Department of Health System Management, Ariel University, Ariel 4070000, Israel.
Airett Innovation and Research Center, 37122 Verona, Italy.
Int J Environ Res Public Health. 2022 Dec 30;20(1):659. doi: 10.3390/ijerph20010659.
Gross motor function in Rett syndrome (RTT) is always limited. The complex clinical picture typical of most people with RTT requires intensive and specific rehabilitation programs. Previous reports on remotely supervised motor activity programs suggested positive outcomes for this population. The current article describes the impact of a remote-supervised motor activity program carried out by family members of individuals with RTT on achieving rehabilitation goals and improving gross and fine motor functioning and daily physical activity.
Forty subjects with RTT followed a three-month remotely supervised motor activity program carried out by their family members at home after a three-month baseline period. After the end of the intervention, a three-month wash-out period was implemented. Rehabilitation goal achievement, motor functioning, and level of daily physical activity were measured.
82.4% of rehabilitation goals were achieved or overachieved. Participants' motor functioning and physical activity significantly increased after the intervention ( ˂ 0.001). Improvements were maintained after the wash-out phase.
The proposed intervention was effective for people with RTT of various ages and severity levels. The results highlight the need for lifelong, individualized, daily based, and professionally supervised rehabilitation possibilities for individuals with RTT.
Rett 综合征（RTT）患者的总体运动功能总是受限。大多数 RTT 患者的典型复杂临床表现需要密集且特定的康复计划。之前关于远程监督运动活动计划的报告表明，该人群的结果为阳性。本文描述了由 RTT 患者的家庭成员在家中进行远程监督的运动活动计划对实现康复目标以及改善总体和精细运动功能和日常身体活动的影响。
40 名 RTT 患者在经过三个月的基线期后，由其家庭成员在家中进行为期三个月的远程监督运动活动计划。干预结束后，进行为期三个月的洗脱期。测量康复目标的实现、运动功能和日常身体活动水平。
82.4%的康复目标得以实现或超额实现。参与者的运动功能和身体活动在干预后显著增加（＜0.001）。在洗脱期后，改善仍得以维持。
该干预措施对各种年龄和严重程度的 RTT 患者均有效。结果强调了需要为 RTT 患者提供终身、个性化、基于日常且由专业人员监督的康复可能性。
