The use of rhythmic activities to improve gait parameters in ataxic patients: a case study

Main Article Content

Layza Moreschi Klippel
Larissa Spadeto
Igor Ramos
Ana Paula Bortolaia

Abstract

The term ataxia means “disorder”, describing the lack of organization of movements. In
addition, the dysfunction causes changes in the speed, amplitude and strength of movements,
with deficits in motor coordination, balance, and consequent gait disturbance, which makes
daily activities difficult. This work is a case study with the aim of analyzing the effects of
rhythmic activities on gait parameters, quality of life and reduction of falls in ataxic patients,
through sound stimuli. F.V.L., 55 years old, male, participated in 10 physical therapy sessions,
twice a week for 60 minutes. For the evaluations, the Time Up and Go test, the SF-36 Quality
of Life Questionnaire and gait assessment were used, which were carried out in two moments,
before the intervention and at the end of the study. The therapy consisted of preparatory
activities with the aim of stimulating body stability and functional activities, which were
performed with the aid of a metronome that dictated the rhythm of the function. As a result,
there was an improvement in gait parameters, such as stride and step length, step width and
speed. Therefore, it is concluded that the use of sound stimuli by the metronome can positively
influence the gait of the ataxic patient.

Downloads

Download data is not yet available.

Article Details

How to Cite
Moreschi Klippel, L., Pizzol Spadeto, L., Ramos Xavier, I., & Bortolaia Vieira, A. P. (2024). The use of rhythmic activities to improve gait parameters in ataxic patients: a case study. Revista Brasileira Multidisciplinar, 27(3), 192-200. https://doi.org/10.25061/2527-2675/ReBraM/2024.v27i3.1929
Section
Relato de Caso

References

AMATACHAYA, Sugalya; KWANMONGKOLTHONG, Mipattra; THONGJUMROON,

Aungsana; et al. Influence of timing protocols and distance covered on the outcomes of the

-meter walk test. Physiotherapy Theory and Practice, v. 36, n. 12, p. 1348-1353, 2020.

ASHIZAWA, Tetsuo; XIA, Guangbin. Ataxia. Continuum Lifelong Learning in Neurology,

v. 22, n. 4 Movement Disorders, p. 1208, 2016.

BORTOLI, Cleonice; TEIVE, Hélio; SILVA, Rauce; et al. Equilíbrio e risco de quedas em

pacientes com ataxia. Fisioterapia na saúde coletiva: perspectivas para a prática

profissional, v. 1, n. 1, p. 131-140, 2020.

BUCKLEY, Ellen; MAZZÀ, Claudia; MCNEILL, Alisdair. A systematic review of the gait

characteristics associated with Cerebellar Ataxia. Gait & posture, v. 60, p. 154-163, 2018.

CALIANDRO, Pietro et al. Prefrontal cortex as a compensatory network in ataxic gait: a

correlation study between cortical activity and gait parameters. Restorative neurology and

neuroscience, v. 33, n. 2, p. 177-187, 2015.

CICONELLI, Rozana; FERRAZ, Marcos; SANTOS, Wilton; et al. Tradução para a língua

portuguesa e validação do questionário genérico de avaliação de qualidade de vida SF-36

(Brasil SF-36). Rev bras reumatol, v. 39, n. 3, p. 143-50, 1999.

CONNICK, Mark; BECKMAN, Emma; DEUBLE, Rebecca; et al. Developing tests of

impaired coordination for Paralympic classification: Normative values and test–retest

reliability. Sports Engineering, v. 19, p. 147-154, 2016.

DA SILVA, Renato; GONDIM, Ihana; DE SOUZA, Caroline; et al. Treino do passo e da

marcha com estimulação auditiva rítmica na doença de Parkinson: um ensaio clínico

randomizado piloto. Fisioterapia Brasil, v. 18, n. 5, 2017.

ESTRÁZULAS, Jansen; PIRES, Roberta; SANTOS, Diego; et al. Características

biomecânicas da marcha em crianças, adultos e idosos. Revista Lecturas: EF e Deportes, v.

, 2005.

FAWVER, Bradley et al. Emotional state impacts center of pressure displacement before

forward gait initiation. Journal of applied biomechanics, v. 31, n. 1, p. 35-40, 2015.

