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Ella Fonteyn 4 september 2013
‘The effectiveness of allied health care in patients with ataxia: a systematic review'. Ella M.R. Fonteyn, Samyra H.J. Keus, Carla C.P. Verstappen, Ludger Schöls, Imelda J.M. de Groot, Bart P.C. van de Warrenburg
Journal of Neurology April 2013
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Inleiding Vraagstelling Zoekstrategie Resultaten Conclusies
Wat is cerebellaire ataxie? - Coördinatiestoornissen - Loopstoornissen - Balansproblemen - Oogbewegingsstoornissen - Dysarthrie
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Welke ziektebeelden geven cerebellaire ataxie? -
Beroertes MS Degeneratief: MSAc, SCA Traumatisch hersenletsel Tumoren
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Vallen, verminderde kwaliteit van leven. Weinig curatieve of medicamenteuze behandelingen.
Weinig bekend over effecten paramedische zorg. Wereldwijd 1 richtlijn over behandeling ataxie.
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Wat voor wetenschappelijk bewijs is er voor fysiotherapie, logopedie en ergotherapie als behandeling van cerebellaire ataxie?
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Elektronische databanken: PubMed, Medline, Embase, Cinahl and Pedro.
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Referentielijsten
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Zoektermen: cerebellar ataxia; ataxia; physiotherapy; physical therapy; training; exercise; rehabilitation; allied health care; speech therapy; language therapy; voice therapy; and occupational therapy.
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1-1-1980 tot en met 31-12-2011.
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13 artikelen fysiotherapie 3 artikelen ergotherapie (2 case reports logopedie) Veel variatie ziektebeelden en duur, soort en doelen behandelingen. Kleine groepen, nauwelijks controlegroepen, niet gestandaardiseerd.
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Bij degeneratieve cerebellaire ataxie: -
Ataxie Balans Lopen Incidentie vallen ADL functioneren
(Niveau 2 EBRO-classificatie)
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Lange termijn verbetering afhankelijk van mate van training thuis. (Niveau 3)
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Training minder effectief bij aanwezigheid afferente stoornissen. (Niveau 3)
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Bij MS: Balans Lopen Diadochokinese EDSS (Niveau 3)
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Het gebruik van Johnstone Pressure Splints voegt niets toe. (Niveau 3)
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Ataxie ledematen meer resistent dan rompataxie. (Niveau 3)
Bij traumatisch hersenletsel: -
Lopen
(Niveau 3)
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Verzwaring met ergotherapie bij MS: -
ADL functioneren Moeheid Fysiek functioneren (Niveau 3)
Loopbandtraining bij traumatisch hersenletsel: -
Lopen Balans (Niveau 3)
EMG-biofeedback bij MS en degeneratieve cerebellaire ataxie: -
Vermindering ongewenste coactivatie van spiergroepen (Niveau 3)
Ontspanning en EMG-biofeedback bij traumatisch hersenletsel: -
Vermindering atactische tremoren (Niveau 3)
‘Adaptive robot therapy’ bij MS: -
Coördinatie van de armen (Niveau 3)
Orthopedische schoenen: geen conclusie mogelijk.
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Klimtraining bij traumatisch hersenletsel: -
Gerichte bewegingen armen en benen, vaardigheid armen en balans (Niveau 3)
Ergotherapie bij degeneratieve cerebellaire ataxie: -
Vermindering depressieve symptomen
(Niveau 3)
Ergotherapie met fysiotherapie bij MS: -
Algemeen functioneren
(Niveau 3)
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Ergotherapie met fysiotherapie bij degeneratieve cerebellaire ataxie: -
Functionele onafhankelijkheid Lopen Ataxie Incidentie vallen (Niveau 3) Patiënten met milde ataxie meer profijt
(Niveau 3)
Geen conclusies mogelijk.
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Meer en uitgebreider onderzoek nodig. Vroegtijdig starten met fysiotherapie. Training met complexere taken. Aanpassen individuele situatie. Kortdurende intensieve behandeling, onderhoud in thuissituatie. Samenwerking neuroloog, revalidatiearts en paramedische hulpverleners.
Dong, Y., et al., Evolution of FMRI activation in the perilesional primary motor cortex and cerebellum with rehabilitation training-related motor gains after stroke: a pilot study. Neurorehabil Neural Repair, 2007. 21(5): p. 412-28. Morton, S.M. and A.J. Bastian, Mechanisms of cerebellar gait ataxia. Cerebellum, 2007. 6(1): p. 79-86. Stolze, H., et al., Typical features of cerebellar ataxic gait. J Neurol Neurosurg Psychiatry, 2002. 73(3): p. 310-2. Werner, S. and O. Bock, Mechanisms for visuomotor adaptation to left-right reversed vision. Hum Mov Sci, 2010. 29(2): p. 172-8. Smith, M.A. and R. Shadmehr, Intact ability to learn internal models of arm dynamics in Huntington's disease but not cerebellar degeneration. J Neurophysiol, 2005. 93(5): p. 2809-21. Molinari, M., et al., Cerebellum and procedural learning: evidence from focal cerebellar lesions. Brain, 1997. 120 ( Pt 10): p. 1753-62. Maschke, M., et al., Hereditary cerebellar ataxia progressively impairs force adaptation during goal-directed arm movements. J Neurophysiol, 2004. 91(1): p. 230-8.
