Use of dynamic movement orthoses to improve gait stability and trunk control in ataxic patients

Mariano Serrao, Carlo Casali, Alberto Ranavolo, Silvia Mari, Carmela Conte, Giorgia Chini, Luca Leonardi, Gianluca Coppola, Cherubino DI Lorenzo, Mahmoud Harfoush, Luca Padua, Francesco Pierelli

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

BACKGROUND: Patients with cerebellar ataxia show increased upper body movements, which have an impact on balance and walking.

AIM: In this study, we investigated the effect of using dynamic movement orthoses (DMO), designed as elastic suits, on trunk motion and gait parameters.

DESIGN: Longitudinal uncontrolled study.

SETTING: Outpatient rehabilitation unit.

POPULATION: Eleven patients (7 men, 4 women; mean age: 49.9±9.5 years) with degenerative cerebellar ataxia were enrolled in this study.

METHODS: Linear overground gait of patients was recorded by means of an optoelectronic gait analysis system before DMO use (DMO-) and during DMO use (DMO+). Time-distance parameters, lower limb joint kinematics, body sway, trunk oscillations, and gait variability (coefficient of variation [CV]) were recorded. Patient satisfaction with DMO device was measured using Quebec user evaluation of satisfaction with assistive technology.

RESULTS: When using the DMO, patients showed a significant decrease in stance phase duration, double support phase duration, swing phase CV, pelvic range of motion (ROM), body sway, and trunk ROMs. A significant increase was observed in the swing phase duration and knee joint ROM. Out of 11 patients, 10 were either quite satisfied (8 points) or very satisfied (2 points) with the assistive device.

CONCLUSIONS: The DMO reduce the upper body motion and in improve balance-related gait parameters.

CLINICAL REHABILITATION IMPACT: We propose use of DMO as an assistive/rehabilitative device in the neurorehabilitation of cerebellar ataxia to improve the trunk control and gait stability. DMO may be considered a prototype that can be modified in terms of material characteristics, textile layers, elastic components, and diagonal and lateral seams.

Original languageEnglish
Pages (from-to)735-743
Number of pages9
JournalEuropean Journal of Physical and Rehabilitation Medicine
Volume53
Issue number5
DOIs
Publication statusPublished - Oct 2017

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Splints
Gait
Self-Help Devices
Cerebellar Ataxia
Articular Range of Motion
Rehabilitation
Textiles
Quebec
Knee Joint
Patient Satisfaction
Biomechanical Phenomena
Walking
Longitudinal Studies
Lower Extremity
Outpatients
Joints
Equipment and Supplies

Keywords

  • Journal Article

Cite this

Use of dynamic movement orthoses to improve gait stability and trunk control in ataxic patients. / Serrao, Mariano; Casali, Carlo; Ranavolo, Alberto; Mari, Silvia; Conte, Carmela; Chini, Giorgia; Leonardi, Luca; Coppola, Gianluca; DI Lorenzo, Cherubino; Harfoush, Mahmoud; Padua, Luca; Pierelli, Francesco.

In: European Journal of Physical and Rehabilitation Medicine, Vol. 53, No. 5, 10.2017, p. 735-743.

Research output: Contribution to journalArticle

Serrao, Mariano ; Casali, Carlo ; Ranavolo, Alberto ; Mari, Silvia ; Conte, Carmela ; Chini, Giorgia ; Leonardi, Luca ; Coppola, Gianluca ; DI Lorenzo, Cherubino ; Harfoush, Mahmoud ; Padua, Luca ; Pierelli, Francesco. / Use of dynamic movement orthoses to improve gait stability and trunk control in ataxic patients. In: European Journal of Physical and Rehabilitation Medicine. 2017 ; Vol. 53, No. 5. pp. 735-743.
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T1 - Use of dynamic movement orthoses to improve gait stability and trunk control in ataxic patients