FIGUEIRA, Jessica SB et al. An unpleasant emotional state reduces working memory

capacity: Electrophysiological evidence. Social Cognitive and Affective Neuroscience, v.

, n. 6, p. 984-992, 2017.

JACOBI, Heike; FABER, Jennifer; TIMMANN, Dagmar; et al. Update cerebellum and

cognition. Journal of neurology, p. 1-5, 2021.

JANZEN, Thenille; KOSHIMORI, Yuko; RICHARD, Nicole; et al. Rhythm and music-based

interventions in motor rehabilitation: current evidence and future perspectives Frontiers in

human neuroscience, p. 843, 2022.

MENZ, Hylton B.; LORD, Stephen R.; FITZPATRICK, Richard C. Age‐related differences

in walking stability. Age and ageing, v. 32, n. 2, p. 137-142, 2003.

MISSAOUI, Besma; THOUMIE, Philippe. Balance training in ataxic neuropathies. Effects on

balance and gait parameters. Gait & posture, v. 38, n. 3, p. 471-476, 2013.

MOLINARI, Marco et al. Neurobiology of rhythmic motor entrainment. Annals of the New

York Academy of Sciences, v. 999, n. 1, p. 313-321, 2003.

NASHEF, Abdulraheem; COHEN, Oren; HAREL, Ran; et al. Reversible block of cerebellar

outflow reveals cortical circuitry for motor coordination. Cell reports, v. 27, n. 9, p. 2608-

e4, 2019.

NOMBELA, Cristina et al. Into the groove: can rhythm influence Parkinson's disease?.

Neuroscience & Biobehavioral Reviews, v. 37, n. 10, p. 2564-2570, 2013.

NOWAKOWSKA-LIPIEC, Katarzyna; MICHNIK, Robert; NIEDZWIEDZ, Sandra; et al.

Effect of short-term metro-rhythmic stimulations on gait variability. In: Healthcare. MDPI,

p. 174.

ODHONG', Charles; WILKES, Andreas; VORLAUFER, Miriam; et al. Financing large-scale

mitigation by smallholder farmers: what roles for public climate finance?. Frontiers in

Sustainable Food Systems, v. 3, p. 3, 2019.

PANTELYAT, Alexander et al. Rhythmic auditory cueing in atypical parkinsonism: A pilot

study. Frontiers in Neurology, p. 2403, 2022.

ROBINSON, Katherine J.; WATCHON, Maxinne; LAIRD, Angela S. Aberrant cerebellar

circuitry in the spinocerebellar ataxias. Frontiers in neuroscience, v. 14, p. 707, 2020.

ROCHESTER, Lynn et al. Evidence for motor learning in Parkinson's disease: acquisition,

automaticity and retention of cued gait performance after training with external rhythmical

cues. Brain research, v. 1319, p. 103-111, 2010.

SAMSON, Monique M. et al. Differences in gait parameters at a preferred walking speed in

healthy subjects due to age, height and body weight. Aging clinical and experimental

research, v. 13, p. 16-21, 2001.

SASAKI, Atsushi; KANEKO, Naotsugu; MASUGI, Yohei; et al. Task-and intensitydependent modulation of arm-trunk neural interactions in the corticospinal pathway in

humans. Eneuro, v. 8, n. 5, 2021.

SHACKMAN, Alexander J. et al. Dispositional negativity: An integrative psychological and

neurobiological perspective. Psychological bulletin, v. 142, n. 12, p. 1275, 2016.

SYNOFZIK, Matthis e ILG, Winfried. Motor training in degenerative spinocerebellar disease:

ataxia-specific improvements by intensive physiotherapy and exergames. BioMed research

international, v. 2014, 2014.

TABORRI, Juri; PALERMO, Eduardo; ROSSI, Stefano; et al. Gait partitioning methods: A

systematic review. Sensors, v. 16, n. 1, p. 66, 2016.

VYŠATA, Oldřich; TUPA, Ondřej; Aleš, PROCHÁZKA; et al. Classification of ataxic gait.

Sensors, v. 21, n. 16, p. 5576, 2021.

WAMSER, Eduardo; VALDERRAMAS, Silvia; DE PAULA, Jéssica; et al. Melhor

desempenho no teste timed up and go está associado a melhor desempenho funcional em

idosas da comunidade. Geriatr Gerontol Aging, v. 9, n. 4, p. 138-43, 2015.