Physical Therapy for Cerebellar Ataxia

Matsugi, Akiyoshi

doi:10.5772/67649

Cited by 9 publications

(3 citation statements)

References 141 publications

(167 reference statements)

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“…The Functional independence measure (FIM) scale 17,18 component of locomotion was rated 8/14. Overall, she did not require any assistance to perform basic ADLs: eating, dressing, and personal hygiene.…”

Section: Assessment: On Admission Observation Revealed Kyphoscoliosis...mentioning

confidence: 99%

Efficiency of a 3-week multicomponent rehabilitation on improving the function in a patient with Friedreich’s ataxia: A case report

Samardzic

2023

VOJNOSANIT PREGL

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Introduction. Friedrich?s ataxia (FA) is an autosomal recessive neurodegenerative disease. Ataxia as the cardinal symptom affects the trunk, with swaying, imbalance and falls, and the limbs, with increasing difficulty in activities of daily living. Physical therapy has been recognised as a mean of managing physical symptoms and maximising function in affected persons. To our knowledge there are no studies that have evaluated the effectiveness of Proprioceptive neuromuscular facilitation (PNF) stabilization techniques in the rehabilitation of patients with this diagnosis. Case report. We present a case of a twentysix years old female with severe posture and limb ataxia, speech difficulties and poor walking ability. During the three-week rehabilitation, an individually tailored physical therapy program based on PNF stabilization techniques was applied. Conclusion. The implemented rehabilitation program resulted in an overall functional improvement. The reduction in ataxia was registered according to the Scale for the assessment and rating of ataxia (SARA). The Functional independece measure (FIM) instrument, component of locomotion, reveled greater independence in walking. A rehabilitation program based on PNF stabilisation techniques may reduce ataxia and improve walking ability in patients with FA.

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Section: Assessment: On Admission Observation Revealed Kyphoscoliosis...mentioning

confidence: 99%

Efficiency of a 3-week multicomponent rehabilitation on improving the function in a patient with Friedreich’s ataxia: A case report

Samardzic

2023

VOJNOSANIT PREGL

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“…Balance, muscle strengthening and gait-focused physical therapy has been found to be effective in reducing the severity of cerebellar ataxia. Being time-restrictive, further studies are required to assess the long-term outcomes [ 39 ]. The advancements of the modern era should be channelled to aid the accurate diagnosis and further management of cerebellar stroke.…”

Section: Reviewmentioning

confidence: 99%

Misdiagnosis of Cerebellar Infarcts and Its Outcome

David¹,

Jaleel²,

Mathew³

2023

Cureus

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Cerebellar infarction, a rare category of stroke, is often misdiagnosed but not given much importance in the available literature. Its presentation overlaps with symptoms of other neurologic, cardiovascular, gastrointestinal, and systemic conditions and therefore is nonspecific. Early diagnosis and management of cerebellar strokes are of utmost importance as the lack of a proper diagnosis may increase overall morbidity and mortality. Lack of awareness of the warning signs and symptoms, non-specificity of symptoms, absence of neurological deficits, and imaging discrepancies are some of the factors contributing to misdiagnosis and delayed treatment. If symptomatology is considered, it is found that symptoms of posterior circulation stroke were more frequently misdiagnosed compared to anterior circulation. Nausea and vomiting increased the chance further. Some other rare presentations include gastrointestinal symptoms, isolated vertigo, and symptoms of inner ear disease. Overdependence on radiological investigations often masks the significance of clinical examination. Ischemic stroke may appear normal in the initial 48 hours in the computed tomography scan of the brain or bony artefacts may hide the lesion. Permanent disabling deficits can follow a cerebellar stroke and the complications, which include hydrocephalus, brain stem compression, and gait abnormalities, necessitate prompt identification and management. In this review article, we aim at analysing various case reports of cerebellar infarction, the most common presentations that were underevaluated, and their outcomes, thereby highlighting the importance of proper diagnosis and reporting of cerebellar infarction in the future. A thorough knowledge of the association between various clinical presentations of cerebellar stroke and its misdiagnosis helps clinicians to be more vigilant about the disease.

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“…13 Acquired brain damage can induce hemiparesis, aphasia, cognitive deficits, dysphagia, visual impairments, neglect, ataxia, and vestibular dysfunction, according to researchers and physicians. 14 The vestibular system's part in this synchronized effort is to evaluate linear and angular acceleration of the head, which delivers vital information required to keep upright stance and spatial placement. Vestibular information is united with vision and proprioception such that precise feed forward and feedback control of motor action may be demonstrated.…”

Section: Introductionmentioning

confidence: 99%

Effects of Gaze Stability Exercises with Proprioception Training to Improve Gait and Functional Independence in Cerebellar Ataxic Patients

Mukhtar¹,

Afzal²,

Hussain³

et al. 2021

PJMHS

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Objective: To compare the effects of gaze stability exercises with proprioception training to improve gait and functional independence in cerebellar ataxic patients. Methods: A Quasi experimental study was conducted in the physiotherapy department in Lahore General Hospital, Lahore, Pakistan from January 2018 to June 2018.All patients were diagnosed with cerebellar ataxia and referred by neurophysician to physiotherapy department. Forty-six (46) patients were divided into two equal groups by lottery method. (Group A =proprioception training), (Group B =gaze stability with proprioception training). Data was analyzed by using statistical package for social sciences (SPSS) 21. Results: In group A, males were 13(56.5%) and females 10(43.5%) while in Group B, males were 12(52.2%) and females 11(47.8%). Mean ages were (71.3±8.47) years in Group A and (70±7.67) years in Group B. Pre and Post Functional Independence Measure (FIM)score in groups A and B with mean and standard deviation were 13.08±1.86 and 15.43±1.74 respectively. Pre and Post Timed Up and Go (TUG) test score in groups A and B with mean and standard deviation were 0.79± 0.26 and 0.97 ±0.39 respectively. Both groups were statistically significant (P value ≤ 0.05) but on the basis of mean ± standard deviation Group B method was more effective than Group A. Conclusion: Gaze stability exercises added the effects of proprioception training in improving gait and functional independence in cerebellar ataxic patients. Keywords: Cerebellar ataxia, gaze, patients, proprioception

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Physical Therapy for Cerebellar Ataxia

Cited by 9 publications

References 141 publications

Efficiency of a 3-week multicomponent rehabilitation on improving the function in a patient with Friedreich’s ataxia: A case report

Efficiency of a 3-week multicomponent rehabilitation on improving the function in a patient with Friedreich’s ataxia: A case report

Misdiagnosis of Cerebellar Infarcts and Its Outcome

Effects of Gaze Stability Exercises with Proprioception Training to Improve Gait and Functional Independence in Cerebellar Ataxic Patients

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