. Theory Pract. doi: 10.3109/09593980903015235 – ident: B19 – volume: 73 start-page: 1823 year: 2009 ident: B22 article-title: Intensive coordinative training improves motor performance in degenerative cerebellar disease publication-title: Neurology doi: 10.1212/WNL.0b013e3181c33adf – volume: 29 start-page: 155 year: 2007 ident: B25 article-title: Cross-cultural validation of the Falls Efficacy Scale International (FES-I) in older people: results from Germany, the Netherlands and the UK were satisfactory publication-title: Disabil. Rehabil. doi: 10.1080/09638280600747637 – volume: 56 start-page: 717 year: 2003 ident: B53 article-title: Underpowering in randomized trials reporting a sample size calculation publication-title: J. Clin. Epidemiol. doi: 10.1016/S0895-4356(03)00141-0 |
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| Title | Recovery of balance and walking in people with ataxia after acute cerebral stroke: study protocol for a prospective, monocentric, single-blinded, randomized controlled trial |
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