Managing Scoliosis in a Young Child with Rett Syndrome: A Case Study

Rett syndrome is a genetic disorder primarily affecting females. One of its most disabling features is the severe and rapid progression of scoliosis. So far, only surgical intervention has succeeded in reversing the development of scoliosis in Rett syndrome.The present study describes a new manageme...

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Main Authors: Meir Lotan, Joav Merrick, Eli Carmeli
Format: Article
Language:English
Published: Wiley 2005-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1100/tsw.2005.33
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author Meir Lotan
Joav Merrick
Eli Carmeli
author_facet Meir Lotan
Joav Merrick
Eli Carmeli
author_sort Meir Lotan
collection DOAJ
description Rett syndrome is a genetic disorder primarily affecting females. One of its most disabling features is the severe and rapid progression of scoliosis. So far, only surgical intervention has succeeded in reversing the development of scoliosis in Rett syndrome.The present study describes a new management approach implemented with a girl with Rett syndrome. The core of the management regime was intensive: asymmetrical activation of trunk muscles through equilibrium reactions. The X-rays accompanying the article (evaluated by four experienced orthopedic surgeons blinded to the intervention process) suggested that the intervention was successful in reversing the progress of the scoliosis for the above-mentioned child. Discontinuation of treatment led to severe and rapid deterioration of the spinal curve.Due to the fact that this was a case study, generalization is limited, but we suggest further investigation and studies with this method.
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series The Scientific World Journal
spelling doaj-art-0ea53c4d560a4ead80d8a62fe2ee34922025-02-03T01:21:52ZengWileyThe Scientific World Journal1537-744X2005-01-01526427310.1100/tsw.2005.33Managing Scoliosis in a Young Child with Rett Syndrome: A Case StudyMeir Lotan0Joav Merrick1Eli Carmeli2Department of Physical Therapy, Haifa University, Haifa and Therapeutic Department, Zvi Quittman Residential Center, Millie Shime Campus, Elwyn, Jerusalem, IsraelNational Institute of Child Health and Human Development, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer-Sheva, Office of the Medical Director, Division for Mental Retardation, Ministry of Social Affairs, Jerusalem, IsraelDepartment of Physiotherapy, Sackler Faculty of Medicine, Stanley Steyer School of Health Professions, Tel Aviv University, Ramat Aviv, IsraelRett syndrome is a genetic disorder primarily affecting females. One of its most disabling features is the severe and rapid progression of scoliosis. So far, only surgical intervention has succeeded in reversing the development of scoliosis in Rett syndrome.The present study describes a new management approach implemented with a girl with Rett syndrome. The core of the management regime was intensive: asymmetrical activation of trunk muscles through equilibrium reactions. The X-rays accompanying the article (evaluated by four experienced orthopedic surgeons blinded to the intervention process) suggested that the intervention was successful in reversing the progress of the scoliosis for the above-mentioned child. Discontinuation of treatment led to severe and rapid deterioration of the spinal curve.Due to the fact that this was a case study, generalization is limited, but we suggest further investigation and studies with this method.http://dx.doi.org/10.1100/tsw.2005.33
spellingShingle Meir Lotan
Joav Merrick
Eli Carmeli
Managing Scoliosis in a Young Child with Rett Syndrome: A Case Study
The Scientific World Journal
title Managing Scoliosis in a Young Child with Rett Syndrome: A Case Study
title_full Managing Scoliosis in a Young Child with Rett Syndrome: A Case Study
title_fullStr Managing Scoliosis in a Young Child with Rett Syndrome: A Case Study
title_full_unstemmed Managing Scoliosis in a Young Child with Rett Syndrome: A Case Study
title_short Managing Scoliosis in a Young Child with Rett Syndrome: A Case Study
title_sort managing scoliosis in a young child with rett syndrome a case study
url http://dx.doi.org/10.1100/tsw.2005.33
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