Treatment for weakness vs altered muscle activation pattern...(Daria's Post)

Hi all,
I am currently on my neuroplacement at SCGH. One of my patient is 65 year old male who had PCI. Patient's gait is ataxic and his balance vary significantly from day to day or even between morning and afternoon of same day. Patient showing lack of insight and often overestimates his abilities.He is really compliant with physio treatment and wants to work hard to improve his functional level however, he is stubborn personality and very inpatient and attempts to do things before full explaination/demo is finished. It is my third week of placement and last two monday's morning I find very upsetting as patient had 2 falls when he was trying to get to toilet on his own even though his "mobility chart" says "ambulation 1 A - close supervision".I was trying to explain to the patient that he needs to call for help, that he could fracture his leg ect. My clinical supervisor said it is qiute common problem that patient is trying to experience his abilities.Hoverever it does not make me feel better. My treatment first consisted of: balance exercises ( static,dynamic with all possible variables), walk, protective responses training and exercises to decrease ataxia AI's and RS's. I've noticed that balance even vary improved whereas I was not satisfied with patient's gait especially his trunk moving forward and backward with preference for backward (the patient tends to fall backward). So after consultation with my supervisor I added more abdominals exercises and moved toward building endurance in walking by increasing distance. Additionally, I noticed some weakness (not significant) in LL and decrease the ability to produce fractionated movements in LL (L>R). Can anyone give me some suggestions what sort of treatment can be used to improve ability to fractionate movements.

Thanks,
Daria