Rehabilitation and Recovery in a Patient With Cerebellar Atrophy and Ataxia Following Femoral Fracture: A Case Report.

Abstract

Patients with neurological conditions like cerebellar atrophy and ataxia face many challenges when recovering from fractures. This case report details the management and recovery of a 45-year-old woman with severe, pre-existing cerebellar atrophy and ataxia who sustained a right femoral shaft fracture after a fall. Before her injury, her neurological impairment required her to use a walker to move around. She underwent open reduction and internal fixation (ORIF) and was given a 3-month period during which she could not put weight on her leg. Her rehabilitation involved a team approach focused on specific goals, emphasizing early knee range-of-motion exercises. Given her dual diagnosis, the intensive program focused on various training components, including progressive resistance, coordination drills, and challenging balance exercises. These exercises have been shown to reduce ataxia symptoms and improve motor function significantly. The tailored intervention operated on the idea that the quality and difficulty of rehabilitation are key factors for positive outcomes in patients with degenerative cerebellar ataxias (DCAs). After 3 months, the fracture healed well, and the patient moved to full weight-bearing, showing significant improvements in mobility and independence. This case highlights that a unified, specialized, and evidence-based team approach can lead to successful functional recovery, even in complex neuro-orthopedic situations. It aligns with modern rehabilitation methods that focus on enhancing the quality of life by reducing secondary impairments.