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Faculty of Medical Sciences

The feasibility of a home-based exergame balance training and effect on motor performance in early onset ataxia: A pilot feasibility study

Ganzevoort, I. (Ilse) (2019) The feasibility of a home-based exergame balance training and effect on motor performance in early onset ataxia: A pilot feasibility study. thesis, Human Movement Sciences.

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Abstract

Children with Early Onset Ataxia (EOA) experience impaired coordination of voluntary movements due to damage of the cerebellum and its associated pathways. Although interventions using exergames are becoming more prominent to improve balance and health outcomes, the effectiveness of home-based exergame interventions is not widely reported. The aims of this study were to investigate the feasibility of a home-based ice-skating exergame training of six weeks in children with EOA and in age-matched healthy control children and to investigate the effects on motor performance. In the current pilot study, five EOA patients and six healthy controls (aged 4-12, mean 8.1 ± 2.4 years) participated in the study, playing half an hour per day, three times per week, for six weeks. Feasibility was evaluated using logbook data from the ice-skating exergame, an enjoyment scale taken at three and six weeks and a goal attainment score for the EOA participants, who filled in one or more goals prior to the intervention that they wanted to achieve by following the ice-skating exergame training. Motor performance was measured using the Scale for Assessment and Rating of Ataxia (SARA) and Paediatric Balance Scale (PBS) at pre- and post-measurements and movement analysis to assess dynamic postural control was measured during game play. Results showed that the prescribed intensity of playing the ice-skating exergame was not reached, but participants enjoyed the exergame and patients showed improvements in daily life, assessed with the goal attainment score. With respect to the effect of the exergame on motor performance, clinically relevant improvements in SARA and PBS were shown. The results of the movement analysis showed improvements in dynamic postural control over time. To conclude, a home-based exergame seems feasible in young children since it is fun to do and improvements in daily life and motor performance were found.

Item Type: Thesis (UNSPECIFIED)
Supervisor name: Lamoth, dr. C.J.C. and Sival, D.A.
Faculty: Medical Sciences
Date Deposited: 23 May 2022 08:03
Last Modified: 23 May 2022 08:03
URI: https://umcg.studenttheses.ub.rug.nl/id/eprint/3408

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