AU - Serrao, Mariano

AU - Casali, Carlo

AU - Ranavolo, Alberto

AU - Mari, Silvia

AU - Conte, Carmela

AU - Chini, Giorgia

AU - Leonardi, Luca

AU - Coppola, Gianluca

AU - DI Lorenzo, Cherubino

AU - Harfoush, Mahmoud

AU - Padua, Luca

AU - Pierelli, Francesco

PY - 2017/10

Y1 - 2017/10

N2 - BACKGROUND: Patients with cerebellar ataxia show increased upper body movements, which have an impact on balance and walking.AIM: In this study, we investigated the effect of using dynamic movement orthoses (DMO), designed as elastic suits, on trunk motion and gait parameters.DESIGN: Longitudinal uncontrolled study.SETTING: Outpatient rehabilitation unit.POPULATION: Eleven patients (7 men, 4 women; mean age: 49.9±9.5 years) with degenerative cerebellar ataxia were enrolled in this study.METHODS: Linear overground gait of patients was recorded by means of an optoelectronic gait analysis system before DMO use (DMO-) and during DMO use (DMO+). Time-distance parameters, lower limb joint kinematics, body sway, trunk oscillations, and gait variability (coefficient of variation [CV]) were recorded. Patient satisfaction with DMO device was measured using Quebec user evaluation of satisfaction with assistive technology.RESULTS: When using the DMO, patients showed a significant decrease in stance phase duration, double support phase duration, swing phase CV, pelvic range of motion (ROM), body sway, and trunk ROMs. A significant increase was observed in the swing phase duration and knee joint ROM. Out of 11 patients, 10 were either quite satisfied (8 points) or very satisfied (2 points) with the assistive device.CONCLUSIONS: The DMO reduce the upper body motion and in improve balance-related gait parameters.CLINICAL REHABILITATION IMPACT: We propose use of DMO as an assistive/rehabilitative device in the neurorehabilitation of cerebellar ataxia to improve the trunk control and gait stability. DMO may be considered a prototype that can be modified in terms of material characteristics, textile layers, elastic components, and diagonal and lateral seams.

AB - BACKGROUND: Patients with cerebellar ataxia show increased upper body movements, which have an impact on balance and walking.AIM: In this study, we investigated the effect of using dynamic movement orthoses (DMO), designed as elastic suits, on trunk motion and gait parameters.DESIGN: Longitudinal uncontrolled study.SETTING: Outpatient rehabilitation unit.POPULATION: Eleven patients (7 men, 4 women; mean age: 49.9±9.5 years) with degenerative cerebellar ataxia were enrolled in this study.METHODS: Linear overground gait of patients was recorded by means of an optoelectronic gait analysis system before DMO use (DMO-) and during DMO use (DMO+). Time-distance parameters, lower limb joint kinematics, body sway, trunk oscillations, and gait variability (coefficient of variation [CV]) were recorded. Patient satisfaction with DMO device was measured using Quebec user evaluation of satisfaction with assistive technology.RESULTS: When using the DMO, patients showed a significant decrease in stance phase duration, double support phase duration, swing phase CV, pelvic range of motion (ROM), body sway, and trunk ROMs. A significant increase was observed in the swing phase duration and knee joint ROM. Out of 11 patients, 10 were either quite satisfied (8 points) or very satisfied (2 points) with the assistive device.CONCLUSIONS: The DMO reduce the upper body motion and in improve balance-related gait parameters.CLINICAL REHABILITATION IMPACT: We propose use of DMO as an assistive/rehabilitative device in the neurorehabilitation of cerebellar ataxia to improve the trunk control and gait stability. DMO may be considered a prototype that can be modified in terms of material characteristics, textile layers, elastic components, and diagonal and lateral seams.

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DO - 10.23736/S1973-9087.17.04480-X

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C2 - 28627859

VL - 53

SP - 735

EP - 743

JO - European Journal of Physical and Rehabilitation Medicine

JF - European Journal of Physical and Rehabilitation Medicine

SN - 1973-9087

IS - 5

ER -