2. Rett syndrome
• Non-inherited neurologic disorder
• Onset :at about 1 year of life
• Occur almost exclusively in girls and leads to
severe impairment
• Affecting nearly every aspect of the child’s life
• Speak. walk. eat. breath
4. Neuromuscular impairment(A)
• Hypotonia in infant
• Hypertonia and loss of acquired skill
• Ataxia
• Apraxia
• Dystonia
• Progression from hyperkinesia to bradykinesia
with age
5. Neuromuscular impairment(2)
• Slow reaction time
• Stereotypic hand movement
• Drooling
• Involuntay ,rhythmic tongue movement and
deviation
• Seizure disorder
6. Musculoskeletal impairment
• Scoliosis
• Kyphosis
• Joint contracture
• Hip subluxation or dislocation
• Equinovarus deformity
14. Speech therapy
• Often do not develop or lose the ability to
communicate through speech
• Only 20% patients have the use of words ,and
most of these words are used out of context
and without meaning
15. Speech therapy
• Augmentative and alternative
communication(communication methods
used in place of speech)
• AAC may be written language ,body language
and facial expressions
• Swallowing training
