de Oliveira Laura Alice Santos, Martins Camilla Polonini, Horsczaruk Carlos Henrique Ramos, da Silva Débora Cristina Lima, Vasconcellos Luiz Felipe, Lopes Agnaldo José, Meira Mainenti Míriam Raquel, Rodrigues Erika de Carvalho
Post-Graduation Program in Rehabilitation Sciences, Augusto Motta University Center (UNISUAM), Rio de Janeiro, RJ, Brazil.
School of Physiotherapy, Federal Institute of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Rehabil Res Pract. 2018 Jan 8;2018:7172686. doi: 10.1155/2018/7172686. eCollection 2018.
The motor impairments related to gait and balance have a huge impact on the life of individuals with spinocerebellar ataxia (SCA). Here, the aim was to assess the possibility of retraining gait, improving cardiopulmonary capacity, and challenging balance during gait in SCA using a partial body weight support (BWS) and a treadmill. Also, the effects of this training over functionality and quality of life were investigated.
Eight SCA patients were engaged in the first stage of the study that focused on gait training and cardiovascular conditioning. From those, five took part in a second stage of the study centered on dynamic balance training during gait. The first and second stages lasted 8 and 10 weeks, respectively, both comprising sessions of 50 min (2 times per week).
The results showed that gait training using partial BWS significantly increased gait performance, treadmill inclination, duration of exercise, and cardiopulmonary capacity in individuals with SCA. After the second stage, balance improvements were also found.
Combining gait training and challenging tasks to the postural control system in SCA individuals is viable, well tolerated by patients with SCA, and resulted in changes in capacity for walking and balance.
与步态和平衡相关的运动障碍对脊髓小脑共济失调（SCA）患者的生活有巨大影响。在此，目的是评估使用部分体重支持（BWS）和跑步机对SCA患者进行步态再训练、改善心肺功能以及在步态中挑战平衡的可能性。此外，还研究了这种训练对功能和生活质量的影响。
八名SCA患者参与了研究的第一阶段，该阶段侧重于步态训练和心血管调节。其中，五名患者参与了研究的第二阶段，该阶段以步态中的动态平衡训练为中心。第一阶段和第二阶段分别持续8周和10周，均包括每次50分钟的训练课程（每周两次）。
结果表明，使用部分BWS进行步态训练可显著提高SCA患者的步态表现、跑步机倾斜度、运动持续时间和心肺功能。在第二阶段后，也发现平衡能力有所改善。
将步态训练和对SCA患者姿势控制系统的挑战性任务相结合是可行的，SCA患者耐受性良好，并导致步行和平衡能力的改变。
