Review Article

Motor Training in Degenerative Spinocerebellar Disease: Ataxia-Specific Improvements by Intensive Physiotherapy and Exergames

Table 4

Exercises of the coordinative physiotherapy program.

Static Balance
 (i) Standing on one leg.
 (ii) Quadruped standing: stabilize the trunk and lift one arm.
 (iii) Quadruped standing: stabilize the trunk and lift one leg.
 (iv) Quadruped standing: lift one arm and the leg of the other side.
Dynamic Balance
 (i) Kneeling: put one foot in front and back alternately.
 (ii) Kneeling: put one foot to the side and back alternately.
 (iii) Kneeling: put one foot in front, stand up, and put one leg back with kneeling alternately.
 (iv) Standing: swing arms, see saw knees.
 (v) Standing: step to the side.
 (vi) Standing: step in front.
 (vii) Standing: step back.
 (viii) Standing: cross over step.
 (ix) Climbing stairs.
 (x) Walking over uneven ground.
Whole Body Movements to Train the Trunk-Limb Coordination
 (i) Quadruped standing: lift one arm and the leg of the other side, flex arm, leg, and trunk, and extend arm, leg, and trunk alternately.
 (ii) “Morning prayer” (Moshe Feldenkrais): kneeling: bend legs, arms, and trunk (“package sitting”): extend legs, arms, and trunk alternately.
 (iii) Kneeling: sit beside the heel on the right side; kneeling: sit beside the hell on the left side alternately.
Steps to Prevent Falling and Falling Strategies In Order To Prevent Trauma
 (i) Standing: step to the side, step in front, step back, and cross over step in a dynamic alteration.
 (ii) Standing: the therapist pushes the patient in altered directions; the patient has to react quickly with fall preventing steps.
 (iii) Standing: bend the trunk and the knees to touch the floor and erect the body alternately.
 (iv) Standing: bend the trunk and the knees, touch the floor, and go down to quadruped standing,
 (v) Standing: the therapist pushes the patient; the patient has to react quickly-bend and go to the floor in a controlled manner
 (vi) Walking—the therapist pushes the patient—the patient has to react quickly, bend, and go to the floor in a controlled manner.
Movements to Treat or Prevent Contracture Especially Movements of Shoulders and Spine
 (i) Extension of the spine: prone lying: push up the shoulder girdle from prone lying; prone lying on a wedge.
 (ii) Rotation of the spine: supine lying: knees are bended, rotate the knees to the right and left side,
 (iii) Flexion of the shoulder: supine lying: lift the arms in the direction of the head.