Avtor/Urednik		Kapel, Alen; Kovačič, Tine; Kos, Nataša; Velnar, Tomaž
Naslov		Impact of a 12-month multifaceted neurological physiotherapy intervention on gross motor function in women with Rett syndrome
Tip		članek
Vol. in št.		Letnik 21, št. 2
Leto izdaje		2022
Obseg		str. 1-9
ISSN		1757-448X
Jezik		eng
Abstrakt		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.
Proste vsebinske oznake		Rett syndrome gross motor function neurological physiotherapy Rettov sindrom huda motorična funkcija nevrološka fizioterapija