Ataxia and Physiotherapy
Physiotherapy and Hand Therapy Singapore
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:
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).
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
disorder is due to damage or dysfunction of the vestibular system, and
often patient has vertigo (spinning rooms etc), nausea and vomiting
The causes mentioned below can be overlapping causes that can co-exist or can happen in isolation.
- 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
- 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
- Radiation poisoning of more than 30 Grays
- Vitamin B12 deficiency
- Spinal disorders of various types that involve the dorsal columns.
- Non-hereditary causes
- of cerebellar degeneration include chronic ethanol abuse,
paraneoplastic cerebellar degeneration, high altitude cerebral oedema,
coeliac disease, normal pressure hydrocephalus and cerebellitis.
interventions usually are pharmeceutical and nutritional supplements,
ranging from vitamin B12, antioxidants, coenzyme q10.
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
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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 xx, thanks!