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Frenkel Exercises
Frenkel exercises are a set of exercises developed by Professor Heinrich Sebastian Frenkel to treat ataxia, in particular cerebellar ataxia. They are a system of exercises consisting of slow, repeated movements. They increase in difficulty over the time of the program. The patient watches their hand or arm movements (for example) and corrects them as needed. Although the technique is simple, needs virtually no exercise equipment, and can be done on one's own, concentration and some degree of perseverance is required. Research has shown that 20,000 to 30,000 repetitions may be required to produce results. A simple calculation will show that this can be achieved by doing 60 repetitions every hour for six weeks in a 16-hour daily waking period. The repetitions will take just a few minutes every hour. The brain as a whole learns to compensate for motor deficits in the cerebellum (or the spinal cord where applicable). If the ataxia affects say, head movements, the patient can use a m ...
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Ataxia
Ataxia is a neurological sign consisting of lack of voluntary coordination of muscle movements that can include gait abnormality, speech changes, and abnormalities in eye movements. Ataxia is a clinical manifestation indicating dysfunction of the parts of the nervous system that coordinate movement, such as the cerebellum. Ataxia can be limited to one side of the body, which is referred to as hemiataxia. Several possible causes exist for these patterns of neurological dysfunction. Dystaxia is a mild degree of ataxia. Friedreich's ataxia has gait abnormality as the most commonly presented symptom. The word is from Greek α- negative prefix+ -τάξις rder= "lack of order". Types Cerebellar The term cerebellar ataxia is used to indicate ataxia due to dysfunction of the cerebellum. The cerebellum is responsible for integrating a significant amount of neural information that is used to coordinate smoothly ongoing movements and to participate in motor planning. Althoug ...
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Cerebellar Ataxia
Cerebellar ataxia is a form of ataxia originating in the cerebellum. Non-progressive congenital ataxia (NPCA) is a classical presentation of cerebral ataxias. Cerebellar ataxia can occur as a result of many diseases and may present with symptoms of an inability to coordinate balance, gait, extremity and eye movements. Lesions to the cerebellum can cause dyssynergia, dysmetria, dysdiadochokinesia, dysarthria and ataxia of stance and gait. Deficits are observed with movements on the same side of the body as the lesion (ipsilateral). Clinicians often use visual observation of people performing motor tasks in order to look for signs of ataxia. Signs and symptoms Damage to the cerebellum causes impairment in motor skills and can cause nystagmus. Almost a third of people with isolated, late onset cerebellar ataxia go on to develop multiple system atrophy. The cerebellum's role has been observed as not purely motor. It is combined with intellect, emotion and planning. Cerebellar de ...
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Heinrich Frenkel
Heinrich Simon Frenkel (June 5, 1860, in Heiden, Switzerland – April 21, 1931, in Dresden- Loschwitz) was a Swiss physician and neurologist born in Heiden, a town overlooking Lake Constance. He was an early practitioner of neuro- rehabilitation, advocating a regimen of special exercises for patients with neurological disorders. Biography He studied medicine at the Universities of Heidelberg and Leipzig, and was a student of neurologist Wilhelm Heinrich Erb (1840–1921). In 1884 he earned his degree at Leipzig, afterwards returning to Heiden to practice medicine. At Heiden he rented a house in "Cure Park" and filled it with specialized exercise equipment. Here he established a center of physical medicine and rehabilitation, where patients with neurological impairments could reinstate dexterity and improve mobility. Frenkel achieved great success with therapeutic exercises for cerebellar ataxia and ataxia. This success eventually attracted patients from all parts of Europe, ...
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