Cerebellar

Question 1

what are non-progressive cerebellar disorders?

Answer 1

1. CVA, 2. TBI, 3. Tumor

Question 2

what are progressive cerebellar disorders?

Answer 2

1. MS, 2. Spinocerebellar degeneration, 3. Friedreich’s Ataxia, 4. cerebellar cortical atrophy, 5. olivoponto-cerebellar atrophy

Question 3

what is the prognosis following cerebellectomy?

Answer 3

poor

Question 4

what is common symptoms relating to bilateral cerebellectomy?

Answer 4

severe vertigo and nausea - patient has hard time getting out of bed

Question 5

when does most of the spontaneous compensation complete?

Answer 5

6 months to 1 year

Question 6

what are some treatment options for cerebellar disorders? (7)

Answer 6

1. postural stability, 2. proximal stability, 3. developmental sequence, 4. decrease DoF, 5. Coordination Exercises, 6. Gait, and 7. Motor Learning

Question 7

why is postural stability important for treatment?

Answer 7

truncal ataxia = difficult for patient to use extremities because they don’t have proximal stability for distal mobility

Question 8

what are some consideration for coordination exercises? (3)

Answer 8

1. postural/proximal stability for distal mobility
2. Frenkel’s Exercises
3. visual cues for placement (controlling direction and accuracy)

Question 9

what are some treatments for temporary reduction of dysmetria and tremor?

Answer 9

wrist, ankle, and waist weights
PNF
weighted utensils and tools

Question 10

what are 4 considerations for gait?

Answer 10

1. visual cues for placement
2. weights
3. biofeedback
4. variety of surfaces; obstacle course

Question 11

what is difficult for patients with cerebellar dysfunction?

Answer 11

generalization

Question 12

For motor learning, what are some considerations? (4)

Answer 12

1. increase reps
2. vary task constraints
3. vary environmental constraints
4. TASK SPECIFICITY