Review Article of International Journal of Pediatric Research and Reviews
Effect of Exercise on the Ability of Children with Cerebellar Ataxia to Perform Activities of Daily Living
Daisuke Takagi, PhD1, Yasunari Kurita1, Masatoshi Kageyama2
1Department of Shizuoka Physical Therapy, Faculty of Health Science, Tokoha University
2Long-Term Care Health Facilities Sunrise Ohama
Background: People with ataxia cannot adjust the direction and intensity of movements due to poor voluntary muscle control and the lack of voluntary or reflexive muscle contraction necessary to improve position or posture problems. Ataxia is one of the main symptoms of cerebellar disorder. Most patients with cerebellar ataxia experience ataxia-related difficulties in performing activities of daily living. Exercise has positive effects on ataxia and the ability to perform activities of daily living. Balance exercises, walking exercises, muscle-strengthening exercises, activities of daily living exercises, torso weighting, etc., were reported to improve ataxia, gait capacity, and ability to perform activities of daily living in adults (including older people) with cerebellar ataxia. However, not much has been still done to clarify the effect of exercise on ataxia and the ability of children with cerebellar ataxia to perform activities of daily living.
Objective: This review mainly aimed to add to existing knowledge and reveal the relationship between exercise and ataxia and the ability of children with cerebellum-related ataxia to perform activities of daily living.
Results: Walking exercises, balance exercises, muscle-strengthening exercises, video games, tracking tasks, core stability exercises, and hippotherapy could improve ataxia, gross motor skills, and the ability of these children to perform activities of daily living.
Conclusion: Given the lack of reports, studies are needed to clarify how exercise affects ataxia, gross motor skills, and the ability of children with cerebellar ataxia to perform activities of daily living.
Keywords: Cerebellum, Ataxia, Activities of daily living, Exercise, Children
How to cite this article:
Daisuke Takagi, Yasunari Kurita, Masatoshi Kageyama. Effect of Exercise on the Ability of Children with Cerebellar Ataxia to Perform Activities of Daily Living. International Journal of Pediatric Research and Reviews, 2023, 5:39. DOI:10.28933/ijoprr-2022-11-2205dt
References
1. Tazaki Y, Saito Y, Sakai F, Hamada J, Iizuka T. Physical examination of the nervous system 18th Edition. NANZANDO COMPANY, LIMTIED, Tokyo, 2016, 141-146, 237-238. (in japanese)
2. Joo BE, Lee CN, Park KW. Prevalence rate and functional status of cerebellar ataxia in Korea. Cerebellum. 2012; 11(3): 733-738.
3. Cernak K, Stevens V, Price R, Shumway-Cook A. 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): 88-97.
4. Frank A, McCloskey S, Dole RL. Effect of hippotherapy on perceived self-competence and participation in a child with cerebral palsy. Pediatr Phys Ther. 2011; 23(3): 301-308.
5. Yamada M, Iwamoto H, Yamada K. Cerebellar ataxia of early onset: clinical symptoms and MRI findings. No To Hattatsu. 1989; 21: 327-333. (in japanese)
6. Marquer A, Barbieri G, Pérennou D. The assessment and treatment of postural disorders in cerebellar ataxia: a systematic review. Ann Phys Rehabil Med. 2014; 57(2): 67-78.
7. Armutlu K, Karabudak R, Nurlu G. Physiotherapy approaches in the treatment of ataxic multiple sclerosis: a pilot study. Neurorehabil Neural Repair. 2001; 15(3): 203-211.
8. Widener GL, Allen DD, Gibson-Horn C. Randomized clinical trial of balance-based torso weighting for improving upright mobility in people with multiple sclerosis. Neurorehabil Neural Repair. 2009; 23(8): 784-791.
9. Miyai I, Ito M, Hattori N, Mihara M, Hatakenaka M et al. Cerebellar ataxia rehabilitation trial in degenerative cerebellar diseases. Neurorehabil Neural Repair. 2012; 26(5): 515-522.
10. Hartley H, Cassidy E, Bunn L, Kumar R, Pizer B et al. Exercise and physical therapy interventions for children with ataxia: a systematic review. Cerebellum 2019;18(5): 951-968.
11. Salman MS, Tsai P. The role of the pediatric cerebellum in motor functions, cognition, and behavior: a clinical perspective. Neuroimaging Clin N Am. 2016; 26(3): 317-329.
12. Patrick SK, Musselman KE, Tajino J, Ou HC, Bastian AJ et al. Prior experience but not size of error improves motor learning on the split-belt treadmill in young children. PLoS One. 2014; 9(3): e93349.
13. Elshafey MA, Abdrabo MS, Elnaggar RK. Effects of a core stability exercise program on balance and coordination in children with cerebellar ataxic cerebral palsy. J Musculoskelet Neuronal Interact. 2022; 22(2): 172-178.
14. Trouillas P, Takayanagi T, Hallett M, Currier RD, Subramony SH et al. International cooperative ataxia rating scale for pharmacological assessment of the cerebellar syndrome. The ataxia neuropharmacology committee of the world federation of neurology. J Neurol Sci. 1997; 145(2): 205-211.
