The Role of Cerebellar Rehabilitation in Improvement of ADHD Imbalance
On the basis of the above-mentioned points, we hypothesize that cerebellar disturbances are probably involved in ADHD balance dysfunction. It is worth noting that the cerebellum has a dual effect in this area: not only is it involved directly in equilibrium, but there is also strong evidence for the role of the cerebellum in cognitive functions including attention.8 We have observed in a preliminary small clinical trial that “cerebellar rehabilitation exercises,” which are typically used in ataxia rehabilitation, improve ADHD balance dysfunction. These exercises involve proprioceptive, vestibular, and visual systems, all of which are in close relationship with the cerebellum.9 We suggest that cerebellar rehabilitation will improve both balance and attention in these children. Of course, for confirming this hypothesis, larger clinical trials are needed.
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