Article

Damage to the cerebellum can result in ataxic gait, which affects the ability to
walk safely and independently. Physiotherapy is the main treatment for ataxic
gait, but there is limited high-quality evidence for interventions used. This
review explores the neural mechanisms of the symptoms of ataxic gait, by
discussing the cerebellum's role in coordination, motor learning, anticipatory
postural control, balance reactions and adapting gait to meet environmental
demands. It discusses mechanisms that occur at cellular level throughout the
whole cerebellum and then focuses on difficulties that arise from damage to
specific lobes of the cerebellum. Physiotherapy-based interventions, such as
balance training, developing postural control, specific gait training, and use of
compensatory orthotics and aids, are discussed in relation to the theoretical
understanding of cerebellar functioning. Consideration is given to difficulties
of using trial-and-error-based learning, which will impact on teaching techniques
and strategies used during gait rehabilitation. This theoretical understanding
will aid physiotherapists to target their assessment, treatment, management, and
goal setting with individuals who have difficulties with ataxic gait following a
cerebellar lesion.

Langue : ANGLAIS