Impact of a 12-month multifaceted neurological physiotherapy intervention on gross motor function in women with Rett syndrome

Background: Rett syndrome is a rare genetic neurological syndrome that affects mostly females. The syndrome leads to severe impairments impacting all areas of the affected persons' life, including speech, mobility, eating, and breathing impairments. The most distinct symptoms include stereotype...

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Main Authors: Alen Kapel, Tine Kovacic, Natasa Kos, Tomaz Velnar
Format: Article
Language:English
Published: IMR Press 2022-03-01
Series:Journal of Integrative Neuroscience
Subjects:
Online Access:https://www.imrpress.com/journal/JIN/21/2/10.31083/j.jin2102059
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author Alen Kapel
Tine Kovacic
Natasa Kos
Tomaz Velnar
author_facet Alen Kapel
Tine Kovacic
Natasa Kos
Tomaz Velnar
author_sort Alen Kapel
collection DOAJ
description Background: Rett syndrome is a rare genetic neurological syndrome that affects mostly females. The syndrome leads to severe impairments impacting all areas of the affected persons' life, including speech, mobility, eating, and breathing impairments. The most distinct symptoms include stereotyped hand movements, ataxia, and atrophy of the lower limbs, and signs of autism. Methods: According to the principle of convenience sampling, the quantitative research included five females diagnosed with Rett syndrome subject to their personalized goal oriented neurological physiotherapy. Changes in gross motor function were assessed by the Gross Motor Function Measure 88 and Rett syndrome Gross Motor Scale. Results: It was found that the 12-month multifaceted neurological physiotherapy intervention had statistically significant improvements in both Gross Motor Function Measure 88 (p = 0.005) and Rett syndrome Gross Motor Scale (p = 0.012). Despite positive improvements, the absence of control group made it difficult for a comparative evaluation to determine what interventions had the best possible outcomes. Conclusions: The quantitative research demonstrates neuro-developmental treatment sessions, hippotherapy, hydrotherapy, physical therapy, a walking program, endurance exercises, active-assisted exercises, and coordination exercises, had a significant impact on improving gross motor function status. Current multifaceted intervention program leads to good improvement of gross motor skills above what can be expected from late motor deterioration.
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spelling doaj.art-623c52c9347549f4b89196089bdf8b562022-12-22T01:56:12ZengIMR PressJournal of Integrative Neuroscience0219-63522022-03-0121205910.31083/j.jin2102059S0219-6352(22)00319-9Impact of a 12-month multifaceted neurological physiotherapy intervention on gross motor function in women with Rett syndromeAlen Kapel0Tine Kovacic1Natasa Kos2Tomaz Velnar3Alma Mater Europaea – ECM Maribor, 2000 Maribor, SloveniaAlma Mater Europaea – ECM Maribor, 2000 Maribor, SloveniaAlma Mater Europaea – ECM Maribor, 2000 Maribor, SloveniaAlma Mater Europaea – ECM Maribor, 2000 Maribor, SloveniaBackground: Rett syndrome is a rare genetic neurological syndrome that affects mostly females. The syndrome leads to severe impairments impacting all areas of the affected persons' life, including speech, mobility, eating, and breathing impairments. The most distinct symptoms include stereotyped hand movements, ataxia, and atrophy of the lower limbs, and signs of autism. Methods: According to the principle of convenience sampling, the quantitative research included five females diagnosed with Rett syndrome subject to their personalized goal oriented neurological physiotherapy. Changes in gross motor function were assessed by the Gross Motor Function Measure 88 and Rett syndrome Gross Motor Scale. Results: It was found that the 12-month multifaceted neurological physiotherapy intervention had statistically significant improvements in both Gross Motor Function Measure 88 (p = 0.005) and Rett syndrome Gross Motor Scale (p = 0.012). Despite positive improvements, the absence of control group made it difficult for a comparative evaluation to determine what interventions had the best possible outcomes. Conclusions: The quantitative research demonstrates neuro-developmental treatment sessions, hippotherapy, hydrotherapy, physical therapy, a walking program, endurance exercises, active-assisted exercises, and coordination exercises, had a significant impact on improving gross motor function status. Current multifaceted intervention program leads to good improvement of gross motor skills above what can be expected from late motor deterioration.https://www.imrpress.com/journal/JIN/21/2/10.31083/j.jin2102059rett syndromegross motor functionneurological physiotherapygenetic neurological disorderhabilitationmecp2
spellingShingle Alen Kapel
Tine Kovacic
Natasa Kos
Tomaz Velnar
Impact of a 12-month multifaceted neurological physiotherapy intervention on gross motor function in women with Rett syndrome
Journal of Integrative Neuroscience
rett syndrome
gross motor function
neurological physiotherapy
genetic neurological disorder
habilitation
mecp2
title Impact of a 12-month multifaceted neurological physiotherapy intervention on gross motor function in women with Rett syndrome
title_full Impact of a 12-month multifaceted neurological physiotherapy intervention on gross motor function in women with Rett syndrome
title_fullStr Impact of a 12-month multifaceted neurological physiotherapy intervention on gross motor function in women with Rett syndrome
title_full_unstemmed Impact of a 12-month multifaceted neurological physiotherapy intervention on gross motor function in women with Rett syndrome
title_short Impact of a 12-month multifaceted neurological physiotherapy intervention on gross motor function in women with Rett syndrome
title_sort impact of a 12 month multifaceted neurological physiotherapy intervention on gross motor function in women with rett syndrome
topic rett syndrome
gross motor function
neurological physiotherapy
genetic neurological disorder
habilitation
mecp2
url https://www.imrpress.com/journal/JIN/21/2/10.31083/j.jin2102059
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AT natasakos impactofa12monthmultifacetedneurologicalphysiotherapyinterventionongrossmotorfunctioninwomenwithrettsyndrome
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