Effect of Physiotherapy on Balance and Gross Motor Skills in a Child With 16p11.2 Microdeletion

Abstract

Background. The 16p11.2 microdeletion is one of the most commonly known causes of genetic neurodevelopmental disorders, manifesting in a variety of developmental and behavioral disorders and specific medical conditions. In the case of a diagnosed 16p11.2 microdeletion, referral to a specialist is recommended for a comprehensive neuropsychological and/or developmental assessment. Treatment should be directed at the specific disorders identified. Physiotherapy is applied to improve motor skills, balance and coordination. The aim. To evaluate the effect of physiotherapy on the balance and gross motor skills of a child with 16p11.2 microdeletion. Methods. A 6-year-old boy with a 16p11.2 microdeletion was studied. The subject received individual physiotherapy for six months. The subject’s indicators were assessed 4 times: before physiotherapy procedures and every two months. The subject’s balance was assessed using the Pediatric Balance Scale; gross motor skills were assessed using the skill testing scheme. Results. The average indicator of general motor skills before physiotherapy was 2.57 points, after physiotherapy – 3.48 points, the average change in the results of physiotherapy was 0.91 points. Balance scores improved by 7 points after the half-year intervention, from 39 points to 46 points, but balance remained impaired. Conclusion. Physiotherapy had a beneficial effect on balance and gross motor skills in a child with a 16p11.2 microdeletion. Keywords: physiotherapy, microdeletion, balance, gross motor skills.