February is Turner Syndrome Awareness Month. It is a rare disease that occurs in between one and 2,000 birth only affecting females. Turner Syndrome has several names including Ullrich-Turner Syndrome, Bonnevie-Ullrich-Turner Syndrome. gonadal dysgenesis and 45X. This rare disease is the result of the absence of one set of genes from the short arm of one X chromosome.
Special Needs Challenges
While girls and women with Turner Syndrome usually have normal intelligence, there is a risk of learning disabilities involving spatial concepts including math and memory and ADHD
Young girls diagnosed with Turner Syndrome during their early development may have delays in learning the alphabet, speech, difficulty in following one command at a time and conceptual difficulties such as up and down. Signs and symptoms of math or dyscalculia challenges include difficulty with counting money, estimating time, losing track when counting and remembering phone numbers or zip codes. The following strategies should be used when teaching students diagnosed with Turner Syndrome:
- Use flashcards to aid in memory as well as workbooks, games and video’s.
- Break learning into smaller steps by using a task analysis framework.
- Administer probing and feedback as a check in
- Model instructional practices
- Provide prompts
- Use visuals such as diagrams, graphics and pictures.
- Give clear directions
- Use multiple models including visual and auditory learning models
- Make sure directions are clear
- Allow time to process and take notes
Ataxia is a rare disorder that affects both children and adults. I was quite surprise to find that very little statistics have been conducted on ataxia. this may be due to the understanding that Ataxia is not a specific disorder, rather, a condition can cause ataxia including multiple sclerosis, head trauma, cerebral palsy and infections.
Ataxia affects a child’s coordination, balance and speech while some children are born with ataxia as a result of genetics, others develop it in a progressive matter. Signs and symptoms of Acute Cerebellar Ataxia include:
- Frequent stumbling
- Impaired coordination affecting arms or legs
- Unsteady gait
- Uncontrolled eye movement
- Difficulty performing fine motor task
The following are facts and statistics on the Ataxia disorder:
- It is a degenerative disease of the nervous system
- Symptoms, often mimic being drunk in adults such as slurred speech
- Age of symptom can vary from childhood to late adulthood
- rare recessive genetic disorder
- occurs between 1 out of 40,000 and 1 out of 100,000
- The word ataxia refers to clumsiness or a loss of balance and coordination
- The ataxia gene was first identified in 1993
- Ataxia is inherited
- Ataxia is a sign of an underlying disorder
- It is caused by damage to different areas of the central nervous system
- The most common symptom in children is an unsteady gait
- In some cases, ataxia can present itself rapid while in others, it is progressive.
- The most common cause of acute ataxia in children are excessive drug ingestion and drug intoxications
- There are from 50 to 100 different types of Ataxia.
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February 13th is the first day of Duchenne Muscular Dystrophy Awareness Week. Here are some facts on Duchenne Muscular Dystrophy:
- It is one of the nine types of muscular dystrophies
- Duchenne muscular dystrophy was first described by French neurologist, Guillaune Benjamin Amand Duchenne in the 1860’s.
- It is an inherited disorder
- It is caused by an absence of dystrophin, a protein that bonds the muscle cell
- It is characterized by progressive muscle degeneration
- It occurs in about 1 out of every 3,600 male infants
- Risks include a family history of Duchenne muscular dystrophy
- Symptoms start appearing between the ages of 3-5.
- By the age of 12, most males affected may lose their ability to walk
- Breathing difficulties and heart disease usually start by the age of 20
- Very rare are females affected by the disease.
- Early symptoms include muscle weakness in the hips, pelvic area, thighs and shoulders.
- By teen years, the heart and respiratory muscles are affected.
- Duchenne muscular dystrophy carriers are females with one normal dystrophin gene on one x chromosome and an abnormal dystrophin gene on the other x chromosome
- Most carriers do not show any signs or symptoms.
- Affected children may have delayed motor skills including sitting, standing and walking.
- Survival into the early 30’s is becoming more common due to advances in cardia and respiratory care.
- Duchenne is associated with a heart disease that weakens the cardiac muscle
- Between 400 and 600 boys in the United States are born with these conditions each year.
- there are a few cases which results from new mutations in affected males
- steroid drugs can slow the loss of muscular strength
- There is no known cure for Duchenne muscular dystrophy