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    Effectiveness of functional trunk training on trunk control and upper limb functions in patients with autosomal recessive hereditary ataxia
    (Ios Press, 2022) Yigit, Sedat; Usgu, Serkan; Albayrak, Hatice Mutlu; Yucel, Peren Perk; Yakut, Yavuz
    BACKGROUND: Ataxia is a clinical syndrome characterized by coordination problems and postural disorders. OBJECTIVE: This study aimed to examine the effects of functional trunk training on trunk control and upper limb functions in autosomal recessive hereditary ataxia. METHODS: Twenty patients were randomly divided into treatment and control groups. Both groups received trunk stabilization and balance exercises, and the treatment group received additional functional trunk training sessions (3 days/week for 8 weeks). The International Cooperative Ataxia Rating Scale, Trunk Impairment Scale, Modified Functional Reach Test, Nine-Hole Peg Test and Quick-Disabilities of the Arm Shoulder and Hand questionnaire were used for assessments. RESULTS: The treatment group showed an increase in the upper limb performance bilaterally, whereas increased performance was seen only in the dominant upper limb in the control group. While the functional reach improved in the anterior-posterior (AP) and medial-lateral (ML) directions in the treatment group, it was improved only in the AP direction in the control group. Also, the mean changes in outcomes were not significantly different between the groups except for modified functional reach test. CONCLUSIONS: Functional trunk training may be a more effective method to improve upper limb performance and dynamic trunk balance in autosomal recessive hereditary ataxia.
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    The Outcomes of an Individualized Physical Therapy Program in CALFAN Syndrome: A Case Report
    (Lippincott Williams & Wilkins, 2022) Yigit, Sedat; Albayrak, Hatice Mutlu; Perk Yucel, Peren; Usgu, Serkan; Yakut, Yavuz
    Purpose: This case report investigated the effectiveness of an individualized physical therapy program in CALFAN syndrome. Case Description: A 13-year-old girl participated in physical therapy, which included trunk stabilization, balance training, and functional exercises for 12 weeks. Assessments: The International Cooperative Ataxia Rating Scale; Trunk Impairment Scale; Pediatric Quality of Life Inventory; Functional Independence Measure for Children; Quick Disability of the Arm, Shoulder, and Hand Questionnaire; 9-Hole Peg Test; and Cobb measurement were used as outcome measures. Results: Positive changes were observed in the International Cooperative Ataxia Rating Scale; Quick Disability of the Arm, Shoulder, and Hand Questionnaire; Pediatric Quality of Life Inventory; Trunk Impairment Scale; Functional Independence Measure; and the 9-Hole Peg Test. The Cobb angle was increased by 2 degrees in the thoracic region and reduced by 11 degrees in the lumbar region. Conclusions: Physical therapy improved quality of life, functional independence, trunk control, and upper extremity performance. What This Adds to Evidence: This case report is the first to support the effectiveness of physical therapy for a child with CALFAN syndrome.