Table 5.

Treatment of Manifestations in Individuals with SCA11

Manifestation
Concern		TreatmentConsiderations/Other
Ataxia
  • PT eval/treatment
  • OT eval/treatment
Consider adaptive devices (cane &/or wheelchair) & home adaptations to maintain/improve independent mobility.
Weight controlTo facilitate ambulation
Dysarthria &
dysphagia 		Speech & language therapy eval/treatmentTo teach strategies to improve articulation & avoid aspiration
Modify food consistency to reduce aspiration riskVideo esophagram may help define best consistency.
Peripheral
neuropathy 		Ankle-foot orthoticsEnsure good foot care & foot health w/regular review by podiatrist.
Diplopia Ophthalmologic consultationPrism glasses can be helpful.

OT = occupational therapy; PT = physical therapy

From: Spinocerebellar Ataxia Type 11

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