When Coordination Loses Its Rhythm
Ataxia affects balance, movement, and speech, not because of weakness, but due to disrupted coordination signals in the brain and nervous system.
Understanding Loss of Coordination
Ataxia is a neurological condition marked by impaired coordination, balance, and precision of movement. It occurs when the cerebellum or its connecting pathways are damaged or dysregulated. Movements may appear clumsy or unsteady, and speech or eye movements can also be affected. Identifying the underlying cause is essential, as some forms of ataxia are progressive while others are treatable or reversible.
Not Weakness. A Breakdown in Timing.
Ataxia reflects disrupted communication between the brain’s coordination centres and the body.
Ataxia, Simply Explained
The cerebellum acts as the brain’s “fine-tuning” system, coordinating timing, balance, and accuracy of movement. When this system is compromised, movements lose their smoothness and precision. Signals arrive late, too strong, or out of sequence, making everyday actions like walking, speaking, or reaching feel unstable or effortful.
Symptoms
Symptoms vary depending on the cause and progression.
- Balance & Gait Issues: Unsteady walking, frequent falls, and difficulty standing without support.
- Coordination Difficulties: Poor hand–eye coordination, shaky or inaccurate movements.
- Speech Changes: Slurred, slow, or irregular speech (ataxic dysarthria).
- Eye Movement Abnormalities: Blurred vision, double vision, and involuntary eye movements.
- Fine Motor Challenges: Difficulty writing, buttoning clothes, or handling small objects.
Assessments
Comprehensive evaluation to determine cause and severity.
- Neurological Examination: Assesses coordination, reflexes, eye movements, and gait.
- Neuroimaging Review: Identifies structural or degenerative changes.
- qEEG & Functional Brain Assessment: Evaluates cerebellar-cortical connectivity.
- Metabolic & Genetic Screening (when indicated): Identifies treatable or inherited causes.
- Functional Assessment: Measures impact on daily activities and independence.
Treatment
Treatment is tailored to the cause, progression, and functional goals.
- Neurorehabilitation Therapy: Improves balance, coordination, and motor planning.
- Neurofeedback: Enhances brain connectivity and motor regulation.
- Neuromodulation: Supports cerebellar and motor network stability.
- Speech & Swallow Therapy: Addresses speech clarity and safety.
- Assistive Strategies: Mobility aids and adaptive techniques to improve independence.
Outcomes
While some forms of ataxia are progressive, targeted intervention can significantly improve stability, coordination, and quality of life. Early therapy helps preserve function, reduce falls, and support long-term independence.
Our approach combines neurology, brain-based therapies, rehabilitation, and functional training, ensuring care is personalised, precise, and proactive.
Understanding Ataxia Better
Explore expert insights, practical guidance, and clear answers to your most pressing questions about Ataxia and its care.
Is ataxia a disease or a symptom?
Ataxia is a symptom that can result from many underlying conditions.
Can ataxia be reversed?
Some causes are treatable or reversible; others require long-term management.
Does ataxia affect intelligence?
No. Ataxia affects coordination, not cognitive ability.
Can children develop ataxia?
Yes. Ataxia can occur at any age due to genetic, metabolic, or acquired causes.
Will ataxia always worsen over time?
Not always. Progression depends on the underlying cause.
Is physiotherapy helpful in ataxia?
Yes. Consistent, targeted therapy is central to management.