Functional Outcomes Associated With Independence in Walking Among People With Hereditary Ataxias: An Exploratory Cross-sectional Study
This study aimed to identify functional outcomes related to independence in walking among people affected by hereditary ataxias. Sixty participants were selected by convenience in a list provided by an organization of people with ataxia. Sociodemographic and clinical data were collected using a semi...
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| Published in: | Physical therapy Vol. 102; no. 4 |
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01-04-2022
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| Abstract | This study aimed to identify functional outcomes related to independence in walking among people affected by hereditary ataxias.
Sixty participants were selected by convenience in a list provided by an organization of people with ataxia. Sociodemographic and clinical data were collected using a semistructured questionnaire. The Assessment and Rating of Ataxia was used to assess and rate cerebellar ataxia. Changes in body structure and function, limitation in activities, and restriction in participation were evaluated with specific outcome measures. Participants were classified as independent in walking if they were able to walk without walking aids or human assistance and as dependent in walking if they have been using walking aids (sticks, crutches, or walkers) for more than 6 months, using a wheelchair for locomotion most of the day, or both. Multivariate logistic regression analyses were conducted hierarchically and in blocks considering upper limbs function, balance systems, sensory functions, postural control, walking, independence, cognition, and perception as independent variables. The prevalence ratio for walking independence was determined.
The final regression model pointed out that gait capacity assessed by the 6-Minute Walk Test and dexterity assessed by the Box and Blocks test were the main markers related to walking independence in individuals with hereditary ataxias.
The distance covered in 6 minutes of walking (walking endurance) and upper extremity dexterity can be used to better assess the progression of cerebellar disease related to walking independence in individuals with hereditary ataxias.
This study supports early detection of individuals who are at risk of loss of walking independence and an optimized rehabilitation plan. |
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| AbstractList | OBJECTIVEThis study aimed to identify functional outcomes related to independence in walking among people affected by hereditary ataxias. METHODSSixty participants were selected by convenience in a list provided by an organization of people with ataxia. Sociodemographic and clinical data were collected using a semistructured questionnaire. The Assessment and Rating of Ataxia was used to assess and rate cerebellar ataxia. Changes in body structure and function, limitation in activities, and restriction in participation were evaluated with specific outcome measures. Participants were classified as independent in walking if they were able to walk without walking aids or human assistance and as dependent in walking if they have been using walking aids (sticks, crutches, or walkers) for more than 6 months, using a wheelchair for locomotion most of the day, or both. Multivariate logistic regression analyses were conducted hierarchically and in blocks considering upper limbs function, balance systems, sensory functions, postural control, walking, independence, cognition, and perception as independent variables. The prevalence ratio for walking independence was determined. RESULTSThe final regression model pointed out that gait capacity assessed by the 6-Minute Walk Test and dexterity assessed by the Box and Blocks test were the main markers related to walking independence in individuals with hereditary ataxias. CONCLUSIONThe distance covered in 6 minutes of walking (walking endurance) and upper extremity dexterity can be used to better assess the progression of cerebellar disease related to walking independence in individuals with hereditary ataxias. IMPACTThis study supports early detection of individuals who are at risk of loss of walking independence and an optimized rehabilitation plan. Objective This study aimed to identify functional outcomes related to independence in walking among people affected by hereditary ataxias. Methods Sixty participants were selected by convenience in a list provided by an organization of people with ataxia. Sociodemographic and clinical data were collected using a semistructured questionnaire. The Assessment and Rating of Ataxia was used to assess and rate cerebellar ataxia. Changes in body structure and function, limitation in activities, and restriction in participation were evaluated with specific outcome measures. Participants were classified as independent in walking if they were able to walk without walking aids or human assistance and as dependent in walking if they have been using walking aids (sticks, crutches, or walkers) for more than 6 months, using a wheelchair for locomotion most of the day, or both. Multivariate logistic regression analyses were conducted hierarchically and in blocks considering upper limbs function, balance systems, sensory functions, postural