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Perspectives on hand function in girls and women with Rett syndrome

Hand function is particularly affected and we discuss theoretical and practical perspectives for optimising hand function in Rett syndrome.

Authors:
Downs J, Parkinson S, Ranelli S, Leonard H, Diener P, Lotan M

Authors notes:
Developmental Neurorehabilitation.Online:1-8

Keywords:
Hand function, MECP2, Rett Syndrome, stereotypies

Abstract:
Rett syndrome is a rare neurodevelopmental disorder that is usually associated with a mutation on the X-linked MECP2 gene.

Hand function is particularly affected and we discuss theoretical and practical perspectives for optimising hand function in Rett syndrome.

There is little published information on management of hand function in Rett syndrome.

We suggest assessment and treatment strategies based on available literature, clinical experience and grounded in theories of motor control and motor learning.

Additional studies are needed to determine the best treatments for hand function in Rett syndrome.

Meanwhile, clinical needs can be addressed by supplementing the evidence base with an understanding of the complexities of Rett syndrome, clinical experience, environmental enrichment animal studies and theories of motor control and motor learning.