03/18/2026
Neuro Nugget 🧠
Struggling to find safe and effective HEPs for your patients with ataxia?
This RCT found that high-intensity aerobic exercise (cycling, 30 min 5x/week) led to greater improvements in ataxia severity, fatigue, and fitness compared to balance training alone at the same frequency and duration.
💡 Bonus: cycling allows higher intensity without increasing fall risk → a great way to supplement skilled PT.
🔑 Consistency matters—gains were maintained only if patients kept training.
🔗 Full text: https://pmc.ncbi.nlm.nih.gov/articles/PMC12434599/