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The Working Life of People with Degenerative Cerebellar Ataxia

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Abstract

The aim of the present study was to characterize and analyze the most important individual and organizational variables associated with job accommodation in subjects with degenerative cerebellar ataxia by administering a series of international and validated work activity-related scales. Twenty-four workers (W) and 58 non-workers (NW) were recruited: 34 with autosomal dominant ataxia and 48 with autosomal recessive ataxia (27 with Friedreich ataxia and 21 with sporadic adult-onset ataxia of unknown etiology). The severity of ataxia was rated using the Scale for the Assessment and Rating of Ataxia. Our results showed that the ataxic W were predominantly middle-aged (41–50 years), high school graduate, and married men with a permanent work contract, who had been working for more than 7 years. The W with ataxia exhibited a good level of residual working capacity, irrespective of gender, age range, and duration of the disease, and they were observed to have a low or average-to-low job stress-related risk. Supporting patients with ataxia to find an appropriate job is an important priority because about 78% of NW search for a job and W and NW have the same potential work abilities (no relevant differences were found in terms of disease characteristics, gender, and work resilience). In this view, introducing NW to work-life may have a potential rehabilitative aspect. Findings of this study highlight that equal job opportunities for subjects affected by cerebellar ataxia are recommended.

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References

  1. Berciano J, Mateo I, De Pablos C, Polo JM, Combarros O. Friedreich ataxia with minimal GAA expansion presenting as adult-onset spastic ataxia. J Neurol Sci. 2002;194(1):75–82 Available from: http://www.ncbi.nlm.nih.gov/pubmed/11809170. [cited 2018 Nov 23].

    Article  CAS  PubMed  Google Scholar 

  2. Shibata-Hamaguchi A, Ishida C, Iwasa K, Yamada M. Prevalence of spinocerebellar degenerations in the Hokuriku district in Japan. Neuroepidemiology. 2009;32(3):176–83 Available from: http://www.ncbi.nlm.nih.gov/pubmed/19169038. [cited 2018 Nov 23].

    Article  PubMed  Google Scholar 

  3. Ruano L, Melo C, Silva MC, Coutinho P. The global epidemiology of hereditary ataxia and spastic paraplegia: a systematic review of prevalence studies. Neuroepidemiology. 2014;42(3):174–83 Available from: http://www.ncbi.nlm.nih.gov/pubmed/24603320. [cited 2018 Nov 23].

    Article  PubMed  Google Scholar 

  4. Bird TD. Hereditary Ataxia Overview. GeneReviews®. Seattle: University of Washington; 1993. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20301317. [cited 2018 Nov 23]

    Google Scholar 

  5. Bodranghien F, Bastian A, Casali C, Hallett M, Louis ED, Manto M, et al. Consensus paper: revisiting the symptoms and signs of cerebellar syndrome. The Cerebellum. 2016;15(3):369–91 Available from: http://link.springer.com/10.1007/s12311-015-0687-3. [cited 2018 Nov 23];.

    Article  PubMed  Google Scholar 

  6. Miller A, Dishon S. Health-related quality of life in multiple sclerosis: the impact of disability, gender and employment status. Qual Life Res. 2006;15(2):259–71 Available from: http://link.springer.com/10.1007/s11136-005-0891-6. [cited 2018 Nov 23].

    Article  PubMed  Google Scholar 

  7. Aranca TV, Jones TM, Shaw JD, Staffetti JS, Ashizawa T, Kuo S-H, et al. Emerging therapies in Friedreich’s ataxia. Neurodegener Dis Manag. 2016;6(1):49–65 Available from: https://www.futuremedicine.com/doi/10.2217/nmt.15.73. [cited 2018 Nov 23].

    Article  PubMed  PubMed Central  Google Scholar 

  8. Klockgether T. Sporadic ataxia with adult onset: classification and diagnostic criteria. Lancet Neurol. 2010;9(1):94–104 Available from: https://www.sciencedirect.com/science/article/pii/S1474442209703059. [cited 2018 Nov 23].

