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The exercises were developed by Heinrich Frenkel, a Swiss neurologist who, one day in 1887, while examining a patient with ataxia, observed the patient's poor performance of the finger-to-nose test. The patient asked Dr Frenkel about the test and was told what it meant and that he did not 'pass' the test.
The most commonly used physical therapy interventions for cerebellar ataxia are vestibular habituation, Frenkel exercises, proprioceptive neuromuscular facilitation (PNF), and balance training; however, therapy is often highly individualized and gait and coordination training are large components of therapy. [71]
In general, physical therapy emphasises postural balance and gait training for ataxia patients. [48] General conditioning such as range-of-motion exercises and muscle strengthening would also be included in therapeutic exercise programmes. Research showed that spinocerebellar ataxia 2 (SCA2) patients [49] with a mild stage of the disease gained ...
At Heiden he rented a house in "Cure Park" and filled it with specialized exercise equipment. Here he established a center of physical medicine and rehabilitation, where patients with neurological impairments could reinstate dexterity and improve mobility. Frenkel achieved great success with therapeutic exercises for cerebellar ataxia and ataxia.
Friedreich's ataxia (FRDA) is a rare, inherited, autosomal recessive neurodegenerative disorder that primarily affects the nervous system, causing progressive damage to the spinal cord, peripheral nerves, and cerebellum, leading to impaired muscle coordination ().
Celia Duff, 70, started doing intense fitness competitions three years ago. She works out five to six days a week and does a combination of strength training and cardio. Duff's advice includes ...
Spinocerebellar ataxia type 6 (SCA6) is a rare, late-onset, autosomal dominant disorder, which, like other types of SCA, is characterized by dysarthria, oculomotor disorders, peripheral neuropathy, and ataxia of the gait, stance, and limbs due to cerebellar dysfunction. Unlike other types, SCA 6 is not fatal.
Overall, physical therapy for individuals with ataxia has modest evidence supporting its efficaciousness, but current practice uses custom treatments without a standard decision making procedure between clinics, which limits the ability to reproducibly assess the quality of routines in literature. [56]
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