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Development of a Video-based Evaluation Tool in Rett Syndrome

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Abstract

This paper describes the development of a video-based evaluation tool for use in Rett syndrome (RTT). Components include a parent-report checklist, and video filming and coding protocols that contain items on eating, drinking, communication, hand function and movements, personal care and mobility. Ninety-seven of the 169 families who initially agreed to participate returned a videotape within 8 months of the first request. Subjects whose videos were returned had a similar age profile to those who did not provide a video but were more likely to have classical than atypical RTT. Evidence of the content and social validity and inter-rater reliability on 11 videos is provided. Video may provide detailed, objective assessment of function and behaviour in RTT.

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References

  • Baranek, G. T. (1999). Autism during infancy: A retrospective video analysis of sensory-motor and social behaviors at 9–12 months of age. Journal of Autism and Developmental Disorders, 29(3), 213–224.

    Article  PubMed  Google Scholar 

  • Bumin, G., Uyanik, M., Kayihan, H., Duger, T., & Topcu, M. (2002). The effect of hand splints on stereotypic hand behavior in Rett’s syndrome. Turkish Journal of Pediatrics, 44(1), 25–29.

    PubMed  Google Scholar 

  • Burd, L., Cook, J., & Randall, T. (1990). The hand apraxia scale. Perceptual and Motor Skills, 70, 219–224.

    Article  PubMed  Google Scholar 

  • Burford, B. (1988). Action cycles: Rhythmic actions for engagement with children and young people with profound mental handicap. European Journal of Special Needs Education, 3(4), 189–206.

    Article  Google Scholar 

  • Burford, B., Kerr, A. M., & Macleod, H. A. (2003). Nurse recognition of early deviation in development in home videos of infants with Rett disorder. Journal of Intellectual Disability Research, 47(Pt 8), 588–596.

    Article  PubMed  Google Scholar 

  • Burford, B., & Trevarthen, C. (1997). Evoking communication in Rett-syndrome—comparisons with conversations and games in mother–infant interaction. European Child and Adolescent Psychiatry, 6(Suppl. 1), 26–30.

    PubMed  Google Scholar 

  • Cass, H., Reilly, S., Owen, L., Wisbeach, A., Weekes, L., Slonims, V., et al. (2003). Findings from a multidisciplinary clinical case series of females with Rett syndrome. Developmental Medicine and Child Neurology, 45(5), 325–337.

    Article  PubMed  Google Scholar 

  • Charman, T., Neilson, T. C., Mash, V., Archer, H., Gardiner, M. T., Knudsen, G. P., et al. (2005). Dimensional phenotypic analysis and functional categorisation of mutations reveal novel genotype–phenotype associations in Rett syndrome. European Journal of Human Genetics, 13(10), 1121–1130.

    Article  PubMed  Google Scholar 

  • Cohen, J. (1960). A coefficient of agreement for nomina scales. Educational and Psychological Measurement, 20, 37–46.

    Article  Google Scholar 

  • Colvin, L., Fyfe, S., Leonard, S., Schiavello, T., Ellaway, C., De Klerk, N., et al. (2003). Describing the phenotype in Rett syndrome using a population database. Archives of Disease in Childhood, 88(1), 38–43.

    Article  PubMed  Google Scholar 

  • Colvin, L., Leonard, H., de Klerk, N., Davis, M., Weaving, L., Williamson, S., et al. (2004). Refining the phenotype of common mutations in Rett syndrome. Journal of Medical Genetics, 41(1), 25–30.

    Article  PubMed  Google Scholar 

  • Demeter, K. (2000). Assessing the developmental level in Rett syndrome: An alternative approach? European Child and Adolescent Psychiatry, 9(3), 227–233.

    Article  PubMed  Google Scholar 

  • Einspieler, C., Kerr, A. M., & Prechtl, H. F. (2005a). Abnormal general movements in girls with Rett disorder: The first four months of life. Brain and Development, 27(Suppl. 1), S8–S13.

    Article  Google Scholar 

  • Einspieler, C., Kerr, A. M., & Prechtl, H. F. (2005b). Is the early development of girls with Rett disorder really normal? Pediatric Research, 57(5 Pt 1), 696–700.

    Article  Google Scholar 

  • Foster, S. L., & Mash, E. J. (1999). Assessing social validity in clinical treatment research: Issues and procedures. Journal of Consulting Clinical Psychology, 67(3), 308–319.

