Arthrogryposis is a disorder in which a child is born with joint contractures; this means some of their joints may be stuck in one position (curved or crooked). Children born with this disorder may have thin, weak, stiff, or missing muscles around these joints. The most common cause of arthrogryposis is fetal akinesia which is where the baby doesn’t move around a lot in the womb during development. Extra tissue can form in the joints making movement more difficult for the child to move. The reasons that fetal akinesia can take place may be because the womb was abnormally shaped so there wasn’t enough room for the baby to move around, amniotic fluid may have leaked out of the womb, or the baby’s parts did not form normally such as joints, bones, and muscles. They have also found that in approximately one third of the children who have this disorder have been determined to be a genetic cause.
Approximately one in three thousand children are born with this disorder and it does not progress over time. There does not appear to be any precedence as to sex or race and it is developed at conception. There are several types of Arthrogryposis which include Amyoplasia, Distal, Classic, and Syndromic. According to the Shriners hospitals for children, Amyoplasia is an overall lack of muscular development and growth with contracture, a loss of joint motion, and deformity of most joints. Babies with this type have dense fibrous tissue and fat instead of skeletal muscle. Distal affects several joints usually in the hands and feet, and range of motion may be slightly limited. Classic usually affects the hands, wrists, elbows, shoulders, hips, feet and knees with different degrees of severity. The most severe case can affect almost joint ...
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In conclusion, children with arthrogryposis benefit from therapy; early intervention is important so they will not have further delays in performing tasks. Adaptive equipment can be provided to these patients so they can complete their ADLs and succeed in self-care skills. Having a supportive family is very important to these children. Children with this condition need a lot of encouragement and motivation from the people they love the most. If a family is not involved in their childs life it may cause other problems as well such as lacking emotional regulation skills or further delays in other skills from lack of opportunity. For these children to make progress, therapy should not only be worked on with the occupational therapist, but it should be carried over into the home too. Encouragement from loved ones is really the trick.
Type I and II classic EDS are identifiable by the smooth hyperextensible skin, anomalous wound healing, and joint hypermobility (Malfait F, Wenstrup R, De Paepe A, 2007) (see figure 1). Type III hypermobile EDS is the least drastic type of EDS, musculoskeletal complications may occur. The skin is smooth and slightly hyperextensible, bruising is also common. The hypermobile EDS patient suffers from chronic pain associated with dislocation from a slight amount of trauma (Levy, 2004). Type IV vascular EDS is recognizable by the translucent thin skin, easy bruising, facial manifestation (only present for some EDS patients), and finally by the fragility of the arterial, intestinal and (in some cases) the uterine (Pepin and Byers, 1999). Type VI kyphoscoloitic EDS can be identified at birth from severe muscular hypotonia. The skin is hyperextensible, thin scarring, bruising from minimal trauma, and joint laxity (Yeowell and Steinmann, 2000). Type VII A and B arthrochalasia can be identified by joint hypermobility, as well as fragile skin and tissue deformities. The hypermobile joints lead to severe dislocations and paralyzation...
There are approximately six types of EDS that have been distinguished but other types exist that are very uncommon. Classical, Hypermobile, Vascular, Kyphoscoliosis, Arthrochalasia, and Dermatosparaxis. Classical and Hypermobile make up over 90% of all reported cases of EDS. With the Classical type of EDS a person would have hyperextensible (stretchy) skin with widened atrophic scars and joint hypermobility. The skin is smooth and velvety with tissue fragility and easy brusability. Also evident are molluscoid pseudotumors (fleshy lesions associated with scars) frequently found over pressure points (e.g. elbows) and subcutaneous spheroids, which are commonly mobile and palpable on the forearms and shins. Complications of joint hypemobility include sprains, dislocation are common in the shoulder, patella and temporomandibular joints Muscle hypotonia and slower gross motor development also can occur It is inherited in an autosomal dominant manner (Clarke, D., Skrocki-Czerpak, K., Neumann-Potash, L.).
...tments can relieve some disability but that they cannot completely alleviate all symptoms. In addition, intense rehabilitation with an occupational therapist is often necessary after treatment for optimal benefit and relief of symptoms.
Hypermobility: extreme joint mobility can be an indicator of this form of the disorder which may result o...
Achondroplasia is a genetic disorder in which there is a growth hormone deficiency, or there is a genetic mutation in either the father’s sperm or mother’s egg. (mayo clinic, March 20,2014.) Achondroplasia was the first discovered in ancient Egyptian records. People with achondroplasia were considered people with supernatural powers. Many people call dwarfs midgets but to them, it is very disrespectful because midget literally means little person. Some acceptable names that you can use that will not offend them would be little people, LP, person with short stature, or dwarf. Even though dwarfs feel as if they do not have disabilities, the Americans with Disabilities Act (ADA) will protect the rights of dwarfs. (who discovered it? March 28, 2014.)
"Occupational Therapy." KidsHealth. Ed. Wendy Harron. The Nemours Foundation, 01 July 2010. Web. 01 Mar. 2014 .
