Elderly people with cerebellar atrophy can undergo both speech rehabilitation and sports rehabilitation. Speech rehabilitation: strengthening the tongue movement can improve the tongue movement; the vocal cords can be exercised through the vibration of the vocal cords; the airflow can be adjusted through breathing exercises; the four elements of “seeing, listening, speaking and writing” are given equal importance; if possible, group training will also be arranged, which can lead to mutual promotion and encouragement, and eliminate the fear of embarrassment and the mentality of being afraid of speaking. The psychology of speaking can be eliminated. 2. Motor Rehabilitation (1) Balance training: using one-legged standing, one-legged standing with eyes closed, balance board training, etc. to train the body’s balance ability, improve coordination of limbs and reduce the chance of falling. The training needs to be carried out with the assistance of bystanders, and also needs to prevent the elderly from falling. (3) Gait training: walking in a straight line, stride training, etc., and up and down step training can also be performed to reduce abnormal postures and lower the risk of exercise. Elderly people with microcephaly are prone to fall risk and should establish a safe living area and seek medical attention as early as possible to avoid delaying their condition.