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This article explores various physically disabling conditions, focusing on muscular dystrophy (MD), including Duchenne and Becker types. It details their genetic basis, symptoms like muscle wasting and weakness, and the necessity for assistive devices such as wheelchairs and prosthetics. Additionally, the article discusses other conditions like dwarfism, spinal cord injuries, and spina bifida, covering their impact on daily life and the importance of support systems and role models. The rising costs of care and the need for adaptive sports opportunities are also highlighted.
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Physically Disabling Conditions Part II
MD • Md’s = genetic, progressive muscle wasting and weakness disorders. • Characteristics • Tire quickly • Lose fine motor control • Progressive weakness –postural changes
Types of MD • Duchenne • X-linked • Affects pelvic girdle followed by shoulder girdle • Most serious of MD’s
Becker MD • X-linked • Less severe • Imitates Duchenne – progress is slower • Wheelchairs in 20’s
Amputations • Acquired • Congenital
Prosthetic devices • Cost of devices • Need for new prosthetics every 18 months • ( could you wear the same pair of shoes everyday for years on end?) • Insurance – the haves versus the have nots • Jordan Thomas • http://www.cnn.com/video/#/video/living/2009/08/27/cnnheroes.jordan.thomas.cnn
Dwarfism • Achondroplasia – most common type • 1 in 26,000 • Proportionate – body parts are in proportion, but short in height • Deficiency in pituitary gland
b) Disproportionate – - Short arms, short legs, normal torso , large head • Faulty gene = failure of bone to fullydevelop
Friedreich’s Ataxia • Neurological disorder • Damages peripheral nerves, cerebellum, heart
Congenital & Acquired Paralysis • Spina Bifida
Types of SB • Meningomyelocele (MM) • Meningocele – spinal cord covering out • Occulta • Non-progressive • No cure
Hydrocephalus • Shunts • Bladder-bowel control
Obesity • Skin lesions • Role models – • Jean Driscoll • Boston Marathon winner • Spina Bifida • Champaign-Urbana
Acquired • Spinal Cord Ijuries: • traumatic or non-traumatic • Sudden blow to spine • Arthritis, cancer, infections, disk degeneration
Types • Paraplegia • Quadriplegia (aka) Tetraplegia
Facts • