The functional secondary effect after an integrated rehabilitative intervention to learn reading and writing in a girl with Rubinstein-Taybi syndrome.

IF 0.8 Q4 PEDIATRICS
Donatella Saviola, Katia de Gaetano, Stefania Bruni, Margherita Chiari, Chiara Moschini, Erica Battagliola, Daniela Colla, Matteo Cantoni, Antonio De Tanti
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Abstract

Purpose: A case report of a six-year and five-month-old female admitted with typical symptoms of Rubinstein-Taybi syndrome is presented. Clinical and rehabilitation settings where she acquired her reading, writing, and communication skills are described.

Methods: Because of her cognitive disabilities, a multidisciplinary and long-term intervention (2014-2020) was necessary. Treatment included orthoptic, psychomotor, logopedic, occupational, and neuropsychological care. Her family and school were involved.

Results: Increased attention led to decreased dysfunctional behaviors. Test results are still below average, but there has been significant improvement. Better communication skills resulted from increased phonetic range, improved articulation, lexical-semantic structure, comprehension, and production of sentences. Digital technologies played a significant role in enhancing her communication skills, not just in social interactions but also in school activities. The patient is oriented in time and space with the help of agendas and calendars. She can express her needs and compose concise narratives. As a result of acquiring functional skills, she is better equipped to handle real-life situations, which has led to increased social and family activities.

Conclusion: This case report highlights the importance of personalized rehabilitation programs. Obtaining an early genetic diagnosis is crucial for timely tailored rehabilitation, and any delays in this process can hinder progress.

对鲁宾斯坦-泰比综合征女孩进行阅读和写作学习的综合康复干预后的功能性继发效果。
目的:本病例报告了一名六岁零五个月大的女性,她入院时有鲁宾斯坦-泰比综合征的典型症状。文中描述了她在临床和康复环境中获得阅读、写作和交流技能的过程:由于她的认知障碍,有必要对她进行多学科的长期干预(2014-2020 年)。治疗包括矫形、精神运动、逻辑学、职业和神经心理学护理。她的家人和学校也参与其中:结果:注意力的增加导致功能障碍行为的减少。测试结果仍低于平均水平,但已有明显改善。由于语音范围扩大,发音、词汇-语义结构、理解和造句能力得到改善,因此沟通能力得到提高。数字技术在提高她的沟通能力方面发挥了重要作用,不仅在社会交往中,在学校活动中也是如此。在日程表和日历的帮助下,患者能够确定时间和空间的方向。她可以表达自己的需求,撰写简明扼要的叙述。由于掌握了功能性技能,她能够更好地应对现实生活中的各种情况,从而增加了社交和家庭活动:本病例报告强调了个性化康复计划的重要性。获得早期遗传学诊断对于及时进行量身定制的康复治疗至关重要,而这一过程中的任何延误都会阻碍康复进程。
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来源期刊
CiteScore
2.30
自引率
5.30%
发文量
139
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