Effectiveness of multimodal physiotherapy techniques for improving gait, balance, and coordination in patients with Wallenberg syndrome. A case series

Aim. This study aims to evaluate the impact of multimodal physiotherapy, including game-based coordination training, perturbation training, dual-task training, and balance retraining, on gait, balance, and coordination in individuals with Wallenberg syndrome. Additionally, it seeks to assess improvements in functional mobility and fall risk reduction. Methods. Patients diagnosed with Wallenberg syndrome were enrolled. The patients received a multimodal physiotherapy program. Outcomes were assessed using the Berg Balance Scale (BBS), comprehensive coordination scale (CCS), and functional gait assessment (FGA). Results. Among the 4 patients with Wallenberg syndrome who received multimodal physiotherapy treatments, 71.4% were male and 28.5% were female. The subjects' average age was 45.75 years. Table 1 shows the characteristics of each case. Table 2 shows the comparison of pre- and post-treatment scores using the Wilcoxon signed-rank test. In figure 1, the post-test scores of all three outcomes were analyzed and a trend toward improvement was observed. The changes were clinically relevant, although they did not reach the threshold of statistical significance. Individual case analysis indicates that particular physiotherapy methods helped to improve clinical outcomes. Conclusion. This study provides evidence on the efficacy of multimodal physiotherapy for improving gait, balance, and coordination impairments in Wallenberg syndrome, potentially guiding future rehabilitation programs.