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Ataxia and Physiotherapy
Physiotherapy and Hand Therapy Singapore

For appointments/enquiries, please SMS/Call/WhatsApp 96402670

Ataxia, according to the Greek text, means "a lack of orderliness, or a lack of order", refers to a neurological sign and symptom where you can see a general lack of coordination (aka incoordination) of movements. It is a general and non-specific clinical sign that says that part of the brain and nervous system that controls and coordinates movement is affected.

There are a few types of ataxic movements, which are named according to the centers that are affected:

Cerebellar

Cerebellar or cerebellum dysfunctions causes a wide variety of basic neurological deficits, such as low tone, dysmetry, asynergy and ataxic disorder. Which deficits are seen or experienced depends on which aspect or structure of the cerebellum is damaged. The three types of cerebellar damage are: vestibulocerebellum (balance and eye movements), spinocerebellum (wide based "drunken sailor" gait) and cerebrocerebellum (disruption is voluntary and planned movements in the hands and feet).

Sensory

Sensory ataxia explains that the ataxic movements is caused by the loss of proprioception, which is the ability to know, sense or feel the positions or locations of joints and body parts in proportions to space and other body parts. This is generally caused by the spinal cord dorsal column damage or dysfunction. Patients with this form of ataxic movement usually presents clinically with an unsteady "heavy stomping" walk with heavy heel striking the floor, and with a poor posture stability that worsens with the lack of compensatory approaches such as visual feedback i.e. dark rooms etc (most of the times, people with this form of ataxia use visual compensation to correct or normalize their movements).

Vestibular

This movement disorder is due to damage or dysfunction of the vestibular system, and often patient has vertigo (spinning rooms etc), nausea and vomiting episodes.

Causes

The causes mentioned below can be overlapping causes that can co-exist or can happen in isolation.

  1. Focal lesions - refers to lesions of the central nervous system (CNS) such as stroke, tumors, multiple sclerosis etc if they occur in the location that we've mentioned as above
  2. Exogenous substances - causes ataxia only if they have a depressive or depressant effect on the CNS function/system. Most commonly is ethanol (think alcohol, but pure and strong)
  3. Radiation poisoning of more than 30 Grays
  4. Vitamin B12 deficiency
  5. Spinal disorders of various types that involve the dorsal columns.
  6. Non-hereditary causes - of cerebellar degeneration include chronic ethanol abuse, paraneoplastic cerebellar degeneration, high altitude cerebral oedema, coeliac disease, normal pressure hydrocephalus and cerebellitis.

Treatment

Medical interventions usually are pharmeceutical and nutritional supplements, ranging from vitamin B12, antioxidants, coenzyme q10.

Physiotherapy and occupational therapy intervention involves motor relearning and neurological rehabilitation, including facilitated re-training of specific functional and mobility motor movements. Gait/ambulation, coordination, balance and posture re-training are large components of our physiotherapy management of ataxia. In occupational therapy, there will be interventions to adapt activities and work to suit the patient, recommendation of equipment or aids that will help the patient better such as walking sticks or canes.

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Our Physio & Rehab Expertise

Specialist Rehab Group works with specialist physiotherapists and specialist rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.

Areas of specialization

  • physiotherapy: back and neck (spine), sports, shoulder, hip, knee, ankle
  • hand therapy: forearm, wrist, hand and fingers
  • podiatrist: leg, calf, ankle, foot and toes
  • read more on our specializations here

All our therapists are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCM). See our entire team here by location and specialization.

Initially, our specialist physiotherapists will carry out a thorough assessment, helping them to select the most appropriate treatment to help you recover. They then provide expert treatment for your pain as well as prescribing specific exercises to reduce your risk of re-injury and giving you a long term solution.

To call for inquiries or appointments, please contact us at:

SMS/Call/Whatsapp: 96402670

Email: nigel@specialistrehabgroup.com

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When you have the opportunity, please take the time to tell your family, friends and physicians about the positive results and experience you have had in our clinic.

Thank you so much, and stay healthy!

SPECIALIST REHAB APPOINTMENTS & ENQUIRIES
Please Call/SMS/WhatsApp to
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Disclaimer
We are a wholly Singapore Private Limited group of licensed physiotherapists, hand therapists, podiatrists, chiropractors, sports massage therapists, clinical pilates practitioners and TCM physicians practicing in our scope of rehabilitation and its areas of specializations. As listed in our website are the list of services we provide our clients as referred by their medical doctors or by self referrals/word of mouth.

The range of rehabilitation results vary from patients to patients, depending on a variety of factors and reasons such as severity of condition, genetics, gender and age. However, we will still deliver the best evidence-based-practice of physiotherapy, hand therapy, TCM, sports training and deep tissue release therapy that we can deliver.

The information available on this site is for educational purposes only, if you need a full professional advise on physiotherapy, hand therapy and occupational therapy, please schedule an appointment with us by contacting our staff by Call/SMS/WhatsApp at 96402670, thanks!

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Email

nigel@specialistrehabgroup.com

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Your physio, hand therapy and rehab with us may be covered under your medical insurance or cashless - find out more here.

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