Telerehabilitation, Core Stability Exercises and Hereditary Ataxia (TRCore-ataxia)

NCT ID: NCT06152133

Last Updated: 2025-04-06

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 12 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-03-01
• Study Completion Date: 2024-11-30

Brief Summary

Hereditary ataxias (HA) are a heterogeneous group of degenerative diseases of the cerebellum, brain stem and spinal cord. People who suffer from AH, among other symptoms, present deficiencies in the stability of the trunk, which leads to an alteration in postural control, with a strongly influential factor in the loss of balance and gait disorders. Improving the functionality of these physical aspects can help reduce the rate of falls, increase autonomy and quality of life for people with HA.

Evidence suggests that rehabilitation strategies based on core stability exercises (CSE) are effective in improving balance and postural control in several neurological diseases, such as stroke. However, there is little evidence with people with HA. In a previous study carried out by researchers of this project, in which an EEC exercise program was piloted at home, low adherence to treatment was perceived due to the little follow-up that was given to the participants. Therefore, including telerehabilitation in these programs would increase follow-up and could influence adherence.

Conditions

Hereditary Ataxia; Spinocerebellar Degenerations; Cerebellar Ataxia

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

Telerehabilitation Core stability exercises group

Group Type: EXPERIMENTAL

Therapeutic core stability exercises

Intervention Type: OTHER

exercises focused on trunk muscle strengthening, proprioception, selective movements of the trunk and pelvis muscle, and coordination, and will be carried out in supine, sitting on a stable surface and sitting on an unstable surface (ball). The exercise involves changes in the position of the body with or without resistance, aiming to improve strength, endurance, proprioception and coordination. Training is determined by the patient's ability to undertake easy exercises and progress to more challenging exercises.

Core stability exercises group

Group Type: ACTIVE_COMPARATOR

Therapeutic core stability exercises

Intervention Type: OTHER

exercises focused on trunk muscle strengthening, proprioception, selective movements of the trunk and pelvis muscle, and coordination, and will be carried out in supine, sitting on a stable surface and sitting on an unstable surface (ball). The exercise involves changes in the position of the body with or without resistance, aiming to improve strength, endurance, proprioception and coordination. Training is determined by the patient's ability to undertake easy exercises and progress to more challenging exercises.

Interventions

Therapeutic core stability exercises

exercises focused on trunk muscle strengthening, proprioception, selective movements of the trunk and pelvis muscle, and coordination, and will be carried out in supine, sitting on a stable surface and sitting on an unstable surface (ball). The exercise involves changes in the position of the body with or without resistance, aiming to improve strength, endurance, proprioception and coordination. Training is determined by the patient's ability to undertake easy exercises and progress to more challenging exercises.

Intervention Type: OTHER

Other Intervention Names

trunk exercises

Eligibility Criteria

Inclusion Criteria

• Suffer from degenerative HA at any stage of the disease (Spinocerebellar ataxia, Friedreich's ataxia, sporadic idiopathic cerebellar ataxia and neurodegenerative diseases where ataxia is the dominant symptom).
• Adults over 18 years of age.
• Be able to use a computer or mobile phone (It will be evaluated using the DILE scale)
• Have an internet connection.

Exclusion Criteria

• Suffer from other neurological diseases and inability to follow simple instructions. -
• Suffering from a musculoskeletal injury that prevents you from performing the exercises.
• Being unable to maintain standing for more than 10 seconds without support (assessed with item 2 on the SARA scale).

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Universitat Internacional de Catalunya

OTHER

Sponsor Role: collaborator

Hospital Clinic of Barcelona

OTHER

Sponsor Role: collaborator

Universidad Europea de Madrid

OTHER

Sponsor Role: collaborator

Universitat de Lleida

OTHER

Sponsor Role: lead

Responsible Party

Maria Masbernat-Almenara

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

University of Lleida

Lleida, Lleida, Spain

Countries

Spain

Other Identifiers

01

Identifier Type: -

Identifier Source: org_study_id