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Original article| Volume 23, SUPPLEMENT 1, S77-S81, December 2001

Gross motor ability in Rett syndrome – the power of expectation, motivation and planning

      Abstract

      A main task for the physiotherapist at the Swedish Rett Center is to document and report successful treatment. This report shows the possibility to regain function, get variation and avoid contractures for several years. A thorough neurologic, orthopaedic and physiotherapeutic assessment and analysis is essential. We stress the importance of keeping the feet in good position, using surgery and well fitting orthoses when needed, making standing possible and for some persons, walking. For the effect of treatment the following factors were of vital importance: the expectations of the persons treating the girl/woman – what they believed she could do, the motivation of the girl/woman herself, a joint plan for intervention including everyone involved, and well educated personnel, well informed about Rett syndrome – its problems and possibilities.

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      References

        • Hagberg B.
        • Witt-Engerström I.
        Rett syndrome: a suggested staging system for describing impairment profile with increasing age towards adolescence.
        Am J Med Genet. 1986; 24: 1-20
        • Witt Engerström I.
        Evolution of clinical signs.
        in: Hagberg B. Rett syndrome – clinical & biological aspects. Cambridge University Press, Cambridge1993: 26-39
        • Witt-Engerström I.
        Rett syndrome in Sweden. Neurodevelopment-Disability-Pathophysiology.
        Acta Paediatr Scand. 1990; : 20-22
        • Hennessy M.J.
        • Haas R.H.
        The orthopedic management of Rett syndrome.
        J Child Neurol. 1988; 3: S43-S47
        • Guidera K.J.
        • Borelli Jr, J.
        • Raney E.
        • Thompson-Rangel T.
        • Ogden J.A.
        Orthopedic manifestations of Rett syndrome.
        J Pediatr Orthop. 1991; 11: 204-208
        • Hanks S.B.
        Scoliosis: the postural approach to early intervention[abstract].
        Hand in hand with Rett syndrome, World Congress on Rett Syndrome. 1996; : 60
        • Hanks S.B.
        Motor disabilities in the Rett syndrome and physical therapy strategies.
        Brain Dev. 1990; 12: 157-161
        • Budden S.S.
        Rett syndrome: habilitation and management reviewed.
        Eur Child Adolesc Psychiatry. 1997; 6: 103-107
        • Nomura Y.
        • Segawa M.
        Characteristics of motor disturbances of the Rett syndrome.
        Brain Dev. 1990; 12: 27-30
        • Nomura Y.
        • Segawa M.
        Motor symptoms of the Rett syndrome: abnormal muscle tone, posture, locomotion and stereotyped movement.
        Brain Dev. 1992; 14: S21-S28