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Which type of muscular dystrophy: not producing facial expressions; food will remain open and will have drooling, swallowing, feeding tube
Facioscapulohumeral dystrophy
Which type of SMA: onset after 18 months, typically able to walk until early adulthood
Kugelberg-Welander (type 3)
1. Prenatal and postnatal growth delay
2. CNS abnormalities
3. Craniofacial abnormalities
Dx criteria for fetal alcohol syndrome
What are the 3 types of spinal muscular dystrophy?
1. Acute Werdnig-Hoffman (type 1)
2. Chronic Werdnig-Hoffman (type 2)
3. Kugelberg-welander (type 3)
Hypotonia, muscle atrophy greater proximally, GI and respiratory systems impaired, do not work on strengthening with MMT of 3/5 or less
Other concerns with SMA
Developmental disability; evident by age 3; behaviors
Autism spectrum
Which type of SMA: 50% of cases; onset: first few months of life; prognosis: very low; earliest onset, fastest decline
Acute Werdnig-Hoffman (type 1)
Motor skills disorder: "Marked impairment in motor coordination interfering with academic achievement or activities of daily living" ; frequently child will have learning disability and/or ADHD ; unclear etiology
Developmental coordination disorder
Intellectual impairments, learning disabilities***; communication deficits; fine motor deficits; sensory integration deficits; decreased perceptual motor skills
Challenges of fetal alcohol syndrome
Autosomal recessive; degeneration of the anterior horn cells of the spinal cord, muscle atrophy, widespread weakness, absent DTR; 3 types ; similar to ALS and will have LMN signs
Spinal muscular dystrophy
1/5000; abnormal collagen synthesis: skin hyperextensibility, ligamentous laxity, fragile tissues, delayed wound healing, easy bruising/bleeding
Ehlers-danlos syndrome
Verbal and nonverbal communication, social interaction, repetitive activities, stereotypical movement patterns, resistance to environmental change or schedule change, atypical responses to sensory input
Autism spectrum
Which type of SMA: onset 7-18 months; W/C bound, may live to adulthood
Chronic Werdnig-Hoffman (type 2)
Low tone; muscle weakness; poor coordination - especially in the hands
DCD - developmental coordination disorder
Apraxia, impaired coordination, impaired motor imitation, decreased muscle tone
Potential motor effects of autism