Functional recovery strategies in progressive supranuclear palsy with cerebellar predominance

This report details a case of a patient in his 60s who exhibited ataxic gait, frequent falls, limb incoordination, tremors and rigidity, leading to a diagnosis of progressive supranuclear palsy with cerebellar predominance (PSP-C). Clinical assessment indicated slurred speech, increased muscle tone, deep tendon reflexes that were mildly reduced asymmetrically on the left side and reduced strength, while sensations remained intact. PSP-C is an uncommon variant of PSP often misidentified as multiple system atrophy-cerebellar type (MSA-C) because of shared characteristics. The patient participated in a comprehensive physiotherapy programme that included transfer training and promotion of independence in activities of daily living while also targeting rigidity and tremors. This case illustrates the diagnostic difficulties associated with addressing motor impairments, fall prevention and improving quality of life in a condition with few treatment alternatives.