Home-Based Telerehabilitation for Core Stability in Hereditary Ataxia: Feasibility and Preliminary Effects of a Pilot RCT.
Background: Core stability exercises (CSE) have shown efficacy in improving trunk function in individuals with hereditary ataxia (HA), but adherence to home programs is often low. Telerehabilitation (TR) could facilitate remote program delivery. Objectives: To assess the feasibility and preliminary...
| Publicado en: | NeuroRehabilitation Vol. 58; no. 3; pp. 440 - 453 |
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| Autores principales: | , , , , , , , , , |
| Formato: | algorithm research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Sage Publications Inc.
May2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=193319995&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 193319995 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10538135 3RE jtl: NeuroRehabilitation issn: 10538135 maglogo: N pubinfo: dt: May2026 vid: 58 iid: 3 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 193319995 193319995 193319995 10.1177/10538135261431333 193319995 ppf: 440 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Home-Based Telerehabilitation for Core Stability in Hereditary Ataxia: Feasibility and Preliminary Effects of a Pilot RCT. aug: au: Masbernat-Almenara, Maria Peláez-Hervás, Selma Fernández-Lago, Helena Serra-Rusiñol, Laura Rubí-Carnacea, Francesc Martínez-Navarro, Oriol Tersa-Miralles, Carlos Muñoz, Esteban Rubinat-Arnaldo, Esther Cabanas-Valdés, Rosa affil: Department of Nursing and Physiotherapy, University of Lleida, Lleida, España sug: subj: Telerehabilitation Home Rehabilitation Core Exercises Ataxia Familial and Genetic Outcomes (Health Care) Human Spain Spain Funding Source Randomized Controlled Trials Random Assignment Pilot Studies Scales Descriptive Statistics Data Analysis Software Analysis of Variance Post Hoc Analysis Mann-Whitney U Test Wilcoxon Rank Sum Test Friedman Test Paired T-Tests Balance, Postural Confidence Patient Safety Male Female Adult Middle Age Aged Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: Core stability exercises (CSE) have shown efficacy in improving trunk function in individuals with hereditary ataxia (HA), but adherence to home programs is often low. Telerehabilitation (TR) could facilitate remote program delivery. Objectives: To assess the feasibility and preliminary effects of a 7-week home-based CSE-TR in individuals with HA. Methods: In this single-blind, two-arm randomized controlled pilot study, participants performed a CSE-TR program 5 days per week, over 7 weeks. Two TR formats were compared: the Mixed Group (MG) combined asynchronous training with weekly synchronous sessions, while the Asynchronous Group (AG) received weekly follow-up calls. Feasibility outcomes included recruitment, adherence, compliance and retention. Preliminary effects—assessed at baseline, 7 weeks, and 12 weeks—included balance, gait performance, lower limb strength, fall risk, ataxia severity, and balance confidence. Results: Twelve individuals with HA (mean age 49.5 ± 20.6 years) completed the study with 100% of retention. Statistically significant improvements over time were observed in gait performance (p < 0.0001), the MG showed significant gains at 7 weeks (p = 0.002) that were not maintained at follow-up. A significant time × group interaction was found for gait performance favoring the MG in the short term (p = 0.003). Balance confidence showed significant differences both over time (p = 0.046) and between groups (p = 0.014), with an unexpected decline in the MG. No other outcome measures reached statistical significance. Conclusion: A home-based CSE-TR program is feasible and safe for individuals with HA and may provide functional benefits. Larger trials are needed to confirm effectiveness and optimize adherence. pubtype: Academic Journal doctype: algorithm research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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