Convalescence after physiotherapy intervention in a classic rare case of cerebellar bleed: A case report

Abstract

The cerebellum regulates posture, eye-hand coordination and limb movement. It may also have a role in non-motor functions including attention and cognition. The feedforward component of movement is impacted by inadequate predictive control, which is linked to the motor symptoms of cerebellar impairment. Cerebellar haemorrhage or hematoma is a type of intracranial haemorrhage (ICH). In the cerebellum or posterior fossa, bleeding accounts for 9% to 10% of all ICH cases. Nontraumatic cerebral haemorrhage can cause 9% to 27% of strokes globally, with an annual incidence of 12 to 31 per 100,000 people. The prevalence varies by race and age. In this case, we reported a 74-year-old male with a known history of hypertension came with a complaint of sudden onset 3 to 4 episodes of vomiting, dizziness, headache, slurred speech and weakness in all four limbs. On investigation, the patient was diagnosed with cerebellar haemorrhage. Managed operatively that is an evacuation of the brainstem haematoma. The patient was referred to the neuro physiotherapy department for further management. The Physiotherapy protocol was 6 weeks with increased muscle strength, range of motion (ROM) and normalized tone, to achieve normal reflexes and to develop balance & postural stability.

Effectiveness of pelvis and trunk stabilization exercises over conventional physiotherapy to improve dynamic trunk balance in cerebellar ataxia: a randomized controlled trial

“…16 Further, Poor predictive control has been known to negatively impact the feed-forward part of the movement, which has been associated with the motor symptoms of cerebellar damage. 17 The current study protocol will provide new insight as no article available to date has looked at trunk and pelvis stabilization exercise programs as an intervention for treating cerebellar ataxia.…”