2014, Number 4
Rev Mex Neuroci 2014; 15 (4)
Díaz FA, Torres-Cárdenas Y, Fernández-Paz J, Morgado-Vega T, Díaz-Naranjo YA, Ibáñez-Montes de Oca Y
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ABSTRACTIntroduction: Degenerative ataxias are the second cause of admission to our clinic, surpassed only by parkinsonism. In its treatment, there is no drug that can effectively stop the progressive course of the disease.
Objective: To evaluate treatment options for patients with degenerative ataxias by using a comprehensive, personalized and specialized rehabilitation as a tool to improve physical disability.
Material and Methods: A longitudinal study description was conducted with a sample of 25 patients admitted to our center from 2009- 2012 with a diagnosis of degenerative ataxia. The ICARS scales, Barthel Index and SF36 survey were applied before and after treatment.
Results: It was demonstrated that therapeutic intervention was more effective for the recovery of the functions related to gait, posture and kinetics as assessed by ICARS functions evaluation. All 25 patients improved these functions, changing the initial median final point from 21 to 15 in gait and posture, and from 30 to 19 points on the kinetic features. Regarding the Barthel Index, only 40% of patients had improvement in the degree of dependence, although all patients achieved higher scores showing greater independence. In all, the median scoring changed from 60 to 86 points.
Conclusions: Significant improvement was seen in most affected functions, indicating that therapeutic exercise is a mainstay in the treatment of patients with neurodegenerative diseases.