    Article  CAS  PubMed  Google Scholar 

  9. Durr A. Autosomal dominant cerebellar ataxias: polyglutamine expansions and beyond. Lancet Neurol. 2010;9(9):885–94 Available from: https://www.sciencedirect.com/science/article/pii/S1474442210701836. [cited 2018 Nov 23].

    Article  CAS  PubMed  Google Scholar 

  10. Fogel BL, Perlman S. Clinical features and molecular genetics of autosomal recessive cerebellar ataxias. Lancet Neurol. 2007;6(3):245–57 Available from: https://www.sciencedirect.com/science/article/pii/S1474442207700546. [cited 2018 Nov 23].

    Article  CAS  PubMed  Google Scholar 

  11. Wilson CL, Fahey MC, Corben LA, Collins VR, Churchyard AJ, Lamont PJ, et al. Quality of life in Friedreich ataxia: what clinical, social and demographic factors are important? Eur J Neurol. 2007;14(9):1040–7 Available from: http://doi.wiley.com/10.1111/j.1468-1331.2007.01881.x. [cited 2018 Nov 23].

    Article  CAS  PubMed  Google Scholar 

  12. Palau F, Espinós C. Autosomal recessive cerebellar ataxias. Orphanet J Rare Dis. 2006;1(1):47 Available from: http://ojrd.biomedcentral.com/articles/10.1186/1750-1172-1-47. [cited 2018 Nov 23].

    Article  PubMed  PubMed Central  Google Scholar 

  13. Schöls L, Bauer P, Schmidt T, Schulte T, Riess O. Autosomal dominant cerebellar ataxias: clinical features, genetics, and pathogenesis. Lancet Neurol. 2004;3(5):291–304. Available from: https://www.sciencedirect.com/science/article/pii/S1474442204007379. [cited 2018 Nov 23]

    Article  PubMed  Google Scholar 

  14. Toldrá RC, Santos MC. People with disabilities in the labor market: facilitators and barriers. Work. 2013;45(4):553–63 Available from: https://content.iospress.com/articles/work/wor01641. [cited 2018 Nov 23].

    PubMed  Google Scholar 

  15. Honan CA, Brown RF, Hine DW, Vowels L, Wollin JA, Simmons RD, et al. The Multiple Sclerosis Work Difficulties Questionnaire. Mult Scler J. 2012;18(6):871–80 Available from: http://journals.sagepub.com/doi/10.1177/1352458511431724. [cited 2018 Nov 23].

    Article  Google Scholar 

  16. Persechino B, Fontana L, Buresti G, Fortuna G, Valenti A, Iavicoli S. Improving the job-retention strategies in multiple sclerosis workers: the role of occupational physicians. Ind Health. 2019;57(1):52–69.

    Article  PubMed  Google Scholar 

  17. Benedict RHB, Wahlig E, Bakshi R, Fishman I, Munschauer F, Zivadinov R, et al. Predicting quality of life in multiple sclerosis: accounting for physical disability, fatigue, cognition, mood disorder, personality, and behavior change. J Neurol Sci. 2005;231(1–2):29–34 Available from: https://www.sciencedirect.com/science/article/pii/S0022510X04005039. [cited 2018 Nov 23].

    Article  PubMed  Google Scholar 

  18. Nützi M, Trezzini B, Medici L, Schwegler U. Job matching: an interdisciplinary scoping study with implications for vocational rehabilitation counseling. Rehabil Psychol. 2017;62(1):45–68 Available from: http://doi.apa.org/getdoi.cfm?doi=10.1037/rep0000119. [cited 2018 Nov 23].

    Article  PubMed  Google Scholar 

  19. Frank A. Vocational rehabilitation: supporting ill or disabled individuals in (to) work: a UK perspective. Healthcare. 2016;4(3):46 Available from: http://www.mdpi.com/2227-9032/4/3/46. [cited 2018 Nov 23].

