Telerehabilitation, Core Stability Exercises and Hereditary Ataxia (TRCore-ataxia)

Effects of a Telerehabilitation Program of Central Stability Exercises to Improve Balance and Gait in Hereditary Ataxia. A Randomized Controlled Pilot Study.

Hereditary ataxias (HA) are a heterogeneous group of degenerative diseases of the cerebellum, brain stem and spinal cord. People who suffer from AH, among other symptoms, present deficiencies in the stability of the trunk, which leads to an alteration in postural control, with a strongly influential factor in the loss of balance and gait disorders. Improving the functionality of these physical aspects can help reduce the rate of falls, increase autonomy and quality of life for people with HA.

Evidence suggests that rehabilitation strategies based on core stability exercises (CSE) are effective in improving balance and postural control in several neurological diseases, such as stroke. However, there is little evidence with people with HA. In a previous study carried out by researchers of this project, in which an EEC exercise program was piloted at home, low adherence to treatment was perceived due to the little follow-up that was given to the participants. Therefore, including telerehabilitation in these programs would increase follow-up and could influence adherence.

Inclusion Criteria:

• Suffer from degenerative HA at any stage of the disease (Spinocerebellar ataxia, Friedreich's ataxia, sporadic idiopathic cerebellar ataxia and neurodegenerative diseases where ataxia is the dominant symptom).
• Adults over 18 years of age.
• Be able to use a computer or mobile phone (It will be evaluated using the DILE scale)
• Have an internet connection.

Exclusion Criteria:

• Suffer from other neurological diseases and inability to follow simple instructions. -
• Suffering from a musculoskeletal injury that prevents you from performing the exercises.
• Being unable to maintain standing for more than 10 seconds without support (assessed with item 2 on the SARA scale).