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Related Concept Videos

Assessing the Coherence of Parents' Short Narratives Regarding their Child Using the Five-Minute Speech Sample Procedure07:56

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Related Experiment Video

Updated: Jan 20, 2026

Assessing the Coherence of Parents' Short Narratives Regarding their Child Using the Five-Minute Speech Sample Procedure
07:56

Assessing the Coherence of Parents' Short Narratives Regarding their Child Using the Five-Minute Speech Sample Procedure

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Monitoring Procedural Pain and Distress in a Child With Rett Syndrome: A Case Report.

Mary Swiggum1, Lisa Grant

  • 1Wingate University, Wingate, North Carolina.

Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association
|August 31, 2019
PubMed
Summary
This summary is machine-generated.

Whole body vibration training can be safe for children with Rett syndrome. Using a special pain scale and distractions helped manage discomfort during therapy sessions.

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Area of Science:

  • Pediatric physical therapy
  • Neuromuscular disorders

Background:

  • Whole body vibration training (WBVT) is a potential therapy for Rett syndrome.
  • Challenges include positioning and potential pain perception in nonverbal children.

Purpose of the Study:

  • To assess the feasibility and pain management of WBVT in a child with Rett syndrome.
  • To introduce the Individualized Numeric Rating Scale (INRS) for pain assessment in this population.

Main Methods:

  • A 13-year-old girl with Stage IV Rett syndrome underwent 16 WBVT sessions.
  • The caregiver-developed INRS was used for pain scoring by physical therapists.
  • Distraction techniques were employed to manage pain and distress.

Main Results:

  • Therapists achieved 100% agreement using the INRS.
  • Pain and distress were kept below a level of 5/10 in 139 out of 144 sessions.
  • Distractions were effective in managing discomfort.

Conclusions:

  • WBVT is a viable therapeutic option for children with Rett syndrome.
  • The INRS is a useful tool for assessing pain in nonverbal children during physical therapy.
  • This case highlights successful pain management strategies during WBVT for Rett syndrome.