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Title: | Assessment and tailored physical rehabilitation approaches in persons with cerebellar impairments targeting mobility and walking according to the International Classification of Functioning: a systematic review of case-reports and case-series | Authors: | Bogaert , Anne Romano, Francesco Cabaraux, Pierre FEYS, Peter MOUMDJIAN, Lousin |
Issue Date: | 2023 | Publisher: | TAYLOR & FRANCIS LTD | Source: | DISABILITY AND REHABILITATION, (Art N° 2248886) | Abstract: | Purpose: Cerebellar impairment (CI) manifests from different etiologies resulting in a heterogenic clinical presentation affecting walking and mobility. Case-reports were reviewed to provide an analytical clinical picture of persons with CI (PwCI) to differentiate cerebellar and non- cerebellar impairments and to identify interventions and assessments used to quantify impact on walking and mobility according to the International Classification of Functioning, Disability and Health (ICF). Materials and Methods: Literature was searched in PubMed, Web Of Science and Scopus. Case-reports conducting physical rehabilitation and reporting at least one outcome measure of ataxia, gait pattern, walking or mobility were included. Results: 28 articles with a total of 38 different patients were included. Etiologies were clustered to: spinocerebellar degenerations, traumatic brain injuries, cerebellar tumors, stroke and miscellaneous. The interventions applied were activity-based, including gait and balance training. Participation based activities such as tai chi, climbing and dance-based therapy had positive outcomes on mobility. Outcomes on body function such as ataxia and gait pattern were only reported in 22% of the patients. Conclusions: A comprehensive test battery to encompass the key features of a PwCI on different levels of the ICF is needed to manage heterogeneity. Measures on body function level should be included in interventions. | Notes: | Moumdjian, L (corresponding author), Hasselt Univ, Fac Rehabil Sci, REVAL Rehabil Res Ctr, Diepenbeek, Belgium.; Moumdjian, L (corresponding author), UMSC Hasselt, Pelt, Belgium.; Moumdjian, L (corresponding author), Univ Ghent, IPEM Inst Psychoacoust & Elect Mus, Fac Arts & Philosophy, Ghent, Belgium. lousin.moumdjian@uhasselt.be |
Keywords: | Cerebellar impairment;assessment;physical rehabilitation;walking;mobility;International Classification of Functioning;case reports | Document URI: | http://hdl.handle.net/1942/41434 | ISSN: | 0963-8288 | e-ISSN: | 1464-5165 | DOI: | 10.1080/09638288.2023.2248886 | ISI #: | 001057476000001 | Rights: | 2023 Informa UK Limited, trading as Taylor & Francis Group | Category: | A1 | Type: | Journal Contribution |
Appears in Collections: | Research publications |
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2023_Disability&Rehabilitation_Moumdjian et al_CerebellarReview.pdf Restricted Access | Published version | 3.25 MB | Adobe PDF | View/Open Request a copy |
Manuscript_CerebellarReview_FINALclean.docx Until 2024-08-31 | Peer-reviewed author version | 359.34 kB | Microsoft Word | View/Open Request a copy |
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