早期物理治疗mef2c单倍体缺乏综合征(5q14.3微缺失)

Eliso Murvanidze
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摘要

MEF2C单倍体缺乏综合征是由MEF2C基因突变引起的,该突变导致肌肉骨骼、心血管、神经、颅面和免疫系统正常运作所必需的蛋白质功能障碍。当染色体的一部分缺失时,就会发生缺失突变。体征和症状差别很大,通常在患者5个月至2岁之间首次出现。这是一篇主要是综述性文章,部分是研究性文章。上述综合征仍在研究过程中,由于该综合征的患者在世界范围内非常少,格鲁吉亚有2例患者,其中1例患者从7个月开始治疗,此时发现发展阶段延迟,即物理治疗,每周进行5天,从第一个月开始改善。这也证实,在异常运动成为主导之前,应该进行干预,并针对该阶段需要干预的地区进行干预;随着大运动功能的改善,精细运动技能和手眼协调能力也得到改善;如果我们评估一般情况,这种观察导致患者有目的的运动。我认为这篇文章将有助于物理治疗师和患者的父母关注大运动功能方面的早期干预,从而改善患者的总体状况。
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EARLY PHYSICAL THERAPY MEF2C HAPLOID DEFICIENCY SYNDROME (5Q14.3 MICRODELETION)
MEF2C haploid deficiency syndrome is caused by a mutation of the MEF2C gene, which causes dysfunction of a protein essential for the proper functioning of the musculoskeletal, cardiovascular, neurological, craniofacial, and immune systems. A deletion mutation occurs when part of a chromosome is missing. Signs and symptoms vary widely and usually first appear when the patient is between 5 months and 2 years old. This  is mainly a review and partly research article. The mentioned syndrome is still in the process of research, since the patients with this syndrome are very few worldwide, and there are 2 patients in Georgia, one of them started treatment from the age of 7 months, when a delay in the stages of development was noticed, namely physical therapy, which was carried out  5 days a week, the improvement started from the first month. This  also confirms that before anomalous movements become dominant, intervention should take place and be tailored to the areas that need it at that stage; along with gross motor function, fine motor skills improved, as well as eye-hand coordination; if we evaluate the general condition, this observation led to purposeful movements of the patient. I think this article will help physical therapists and the patient's parents to focus on early intervention in terms of gross motor function, as a result of which the general condition of the patient improves.
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Pharmacy World & Science
Pharmacy World & Science 医学-药学
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