Cognitive and Motor Rehabilitation in Rett's Syndrome

Abstract

Rett's syndrome, a pervasive development disorder, is a rare, neuro-developmental disorder that has been reported only in girl child7. It is characterized by dysfunction in three core areas of early childhood development namely communication, language skills, social interaction, repetitive behaviour, and restrictive activities and interest2. A case study of 7 year old girl with Rett syndrome is presented here. The girl had normal development till the age of 4 and half however, gradually over the few months, she lost her acquired, purposeful hand skills, expressive and receptive language and reciprocal social interaction. She gradually developed a broad base gait and typical stereotype hand movements. The patient is on medications for seizures. The patient is assessed on GMFM scale, Motor Assessment Scale; Brief Ataxia Rating Scale.4 For treatment a Comprehensive approach was used, which included help of music therapy, speech and language development program. Motor skill development with the help of hydrotherapy and hippo therapy and social rehabilitation8