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The Cerebellum

, Volume 17, Issue 3, pp 264–275 | Cite as

Effect of Restraining the Base of Support on the Other Biomechanical Features in Patients with Cerebellar Ataxia

  • C. Conte
  • Mariano Serrao
  • L. Cuius
  • A. Ranavolo
  • S. Conforto
  • F. Pierelli
  • L. Padua
Original Paper

Abstract

This study aimed to analyze the biomechanical consequences of reducing the base of support in patients with ataxia. Specifically, we evaluated the spatio-temporal parameters, upper- and lower-body kinematics, muscle co-activation, and energy recovery and expenditure. The gaits of 13 patients were recorded using a motion analysis system in unperturbed and perturbed walking conditions. In the latter condition, patients had to walk using the same step width and speed of healthy controls. The perturbed walking condition featured reduced gait speed, step length, hip and knee range of motion, and energy recovery and increased double support duration, gait variability, trunk oscillation, and ankle joint muscle co-activation. Narrowing the base of support increased gait instability (e.g., gait variability and trunk oscillations) and induced patients to further use alternative compensatory mechanisms to maintain dynamic balance at the expense of a reduced ability to recover mechanical energy. A widened step width gait is a global strategy employed by patients to increase dynamic stability, reduce the need for further compensatory mechanisms, and thus recover mechanical energy. Our findings suggest that rehabilitative treatment should more specifically focus on step width training.

Keywords

Widened base of support Step width Perturbed gait Cerebellar ataxia Restrained base of support 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  • C. Conte
    • 1
  • Mariano Serrao
    • 2
    • 3
  • L. Cuius
    • 4
  • A. Ranavolo
    • 5
  • S. Conforto
    • 4
  • F. Pierelli
    • 2
    • 6
  • L. Padua
    • 1
    • 7
  1. 1.Fondazione Don Carlo GnocchiMilanItaly
  2. 2.Department of Medical and Surgical Sciences and Biotechnologies, Sapienza, Polo PontinoUniversity of RomeLatinaItaly
  3. 3.Movement Analysis LAB, Rehabilitation Centre Policlinico ItaliaRomeItaly
  4. 4.Biolab3, Department of EngineeringRoma TRE UniversityRomeItaly
  5. 5.Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, INAILRomeItaly
  6. 6.IRCSS, NeuromedPozzilliItaly
  7. 7.Department of Geriatrics, Neuroscience & OrthopaedicsCatholic UniversityRomeItaly

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