control, walking, independence, cognition, and perception as independent variables. The prevalence ratio for walking independence was determined. Results The final regression model pointed out that gait capacity assessed by the 6-Minute Walk Test and dexterity assessed by the Box and Blocks test were the main markers related to walking independence in individuals with hereditary ataxias. Conclusion The distance covered in 6 minutes of walking (walking endurance) and upper extremity dexterity can be used to better assess the progression of cerebellar disease related to walking independence in individuals with hereditary ataxias. Impact This study supports early detection of individuals who are at risk of loss of walking independence and an optimized rehabilitation plan. This study aimed to identify functional outcomes related to independence in walking among people affected by hereditary ataxias. Sixty participants were selected by convenience in a list provided by an organization of people with ataxia. Sociodemographic and clinical data were collected using a semistructured questionnaire. The Assessment and Rating of Ataxia was used to assess and rate cerebellar ataxia. Changes in body structure and function, limitation in activities, and restriction in participation were evaluated with specific outcome measures. Participants were classified as independent in walking if they were able to walk without walking aids or human assistance and as dependent in walking if they have been using walking aids (sticks, crutches, or walkers) for more than 6 months, using a wheelchair for locomotion most of the day, or both. Multivariate logistic regression analyses were conducted hierarchically and in blocks considering upper limbs function, balance systems, sensory functions, postural control, walking, independence, cognition, and perception as independent variables. The prevalence ratio for walking independence was determined. The final regression model pointed out that gait capacity assessed by the 6-Minute Walk Test and dexterity assessed by the Box and Blocks test were the main markers related to walking independence in individuals with hereditary ataxias. The distance covered in 6 minutes of walking (walking endurance) and upper extremity dexterity can be used to better assess the progression of cerebellar disease related to walking independence in individuals with hereditary ataxias. This study supports early detection of individuals who are at risk of loss of walking independence and an optimized rehabilitation plan. |
| Author | Giangiardi, Vivian Farahte Perracini, Monica Rodrigues Curzio, Leticia Estrella Setti, Giullia Bianca Rodrigues Vegas, Milena Alouche, Sandra Regina da Silva, Maria Liliane |
| Author_xml | – sequence: 1 givenname: Vivian Farahte surname: Giangiardi fullname: Giangiardi, Vivian Farahte organization: Master's and Doctoral Program in Physical Therapy, Universidade Cidade de São Paulo, São Paulo, SP, Brazil – sequence: 2 givenname: Monica Rodrigues surname: Perracini fullname: Perracini, Monica Rodrigues organization: Master's and Doctoral Program in Physical Therapy, Universidade Cidade de São Paulo, São Paulo, SP, Brazil – sequence: 3 givenname: Maria Liliane surname: da Silva fullname: da Silva, Maria Liliane organization: Master's and Doctoral Program in Physical Therapy, Universidade Cidade de São Paulo, São Paulo, SP, Brazil – sequence: 4 givenname: Giullia Bianca Rodrigues surname: Setti fullname: Setti, Giullia Bianca Rodrigues organization: School of Physical Therapy, Universidade Cidade de São Paulo, São Paulo, SP, Brazil – sequence: 5 givenname: Leticia Estrella surname: Curzio fullname: Curzio, Leticia Estrella organization: School of Physical Therapy, Universidade Cidade de São Paulo, São Paulo, SP, Brazil – sequence: 6 givenname: Milena surname: Vegas fullname: Vegas, Milena organization: School of Physical Therapy, Universidade Cidade de São Paulo, São Paulo, SP, Brazil – sequence: 7 givenname: Sandra Regina orcidid: 0000-0002-6363-0814 surname: Alouche fullname: Alouche, Sandra Regina organization: Master's and Doctoral Program in Physical Therapy, Universidade Cidade de São Paulo, São Paulo, SP, Brazil |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/35079839$$D View this record in MEDLINE/PubMed |
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| Keywords | Cross-Sectional Study Hereditary Ataxias Functional Outcomes Walking Independence |
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| Snippet | This study aimed to identify functional outcomes related to independence in walking among people affected by hereditary ataxias.
Sixty participants were... Objective This study aimed to identify functional outcomes related to independence in walking among people affected by hereditary ataxias. Methods Sixty... OBJECTIVEThis study aimed to identify functional outcomes related to independence in walking among people affected by hereditary ataxias. METHODSSixty... |
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| SubjectTerms | Ataxia Cerebellar Ataxia - rehabilitation Cross-Sectional Studies Humans Orthopedic apparatus Spinocerebellar Degenerations Walking |
| Title | Functional Outcomes Associated With Independence in Walking Among People With Hereditary Ataxias: An Exploratory Cross-sectional Study |
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