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Hydrotherapy for Rett syndrome.
Gonca Bumin1, Mine Uyanik, Ilker Yilmaz
1School of Physical Therapy and Rehabilitation, Hacettepe University, TR-06100 Samanpazari, Ankara, Turkey. gbumin@hacettepe.edu.tr
Journal of Rehabilitation Medicine
|March 4, 2003
Summary
Hydrotherapy significantly improved functional hand use and feeding skills in an 11-year-old girl with Rett syndrome. The treatment also reduced stereotypical movements and enhanced social interaction and balance.
Area of Science:
- Neurology
- Physical Therapy
- Pediatrics
Background:
- Rett syndrome is a rare neurodevelopmental disorder affecting girls, characterized by motor, communication, and cognitive impairments.
- Hydrotherapy, or aquatic therapy, offers a low-impact environment for therapeutic interventions.
- The Halliwick method is a specific hydrotherapy approach focusing on movement and balance in water.
Observation:
- An 11-year-old girl with Stage III Rett syndrome participated in an 8-week hydrotherapy program.
- Sessions were conducted twice weekly in a swimming pool using the Halliwick method.
- Physical abilities were assessed before, immediately after, and after 8 weeks of therapy.
Findings:
- Hydrotherapy led to an immediate reduction in stereotypical movements, which persisted over 8 weeks.
- Significant improvements were observed in hand skills, feeding activities, gait, and balance.
- Enhanced social interaction, decreased hyperactivity, and reduced anxiety were noted post-therapy.
Implications:
- Hydrotherapy, using the Halliwick method, shows promise in improving motor function and reducing challenging behaviors in Rett syndrome.
- The findings suggest potential benefits for hand function, feeding, and overall quality of life.
- Further research with larger cohorts is warranted to confirm these positive effects in Rett syndrome.