RESUMO
INTRODUCTION: Type 2 spinocerebelar ataxia (SCA2) is a neurodegenerative disease with higher prevalence and incidence in Holguín province, Cuba. At present, there is not any drug to counteract the loss of coordinative motor capacities of these patients. Thus physical training seems to be the only way to attenuate the course of disease. AIMS: To evaluate the effectiveness of a physical training program on quantitative neurological indices in SCA2 patients. PATIENTS AND METHODS: A samples of 87 SCA2 patients were studied. All subjects underwent a six month physical exercise program based on coordination, balance and muscular conditioning exercises. Quantitative tests were applied to all patients both before and after the application of the exercise program. Comparisons between pretest versus posttest values were made to evaluate the improvement in neurological indices. RESULTS: All neurological indices both with open eyes and closed eyes significantly improved from pretest to posttest. Static balance, evaluated by Romberg test, also enhanced with training. CONCLUSIONS: The exercise training program significantly improved the neurological indices in SCA2 patient with mild stage of disease.
Assuntos
Terapia por Exercício , Testes Neuropsicológicos , Ataxias Espinocerebelares , Adulto , Humanos , Pessoa de Meia-Idade , Ataxias Espinocerebelares/patologia , Ataxias Espinocerebelares/fisiopatologia , Ataxias Espinocerebelares/terapiaRESUMO
Introducción. La ataxia espinocerebelosa tipo 2 (SCA2) es una enfermedad neurodegenerativa con una alta prevalencia e incidencia en la provincia de Holguín, Cuba. Hasta ahora no se cuenta con ningún medicamento capaz de contrarrestar la pérdida de las capacidades motoras coordinativas de estos pacientes. Por ello, la rehabilitación a través de ejercicios físicos constituye la única alternativa para atenuar el curso invalidante de esta enfermedad. Objetivo. Evaluar la efectividad de un programa de ejercicios físicos sobre indicadores neurológicos cuantitativos en pacientes con SCA2. Pacientes y métodos. Se estudiaron 87 pacientes con SCA2, a los cuales se les aplicó durante seis meses un programa de entrenamiento basado en ejercicios de coordinación, equilibrio y acondicionamiento muscular. Se realizaron exámenes cuantitativos (prueba índice-punto, test de Romberg sensibilizado) antes y después del entrenamiento para evaluar la efectividad del programa de ejercicios aplicado a los enfermos. Se compararon ambas mediciones a través de la prueba t de Student para datos pareados. Resultados. Todos los indicadores neurológicos con ojos abiertos y ojos cerrados mejoraron significativamente en la segunda medición. El equilibrio estático evaluado a través del test de Romberg sensibilizado mejoró significativamente. Conclusiones. El programa de entrenamiento aplicado mejoró sustancialmente los indicadores neurológicos cuantitativos estudiados en los pacientes con SCA2 en estadio leve de la enfermedad(AU)
Introduction. Type 2 spinocerebelar ataxia (SCA2) is a neurodegenerative disease with higher prevalence and incidence in Holguín province, Cuba. At present, there is not any drug to counteract the loss of coordinative motor capacitiesof these patients. Thus physical training seems to be the only way to attenuate the course of disease. Aims. To evaluate the effectiveness of a physical training program on quantitative neurological indices in SCA2 patients. Patients and methods. A samples of 87 SCA2 patients were studied. All subjects underwent a six month physical exercise program based on coordination, balance and muscular conditioning exercises. Quantitative tests were applied to all patients both before and after the application of the exercise program. Comparisons between pretest versus postest values were made to evaluate the improvement in neurological indices. Results. All neurological indices both with open eyes and closed eyes significantly improved from pretest to postest. Static balance, evaluated by Romberg test, also enhanced with training. Conclusions. Theexercise training program significantly improved the neurological indices in SCA2 patient with mild stage of disease(AU)
Assuntos
Humanos , Adulto , Pessoa de Meia-Idade , Terapia por Exercício , Testes Neuropsicológicos , Ataxias Espinocerebelares/patologia , Ataxias Espinocerebelares/fisiopatologia , Ataxias Espinocerebelares/terapiaRESUMO
Type 2 spinocerebelar ataxia (SCA2) is a neurodegenerative disease with higher prevalence andincidence in Holguín province, Cuba. At present, there is not any drug to counteract the loss of coordinative motor capacitiesof these patients. Thus physical training seems to be the only way to attenuate the course of disease. Aims. To evaluate theeffectiveness of a physical training program on quantitative neurological indices in SCA2 patients. Patients and methods. Asamples of 87 SCA2 patients were studied. All subjects underwent a six month physical exercise program based oncoordination, balance and muscular conditioning exercises. Quantitative tests were applied to all patients both before andafter the application of the exercise program. Comparisons between pretest versus postest values were made to evaluate theimprovement in neurological indices. Results. All neurological indices both with open eyes and closed eyes significantlyimproved from pretest to postest. Static balance, evaluated by Romberg test, also enhanced with training. Conclusions. Theexercise training program significantly improved the neurological indices in SCA2 patient with mild stage of disease...(AU)