Effects of Short-term Intensive Rehabilitation in Patients with Ambulatory Spinocerebellar Degeneration：Total Score and Sub-score Change of Scale for the Assessment and Rating of Ataxia

Taro Kato; Kyota Bando; Yosuke Ariake; Wakana Katsuta; Yuki Kondo; Yu Ogasawara; Daisuke Nishida; Yuji Takahashi; Katsuhiro Mizuno

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Effects of Short-term Intensive Rehabilitation in Patients with Ambulatory Spinocerebellar Degeneration：Total Score and Sub-score Change of Scale for the Assessment and Rating of Ataxia

VernacularTitle:歩行可能な脊髄小脳変性症患者の運動失調に対する短期集中リハビリテーション治療 ―Scale for the Assessment and Rating of Ataxiaの総得点と下位項目得点による検証―
Author: Taro KATO ¹ ; Kyota BANDO ¹ ; Yosuke ARIAKE ¹ ; Wakana KATSUTA ¹ ; Yuki KONDO ¹ ; Yu OGASAWARA ¹ ; Daisuke NISHIDA ¹ ; Yuji TAKAHASHI ² ; Katsuhiro MIZUNO ³
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1. Department of Physical Rehabilitation, National Center Hospital, National Center of Neurology and Psychiatry
2. Department of Rehabilitation Medicine, Keio University School of Medicine
3. Department of Neurology, National Center Hospital, National Center of Neurology and Psychiatry
Keywords: spinocerebellar degeneration; cerebellar ataxia; short-term intensive rehabilitation
From:The Japanese Journal of Rehabilitation Medicine 2021;58(3):326-332
CountryJapan
Language:Japanese
Abstract: Objective：The purpose of this study was to evaluate the effectiveness of a four-week short-term intensive rehabilitation on ataxia in patients with ambulatory spinocerebellar degeneration (SCD), using the Scale for the Assessment and Rating of Ataxia (SARA) total score and sub-score.Methods：This study included 23 SCD patients；we considered those with a SARA gait score of＜3 points. Our program included a one-hour training session with individualized instructions and a one-hour self-balance training session. Additionally, occupational or speech-language-hearing therapy was performed for one hour daily. Our program was conducted five days weekly for four weeks. We assessed the SARA total score and sub-score findings immediately, before the first and after the last interventions.Results：The SARA total, gait, stance, and heel-shin scores showed more significant improvement after intervention than before intervention (p＜0.05). The other SARA sub-scores were not significantly different between “before and after” interventions.Conclusion：The four-week short-term intensive rehabilitation on ataxia in patients with ambulatory spinocerebellar degeneration improved the SARA total score and ataxia of the trunk and lower limbs.