    Article  Google Scholar 

  • Glaze, D. G., Schultz, R. J., & Frost, J. D. (1998). Rett-syndrome—characterization of seizures versus non-seizures. Electroencephalography and Clinical Neurophysiology, 106(1), 79–83.

    Article  PubMed  Google Scholar 

  • Hagberg, B., Hanefeld, F., Percy, A., & Skjeldal, O. (2002). An update on clinically applicable diagnostic criteria in Rett syndrome. Comments to Rett syndrome Clinical Criteria Consensus Panel Satellite to European Paediatric Neurology Society Meeting, Baden Baden, Germany, 11 September 2001. European Journal of Paediatric Neurology, 6(5), 293–297.

    Article  PubMed  Google Scholar 

  • Hodapp, R. M., Evans, D. W., & Ward, B. A. (1989). Communicative interaction between teachers and children with severe handicaps. Mental Retardation, 27(6), 388–395.

    PubMed  Google Scholar 

  • Jones, O. H. M. (1977). Mother–child communication with pre-linguistic down’s syndrome and normal infants. London: Academic.

    Google Scholar 

  • Kaplan, E. L., & Meier, P. (1958). Nonparametric estimation from incomplete observations. Journal of the American Statistical Association, 53, 457–481.

    Article  Google Scholar 

  • Kerr, A. M. (1995). Early clinical signs in the Rett disorder. Neuropediatrics, 26(2), 67–71.

    Article  PubMed  Google Scholar 

  • Koman, L. A., Mooney, J. F., 3rd, Smith, B. P., Goodman, A., & Mulvaney, T. (1994). Management of spasticity in cerebral palsy with botulinum-A toxin: Report of a preliminary, randomized, double-blind trial. Journal of Pediatric Orthopaedics, 14(3), 299–303.

    Google Scholar 

  • Laurvick, C. L., de Klerk, N., Bower, C., Christodoulou, J., Ravine, D., Ellaway, C., et al. (2006). Rett syndrome in Australia: A review of the epidemiology. Journal of Pediatrics, 148(3), 347–352.

    Article  PubMed  Google Scholar 

  • Leonard, H., Bower, C., & English, D. (1997). The prevalence and incidence of Rett syndrome in Australia. European Journal of Child and Adolescent Psychiatry, 6(Suppl. 1), 8–10.

    Google Scholar 

  • Leonard, H., Colvin, L., Christodoulou, J., Schiavello, T., Weaving, L., Williamson, S., et al. (2003). Patients with the R133C mutation: Is their phenotype different from Rett syndrome patients with other mutations? Journal of Medical Genetics, 40(5), e52.

    Article  PubMed  Google Scholar 

  • Maestro, S., Muratori, F., Barbieri, F., Casella, C., Cattaneo, V., Cavallaro, M. C., et al. (2001). Early behavioral development in autistic children: The first 2 years of life through home movies. Psychopathology, 34(3), 147–152.

    Article  PubMed  Google Scholar 

  • Mount, R. H., Charman, T., Hastings, R. P., Reilly, S., & Cass, H. (2002). The Rett Syndrome Behaviour Questionnaire (RSBQ): Refining the behavioural phenotype of Rett syndrome. Journal of Child Psychology and Psychiatry, 43(8), 1099–1110.

    Article  PubMed  Google Scholar 

  • Mount, R. H., Hastings, R. P., Reilly, S., Cass, H., & Charman, T. (2001). Behavioural and emotional features in Rett syndrome. Disability and Rehabilitation, 23(3–4), 129–138.

    PubMed  Google Scholar 

  • Msall, M. E., DiGaudio, K., Rogers, B. T., LaForest, S., Catanzaro, N. L., Campbell, J., et al. (1994). The functional independence measure for children (WeeFIM). Conceptual basis and pilot use in children with developmental disabilities. Clinical Pediatrics (Phila), 33(7), 421–430.

    Article  Google Scholar 

  • Newson, J., & Newson, E. (1975). Intersubjectivity and the transmission of culture. Bulletin of the British Psychological Society, 28, 437–446.

    Google Scholar 

  • Palisano, R., Rosenbaum, P., Walter, S., Russell, D., Wood, E. P., & Galuppi, B. (1997). Development and reliability of a system to classify gross motor function in children with cerebral palsy. Developmental Medicine and Child Neurology, 39, 214–223.

    Article  PubMed  Google Scholar 

  • Portney, L. G., & Watkins, M. P. (2000). Foundations of clinical research: Applications to practice (2nd ed.). Upper Saddle River: Prentice Hall Health.