    Article  PubMed Central  Google Scholar 

  20. Reneman MF. State of vocational rehabilitation and disability evaluation in chronic musculoskeletal pain conditions. In Springer, Cham; 2015. p. 187–98. Available from: http://link.springer.com/10.1007/978-3-319-08825-9_9. [cited 2018 Nov 23]

    Google Scholar 

  21. Staubli S, Schwegler U, Schmitt K, Trezzini B. ICF-based process management in vocational rehabilitation for people with spinal cord injury. In Springer, Cham; 2015 . p. 371–96. Available from: http://link.springer.com/10.1007/978-3-319-08825-9_17. [cited 2018 Nov 23]

    Google Scholar 

  22. Bond GR, Campbell K, Becker DR. A test of the occupational matching hypothesis for rehabilitation clients with severe mental illness. J Occup Rehabil. 2013;23(2):261–9 Available from: http://link.springer.com/10.1007/s10926-012-9388-7. [cited 2018 Nov 23].

    Article  PubMed  Google Scholar 

  23. Escorpizo R, Reneman MF, Ekholm J, Fritz J, Krupa T, Marnetoft S-U, et al. A conceptual definition of vocational rehabilitation based on the ICF: building a shared global model. J Occup Rehabil. 2011;21(2):126–33 Available from: http://link.springer.com/10.1007/s10926-011-9292-6. [cited 2018 Nov 23].

    Article  PubMed  Google Scholar 

  24. Schultz IZ, Stowell AW, Feuerstein M, Gatchel RJ. Models of return to work for musculoskeletal disorders. J Occup Rehabil. 2007;17(2):327–52 Available from: http://link.springer.com/10.1007/s10926-007-9071-6. [cited 2018 Nov 23].

    Article  PubMed  Google Scholar 

  25. Isernhagen SJ. Work: a journal of prevention, assessment, and rehabilitation. Work. Andover Medical Publishers. 1990;26:237–42 Available from: https://content.iospress.com/articles/work/wor00516. [cited 2018 Nov 23].

    Google Scholar 

  26. Frank AO, Sawney P. Vocational rehabilitation. J R Soc Med. 2003;96(11):522–4 Available from: http://www.ncbi.nlm.nih.gov/pubmed/14594957. [cited 2018 Nov 23].

    Article  PubMed  PubMed Central  Google Scholar 

  27. Serrao M, Chini G, Casali C, Conte C, Rinaldi M, Ranavolo A, et al. Progression of gait ataxia in patients with degenerative cerebellar disorders: a 4-year follow-up study. The Cerebellum. 2017;16(3):629–37 Available from: http://link.springer.com/10.1007/s12311-016-0837-2. [cited 2018 Nov 23].

    Article  CAS  PubMed  Google Scholar 

  28. Jacobi H, du Montcel ST, Bauer P, Giunti P, Cook A, Labrum R, et al. Long-term disease progression in spinocerebellar ataxia types 1, 2, 3, and 6: a longitudinal cohort study. Lancet Neurol. 2015;14(11):1101–8 Available from: https://www.sciencedirect.com/science/article/pii/S1474442215002021. [cited 2018 Nov 23].

    Article  PubMed  Google Scholar 

  29. Dubbioso R, Pellegrino G, Antenora A, De Michele G, Filla A, Santoro L, et al. The effect of cerebellar degeneration on human sensori-motor plasticity. Brain Stimul. 2015;8(6):1144–50 Available from: https://www.sciencedirect.com/science/article/pii/S1935861X15009675. [cited 2018 Nov 23].

    Article  PubMed  Google Scholar 

  30. De Michele G, Filla A. Movement disorders: Friedreich ataxia today—preparing for the final battle. Nat Rev Neurol. 2015;11(4):188–90 Available from: http://www.nature.com/doifinder/10.1038/nrneurol.2015.33. [cited 2018 Nov 23].

