Patients with autosomal dominant spinocerebellar ataxia have more risk of falls, important balance impairment, and decreased ability to function

Patients with autosomal dominant spinocerebellar ataxia have more risk of falls, important balance impairment, and decreased ability to function

Alternative title Pacientes com ataxia espinocerebelar autossomica dominante apresentam maior risco de quedas, deficit de equilibrio corporal e reducao da capacidade funcional
Author Aizawa, Carolina Yuri P. Autor UNIFESP Google Scholar
Pedroso, Jose Luiz Autor UNIFESP Google Scholar
Braga-neto, Pedro Autor UNIFESP Google Scholar
Callegari, Marilia Rezende Autor UNIFESP Google Scholar
Barsottini, Orlando Graziani Povoas Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract OBJECTIVES: To assess balance and ability to function in patients with spinocerebellar ataxia. METHODS: A total of 44 patients with different spinocerebellar ataxia types 1, 2, 3, and 6 were evaluated using the Tinetti balance and gait assessment and the functional independence measure. The scale for the assessment and rating of ataxia and the international cooperative ataxia rating scale were used to evaluate disease severity. RESULTS: Most patients showed significant risk of falls. The balance scores were significantly different in spinocerebellar ataxia types. A significant positive correlation between balance and disease severity was found. CONCLUSION: Patients with spinocerebellar ataxia have important balance impairment and risk of falls that influence the ability to function such as self-care, transfers, and locomotion. Furthermore, the more severe ataxia is, the more compromised are postural balance, risk of falls, and ability to function.

OBJETIVOS: Avaliar o equilíbrio e a capacidade funcional em pacientes com ataxia espinocerebelar. MÉTODOS: Quarenta e quatro pacientes com diferentes tipos de ataxia espinocerebelar foram avaliados usando os testes de equilíbrio e de marcha de Tinetti, e da Medida de Independência Funcional. A Escala para Avaliação e Graduação de Ataxia e a Escala Cooperativa Internacional para Graduação de Ataxia foram utilizadas para avaliar a gravidade da doença. RESULTADOS: A maioria dos pacientes apresentou risco significativo de quedas. As pontuações de equilíbrio foram diferentes entre os tipos de ataxia espinocerebelar. Foi encontrada correlação positiva entre o déficit de equilíbrio e a gravidade da doença. CONCLUSÃO: Os pacientes com ataxia espinocerebelar possuem comprometimento importante do equilíbrio e risco de quedas, que influenciam a capacidade funcional, como por exemplo: auto-cuidado, transferências e locomoção. Além disso, quanto mais grave a ataxia, maior o comprometimento do equilíbrio postural, do risco de quedas, e da capacidade funcional.
Keywords spinocerebellar ataxias
postural balance
risk of falls
ability to function
ataxias espinocerebelares
equilibrio
risco de quedas
capacidade funcional
Language English
Date 2013-08-01
Published in Arquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 71, n. 8, p. 508-511, 2013.
ISSN 0004-282X (Sherpa/Romeo)
Publisher Academia Brasileira de Neurologia - ABNEURO
Extent 508-511
Origin http://dx.doi.org/10.1590/0004-282X20130094
Access rights Open access Open Access
Type Article
SciELO ID S0004-282X2013000800508 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/7865

Show full item record




File

Name: S0004-282X2013000800508.pdf
Size: 255.6Kb
Format: PDF
Description:
Open file

This item appears in the following Collection(s)

Search


Browse

Statistics

My Account