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2013, Number 3

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Revista Cubana de Salud Pública 2013; 39 (3)

Neurorehabilitation as an essential alternative in the therapeutic approach to cerebellar ataxia

Fernández ME, Jorge RJL, Rodríguez PD, Crespo MM, Fernández PJ

Language: Spanish
References: 37
Page: 489-500
PDF size: 66.77 Kb.


ABSTRACT

Introduction: cerebellar ataxia is one of the most complex motor impairments derived from neurological diseases.
Objective: to highlight the effectiveness of neurorehabilitation of the motor functions in patients with cerebellar ataxia.
Data source: systematic literature review of documents published up to September 2012 in MEDLINE, EMBASE, HINARI LILACS and SciELO, search strategy using controlled vocabulary and the keywords ataxia, neurorehabilitation and motor recovery. Several criteria from specialists in neurorehabilitation in the International Center of Neurological Restoration were consulted in and taken into consideration.
Results: the physical therapy is the essential factor of the rehabilitation process for ataxic patients and includes training, exercising and physical handling of the patient's body aimed at recovering movement, balance and coordination. The therapeutic strategies for patients with cerebellar ataxia require an intensive and interdisciplinary approach. Motor function recovery was very much related to significant strength increase after implementation of the rehab program. As the strength levels rise, there begins to appear signs of recovery in the patient's motor behavior that covers moving from one position to another including turning up to the most complex ones like walking.
Conclusions: the motor behavior of patients suffering cerebellar ataxia can be significantly modified with neurorehabilitation, leading to significant reduction on posture, gait, movement and strength impairments.


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