期刊名称：Ovidius University Annals, Series Physical Education and Sport/Science, Movement and Health
印刷版ISSN：1224-7359
出版年度：2013
卷号：13
期号：2
页码：610-613
语种：English
出版社：Ovidius University Press
摘要：Aim.Maintaining a safe perambulation and autonomy in activities of daily life are main objectives for chronic cerebellar disorders Cerebellar function is usually affected through several mechanisms,which often combine reduced blood flow,edema,mechanical compression and invasion of cerebellar parenchyma,inflammatory response,immune process,cytotoxic effect and neuro degeneration.Brainstem and meninges are also affected.In our patients lateral focal cerebellar lesions induce ipsilateral signs,although expanding lesions may produce a false localization of clinical signs.Cerebellar symptoms are influenced more by location and rate of progression of the disease than the pathological characteristics.Ataxia is a term originally used to describe disequilibrium in tables and is currently applied to describe the jerky or irregular character of movement or posture,when a disorder of coordination cannot be explained by strength or sensation deficits.The most common causes of ataxia in the elderly are stroke,trauma,infections,cerebellar multiple system atrophy,spinocerebellar ataxia (SCA),fragile X-associated tremor/ataxia syndrome (FXTAS),metastases,paraneoplastic diseases,multiple system atrophy (MSA).Methods: we study 30 patients with ataxia in elderly patients all of them secondary to a cerebellar stroke,for a period of one year (15.01.2011-15.01.2012),15 patients were medical treated and 15 patients were medical treated and we initiate a recovery program.Results.For ataxic patients,the recommendation is daily (if possible) rehabilitation with postural training,even if results of large studies on the beneficial effect are still awaited.Conclusion.Patients participating in daily motor rehabilitation show a less abrupt deterioration after cerebellar stroke.
