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Title: Does integrated cognitive and balance (dual-task) training improve balance and reduce falls risk in individuals with cerebellar ataxia?
Authors: Winser, S 
Pang, MYC 
Rauszen, JS 
Chan, AYY
Chen, CH
Whitney, SL
Issue Date: May-2019
Source: Medical hypotheses, May 2019, v. 126, p. 149-153
Abstract: Frequent falls in people with cerebellar ataxia (CA) is a significant problem Therefore, an intervention that could improve balance and reduce the number of falls is of paramount importance from the patients’ perspective. Combining cognitive training with physical training to improve balance is a new approach for reducing the risk of falls in patient populations who are at risk for falls. To determine if adding structured cognitive demands to conventional balance and coordination training we designed the Cognitive-coupled Intensive Balance Training (CIBT) program. We found that the more intensive and focused CIBT intervention reduced dual-task cost, improved balance, and reduced the number of falls in a sample of individuals with CA. We hypothesize that (1) CIBT will improve balance and reduce falls; and (2) CIBT will be a cost-effective treatment option for improving balance and reduce falls. To test these hypotheses, we propose conducting a randomized controlled trial (RCT) with economic evaluation. This paper reports the findings of our study testing the feasibility of the CIBT program, rationale for testing our hypothesis and an overview of our future study design to test the effectiveness and cost-effectiveness of the CIBT program.
Keywords: Balance training
Cerebellar ataxia
Fall prevention and economic evaluation
Publisher: Churchill Livingstone
Journal: Medical hypotheses 
ISSN: 0306-9877
EISSN: 1532-2777
DOI: 10.1016/j.mehy.2019.03.001
Rights: © 2019 Elsevier Ltd. All rights reserved.
© 2019. This manuscript version is made available under the CC-BY-NC-ND 4.0 license
The following publication Winser, S., Pang, M. Y., Rauszen, J. S., Chan, A. Y., Chen, C. H., & Whitney, S. L. (2019). Does integrated cognitive and balance (dual-task) training improve balance and reduce falls risk in individuals with cerebellar ataxia?. Medical hypotheses, 126, 149-153 is available at
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