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Rett syndrome
Rett syndrome
• Non-inherited neurologic disorder• Onset :at about 1 year of life • Occur almost exclusively in girls and leads to
severe impairment• Affecting nearly every aspect of the child’s life• Speak. walk. eat. breath
• Neuromuscular impairment• Musculoskeletal impairment• Cardiopulmonary impairment• Social impairment
Neuromuscular impairment(A)
• Hypotonia in infant• Hypertonia and loss of acquired skill• Ataxia• Apraxia• Dystonia• Progression from hyperkinesia to bradykinesia
with age
Neuromuscular impairment(2)
• Slow reaction time• Stereotypic hand movement• Drooling• Involuntay ,rhythmic tongue movement and
deviation• Seizure disorder
Musculoskeletal impairment
• Scoliosis• Kyphosis• Joint contracture• Hip subluxation or dislocation• Equinovarus deformity
Cardiopulmonary impairment
• Immature respiratory pattern• Breathing irregularity(hyperventilation or
apnea)
Social impairment
• Loss of communication skill• Social withdrawal
Rehabilitation
• Services for each individual with rett syndrome can differ greatly
Rehabilitation goal
• Improved motor skill• Improved daily living skill• Improved functional ability • Improved communication skill• Improved swallowing
Rehabilitation
• Physical therapy • Occupational therapy • Speech therapy
Physical therapy
• Joint contracture prevention(positioning.ROM exercise. splinting)
• Increased endurance• Improved trunk balance control• Correct trunk posture
Occupational therapy
• Self care skill education• Hand splint(ex :large handles utensil)• Assistive device(ex :seating. Positioning .bath
bench . toilet chair .customized chair )
Speech therapy
• Often do not develop or lose the ability to communicate through speech
• Only 20% patients have the use of words ,and most of these words are used out of context and without meaning
Speech therapy
• Augmentative and alternative communication(communication methods used in place of speech)
• AAC may be written language ,body language and facial expressions
• Swallowing training
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