Effect of Long-Term Climbing Training on Cerebellar Ataxia : A Case Series

Abstract EN

Background.

Efficient therapy for both limb and gait ataxia is required.

Climbing, a complex task for the whole motor system involving balance, body stabilization, and the simultaneous coordination of all 4 limbs, may have therapeutic potential.

Objective.

To investigate whether long-term climbing training improves motor function in patients with cerebellar ataxia.

Methods.

Four patients suffering from limb and gait ataxia underwent a 6-week climbing training.

Its effect on ataxia was evaluated with validated clinical balance and manual dexterity tests and with a kinematic analysis of multijoint arm and leg pointing movements.

Results.

The patients increased their movement velocity and achieved a more symmetric movement speed profile in both arm and leg pointing movements.

Furthermore, the 2 patients who suffered the most from gait ataxia improved their balance and 2 of the 4 patients improved manual dexterity.

Conclusion.

Climbing training has the potential to serve as a new rehabilitation method for patients with upper and lower limb ataxia.