Spinocerebellar Ataxia Clinical Trial
Official title:
Coordination Training With Complete Body Video Games in Children and Adults With Degenerative Ataxias
Exergame training might offer a novel treatment approach even in largely nonambulatory subjects with multisystemic degenerative spinocerebellar ataxia.
Effective treatments for patients with degenerative spinocerebellar ataxia are scarce. It
has recently been shown that intensive coordinative training based on either physiotherapy
or exergames (= whole-body controlled videogames; might improve degenerative ataxia, but its
effectiveness is still disputed. This situation is even more complicated for degenerative
ataxia subjects in advanced disease stages and with high multisystemic disease load. Here,
underlying neurodegeneration has progressed to many irreversible states and includes many
additional extra-cerebellar systems, making functional plasticity and therapeutic success
much less likely. Moreover, intervention outcome assessment in subjects unable to walk
freely is more delicate. Correspondingly, nonambulatory ataxia subjects in advanced disease
stages are currently often excluded from treatment trials, thus leaving them without
prospects of access to novel treatments.
The investigators here hypothesized that exergame training might offer a novel treatment
approach even in largely nonambulatory subjects with multisystemic degenerative
spinocerebellar ataxia. Using a rater-blinded, intraindividual control study design, the
investigators show that an individualized exergame training strategy, tailored to
individuals' disease stage, improves postural control and ataxia-specific control functions
even in advanced disease.
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Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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