    Article  PubMed  Google Scholar 

  31. Henderson M, Harvey S, Øverland S, Mykletun A, Hotopf M. Work and common psychiatric disorders. J R Soc Med. 2011;104(5):198–207 Available from: http://journals.sagepub.com/doi/10.1258/jrsm.2011.100231. [cited 2018 Nov 26].

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. Matt SB, Butterfield P. Changing the disability climate: promoting tolerance in the workplace. AAOHN J. 2006 ;54(3):129–33; quiz 134–5. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16562624. [cited 2018 Nov 26]

    Article  PubMed  Google Scholar 

  33. Gates LB. Workplace accommodation as a social process. J Occup Rehabil. 2000;10(1):85–98 Available from: http://link.springer.com/10.1023/A:1009445929841. [cited 2018 Nov 26].

    Article  Google Scholar 

  34. NIOSH. Stress at work (NIOSH Publication No. 99–101)1999. Cincinnati, OH: Department of Health and Human Services. [Internet]. Jan [cited 2018 Nov 26]. Available from: https://www.cdc.gov/niosh/docs/99-101/

  35. Merz MA, Bricout JC, Koch LC. Work : a journal of prevention, assessment, and rehabilitation. Work. Andover Medical Publishers. 1990;17:85–95 Available from: https://content.iospress.com/articles/work/wor00175. [cited 2018 Nov 26].

    Google Scholar 

  36. Schmitz-Hübsch T, du Montcel ST, Baliko L, Berciano J, Boesch S, Depondt C, et al. Scale for the assessment and rating of ataxia: development of a new clinical scale. Neurology. 2006;66(11):1717–20 Available from: http://www.ncbi.nlm.nih.gov/pubmed/16769946. [cited 2018 Nov 26].

    Article  PubMed  Google Scholar 

  37. Friborg O, Hjemdal O, Rosenvinge JH, Martinussen M. A new rating scale for adult resilience: what are the central protective resources behind healthy adjustment? Int J Methods Psychiatr Res. 2003;12(2):65–76 Available from: http://doi.wiley.com/10.1002/mpr.143. [cited 2018 Nov 26].

    Article  PubMed  Google Scholar 

  38. Tuomi K, Ilmarinen J, Jahkola A, Katajarinne L, Tulkki A. 1994. Work ability index. [cited 2018 Nov 26]; Available from: https://plus.rjl.se/info_files/infosida43786/WAI_manuell_berakning_av_poang.pdf

  39. Cousins R, CJ MK, Clarke SD, Kelly C, Kelly PJ, RH MC. ‘Management Standards’ work-related stress in the UK: practical development. Work Stress. 2004;18(2):113–36 Available from: http://www.tandfonline.com/doi/abs/10.1080/02678370410001734322. [cited 2018 Nov 26].

    Article  Google Scholar 

  40. Pepe S, Farnese ML, Avallone F, Vecchione M. Work self-efficacy scale and search for work self-efficacy scale: a validation study in Spanish and Italian cultural contexts. Rev Psicol del Trab y las Organ. 2010;26(3):201–10 Available from: http://journals.copmadrid.org/jwop/article.php?id=65cc2c8205a05d7379fa3a6386f710e1. [cited 2018 Nov 26].

    Article  Google Scholar 

  41. Friborg O, Hjemdal O, Rosenvinge JH, Martinussen M, Aslaksen PM, Flaten MA. Resilience as a moderator of pain and stress. J Psychosom Res. 2006;61(2):213–9 Available from: https://www.sciencedirect.com/science/article/pii/S0022399906000067. [cited 2018 Nov 26].

