TY  - JOUR
PY  - 1998//
TI  - The relationship of cumulative motor asymmetries to scoliosis in Rett syndrome
JO  - American journal of occupational therapy
A1  - McClure, M. K.
A1  - Battaglia, C.
A1  - McClure, Roderick John
SP  - 196
EP  - 204
VL  - 52
IS  - 3
N2  - OBJECTIVES: Interrelationships between Rett syndrome scoliosis and symmetric and asymmetric motor pull, ambulation, and advancement of age were investigated in order to provide a treatment rationale for slowing the progression of scoliosis. <br><br>METHOD: Questionnaires (N = 262) completed by International Rett Syndrome Association families were analyzed with logistic regression, odds ratio, Kruskal-Wallis one-way, and Fisher's exact test analyses. <br><br>RESULTS: Rett syndrome scoliosis was found to be significantly related to orthopedic risk factors of asymmetric movements and positions (odds ratio = 4.5, p <.001). The odds ratio for asymmetric upper-body positioning (4.4), nonambulation (3.1), and age advancement (14.1) indicated that each was a significant predictor of scoliosis by logistic regression analysis. Univariate Kruskal-Wallis one-way analysis identified a significant relationship between scoliosis and asymmetric higher shoulder positioning (p <.001) and bodyside movements (p =.03). Hemisyndrome aspects of Rett syndrome were identified as the increased prevalence of symptoms in either right or left bodyside. <br><br>CONCLUSION: A significant relationship was found between the prevalence of Rett syndrome scoliosis and orthopedic risk factors. These findings suggest a treatment approach for Rett syndrome scoliosis that focuses on balancing bilateral muscular pull.<p /> <p>Language: en</p>
LA  - en
SN  - 0272-9490
UR  - http://dx.doi.org/
ID  - ref1
ER  -