Rabe, K., et al., Adaptation to visuomotor rotation and force field perturbation is correlated to different brain areas in patients with cerebellar degeneration. J Neurophysiol, 2009. 101(4): p. 1961-71. Martin, T.A., et al., Throwing while looking through prisms. I. Focal olivocerebellar lesions impair adaptation. Brain, 1996. 119 ( Pt 4): p. 1183-98.
Lacourse, M.G., et al., Cerebral and cerebellar sensorimotor plasticity following motor imagery-based mental practice of a sequential movement. J Rehabil Res Dev, 2004. 41(4): p. 505-24. Matsumura, M., et al., Role of the cerebellum in implicit motor skill learning: a PET study. Brain Res Bull, 2004. 63(6): p. 471-83. Brusse, E., et al., Fatigue in spinocerebellar ataxia: patient self-assessment of an early and disabling symptom. Neurology, 2011. 76(11):
p. 953-9. Schmitz-Hubsch, T., et al., Self-rated health status in spinocerebellar ataxia--results from a European multicenter study. Mov Disord, 2010. 25(5): p. 587-95. Burgers, J.S. and J.J. van Everdingen, [Evidence-based guideline development in the Netherlands: the EBRO platform]. Ned Tijdschr Geneeskd, 2004. 148(42): p. 2057-9. Ilg, W., et al., Intensive coordinative training improves motor performance in degenerative cerebellar disease. Neurology, 2009. 73(22): p. 1823-30. Ilg, W., et al., Long-term effects of coordinative training in degenerative cerebellar disease. Mov Disord, 2010. 25(13): p. 2239-46. Gialanella, B., et al., Walking and mobility before and after rehabilitation in patients with infratentorial stroke. Clin Ter, 2007. 158(4): p. 297-301. Gialanella, B., et al., Walking and disability after rehabilitation in patients with cerebellar stroke. Minerva Med, 2005. 96(5): p. 373-8. Brown, K.E., et al., Physical therapy for central vestibular dysfunction. Arch Phys
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Kelly, P.J., et al., Functional recovery after rehabilitation for cerebellar stroke. Stroke, 2001. 32(2): p. 530-4. Richards, L., et al., Response to intensive upper extremity therapy by individuals with ataxia from stroke. Top Stroke Rehabil, 2008. 15(3): p. 262-71. Stoykov, M.E., M. Stojakovich, and J.A. Stevens, Beneficial effects of postural intervention on prehensile action for an individual with ataxia resulting from brainstem stroke. NeuroRehabilitation, 2005. 20(2): p. 85-9. Sliwa, J.A., S. Thatcher, and J. Jet, Paraneoplastic subacute cerebellar degeneration: functional improvement and the role of rehabilitation. Arch Phys Med Rehabil, 1994. 75(3): p. 355-7. Battisti, C., et al., Clinical and stabilometric monitoring in a case of cerebellar atrophy with vitamin E deficiency. Brain Dev, 1998. 20(4): p. 253-7. Baram, Y. and A. Miller, Virtual reality cues for improvement of gait in patients with multiple sclerosis. Neurology, 2006. 66(2): p. 17881. Clopton, N., et al., Effects of Axial Weight Loading on Gait for Subjects with Cerebellar Ataxia: Preliminary Findings. . Neurology Report, 2003. 27(1). Okajima, Y., et al., Accelerometric evaluation of ataxic gait: therapeutic uses of weighting and elastic bandage. Int Disabil Stud, 1990. 12(4): p. 165-8. Karakaya, M., et al., Investigation and comparison of the effects of rehabilitation on balance and coordination problems in patients with posterior fossa and cerebellopontine angle tumours. J Neurosurg Sci, 2000. 44(4): p. 220-5. Mulligan, H., et al., Physiotherapy treatment for a child with non-progressive Cernak, K., et al., Locomotor training using body-weight support on a treadmill in conjunction with ongoing physical therapy in a child with severe cerebellar ataxia. Phys Ther, 2008. 88(1): p. 88-97. Gibson-Horn, C., Balance-based torso-weighting in a patient with ataxia and multiple sclerosis: a case report. J Neurol Phys Ther, 2008. 32(3): p. 139-46. Ada, L., et al., Computerized tracking to train dexterity after cerebellar tumour: a single-case experimental study. Brain Inj, 2009. 23(7): p. 702-6. Fillyaw, M.J. and P.A. Ades, Endurance exercise training in Friedreich ataxia. Arch Phys Med Rehabil, 1989. 70(10): p. 786-8. Sapir, S., et al., Effects of intensive voice treatment (the Lee Silverman Voice Treatment [LSVT]) on ataxic dysarthria: a case study. Am J Speech Lang Pathol, 2003. 12(4): p. 387-99. Landers, M., et al., Challenge-oriented gait and balance training in sporadic olivopontocerebellar atrophy: a case study. J Neurol Phys Ther, 2009. 33(3): p. 160-8. Guercio, J.M., K.E. Ferguson, and M.J. McMorrow, Increasing functional communication through relaxation training and neuromuscular feedback. Brain Inj, 2001. 15(12): p. 1073-82. Goulipian, C., et al., Orthopedic shoes improve gait in Friedreich's ataxia: a clinical and quantified case study. Eur J Phys Rehabil Med, 2008. 44(1): p. 93-8.