    Article  PubMed  Google Scholar 

  42. Pagnini F, Bomba G, Guenzani D, Banfi P,  Castelnuovo G. 2011. Hacer frente a la esclerosis lateral amiotrofica: la capacidad de resiliencia. https://www.redalyc.org. Available from: http://www.redalyc.org/html/2819/281922826003/. [cited 2018 Nov 26]

  43. Costa G. 2003. Lavoro a turni e notturno. Organizzazione degli orari di lavoro e riflessi sulla salute. Available from: https://air.unimi.it/handle/2434/186318. [cited 2018 Nov 26]

  44. Costa G, Goedhard WJA. 2005. Assessment and promotion of work ability, health and well-being of ageing workers. medicocompetente.it [Internet]. [cited 2018 Nov 26]; Available from: https://medicocompetente.it/files/eventi/brochure/170.doc

  45. Nübling R, Kriz D, Kress G,Schremmp C, Löschmann C, Schmidt J . 2004. Questioning of relatives--potentials for the internal quality management in institutions caring for the elderly. https://www.europepmc.org. Available from: https://europepmc.org/abstract/med/15206041. [cited 2018 Nov 26]

  46. Camerino D, Conway PM, Van der Heijden BIJM, Estryn-Behar M, Consonni D, Gould D, et al. Low-perceived work ability, ageing and intention to leave nursing: a comparison among 10 European countries. J Adv Nurs. 2006;56(5):542–52 Available from: http://doi.wiley.com/10.1111/j.1365-2648.2006.04046.x. [cited 2018 Nov 26].

    Article  PubMed  Google Scholar 

  47. Radkiewicz P. Widerszal-Bazyl M. Psychometric properties of Work Ability Index in the light of comparative survey study. Int Congr Ser. 2005;1280:304–9 Available from: https://www.sciencedirect.com/science/article/pii/S0531513105001937. [cited 2018 Nov 26].

    Article  Google Scholar 

  48. Rondinone BM, Persechino B, Castaldi T, Valenti A, Ferrante P, Ronchetti M, et al. Work-related stress risk assessment in Italy: the validation study of health safety and executive indicator tool. G Ital Med Lav Ergon. 2012 [cited 2018 Nov 26];34(4):392–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23477105.

  49. Marinaccio A, Ferrante P, Corfiati M, Di Tecco C, Rondinone BM, Bonafede M, et al. The relevance of socio-demographic and occupational variables for the assessment of work-related stress risk. BMC Public Health. 2013;13(1):1157 Available from: http://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-13-1157. [cited 2018 Nov 26].

    Article  PubMed  PubMed Central  Google Scholar 

  50. Messing K, Mager Stellman J. Sex, gender and women’s occupational health: the importance of considering mechanism. Environ Res. 2006;101(2):149–62 Available from: http://linkinghub.elsevier.com/retrieve/pii/S0013935105000496. [cited 2018 Nov 23].

    Article  CAS  PubMed  Google Scholar 

  51. Day B, Thompson PD, Harding AE, Marsden CD. Influence of vision on upper limb reaching movements in patients with cerebellar ataxia. Brain. 1998;121(2):357–72 Available from: https://academic.oup.com/brain/article-lookup/doi/10.1093/brain/121.2.357. [cited 2018 Nov 23].

    Article  PubMed  Google Scholar 

  52. Serrao M, Pierelli F, Ranavolo A, Draicchio F, Conte C, Don R, et al. Gait pattern in inherited cerebellar ataxias. The Cerebellum. 2012;11(1):194–211 Available from: http://link.springer.com/10.1007/s12311-011-0296-8. [cited 2018 Nov 26].

