Down syndrome is a variance in chromosome 21 that manifests with cognitive delay, muscle hypotonia, characteristic facies, and short stature. (Glanzman, 2015 & Powell-Hamilton, 2012) The genetic disorder was named after the Physician John Langdon Down, who had originally in 1866 labeled those with the genetic abnormality as “Mongoloids”; Down indicated his choice of term for the children because of their appearance was allegedly similar to those from Mongolia and at the time it was believed that those who were of Mongolian decent were to have halted development. The derogatory name for those with the Chromosome 21 anomaly was changed over a hundred years later in the 1960’s when it was criticized by Asian scientists. The “Mongoloids” term was dropped from the scientific community while “Down’s syndrome” took its place; in the 1970’s Down’s was revised and became Down syndrome in the United States. There are still parts of the world where the condition is still known as Down’s. (Leshin, 2003). The purpose of this paper is to outline the pathology, etiology, medical treatments, physical limitations, and physical therapy interventions for those with Down syndrome.
The presence of an extra chromosome is prevalent in plants but rare in animals. Diploid human cells contain 46 chromosomes, 44 autosomes and two sex chromosomes namely XX in females and XY in males. At mitotic metaphase, each of the chromosomes can be recognized by its size, shape and banding pattern. However, there could be non-disjunction of chromosomes during the process of meiosis, and as a result, one of the cells may receive an extra copy of the chromosome resulting in a condition called trisomy. One of the most common chromosome abnormality in humans is Down Syndrome, a condition associated with an extra chromosome 21. This condition was first described by British physician, Langdon Down (Web. Down Syndrome, n.d.).
Down syndrome is a chromosomal disorder that occurs when a baby is born with an extra chromosome in each of their cells. It is the most common of the chromosomal disorders. One in every 691 babies is born with DS (Down syndrome) and there are approximately over 400,000 people living with DS in the United States today. Although it is not genetic, it has been proven that mothers older than thirty-five are more likely to have a baby with Down syndrome. Individuals with Down syndrome have varied cognitive delays, meaning that they learn and develop slower than the average person, but they are still able to live normal lives. Many people with Down syndrome attend school, go to work, and are able to have normal relationships, such as marriage.
Special needs is a generic term used in a clinical diagnostic and functional development to describe individuals who require assistance for disabilities that may be a medical, mental, or psychological defect. Examples of disabilities include autism, Down syndrome, dyslexia, blindness and others. Statistics show that .14% of babies are born with Down syndrome, which is one in every 691 babies (Statistics of Children with SN). Although Down syndrome is a well-known problem and disability, professionals are trained to enforce verbal skills and symbolic play, as well as asking volunteers to participate in community involvement with special needs children.
Trisomy 21 or more commonly known as down syndrome is a condition in which an individual has a full or partial extra copy of chromosome 21 (What is Down Syndrome?, 2012). It was first described as a disorder in 1866 by doctor John Langdon Down and it is the most common cause of cognitive impairment (Heyn, 2014). Today there are three known types of down syndrome trisomy 21 or called nondisjunction, translocation, and mosaicism. Regardless of the type of down syndrome a child may have, they all have an extra portion of chromosome 21 present and the cause is still unknown today (What is Down Syndrome?, 2012). With the cause unknown many people have misconceptions or don’t understand what down syndrome is. That is why I chose to research down
Since the discovery and categorization of Down syndrome as a separate disorder in the late nineteenth century, the life expectancy of children born with this genetic disorder has dramatically increased. As well, along this timeline, dramatic advances in science and medicine have also been observed. Specific research of Down syndrome as a separate disorder, in later research as a genetic and chromosomal disorder, has brought about increased understanding of this comparatively common birth defect. This increase in understanding, questions what advances in science and healthcare were and are currently leveraged to understand risk factors as well as detection and identification of the specific genetic malfunction. Additionally, what advancement in healthcare treatments and therapies were and are currently used to treat symptoms and affect quality of life and eventually culminate in the observed increase in life expectancy of Down syndrome individuals? This research paper examines these parallels and attempts to understand the links between them along a historical timeline.
There are, however, genetic conditions that can vastly shorten and complicate the life of the afflicted individual. One such genetic disorder, and arguably the most well known, would be Down Syndrome – also known as DS, Down's, or Trisomy 21. Though it is unclear and unrecorded who the first person to acknowledge this condition is, the first doctor to view it as a mental disability and observe and record its effects was a man by the name of John Langdon Down – which is where it received its most common name. This disease spawns once in every one thousand live births, and is caused, like Triple X Syndrome, by an extra chromosome that forms during the mother's pregnancy. It is brought on by an extra copy of chromosome 21 forming, giving the child three – but unlike Triple X Syndrome, these changes do not go unnoticed. Screenings can determine early on if a fetus will or will not have Down Syndrome, and a large portion of such pregnancies are terminated. As of now, it is known that 90% of fetuses who have Down Syndrome are aborted. The remaining 10% have an estimated lifespan of fifty to sixty years if they a...
Children with Down syndrome have a hard time in life. The effects on them, makes their life a struggle. Down Syndrome is a chromosomal abnormality and probably the most common genetic condition, occurs in about one in every eight hundred to one thousand live births or accounts for about 5 to 6 per cent of intellectual retardation. Down mainly affects their learning, social, walking, talking, dressing themselves and being toilet trained and behavior.
Down syndrome is different in every patient from mild to severe but the most common physical signs are low muscle tone, extra skin around the neck, a flattened nose, a single crease in the palm, small ears, small mouth, eyes that are slanted upward, hands that are wide but short fingers, and have brushfield spots (PubMed Health). The National Down Syndrome Society has listed many complications that can occur with Down syndrome patients, for example, individuals with the disorder and are diagnosed with attention deficit hyperactivity disorder have not been proven enough to be said it is very common for children to have ADHD while diagnosed with Down syndrome, but they do show symptoms. The most common complications
Down syndrome is usually caused by an error in cell division when there is an extra chromosome 21 in the nucleus. The error occurs during the formation of the egg and sperm. This error is called a nondisjunction error. Usually when a cell divides into two, the chromosomes split and go into different cells. In the case of Downs Syndrome the cell goes into the same cell. So there are extra copies of chromosome 21. It is not know why this happens and it may come from the mother or the father. In 90% of cases the extra chromosome comes from the mother while in 4% of the cases the chromosomes come from the father. In the rest of the cases of Down Syndrome the non-disjunction error occurs after fertilization. Downs can also be inherited from the mother or father and not be a non-disjunction error. However that is very