Abstract
Cerebellar dysfunction can induce a variety of motor impairments including limb movement, speech, oculomotor control, balance and walking (Diener and Dichgans, Clinical disorders of posture and gait, Arnold, London; 1996). Causes for cerebellar impairments can be various, including stroke, tumors, multiple sclerosis, and degenerative disease. Motor rehabilitation is challenging for this patient population, since the cerebellum is known to play an important role in motor learning (Bastian, Curr Opin Neurobiol 21:596–601; 2011; Ilg, Cerebellum 13:248–268; 2014). However, recent results deliver evidence that patients with degenerative cerebellar diseases can benefit from motor training.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Balliet R et al (1987) Retraining of functional gait through the reduction of upper extremity weight-bearing in chronic cerebellar ataxia. Int Rehabil Med 8:148–153
Bastian AJ (1997) Mechanisms of ataxia. Phys Ther 77:672–675
Bastian AJ (2006) Learning to predict the future: the cerebellum adapts feedforward movement control. Curr Opin Neurobiol 16:645–649
Bastian AJ (2011) Moving, sensing and learning with cerebellar damage. Curr Opin Neurobiol 21:596–601
Bastian AJ et al (1996) Cerebellar ataxia: abnormal control of interaction torques across multiple joints. J Neurophysiol 76:492–509
Bhanpuri NH et al (2014) Predicting and correcting ataxia using a model of cerebellar function. Brain 137:1931
Bunn LM et al (2014) Training balance with opto-kinetic stimuli in the home: a randomized controlled feasibility study in people with pure cerebellar disease. Clin Rehabil 28(8):730
Burciu RG et al (2013) Brain changes associated with postural training in patients with cerebellar degeneration: a voxel-based morphometry study. J Neurosci 33:4594–4604
Cakrt O et al (2012) Balance rehabilitation therapy by tongue electrotactile biofeedback in patients with degenerative cerebellar disease. NeuroRehabilitation 31:429–434
Cassidy E et al (2009) Management of the Ataxias: towards best Clinical Practice – Physiotherapy Supplement. In: Ataxia UK
Cernak K et al (2008) Locomotor training using body-weight support on a treadmill in conjunction with ongoing physical therapy in a child with severe cerebellar ataxia. Phys Ther 88:88–97
Diener HC, Dichgans J (1996) Cerebellar and spinocerebellar gait disorders. In: Bronstein AM, Brandt T, Woollacott (eds) Clinical disorders of posture and gait, 1st edn. Arnold, London, pp 147–155
Fonteyn EM et al (2014) Gait adaptability training improves obstacle avoidance and dynamic stability in patients with cerebellar degeneration. Gait Posture 40:247–251
Fryer JD et al (2011) Exercise and genetic rescue of SCA1 via the transcriptional repressor capicua. Science 334:690–693
Galea JM et al (2009) Modulation of cerebellar excitability by polarity-specific noninvasive direct current stimulation. J Neurosci 29:9115–9122
Gill-Body KM et al (1997) Rehabilitation of balance in two patients with cerebellar dysfunction. Phys Ther 77:534–552
Ilg W, Timmann D (2013) Gait ataxia-specific cerebellar influences and their rehabilitation. Mov Disord 28:1566–1575
Ilg W et al (2009) Intensive coordinative training improves motor performance in degenerative cerebellar disease. Neurology 73:1823–1830
Ilg W et al (2010) Long-term effects of coordinative training in degenerative cerebellar disease. Mov Disord 25:2239–2246
Ilg W et al (2012) Video game-based coordinative training improves ataxia in children with degenerative ataxia. Neurology 79:2056–2060
Ilg W et al (2014) Consensus paper: management of degenerative cerebellar disorders. Cerebellum 13:248–268
Jacobi H et al (2011) The natural history of spinocerebellar ataxia type 1, 2, 3, and 6: a 2-year follow-up study. Neurology 77:1035–1041
Kaut O et al (2014) A randomized pilot study of stochastic vibration therapy in spinocerebellar ataxia. Cerebellum 13:237–242
Keller JL, Bastian AJ (2014) A home balance exercise program improves walking in people with cerebellar ataxia. Neurorehabilitation and neural repair.
Konczak J et al (2005) Functional recovery of children and adolescents after cerebellar tumour resection. Brain 128:1428–1441
Marsden J, Harris C (2011) Cerebellar ataxia: pathophysiology and rehabilitation. Clin Rehabil 25:195–216
Miyai I et al (2012) Cerebellar ataxia rehabilitation trial in degenerative cerebellar diseases. Neurorehabil Neural Repair 26:515–522
Morton SM, Bastian AJ (2004) Cerebellar control of balance and locomotion. Neuroscientist 10:247–259
Schöls L et al (2004) Autosomal dominant cerebellar ataxias: clinical features, genetics, and pathogenesis. Lancet Neurol 3:291–304
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Ilg, W., Timmann, D. (2016). Motor Rehabilitation of Cerebellar Disorders. In: Gruol, D., Koibuchi, N., Manto, M., Molinari, M., Schmahmann, J., Shen, Y. (eds) Essentials of Cerebellum and Cerebellar Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-24551-5_84
Download citation
DOI: https://doi.org/10.1007/978-3-319-24551-5_84
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-24549-2
Online ISBN: 978-3-319-24551-5
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)