    Article  PubMed  Google Scholar 

  53. ISO 6385, 2016. Ergonomics principles in the design of work systems. Geneva: ISO, 2016.

  54. Ranavolo A, Draicchio F, Varrecchia T, Silvetti A, Iavicoli S. 2018. Erratum: Alberto, R. et al., Wearable monitoring devices for biomechanical risk assessment at work: current status and future challenges—a systematic review. Int. https://www.mdpi.com Available from: https://www.mdpi.com/1660-4601/15/11/2569/pdf. [cited 2018 Nov 26]

  55. ISO/DIS 11228–1. Ergonomics—manual handling—Part 1: lifting and carrying. Geneva: ISO; 2003.

    Google Scholar 

  56. ISO 11228-2. Ergonomics—manual handling—Part 2: pushing and pulling. Geneva: ISO; 2007.

    Google Scholar 

  57. ISO/DIS 11228–3. Ergonomics—manual handling—Part 3: handling of low loads at high frequency. Geneva: ISO; 2007.

    Google Scholar 

  58. ISO/TR 12295. Ergonomics—application document for ISO standards on manual handling (ISO 11228-1, ISO11228-2 and ISO 11228-3) and static working postures (ISO 11226). Geneva: ISO; 2004.

    Google Scholar 

  59. ISO 11226. Ergonomics—evaluation of static working postures. Geneva: ISO; 2000.

    Google Scholar 

  60. ISO/TR 12296. Ergonomics—manual handling of people in the healthcare sector: ISO, Geneva; 2012.

  61. Habib RR, Messing K. Gender, women’s work and ergonomics. Ergonomics. 2012;55(2):129–32 Available from: https://www.tandfonline.com/doi/full/10.1080/00140139.2011.646322. [cited 2018 Nov 23].

    Article  PubMed  Google Scholar 

  62. Krahn GL. WHO World report on disability: a review. Disabil Health J. 2011;4(3):141–2 Available from: http://www.ncbi.nlm.nih.gov/pubmed/21723520. [cited 2018 Nov 26].

    Article  PubMed  Google Scholar 

  63. de Jong PR. Sickness, disability and work: breaking the barriers - a synthesis of findings across OECD countries - OECD. Int Rev für Soz Sicherheit. 2011;64(3):115–7 Available from: http://doi.wiley.com/10.1111/j.1752-1726.2011.01406.x. [cited 2018 Nov 26].

    Article  Google Scholar 

  64. Unger DD. 2002. Employers’ attitudes toward persons with disabilities in the workforce: myths or realities? [Internet]. Vol. 17, Focus on Autism and Other Developmental Disabilities. Copyright© PRO-ED, Inc. Available from: http://trans2work.eu/wp-content/uploads/2015/12/proed_employersattitudes.pdf. [cited 2018 Nov 26]

  65. Zoer I, de Graaf L, Kuijer PPFM, Prinzie P, Hoozemans MJM, MHW F-D. Matching work capacities and demands at job placement in employees with disabilities. Work. 2012;42(2):205–14 Available from: http://www.ncbi.nlm.nih.gov/pubmed/22699187. [cited 2018 Nov 26].

    PubMed  Google Scholar 

  66. Iudici A, 2015. The configuration of job placement for people with disabilities in the current economic contingencies in Italy: social and clinical implications for health. Elsevier. Available from: https://www.sciencedirect.com/science/article/pii/S193665741500093X. [cited 2018 Nov 26]

  67. Moody L, Saunders J, Leber M, Wójcik-Augustyniak M, Szajczyk M, Rebernik N. An exploratory study of barriers to inclusion in the European workplace. Disabil Rehabil. 2017;39(20):2047–54. https://doi.org/10.1080/09638288.2016.1217072 Epub 2016 Sep 24.

    Article  PubMed  Google Scholar 

  68. ISTAT. 2012. La disabilità in Italia. Il quadro della statistica ufficiale. Available from: https://www.istat.it/it/files/2012/05/Rapporto-annuale-2012.pdf. [cited 2018 Nov 26]

  69. Mari S, Serrao M, Casali C, Conte C, Martino G, Ranavolo A, et al. Lower limb antagonist muscle co-activation and its relationship with gait parameters in cerebellar ataxia. Cerebellum. 2014;13(2):226–36 Available from: http://link.springer.com/10.1007/s12311-013-0533-4. [cited 2018 Nov 26].

