Evaluation of Disability Inventory (PEDI). The Global Assessment of Functioning scale suitable for children 6 - 17 y/o is considered a valid and reliable tool to assess social and school functioning. For self-care and daily tasks evaluation the PEDI is commonly used since its modifications and functional skills’ scales have a P-value ranging from <0.001 to P.0.38 (Elon University, 2015). For assessment of play activities, the test of Playfulness (ToP) is used in children between 15 mos. and 10 years of age, showing solid reliability and validity (Bundy, Nelson, Metzger, & Bingaman, 2001).
Gait in children with SMS can be evaluated with the 2-Minute Walk Test (2MWT) by measuring walking distance along with observational gait assessment (i.e. …show more content…
A significant part of the medical intervention will be devoted to medications’ management. The pharmacological treatment of SMS must be closely monitored through medical care and should be individualized based on each child’s manifestations. Psychotropic drugs are frequently used with SMS individuals to address neurobehavioral problems (Laje, Bernert, Morse, Pao, & Smith, 2010). Although no specific regimen has shown constant efficacy, there are some medications commonly use with SMS children including Melatonin supplementation or other sleep aides to normalize the sleep patterns, anticonvulsants for seizure control, and mood stabilizers (i.e. lithium). In a study done a John Hopkins Children’s Center (2015), lithium was proved to be safe and effective in children with mood swings for short-term use when treating patients with bipolar disorder. Benzodiazepines have shown minimal effectiveness with SMS patients. Dentistry care is frequently recommended due to oral problems such as mandibular protrusion and gingival …show more content…
During physical therapy interventions, all these factors must be seriously considered in the pursuit of functional and safe mobility on even and uneven surfaces. In a case study with a child with Angelman syndrome, reported by Pessarelli – Visicaro, Souza -Neves da Costa, Stamato -Taube, and de Campos (2013), improvement in static and dynamic balance after 15 physical therapy sessions (50 minutes each), was observed. TUG values obtained: prior to PT: 15 seconds, post PT 12 seconds. Berg Balance Scale data collected: prior to PT: 27 points, post PT :37
Gait in children with SMS can be evaluated with the 2-Minute Walk Test (2MWT) by measuring walking distance along with observational gait assessment (i.e. …show more content…
A significant part of the medical intervention will be devoted to medications’ management. The pharmacological treatment of SMS must be closely monitored through medical care and should be individualized based on each child’s manifestations. Psychotropic drugs are frequently used with SMS individuals to address neurobehavioral problems (Laje, Bernert, Morse, Pao, & Smith, 2010). Although no specific regimen has shown constant efficacy, there are some medications commonly use with SMS children including Melatonin supplementation or other sleep aides to normalize the sleep patterns, anticonvulsants for seizure control, and mood stabilizers (i.e. lithium). In a study done a John Hopkins Children’s Center (2015), lithium was proved to be safe and effective in children with mood swings for short-term use when treating patients with bipolar disorder. Benzodiazepines have shown minimal effectiveness with SMS patients. Dentistry care is frequently recommended due to oral problems such as mandibular protrusion and gingival …show more content…
During physical therapy interventions, all these factors must be seriously considered in the pursuit of functional and safe mobility on even and uneven surfaces. In a case study with a child with Angelman syndrome, reported by Pessarelli – Visicaro, Souza -Neves da Costa, Stamato -Taube, and de Campos (2013), improvement in static and dynamic balance after 15 physical therapy sessions (50 minutes each), was observed. TUG values obtained: prior to PT: 15 seconds, post PT 12 seconds. Berg Balance Scale data collected: prior to PT: 27 points, post PT :37