The impact of Basic Body Awareness Therapy on balance confidence and health-related quality of life in hunger strike victims with Wernicke Korsakoff Syndrome: pilot study

Authors

DOI:

https://doi.org/10.7146/torture.v30i2.120163

Keywords:

Hunger strike, Basic Body Awareness Therapy, Wernicke Korsakoff Syndrome, Dynamic Balance, Health-related life quality

Abstract

Introduction: The aim of this study is to examine the short and long-term results of Basic Body Awareness Therapy (Basic BAT) on balance confidence and health-related quality of life in the people with Wernicke Korsakoff Syndrome (WKS) who survived hunger strike.

Methods: A single case experimental design was used in the study. Basic BAT was applied to 4 people as a group therapy once a week for 12 weeks. Balance confidence was assessed with the Activities-specific Balance Confidence (ABC) Scale and health status was assessed with Health-related Quality of Life Questionnaire (SF-36 Short Form). Assessments were done before treatment, after treatment, at 3-month and 6-month follow-up.

Results: 4 patients achieved clinically significant improvements on balance. All patients achieved significant change in physical functioning and role physical subcategories of SF-36. Visual analysis showed that the improvement in the patients continued after the treatment during the follow-up period. Conclusion: Basic BAT is effective as a physiotherapy method in the treatment of cerebellar problems, balance disorders and gait incoordination seen in WKS. The Basic BAT method may provide a new perspective for the rehabilitation of survivors of hunger strikes with WKS.

References

Ahn, S.-N. (2018). Differences in body awareness and its effects on balance function and independence in activities of daily living for stroke. Journal of physical therapy science, 30(11), 1386-1389. doi:10.1589/jpts.30.1386

Aizawa, C. Y. P., Pedroso, J. L., Braga-Neto, P., Callegari, M. R., & Barsottini, O. G. P. (2013). Patients with autosomal dominant spinocerebellar ataxia have more risk of falls, important balance impairment, and decreased ability to function. Arquivos de Neuro-Psiquiatria, 71, 508-511. doi:http://dx.doi.org/10.1590/0004-282X20130094

Armutlu, K. (2010). Ataxia: physical therapy and rehabilitation applications for ataxic patients. International Encyclopedia of Rehabilitation, 1-18.

Arts, N. J., Walvoort, S. J., & Kessels, R. P. (2017). Korsakoff’s syndrome: A critical review. Neuropsychiatric disease and treatment. doi: 10.2147/NDT.S130078

Ayhan, Ç., Büyükturan, Ö., Kirdi, N., Yakut, Y., & Güler, Ç. (2014). The Turkish Version Of The Activities Specific Balance Confidence (Abc) Scale: Its Cultural Adaptation, Validation And Reliability In Older Adults. Turkish Journal of Geriatrics/Türk Geriatri Dergisi, 17(2).

Bakker, M., Allum, J. H., Visser, J. E., Grüneberg, C., van de Warrenburg, B. P., Kremer, B. H., & Bloem, B. R. (2006). Postural responses to multidirectional stance perturbations in cerebellar ataxia. Experimental neurology, 202(1), 21-35. doi:https://doi.org/10.1016/j.expneurol.2006.05.008

Başoğlu, M., Yetimalar, Y., Gürgör, N., Büyükçatalbaş, S., Kurt, T., Seçil, Y., & Yeniocak, A. (2006). Neurological complications of prolonged hunger strike. European Journal of Neurology, 13(10), 1089-1097. doi:10.1111/j.1468-1331.2006.01531.x

Başoğlu, M. Y., Yesim; Gürgör, N; Büyükçatalbaş, S; Kurt, T; Seçil, Y; Yeniocak, A. (2006). Neurological complications of prolonged hunger strike. European Journal of Neurology, 13(10), 1089-1097.

Blaauwendraat, C. P. M., Levy Berg, A. P. P., & Gyllensten, A. L. P. P. (2017). One-year follow-up of basic body awareness therapy in patients with posttraumatic stress disorder. A small intervention study of effects on movement quality, PTSD symptoms, and movement experiences. Physiother Theory Pract, 33(7), 515-526. doi:10.1080/09593985.2017.1325957

Brazier, J. E., Harper, R., Jones, N. M., O'Cathain, A., Thomas, K. J., Usherwood, T., & Westlake, L. (1992). Validating the SF-36 health survey questionnaire: new outcome measure for primary care. Bmj, 305(6846), 160-164. doi:10.1136/bmj.305.6846.160

