RT Journal Article SR Electronic T1 Case of cerebellar ataxia successfully treated by virtual reality-guided rehabilitation JF BMJ Case Reports JO BMJ Case Reports FD BMJ Publishing Group Ltd SP e242287 DO 10.1136/bcr-2021-242287 VO 14 IS 5 A1 Kazuhiro Takimoto A1 Kyohei Omon A1 Yuichiro Murakawa A1 Hideo Ishikawa YR 2021 UL http://casereports.bmj.com/content/14/5/e242287.abstract AB A male patient in his 40s was transferred to our hospital for rehabilitation of ataxia after right cerebellar and brainstem infarction. After 3 weeks of conventional physical therapy, his activities of daily life successfully improved with an increase in the functional impedance measure from 101 to 124. However, he still fell short of gaining a higher level of balance function, which was necessary for his job as a standup forklift driver. We introduced virtual reality-guided balance training. The training was performed for approximately 40 min on weekdays for 2 weeks. As a result, the Scale for the Assessment and Rating of Ataxia score decreased from 5 to 1, Functional Balance Scale score improved from 48 to 56, and Mini-Balance Evaluation Systems Test score increased from 20 to 28. The trunk sway disappeared clinically. He regained confidence and returned to work after an additional 2 weeks of physical therapy.