1. Cerebellar Ataxia
Jose S. Santiago M.D.

2. Cerebellar Ataxia Cerebellar- pertaining to the cerebellum
Lesion- disease or injury
Ataxia- lack of muscle coordination; unsteady gait

3. Cerebellar Ataxia
Cerebellar Ataxia- uncoordinated movement due to lesion in the cerebellum
Ataxic gait- unsteady walk

4. Cerebellar Ataxia Causes of cerebellar ataxia: 1. genetic- inherited
2. congenital- present at birth
3. infectious- from bacteria or viruses
4. pharmacologic- due to drugs or alcohol
5. brain tumors
6. strokes
7. injuries

5. Cerebellar Ataxia Symptoms of cerebellar ataxia:
1. unsteady gait or movements
2. dysarthria- difficulty in pronouncing words
3.headache and dizziness
4. nausea and vomiting
5. nystagmus- uncoordinated eye movements

6. Cerebellar Ataxia Treatment: 1. Treat the cause 2. Physical therapy
3. Occupational therapy
4. Speech therapy

7. Cerebellar Ataxia
A 50 year-old man was hospitalized with cerebellar ataxia. He comes to the physical therapy and occupational therapy departments for the treatment of ataxia.

8. Cerebellar Ataxia T: Therapist P: Patient G: Guardian
T: Hello. Good ________.
P: Good ________.
T: Please make your _____ ____ on the bed.
G: Yes sir. Can you _____ me?
T: Sure. Can we _____ the ______?
P: Yes. When I ___, my hand does not ____ to my _______. The direction is wrong.

9. Cerebellar Ataxia T: Yes, I know. It will be _________ soon.
P: So I cannot _________ by myself.
T: Okay. Now, try to ______ my ______ with your hand.
P: It is ______ to do.
T: Try to do as much as ________.
P: Yes sir.

10. Cerebellar Ataxia
T: Now touch my _______ with your finger tip. No, it’s wrong. Look at my _______ carefully.
P: I tried to do it but my hand goes ____________.
T: _______ you try again and again.
P: Okay, I will ___ it.

11. Cerebellar Ataxia T: Now try to touch your _____ with your ______.
P: No I cannot. When I try _____ that, I touch my ______ instead of my _____.
T: Practice all these _____ regularly. Then you can do it. Now I will make you ____ on the Swiss ball. It helps to ____ your balance. If you have any _____ please let me know.

12. Cerebellar Ataxia After sometime:
T: Now we will ___ gait training. I will hold you from the ____. You can _____ the foot marks on the floor. When you walk you should look at the _______ and the foot marks.
P: Okay sir. I will ___ it.
T: ______ slowly. I will _____ you.

13. Cerebellar Ataxia Occupational therapy:
T: Now I will _____ you some tasks you should do. This is a peg board. You should ____ the blocks into the hole.
P: Yes.
T: After you ___ this, I will put your hand on the ______. You should do the _______ movement.

14. Cerebellar Ataxia A few minutes later:
T: Your ______ is over. You can go to _____ now.
P: Thank you sir.
T: _________.