Hi Zafer,
In brief - this is as much about multidisciplinary management as
physiotherapy treatment.
Maintain muscle length/ strength / balance for as long as possible - problem
areas include pes cavus and tendency to a similar alignment in the wrist /
hands - can be helped by orthoses/insoles for the feet ( sometimes surgery )
and futura wrist splints.
Low tone, weak & wobbly trunks respond well to appropriate exercise ( I find
prone and 4 point kneeling useful positions to work in ) and need careful
mamgement with regard to posture and seating.
Alignment & head position need careful management to minimise developing
problems with breath control, intelligibilty of speech, swallow and dealing
with saliva ( hyocine patches may help ). Access to a speech & language
therapist with knowledge of communication aids e.g. lightwriter is useful.
Early access to suitable wheelchairs with appropriate postural support is
helpful. Fatigue can be a problem so assessment at the end of the day may
give a more realistic picture of present and future needs than an early
appointment.Talking of which, occupational therapy assessment and advice on
energy conservation, fatigue management and helpful aids / adaptations /
ergonomics etc. can be useful.
That's just a brief overview - give me more info on a specific patient and
I'm happy to share my thoughts
Debbie
Uk Therapist
> From: zafer <[log in to unmask]>
> Reply-To: PHYSIO - for physiotherapists in education and practice
> <[log in to unmask]>
> Date: Thu, 8 Feb 2001 17:32:24 +0200
> To: [log in to unmask]
> Subject: frederix ataxia
>
> Can Any of collegues help me about frederix-ataxia
> treatment at physiotherapy
>
> thanks Pt.Zafer
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