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Feasibility and impact of a physical activity and lifestyle program for Aboriginal families with Machado-Joseph disease in the Top End of Australia

  • 0College of Healthcare Sciences, James Cook University, Cairns, Qld, Australia.
Rural and Remote Health +

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June 23, 2024

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June 23, 2024

View abstract on PubMed

Summary

This summary is machine-generated.

The Staying Strong Toolbox program is a feasible and effective physical activity intervention for individuals with Machado-Joseph disease (MJD), improving mobility and reducing ataxia. This lifestyle program supports participants

Area Of Science

  • Neuroscience
  • Rehabilitation Science
  • Public Health

Background

  • Hereditary ataxias and neurodegenerative diseases, such as Machado-Joseph disease (MJD), have limited physical activity and lifestyle programs available.
  • Aboriginal families in Australia's Top End, with a history of MJD, co-designed a tailored program to address this gap.

Purpose Of The Study

  • To explore the feasibility of the co-designed Staying Strong Toolbox program for individuals with MJD.
  • To assess the program's impact on mobility, walking, and overall well-being in participants with MJD.

Main Methods

  • A mixed-methods, multiple case study design piloted the Staying Strong Toolbox over 4 weeks with eight MJD participants.
  • Feasibility was assessed via participation, adherence, adverse events, acceptability, and cost.
  • Impact was measured using mobility, ataxia, steps, quality of life, and well-being assessments pre- and post-program.

Main Results

  • All participants completed the program, averaging five sessions weekly, focusing on walking, strengthening, and balance.
  • Significant improvements were observed in mobility, daily steps, and ataxia severity (p<0.05).
  • Quality of life and well-being were maintained throughout the program.

Conclusions

  • The Staying Strong Toolbox program is feasible for families affected by MJD, demonstrating positive impacts on physical function.
  • Participants reported feeling stronger physically and emotionally, recommending the program for wider implementation.
  • The program's adaptable nature suggests potential for international use by other MJD families.

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