Parker, G. E., Solomon, J. W., & O’Brien, J. C. (2011). Pediatric health conditions. In J.W. Soloman & J. C. O’Brien (Ed.), Pediatric skills for occupational therapy assistants. (190-234). St. Louis, MO: Elsevier.
It is estimated that 1 out of every 5,600-7,700 boys ages 5-24 have Duchene or Becker muscular dystrophy. (“Data & Statistics,” 2012 April 6) Muscular dystrophy is a group of genetic diseases defined by muscle fibers that are unusually susceptible to damage. There are several different types of muscular dystrophy some of which shorten the affected person’s lifespan. (“Muscular dystrophy: Types and Causes of each form,” n.d.) There is a long history of the disorder but until recently there wasn’t much knowledge of the cause. (“Muscular Dystrophy: Hope through Research,” 16 April 2014) Symptoms are obvious and can be seen as soon as a child starts walking. (“Muscular Dystrophy,” 2012 January 19) Although muscular dystrophy mostly affects boys, girls can get it too. (“Muscular Dystrophy,” 2012 January 19) There is no cure for muscular dystrophy but there are several types of therapy and most types of muscular dystrophy are still fatal. (“Muscular Dystrophy: Hope through Research,” 16 April 2014)
In the United States, there are two kinds of physicians that practice medicine. The Osteopathic medicine is practiced by the Doctor of Osteopathy (D.O.) while Allopathic medicine is practiced by the Doctor of Medicine (M.D.). Due to more physicians hold the degree of MD than the DO's degree, few people recognize Osteopathic Physicians.
Children with Hutchinson-Gilford are born looking normal and healthy, but during their first year of life certain symptoms start to appear (Gordon). A child’s height and weight begin to fall below the average for their age, and their joints begin to stiffen (...
The syndrome is caused because of Genetic mutation that replaces connective tissues (muscles) with bones when someone gets injured instead of getting cured. This results in a new skeletal structure. Unfortunately this syndrome does not have any cure and the patients are advised to always be careful and not to fall or have any kind of traumas. They can’t engage in any sports in order to prevent any injuries. Surgery for removal of extra bones is not an option because removal of bones will lead to ingrowth of more bones. From previous cases it is seen that most of the patients suffering from this condition do not live more than 40 years and they die of respiratory
The most common musculoskeletal disorder and a major cause of disability in people over 65 years is osteoarthritis (OA) (Felson DT et al, 1987) (1). According to World Health Organization (WHO) report, OA of knee is more likely to become the fourth most important cause of disability in women, and the eighth most important cause in men (Murray CJL, Lopez AD, 1997)(2) . Primary prevention of knee OA has become a major health care aim and a clear understanding of the risk factors is required to design preventive strategies. Many investigations reported obesity, previous history of knee injury, sedentary life style, hand OA (Heberden’s nodes), and a familial history of the disease are major risk factors for OA of knee (Cyrus Cooper et al, 2000) (3). In spite of recent advancements the causes and pathogenesis of knee OA remains largely unknown (A Teichtahl, A Wluka, F M Cicuttini, 2003) (4) but however there is increasing research interest in the contribution of biomechanical variables on progression and management of the disease (Andriacchi TP, 1991) (5).
Congenital defects also may have genetic bases, as in families who have extra fingers or toes or in the disease osteogenesis imperfecta, in which children have such brittle bones that many are fractured. Disorders of growth and development include several kinds of dwarfism and gigantism. Bones or limbs may develop deformity as the result of known causes, such as the infection poliomyelitis, or unknown or variable causes, such as curvature of the spine (SCOLIOSIS) or CLUBFOOT. Infections Infections of bone, called osteomyelitis, are usually caused by pus-producing bacteria, especially Staphylococcus and Streptococcus.
A muscular dystrophy is a group of diseases that cause progressive weakness and degeneration of skeletal muscles used during voluntary movement. This disease will occur when one just one of the thousands of genes that aid in programming proteins critical to muscle integrity is mutated. There are some types of muscular dystrophies that affect the heart, gastrointestinal system, endocrine system, spine, eyes, brain, and other organs. This disease may cause a serious respiratory and cardiac disease to occur, but most people just eventually lose the ability to walk. This disease is in fact inherited. The mutation comes from the mother of the child that has this disease. It is inherited when a mother is a carrier of the disease. Then it is passed along to the baby when the mom gives
The fibula is a leg bone located on the lateral side of the tibia, with which it is connected above and below. It is the smaller of the two bones, and the slenderest of all the long bones, and plays a significant role in stabilizing the ankle and supporting the muscles of the lower leg. The fibula is the smaller, non-weight bearing, of the two bones in the lower leg, while the tibia is the larger, weight bearing bone. The fibula and tibia moves very little relative to each other and the joints that it forms contribute significantly to the function of the lower leg. The joint it forms permit the fibula to adjust its position relative to the tibia, increasing the range of motion of the ankle. Fibular fractures are not often a severe injury, because the bone is supports only about 17% of the body weight.