Özet:

Silver-Russell Syndrome is a rare syndrome that causes growth and developmental delay. The aim of this study is to examine the physiotherapy results of virtual reality application in a patient with hypotonic Silver-Russell syndrome. Nine-year-old male patient was started to treat with the complaints of frequent fall, difficulty in walking and performing upper extremity functions. The patient's balance, gross motor functions, functional independence level, and muscle strength were evaluated with Pediatric Berg Balance Scale, Gross Motor Function Scale, Functional Independence Scale and Gross Muscle Test, respectively. The patient was included in rehabilitation with 2 sessions of 45 minutes X Box 360 Kinect Virtual Reality Application per week for 2 months. The patient's body weight was measured as 22 kg and height was 120 cm. Pediatric Berg Balance Scale score, Gross Motor Function Scale score, Functional İndependence Measure score pre-treatment/after treatment were 34/43, 213 (79.54%) /240 (90.9%), 97/110 points, respectively. Muscle strength was found to be moderate in the upper and lower extremities at the first evaluation and good after treatment. The treatment results of our case showed that virtual reality applications can be effective on balance, functional independence level, gross motor function and muscle strength in children with Silver-Russell syndrome. The effectiveness of virtual reality applications will be revealed more clearly with large samples studies in this field.

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