Abstract

In cases with inherited ataxias an attack of stroke could prove to be instigating factor for worsening symptoms of primary disease. A graded exercise intervention approach would create significant improvement. The purpose of this study was to assess the applicability of an exercise protocol to improve balance and gait abnormalities in the patient. Materials and Methods: A 63 year old male with history of inherited cerebellar ataxia, had an attack of stroke, after which his symptoms of cerebellar ataxia worsened. He had difficulty in standing, walking and writing. Level of ataxia and stroke severity was calculated by Scale for Assessment and Rating of Ataxia (SARA) and National Institutes of Health Stroke Scale. The physiotherapy protocol was of 6 weeks duration and modified every 2nd week depending upon the patient’s progress. The protocol aimed at improving the balance and gait abnormalities along with cognition. Tinneti’s Performance Oriented Mobility Scale and Timed Up and Go Test were assessed as outcomes at the baseline, and after every two weeks of intervention till 6 weeks. Results: Post readings demonstrated significant changes in balance and gait of patient but the improvement showed to be neutral after follow up assessment. Pertaining to the fact that institution based or clinical based rehabilitation was much effective when compared to follow ups. Conclusion: The protocol effectively reduced patient’s symptoms and enhanced balance and stability which propels that it could be used effectively in future for such cases

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