15. Schmitz-Hübsch T, du Montcel ST, Baliko L, Berciano J, Boesch S et al. Scale for the assessment and rating of ataxia: development of a new clinical scale. Neurology. 2006; 66(11): 1717-1720.
16. Russell DJ, Rosenbaum PL, Cadman DT, Gowland C, Hardy S et al. The gross motor function measure: a means to evaluate the effects of physical therapy. Dev Med Child Neurol. 1989; 31(3): 341-352.
17. Russell DJ, Avery LM, Rosenbaum PL, Raina PS, Walter SD et al. Improved scaling of the gross motor function measure for children with cerebral palsy: evidence of reliability and validity. Phys Ther. 2000; 80(9): 873-885.
18. The Japanese Association of Rehabilitation Medicine. Japanese guidelines for rehabilitation of cerebral palsy the 2nd Edition. KANEHARA & CO., Ltd., Tokyo, 2014: 57-63, 68.
19. Palisano R, Rosenbaum P, Walter S, Russell D, Wood E et al. Development and reliability of a system to classify gross motor function in children with cerebral palsy. Dev Med Child Neurol. 1997; 39(4): 214-223.
20. Kondo I. Evaluative measure and current concept of rehabilitation for cerebral palsied children. Jpn J Rehabil Med. 2000; 37 (4): 230-241. (in japanese)
21. Msall ME, DiGaudio K, Duffy LC, LaForest S, Braun S et al. WeeFIM. Normative sample of an instrument for tracking functional independence in children. Clin Pediatr (Phila). 1994; 33(7): 431-438.
22. Liu M, Toikawa H, Seki M, Domen K, Chino N. Functional Independence Measure for Children (WeeFIM): a preliminary study in nondisabled Japanese children. Am J Phys Med Rehabil. 1998; 77(1): 36-44.
23. Haley SM, Coster WJ, Ludlow LH, Haltiwanger JT, Andrellas PJ. Pediatric evaluation of disability inventory (PEDI) version 1.0: Development, standardization and administration manual.PEDI Research Group, Boston,1992.
24. Onogi K, Kondo I, Asagai Y, Saitoh E. Differences in evaluation of functional skills of the Pediatric Evaluation of Disability Inventory (PEDI) between normally developing children and children with cerebral palsy. Jan J Compr Rehabil Sci. 2017; 8: 37-43.
25. Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep. 1985; 100(2): 126-131.
26. Societas Neurologica Japonica 2018. Practical guideline for spinocerebellar degeneration and multiple system atrophy 2018. Nankodo Co., Ltd., Tokyo, 2018: 258-261.
27. Yoo M, Ahn JH, Park ES. The effects of over-ground robot-assisted gait training for children with ataxic cerebral palsy: A case report. Sensors (Basel). 2021; 21(23): 7875.
28. Harris-Love MO, Siegel KL, Paul SM, Benson K. Rehabilitation management of Friedreich ataxia: lower extremity force-control variability and gait performance. Neurorehabil Neural Repair. 2004; 18(2):117-124.
29. Ilg W, Schatton C, Schicks J, Giese MA, Schöls L et al. Video game-based coordinative training improves ataxia in children with degenerative ataxia. Neurology. 2012; 79(20): 2056-2060.
30. Schatton C, Synofzik M, Fleszar Z, Giese MA, Schöls L et al. Individualized exergame training improves postural control in advanced degenerative spinocerebellar ataxia: A rater-blinded, intra-individually controlled trial. Parkinsonism Relat Disord. 2017; 39: 80-84.
31. Sartor-Glittenberg C, Brickner L. A multidimensional physical therapy program for individuals with cerebellar ataxia secondary to traumatic brain injury: a case series. Physiother Theory Pract. 2014; 30(2): 138-148.
32. Martakis K, Stark C, Alberg E, Bossier C, Semler O et al. Motor function improvement in children with ataxia receiving interval rehabilitation, including vibration-assisted hometraining: a retrospective study. Klin Padiatr. 2019; 231(6) :304-312.
33. Lee YS, Oh DW. One-year follow-up of problem-based task training for a child presenting cerebellar ataxia after brainstem glioma surgery: A single-subject experimental study. Physiother Res Int. 2021; 26(3): e1908.
34. Synofzik M, Schatton C, Giese M, Wolf J, Schöls L et al. Videogame-based coordinative training can improve advanced, multisystemic early-onset ataxia. J Neurol. 2013; 260(10): 2656-2658.
35. Unes S, Tuncdemir M, Eroglu-Ertugrul NG, Kerem Gunel M. Effectiveness of physical therapy on ataxia-telangiectasia: A case report. Pediatr Phys Ther. 2021;33(3): E103-E107.
36. Ada L, Sherrinton C, Canning CG, Dean CM, Scianni A. Computerized tracking to train dexterity after cerebellar tumour: a single-case experimental study. Brain Inj. 2009; 23(7): 702-706.
37. Romano A, Favetta M, Summa S, Schirinzi T, Bertini ES et al. Upper body physical rehabilitation for children with ataxia through IMU-based exergame. J Clin Med. 2022; 11(4):1065.
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