Physiotherapy in Spinocerebellar Ataxia Following COVID-19: A Biomechanical and Biopsychosocial Case Report.

This is one patient, so it cannot show that the treatment works or how much of the change came from the intervention. There was no control group, random allocation, or comparator, so changes cannot be compared with usual care or no treatment. The intervention included many components at once, so the contribution of any single exercise cannot be separated. The diagnosis was clinical only, without genetic confirmation, so the subtype of spinocerebellar ataxia is uncertain. Spinocerebellar ataxia is progressive, so some objective worsening may reflect disease progression rather than treatment failure. The paper describes a temporal link between COVID-19 infection and symptom onset, but it cannot show that the infection caused or changed the ataxia. The patient reported no perceived change in balance or mobility, despite some objective foot pressure changes.

The authors reported no funding and no conflicts of interest.

Do not conclude that 30 physiotherapy sessions improved balance, mobility, or neurological signs in spinocerebellar ataxia. This was one patient, the timed walking test got slower, balance sway area and speed increased, and neurological signs did not change.