HYDROTHERAPY FOR RETT SYNDROME
Gonca Bumin A1, Mine Uyanik A1, Ilker Yilmaz A2, Hülya Kayihan A1, Meral Topçu A3, Meral Topc¸u A3, Meral Topc¸u A3, Meral Topc¸u A3, ¨lya Kayihan A2, Meral Topc¸u A2
A1 School of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey
A2 Kemal Demir School of Physical Therapy and Rehabilitation, Abant Izzet, Baysal University, Bolu, Turkey
A3 Department of Paediatric Neurology, Hacettepe University Child Hospital, Ankara, Turkey
A4 From the1School of Physical Therapy and Rehabilitation, Hacettepe University,2Department of Paediatric Neurology, Hacettepe University Child Hospital, Ankara and3Kemal Demir School of Physical Therapy and Rehabilitation, Abant Izzet, Baysal University, Bolu, Turkey
Objective: The effects of hydrotherapy on an 11-year-old girl with stage III Rett syndrome were investigated. Methods: The Halliwick method was used to apply hydrotherapy in a swimming pool twice a week for 8 weeks. The girl's physical abilities were assessed 3 times: before and 5 minutes after a single hydrotherapy session and after 8 weeks of hydrotherapy. The tests included analysis of stereotypical movements, functional hand use, hand skills, gait and balance, hyperactive behaviour, communication and social interaction. Results: Immediately after hydrotherapy, stereotypical movements decreased and this decrease continued during the following 8 weeks. The girl's feeding activities and hand skills increased markedly. After 8 weeks of hydrotherapy, her walking balance was improved, interaction with her environment increased and hyperactive behaviour and anxiety decreased. Conclusion: In conclusion, after the application of hydrotherapy, stereotypical hand movements had decreased and purposeful hand functions and feeding skills increased in this case. Whether hydrotherapy has a positive effect on the functional use of the hand in Rett syndrome should be investigated using more subjects.