Calvert, M. P., Hardev; Hoppitt, Thomas: Eaton, Benjamin; Savill, Edward; Sackley, Catherine. (2013). Health-related quality of life and supportive care in patients with rare long-term neurological conditions. Quality of Life Research, 22(6), 1231-1238. doi:10.1007/s11136-012-0269-5

Catalan-Matamoros, D., Helvik-Skjaerven, L., Labajos-Manzanares, M. T., Martínez-de-Salazar-Arboleas, A., & Sánchez-Guerrero, E. (2011). A pilot study on the effect of Basic Body Awareness Therapy in patients with eating disorders: a randomized controlled trial. Clinical Rehabilitation, 25(7), 617-626. doi: 10.1177/0269215510394223

Demiral, Y., Ergor, G., Unal, B., Semin, S., Akvardar, Y., Kıvırcık, B., & Alptekin, K. (2006). Normative data and discriminative properties of short form 36 (SF-36) in Turkish urban population. BMC Public Health, 6(1), 247. doi:10.1186/1471-2458-6-247

Freund, J. E., & Stetts, D. M. (2010). Use of trunk stabilization and locomotor training in an adult with cerebellar ataxia: a single system design. Physiotherapy theory and practice, 26(7), 447-458.

Gökmen, E. (1998). İstanbul Üniversitesi İstanbul Tıp Fakültesi, Wernicke Korsakoff Hastalığı ve Uzun Süreli Açlığın Diğer Nörolojik, Sistemik Komplikasyonları. Uzmanlık Tezi, İstanbul.

Gökmen, E., Gürvit, H., Kınay, D., Demirci, N., Sahin, H., Tuncay, R., Öge, E., Gürsoy, G. (1997). Mayıs 1996 Açlık Grevi; Ölüm Orucu Katılımcılarının Klinik Değerlendirilmesi. Retrieved from İstanbul:

Gürvit, H. G., E; Kinay, D; Şahin, H; Demirci, N; Tuncay, R; Boyaciyan, A; Öge, E; Gürsoy, G. (1997). 1-27-07 Hunger strike-related Wernicke-Korsakoff's disease. Journal of the Neurological Sciences, 150, S39. doi:https://doi.org/10.1016/S0022-510X(97)85019-8

Gyllensten, A. L., Ekdahl, C., & Hansson, L. (1999). Validity of the Body Awareness Scale‐Health (BAS‐H). Scandinavian journal of caring sciences, 13(4), 217-226.

Gyllensten, A. L., Hansson, L., & Ekdahl, C. (2003a). Outcome of basic body awareness therapy. A randomized controlled study of patients in psychiatric outpatient care. Advances in Physiotherapy, 5(4), 179-190. doi:https://doi.org/10.1080/14038109310012061

Gyllensten, A. L., Hansson, L., & Ekdahl, C. (2003b). Patient experiences of basic body awareness therapy and the relationship with the physiotherapist. Journal of Bodywork and movement therapies, 7(3), 173-183. doi:https://doi.org/10.1016/S1360-8592(02)00068-2

Gyllensten, A. L., Jacobsen, L. N., & Gard, G. (2019). Clinician perspectives of Basic Body Awareness Therapy (BBAT) in mental health physical therapy: An international qualitative study. Journal of Bodywork and movement therapies, 23(4), 746-751. doi:https://doi.org/10.1016/j.jbmt.2019.04.012

Hedlund, L., & Gyllensten, A. L. (2010). The experiences of basic body awareness therapy in patients with schizophrenia. Journal of Bodywork and movement therapies, 14(3), 245-254.

Ilg, W. S., M; Brötz, D; Burkard, S; Giese, MA; Schöls, L. (2009). Intensive coordinative training improves motor performance in degenerative cerebellar disease. Neurology, 73(22), 1823-1830. doi:https://doi.org/10.1212/WNL.0b013e3181c33adf

Ilg, W. B., D.; Burkard, S.; Giese, Martin A; Schöls, L.: Synofzik, M. . (2010). Long‐term effects of coordinative training in degenerative cerebellar disease. Movement disorders, 25(13), 2239-2246. doi: 10.1002/mds.23222

Isenberg-Grzeda, E., Kutner, H. E., & Nicolson, S. E. (2012). Wernicke-Korsakoff-syndrome: under-recognized and under-treated. Psychosomatics, 53(6), 507-516. doi:10.1016/j.psym.2012.04.008

Jacobi, H., Alfes, J., Minnerop, M., Konczak, J., Klockgether, T., & Timmann, D. (2015). Dual task effect on postural control in patients with degenerative cerebellar disorders. Cerebellum Ataxias, 2, 6. doi:10.1186/s40673-015-0025-z

Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59(1), 12-19. doi:10.1037/0022-006X.59.1.12

Karapolat, H., Eyigor, S., Kirazli,Y., Celebisoy, N., Bilgen, C., & Kirazli, T. (2010). Reliability, validity, and sensitivity to change of Turkish Activities-specific Balance Confidence Scale in patients with unilateral peripheral vestibular disease. Int J Rehabil Res, 33(1), 12-18. doi:10.1097/mrr.0b013e32832c0d72

Kazdin, A. E. (2011). Single-case Research Designs: Methods for Clinical and Applied Settings: Oxford University Press.

