Attention Program for Ataxias

Our work hypothesis to form a program of Restoration or Comprehensive Neurological Rehabilitation of attention to these disorders is based on these concepts, considering that only the combination of a "mass" effect generated by the intensity of the stimulus with the treatment Individualized of all levels of affectation (multidisciplinary) has real chances of success.
The Neurological Restoration or Rehabilitation program includes a comprehensive evaluation for the confirmation or modification of the diagnosis and the evaluation of the aggravating factors and the evolutive profile that together with the individualization of the patient's functional commitment allows designing a more effective and tolerable therapeutic strategy, which It usually includes modification of the pharmacological scheme, hygienic-dietetic measures, specialized and multidisciplinary motor training that as a whole allow a high degree of recovery of the motor skills and the functional independence of the individual.

The proper development of these methods and technologies and the controlled introduction of some therapeutic agents have allowed the conception and validation of this comprehensive care program, applied by a qualified work team for more than 5 years, achieving high recovery rates and a significant improvement in the quality of life in more than 90% of the more than 100 patients treated with this technology.
Composition and duration of the Program:
The program includes a week of evaluation during which a specialized clinical evaluation of the cerebellar syndrome is performed, a general clinical evaluation of the patient's health status, a quantification by international scales to measure neurological condition, motor capacity, functional capacity and quality of life. , neurophysiological studies specialized in exploration of the motor system and perceptual motor integration, structural and functional imaging studies by Computed Axial Tomography, Nuclear Magnetic Resonance, Simple Photonic Emission and biochemical and molecular studies.
This evaluation is complemented with a functional evaluation of movement and gait kinetics, spirometric, stabilometric, neuropsychological studies and the application of international instruments to determine the degree of disability or objectify the neurological defect to be modified.
The information obtained by this comprehensive evaluation is analyzed collectively by specialists from various disciplines and a single Neurological Restoration or Rehabilitation program is designed in stages, with specific objectives that are set according to the patient's possibilities and the previously accumulated experience.
The Neurological Restoration or Rehabilitation program is executed by therapeutic cycles of 4 weeks (28 days) that includes hygienic-dietetic measures to improve the general condition, pharmacokinetic disorders and the nutritional status of the patient, pharmacological adjustment to control motor manifestations as much as possible and improve trophic and nutritional support of the nervous system. In parallel, disorders of sleep, appetite, blood pressure and other autonomic or mental disorders that usually coexist with the progression of the disease are controlled.
It also develops a comprehensive rehabilitation program that includes posture, walking and balance training, manipulative skills training with language training and learning techniques, using feedback methods, specific motor learning, strengthening techniques and / or Stretching and training systems of specific purposes more efficient to stimulate neuroplastic abilities with the integral objective of adapting the pattern of motor behavior and increase the motor abilities of the individual especially for the execution of daily tasks.
It has been determined in an open clinical trial that the effectiveness of the comprehensive care program is 87% and the improvement rates obtained for motor capacity are approximately 23% and for the functional capacity of approximately 31%. In more than 100 patients treated to date there have been no complications, accidents or adverse events that compromise life or leave sequelae. The rate of adverse effects or transient complications is less than 3%.

Neuro-Rehabilitation Therapeutic Program
Multifactorial Intensive Custom
International Center for Neurological Restoration. CIREN

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