目的：以實證醫學方式搜尋以何種運動治療有助於改善因腫瘤導致小腦運動失調性步態。方法：以cerebellar ataxia、balance rehabilitation、ataxic training、gait training和coordination為關鍵字搜尋，搜尋PubMed資料庫中、自西元1995年至2011年的文章，再以人工閱讀的方式，選出適合的研究論文，結果共計3篇。第一篇研究發現針對此病患設計的個別化運動訓練包括：平衡訓練合併本體感覺神經肌肉誘發技巧、行走功能訓練等方式做為訓練方式，都能有效改善失調性步態；第二篇結果顯示籍由體感覺、前庭覺的訓練方式來減少站立底面積的站立，有助於站立和行走不穩的情況之改善，同時研究發現小腦失能個案可根據其受傷的區域，訂定訓練項目及預測個案預後；第三篇對於運動失調個案利用跑步機訓練介入，其平衡、活動表現、步距和步態品質皆有改善，又以症狀嚴重的受試者進步趨勢及立即性比症狀輕微個案顯著。結果：經由三篇文獻回顧，以動態站姿平衡、協調訓練與功能性訓練此小腦腫瘤移除的個案。經過三週治療後發現個案在修改版國際合作共濟失調評分量表結果由初始得分35分，進步為31分，不對稱性和每分鐘步頻均有改善，但在行走速度與計時起走測試並無顯著改變。結論：以動態站姿平衡、協調訓練與功能性訓練反覆訓練因腫瘤導致小腦失能造成運動失調步態的患者，在三週後可見其兩腳步長的對稱性和步頻均有改善，且行走時身體的搖晃幅度減小。對於尋找最有效改善運動失調步態的運動介入，未來仍需要更多的研究探討。

Purpose: To discuss how to improve cerebellar ataxic gait due to tumor through exercise training based on evidence-based medicine. Methods: Papers published in recent fifteen years were searched through the PubMed databases using the keywords "cerebellar ataxia", "balance rehabilitation", "coordination" and "ataxic training". In result, three articles were found. The first study found that whether balance exercise combined proprioceptive neuromuscular facilitation techniques or ambulation training was used for patients with ataxic gait, they were useful obviously. The second study found the training exercises decreased base of support combined proprioceptive and vestibular stimulation were useful improving the balance during standing and walking. The results also implied that the site of lesion of cerebellar could be used to predict outcomes. Besides the programs for patient with cerebellar dysfuction could be designed based on the symptoms of lesion area. The third study showed that the treadmill training could improve the ability of balance, activity of daily living, stride length and gait pattern for patients with ataxic gait. It was also found that the treatment effect in the patient with mild symptoms was better than those with severe symptoms. Results: According to the literature review, the dynamic standing balance, coordination training, and function training were used for the 32-year-old woman with cerebellar tumor. After three-week training, stride length and cadence increased and the scores of Modified International Cooperative Ataxia Rating Scale from 35 progressed to 31 scores. But the gait speed and the result of Time Up and Go test (TUGT) were still the same. Conclusion: The exercises for cerebellar ataxia gait due to tumor including dynamic standing balance, coordination training, and repeated function training could improve symmetry of stride length and increase cadence, as well as decreasing body sway during walking after three-week intervention. More research is needed to find the best way to improve ataxia gait in the future.