Kirbas, D., Sutlas, N., Kuscu, D., Karagoz, N., Tecer, O., & Altun, U. (2008). The impact of prolonged hunger strike: clinical and laboratory aspects of twenty-five hunger strikers. Ideggyogyaszati szemle, 61(9-10), 317-324.

Kocyigit, H., Aydemir, O., Fisek, G., Olmez, N., & Memis, A. (1999). Validity and reliability of Turkish version of Short form 36: A study of a patients with romatoid disorder. Drug Therapy, 12, 102-106.

Lindvall, M. A., Carlsson, A. A., & Forsberg, A. (2016). Basic Body Awareness Therapy for patients with stroke: Experiences among participating patients and physiotherapists. Journal of Bodywork and movement therapies, 20(1), 83-89. doi:10.1016/j.jbmt.2015.06.004. Epub 2015 Jun 15

McCormick, L. M., Buchanan, J. R., Onwuameze, O. E., Pierson, R. K., & Paradiso, S. (2011). Beyond alcoholism: Wernicke-Korsakoff syndrome in patients with psychiatric disorders. Cogn Behav Neurol, 24(4), 209-216. doi:10.1097/WNN.0b013e31823f90c4

Oudman, E., & Wijnia, J. W. (2014). Evolution of quality of life in patients with Korsakoff's syndrome in a long-term care facility. Int Psychogeriatr, 26(12), 2073-2079. doi:10.1017/s1041610214001719

Sánchez-López, C., Perestelo-Pérez, L., Escobar, A., López-Bastida, J., & Serrano-Aguilar, P. (2017). Health-related quality of life in patients with spinocerebellar ataxia. Neurología (English Edition), 32(3), 143-151. doi:10.1016/j.nrl.2015.09.002.

Santos, L. R., Teive, H. A. G., Lopes Neto, F. D. N., Macedo, A. C. B., Mello, N. M., & Zonta, M. B. (2018). Quality of life in individuals with spinocerebellar ataxia type 10: a preliminary study. Arq Neuropsiquiatr, 76(8), 527-533. doi:10.1590/0004-282x20180077

Sechi, G., & Serra, A. (2007). Wernicke's encephalopathy: new clinical settings and recent advances in diagnosis and management. The Lancet Neurology, 6(5), 442-455. doi:10.1016/S1474-4422(07)70104-7

Skjaerven, L. H., Guitard Sein-Echaluce, L., & Catalan-Matamoros, D. (2018). Experiences from group basic body awareness therapy by patients suffering from fibromyalgia: A qualitative study AU - Bravo, Cristina. Physiotherapy theory and practice, 1-13. doi:10.1080/09593985.2018.1517286

Skjaerven, L. H., Kristoffersen, K., & Gard, G. (2010). How can movement quality be promoted in clinical practice? A phenomenological study of physical therapist experts. Physical therapy, 90(10), 1479-1492. doi:10.2522/ptj.20090059

Stolze, H. K., S., Petersen, G., Raethjen, J., Wenzelburger, R., Witt, K., & Deuschl, G. (2002). Typical features of cerebellar ataxic gait. J Neurol Neurosurg Psychiatry, 73(3), 310-312. doi:10.1136/jnnp.73.3.310

Temuçin, Ç. (2001). Neurological tables after death fast / hunger strike (Ölüm orucu/açlık grevi sonrası nörolojik tablo).

van de Warrenburg, B. P. C., Steijns, J. A. G., Munneke, M., Kremer, B. P. H., & Bloem, B. R. (2005). Falls in degenerative cerebellar ataxias. Movement disorders : official journal of the Movement Disorder Society, 20(4), 497-500. doi:10.1002/mds.20375

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Published

2020-11-09

How to Cite

Yüce, H., & Bahrilli, T. (2020). The impact of Basic Body Awareness Therapy on balance confidence and health-related quality of life in hunger strike victims with Wernicke Korsakoff Syndrome: pilot study. Torture Journal, 30(2), 58–88. https://doi.org/10.7146/torture.v30i2.120163