    Google Scholar 

  • Reilly, S., Skuse, D., & Wolke, D. (2000). Schedule for oral motor assessment. London: Whurr Publishers Ltd.

    Google Scholar 

  • Robertson, L., Hall, S., Jacoby, P., Ellaway, C., De Klerk, N., & Leonard, H. (2006). The association between behaviour and genotype in Rett syndrome using the Australian Rett Syndrome Database. American Journal of Medical Genetics—Part B Neuropsychiatrics, 141(2), 177–183.

    Article  Google Scholar 

  • Schaffer, H. R. (1997). Studies in mother–infant interaction. London: Academic.

    Google Scholar 

  • StataCorp (2005). Stata statistical software. College Station: Stata Corporation.

    Google Scholar 

  • Stenbom, Y., Tonnby, B., & Hagberg, B. (1998). Lamotrigine in Rett syndrome—treatment experience from a pilot study. European Child and Adolescent Psychiatry, 7(1), 49–52.

    Article  PubMed  Google Scholar 

  • Trevarthen, C. (1974). The psychobiology of speech development. Language and Brain: Developmental Aspects. Neurosciences Research Program Bulletin, 12, 570–585.

    Google Scholar 

  • Turnbull, A. P., Friesen, B. J., & Ramirez, C. (1998). Participatory action research as a model for conducting family research. Research and Practice for Persons with Disabilities, 23(3), 178–188.

    Google Scholar 

  • Umansky, R., Watson, J. S., Colvin, L., Fyfe, S., Leonard, S., de Klerk, N., et al. (2003). Hand preference, extent of laterality, and functional hand use in Rett syndrome. Journal of Child Neurology, 18(7), 481–487.

    Article  PubMed  Google Scholar 

  • Umansky, R., Watson, J. S., Hoffbuhr, K., Painter, K. M., Devaney, J., & Hoffman, E. (2001). Social facilitation of object-oriented hand use in a Rett syndrome variant girl: Implications for partial preservation of an hypothesized specialized cerebral network. Journal of Developmental and Behavioral Pediatrics, 22(2), 119–122.

    PubMed  Google Scholar 

  • Weaving, L. S., Ellaway, C. J., Gecz, J., & Christodoulou, J. (2005). Rett syndrome: Clinical review and genetic update. Journal of Medical Genetics, 42(1), 1–7.

    Article  PubMed  Google Scholar 

  • Weaving, L. S., Williamson, S. L., Bennetts, B., Davis, M., Ellaway, C. J., Leonard, H., et al. (2003). Effects of MECP2 mutation type, location and X-inactivation in modulating Rett syndrome phenotype. American Journal of Medical Genetics, 118A(2), 103–114.

    Article  PubMed  Google Scholar 

  • Wetherby, A., & Prizant, B. (2002). Communication and symbolic behavior scales developmental profile—research edition. Baltimore: Paul H. Brookes.

    Google Scholar 

  • Wright, M., Van Der Linden, M. L., Kerr, A. M., Burford, B., Arrowsmith, G., & Middleton, R. L. (2003). Motion analysis of stereotyped hand movements in Rett syndrome. Journal of Intellectual Disability Research, 47(2), 85–89.

    Article  PubMed  Google Scholar 

  • Yasuhara, A., & Sugiyama, Y. (2001). Music therapy for children with Rett syndrome. Brain and Development, 23(Suppl. 1), S82–S84.

    Article  PubMed  Google Scholar 

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Acknowledgments

The authors would like to acknowledge the National Medical and Health Research Council (NHMRC) for its funding of this particular project (303189) as well as the NIH for its current funding of the ARSD under NIH grant number R01 HD43100. HL is funded by NHMRC program grant 353514 and WEK by the NIH program grant P01 HD24448. We would like to express our gratitude to the families and in particular the Faydi family for their contribution to the filming and piloting of the video assessment tools; the Australian Paediatric Surveillance Unit and the Rett Syndrome Association of Australia who facilitated case ascertainment in Australia. We would also like to thank Bradley Martin, Andrew Leece, Sarah Ager, Zoran Gacik, Sarah Love, Alison Anderson, Christiane Cox and Cecile O’Connor for their contribution to the study. The parent-report checklist, filming and coding protocols are available on request from Dr Helen Leonard.

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Fyfe, S., Downs, J., McIlroy, O. et al. Development of a Video-based Evaluation Tool in Rett Syndrome. J Autism Dev Disord 37, 1636–1646 (2007). https://doi.org/10.1007/s10803-006-0293-9

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