Additionally, the majority of studies with PBWSTT attribute the gait improvements observed to changes in the central pattern generator in different conditions such as Parkinson's disease, spinal cord injury, and stroke (e.g., Wickelgren  and Miyai et al.
A case study about a patient with progressive supranuclear palsy during walk training, balance perturbation, and step training using a PBWSTT also found improvements of gait and balance .
Similarly, there are insufficient data to show that individuals after stroke, with Parkinson disease and spinal cord injury, improved their quality of life after PBWSTT [47-57].
The PBWSTT is largely used in the rehabilitation of patients with various neurological conditions beyond SCA, including Parkinson's disease, stroke, and spinal cord injury [47-57].
The results of the present study are pioneering in suggesting that PBWSTT could be effective in improving both cardiopulmonary exercise capacity and balance during gait in SCA individuals, but some limitations need to be considered.