Acute cerebellar ataxia (ACA), also known as cerebellitis,
Itis a disorder that occurs when the cerebellum becomes inflamed or damaged.
The cerebellum is the area of the brain responsible for controlling gait and muscle coordination.
It is a term used to described certain behavior like postural unsteadiness, difficulty in co coordinating movements & clumsiness experienced by an individual with cerebellar dysfunction.
Viral infections that may cause this include chickenpox, Coxsackie disease, Epstein-Barr, and echovirus.
bleeding in the cerebellum
exposure to mercury, lead, and other toxins
bacterial infections, such as Lyme disease
CNS vasculitis, multiple sclerosis
Developmental abnormality e.g. Hydrocephalus, Arnold Chiari Malformation
Trauma, focal lesion
Stroke, tumour, infection
Demyelinating disease like MS
Heriditary (Fredriech’s ataxia)
Metabolic disease (B12 defficiency)
Drug intoxication or exogenous substance (ethanol causes reversible cerebellar & vestibular ataxia)
Dysarthria/ scanning speech
Nystagmus (Central nystagmus)
MRI or CT scan – to determine whether there is any brain damage.
Tonsilar invagination & hydrocephalus
Arnold chiari malformation
Genetic tests – to determine whether the patient has inherited ataxia.
Blood tests – some types of ataxia affect the make-up of blood.
Urine tests – urinalysis may suggest specific systemic abnormalities that are linked to some forms of ataxia.
If the specialist suspects Wilson’s disease, the patient may be asked for a 24-hour urine collection to determine how much copper is in the system.
Relaxed passive motion
General rocking movement
Deep breathing exercise
AROM ex & other free ex
Lengthen stride length
Concentrate on heel to toe pattern , Improve arm swing
Parallel bar activities
Walk on printed foot prints
Marching on spot with arm swing
Walking in straight line
Walking in circle
Walking sideways with outstretch hand
Promote accuracy of limb movements by using aids, cues & feedback
Combined activities of the trunk & limbs to improve co ordination, balance & automaticity of movement
Small weight cuffs, ankle & wrist bands can be used during activities to increase awareness of the limbs
Weight bearing exercise of UL & LL