Guercio, J., R. Chittum, and M. McMorrow, Self-management in the treatment of ataxia: a case study in reducing ataxic tremor through relaxation and biofeedback. Brain Inj, 1997. 11(5): p. 353-62. Freund, J.E. and D.M. Stetts, Use of trunk stabilization and locomotor training in an adult with cerebellar ataxia: a single system design.
Physiother Theory Pract, 2010. 26(7): p. 447-58. Dordel, H.J., Mobility training following brain trauma--results of intensive individual treatment. Int J Rehabil Res, 1987. 10(4 Suppl 5): p. 279-90. Armutlu, K., R. Karabudak, and G. Nurlu, Physiotherapy approaches in the treatment of ataxic multiple sclerosis: a pilot study. Neurorehabil Neural Repair, 2001. 15(3): p. 203-11. Jones, L., et al., The effectiveness of occupational therapy and physiotherapy in multiple sclerosis patients with ataxia of the upper limb and trunk. . Clinical Rehabilitation, 1996: p. 6. Miyai, I., et al., Cerebellar Ataxia Rehabilitation Trial in Degenerative Cerebellar Diseases. Neurorehabil Neural Repair, 2011. Vergaro, E., et al., Adaptive robot training for the treatment of incoordination in Multiple Sclerosis. J Neuroeng Rehabil, 2010. 7: p. 37. Balliet, R., et al., Retraining of functional gait through the reduction of upper extremity weight-bearing in chronic cerebellar ataxia. Int Rehabil Med, 1987. 8(4): p. 148-53. Folz, T. and M. Sinaki, A Nouveau Aid for Posture Training in Degenerative Disorders of the Central Nervous System. Journal of Musculoskeletal Pain, 1995. 3. Davis, A.E. and R.G. Lee, EMG biofeedback in patients with motor disorders: an aid for co-ordinating activity in antagonistic muscle groups. Can J Neurol Sci, 1980. 7(3): p. 199-206. Stephan, M.A., et al., Effect of long-term climbing training on cerebellar ataxia: a case series. Rehabil Res Pract, 2011. 2011: p. 525879. Vaz, D.V., et al., Treadmill training for ataxic patients: a single-subject experimental design. Clin Rehabil, 2008. 22(3): p. 234-41. Silva, R.C., et al., Occupational therapy in spinocerebellar ataxia type 3: an open-label trial. Braz J Med Biol Res, 2010. 43(6): p. 537-42. Tyrell, C.M., et al., Influence of systematic increases in treadmill walking speed on gait kinematics after stroke. Phys Ther, 2011. 91(3): p. 392-403. Lau, K.W. and M.K. Mak, Speed-dependent treadmill training is effective to improve gait and balance performance in patients with subacute stroke. J Rehabil Med, 2011. 43(8): p. 709-13. Mehrholz, J., et al., Treadmill training for patients with Parkinson's disease. Cochrane Database Syst Rev, 2010(1): p. CD007830. Brandt, T., S. Krafczyk, and I. Malsbenden, Postural imbalance with head extension: improvement by training as a model for ataxia therapy. Ann N Y Acad Sci, 1981. 374: p. 636-49. Harris-Love, M.O., et al., Rehabilitation management of Friedreich ataxia: lower extremity force-control variability and gait performance. Neurorehabil Neural Repair, 2004. 18(2): p. 117-24. Perlmutter, E. and P.C. Gregory, Rehabilitation treatment options for a patient with paraneoplastic cerebellar degeneration. Am J Phys Med Rehabil, 2003. 82(2): p. 158-62.
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