PMID- 37165996
OWN - NLM
STAT- Publisher
LR  - 20230511
IS  - 1532-5040 (Electronic)
IS  - 0959-3985 (Linking)
DP  - 2023 May 11
TI  - Examining the effects of amplitude-based training as a component of the plan of 
      care in an individual with olivopontocerebellar atrophy.
PG  - 1-10
LID - 10.1080/09593985.2023.2210218 [doi]
AB  - BACKGROUND: Amplitude-based exercise training has been shown to be effective in 
      the motor performance of individuals with idiopathic Parkinson's disease, with 
      limited research investigating its effects on Parkinson plus syndromes such as 
      olivopontocerebellar atrophy (OPCA). The purpose of this clinical case report is 
      to examine the effects of amplitude-based training exercises on an individual 
      with OPCA. CASE DESCRIPTION: A 68-year-old man with a 14-month history of OPCA 
      presented to physical therapy with bradykinesia, rigidity, and postural 
      instability. The individual participated in 34 intervention sessions. Pre- and 
      post-test measurements were collected for the following outcome measures: Five 
      Times Sit to Stand (FTSTS); Functional Gait Assessment (FGA); Activities-Specific 
      Balance Confidence Scale (ABC-6); 9 Hole Peg Test (9HPT); preferred and maximal 
      gait speed. OUTCOMES: Improvements reaching Minimum Detectable Change (MDC) or 
      Minimal Clinically Important Difference (MCID) were recorded with a pre (Week 1) 
      and post (Week 20) intervention: FGA score (4-point improvement (MDC(95) = 4 
      points), preferred gait speed (0.09 meters/second improvement (MCID = 0.05 
      meters/second)), FTSTS (6-second improvement (MDC(95) = 2.3 seconds)), and 9HPT 
      on the dominant hand (3-second improvement (MDC(95) = 2.6 seconds)). Fluctuations 
      during the plan of care were observed for these measures, and additional outcomes 
      did not demonstrate a worsening of function. CONCLUSION: In an individual with 
      OPCA, amplitude-based exercise training as a component of the plan of care 
      increased dynamic balance in walking, gait speed, and hand dexterity. However, 
      these results need to be validated on a larger sample of individuals with OPCA 
      through randomized controlled trials.
FAU - Babcock, Rosemary
AU  - Babcock R
AD  - Select Physical Therapy, Kissimmee, FL, USA.
FAU - Viana, Samantha
AU  - Viana S
AD  - Veterans Affairs Orlando Healthcare System, Orlando, FL, USA.
FAU - Roach, Victoria
AU  - Roach V
AD  - Veterans Affairs Boston Healthcare System, Boston, MA, USA.
FAU - Shiley, Chandler
AU  - Shiley C
AD  - Neulife Rehabilitation of Florida, Mt. Dora, FL, USA.
FAU - Lazaro, Rolando
AU  - Lazaro R
AD  - Department of Physical Therapy, Sacramento State University, Sacramento, CA, USA.
FAU - Wilson, Abigail T
AU  - Wilson AT
AD  - School of Kinesiology and Rehabilitation Sciences, College of Health Professions 
      and Sciences, University of Central Florida, Orlando, FL, USA.
FAU - Beato, Morris
AU  - Beato M
AD  - School of Kinesiology and Rehabilitation Sciences, College of Health Professions 
      and Sciences, University of Central Florida, Orlando, FL, USA.
LA  - eng
PT  - Journal Article
DEP - 20230511
PL  - England
TA  - Physiother Theory Pract
JT  - Physiotherapy theory and practice
JID - 9015520
SB  - IM
OTO - NOTNLM
OT  - Olivopontocerebellar atrophy
OT  - amplitude-based exercise
OT  - physical therapy
EDAT- 2023/05/11 13:18
MHDA- 2023/05/11 13:18
CRDT- 2023/05/11 06:43
PHST- 2023/05/11 13:18 [medline]
PHST- 2023/05/11 13:18 [pubmed]
PHST- 2023/05/11 06:43 [entrez]
AID - 10.1080/09593985.2023.2210218 [doi]
PST - aheadofprint
SO  - Physiother Theory Pract. 2023 May 11:1-10. doi: 10.1080/09593985.2023.2210218.