    Article  CAS  PubMed  Google Scholar 

  70. Chini G, Ranavolo A, Draicchio F, Casali C, Conte C, Martino G, et al. Local stability of the trunk in patients with degenerative cerebellar ataxia during walking. The Cerebellum. 2017;16(1):26–33 Available from: http://www.ncbi.nlm.nih.gov/pubmed/26811155. [cited 2018 Nov 26].

    Article  PubMed  Google Scholar 

  71. Conte C, Serrao M, Cuius L, Ranavolo A, Conforto S, Pierelli F, et al. Effect of restraining the base of support on the other biomechanical features in patients with cerebellar ataxia. The Cerebellum. 2018;17(3):264–75 Available from: http://www.ncbi.nlm.nih.gov/pubmed/29143300. [cited 2018 Nov 26].

    Article  CAS  PubMed  Google Scholar 

  72. Martino G, Ivanenko YP, d’Avella A, Serrao M, Ranavolo A, Draicchio F, et al. Neuromuscular adjustments of gait associated with unstable conditions. J Neurophysiol. 2015;114(5):2867–82 Available from: http://www.physiology.org/doi/10.1152/jn.00029.2015. [cited 2018 Nov 26].

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  73. Conte C, Pierelli F, Casali C, Ranavolo A, Draicchio F, Martino G, et al. Upper body kinematics in patients with cerebellar ataxia. The Cerebellum. 2014;13(6):689–97 Available from: http://www.ncbi.nlm.nih.gov/pubmed/25063003. [cited 2018 Nov 26].

    Article  PubMed  Google Scholar 

  74. Serrao M, Chini G, Bergantino M, Sarnari D, Casali C, Conte C, et al. Identification of specific gait patterns in patients with cerebellar ataxia, spastic paraplegia, and Parkinson’s disease: A non-hierarchical cluster analysis. Hum Mov Sci. 2018;57:267–79 Available from: http://www.ncbi.nlm.nih.gov/pubmed/28967438. [cited 2018 Nov 26].

    Article  PubMed  Google Scholar 

  75. Serrao M, Chini G, Bergantino M, Sarnari D, Casali C, Conte C, et al. Dataset on gait patterns in degenerative neurological diseases. Data Br. 2018;16:806–16 Available from: http://www.ncbi.nlm.nih.gov/pubmed/29379852. [cited 2018 Nov 26].

    Article  Google Scholar 

  76. Serrao M, Chini G, Iosa M, Casali C, Morone G, Conte C, et al. Corrigendum to “Harmony as a convergence attractor that minimizes the energy expenditure and variability in physiological gait and the loss of harmony in cerebellar ataxia.”[Clin. Biomech. 48 (2017) 15–23]. Clin Biomech. 2017;50:160 Available from: http://www.ncbi.nlm.nih.gov/pubmed/29128742. [cited 2018 Nov 26].

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, INAIL, Via Fontana Candida 1, Monte Porzio Catone, 00078, Rome, Italy

    A. Ranavolo, A. Silvetti, B. M. Rondinone, S. Iavicoli & F. Draicchio

  2. Department of Medico-Surgical Sciences and Biotechnologies, University of Rome Sapienza, Via Faggiana 34, 40100, Latina, Italy

    M. Serrao, C. Casali & C. Marcotulli

  3. Rehabilitation Centre, Policlinico Italia, Rome, Italy

    M. Serrao

  4. Department of Engineering, Roma TRE University, Via Vito Volterra 62, 00146, Rome, Italy

    T. Varrecchia

  5. Department of Neurosciences, Reproductive and Odontostomatological Sciences, Federico II, Naples, Italy

    A. Filla & A. Roca

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  1. A. Ranavolo
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Ranavolo, A., Serrao, M., Varrecchia, T. et al. The Working Life of People with Degenerative Cerebellar Ataxia. Cerebellum 18, 910–921 (2019). https://doi.org/10.1007/s12311-019-01065-x

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  • DOI: https://doi.org/10.1007/s12311-019-01065-x

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