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Use of optokinetic chart stimulation to restore mobility and reduce ataxia in a patient with pseudo-Cushing ataxia
  1. Benjamin Chitambira1,
  2. Ciara McConaghy2
  1. 1Department of Physiotherapy, East Kent Hospitals University NHS Foundation Trust, Ashford, UK
  2. 2Clinical Neurosciences, Institute of Psychiatry, Psychology and Neuroscience, Kings College London, London, UK
  1. Correspondence to Benjamin Chitambira, bchitambira{at}


A 61-year-old patient was admitted to hospital after a fall. She presented with bilateral muscle weakness and severe ataxia. She was unable to maintain sitting balance or place feet on the floor and was unable to tolerate hoist transfers due to the severity of her ataxia. Nursing and physiotherapy staff found it difficult to sit her out of bed. Her physiotherapy intervention changed to optokinetic chart stimulation (OKCS) and sensory interaction for balance. After treatment for 5 days, her intention tremor fully resolved. At discharge, she was mobile with a wheeled zimmer walking frame and supervision of one person. At follow-up after 8 months, she was independently mobile without any walking aid in and around her house. She was going out shopping with her son. For recovery from ataxia, it is recommended that further research on restorative intervention at the nervous system level be carried out.

  • neurology
  • movement disorders (other than parkinsons)
  • physiotherapy (rehabilitation)

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  • Contributors BC is responsible for the conception of optokinetic chart stimulation, collection of data and its analysis, joint drafting of manuscript, editing and approval of final draft. CMcC contributed to the joint drafting of the manuscript and editing of the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.