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However, he still fell short of gaining a higher level of balance function, which was necessary for his job as a standup forklift driver. We introduced virtual reality-guided balance training. The training was performed for approximately 40\u2009min on weekdays for 2 weeks. As a result, the Scale for the Assessment and Rating of Ataxia score decreased from 5 to 1, Functional Balance Scale score improved from 48 to 56, and Mini-Balance Evaluation Systems Test score increased from 20 to 28. The trunk sway disappeared clinically. He regained confidence and returned to work after an additional 2 weeks of physical therapy.<\/jats:p>","DOI":"10.1136\/bcr-2021-242287","type":"journal-article","created":{"date-parts":[[2021,5,10]],"date-time":"2021-05-10T13:32:49Z","timestamp":1620653569000},"page":"e242287","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":23,"title":["Case of cerebellar ataxia successfully treated by virtual reality-guided rehabilitation"],"prefix":"10.1136","volume":"14","author":[{"given":"Kazuhiro","family":"Takimoto","sequence":"first","affiliation":[{"name":"Rehabilitation Center, Eishinkai Kishiwada Rehabilitation Hospital, Kishiwada, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyohei","family":"Omon","sequence":"additional","affiliation":[{"name":"Rehabilitation Center, Eishinkai Kishiwada Rehabilitation Hospital, Kishiwada, Osaka, Japan"},{"name":"Department of Cognitive Behavioral Science, Kyoto University Graduate School of Human and Environmental Studies, Kyoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuichiro","family":"Murakawa","sequence":"additional","affiliation":[{"name":"Department of Medical Device Development, mediVR Inc, Toyonaka, Japan"},{"name":"Division of Occupational Therapy, Department of Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideo","family":"Ishikawa","sequence":"additional","affiliation":[{"name":"Hemoptysis and Pulmonary-Circulation Center, Eishinkai Kishiwada Rehabilitation Hospital, Kishiwada, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,5,10]]},"reference":[{"key":"2025082801040204000_14.5.e242287.1","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1080\/09593985.2016.1202364","article-title":"Rehabilitation of ataxic gait following cerebellar lesions: applying theory to practice","volume":"32","author":"Kelly","year":"2016","journal-title":"Physiother Theory Pract"},{"key":"2025082801040204000_14.5.e242287.2","doi-asserted-by":"publisher","DOI":"10.1080\/14734220601187741"},{"key":"2025082801040204000_14.5.e242287.3","unstructured":"Carr JH , Shepherd RB . 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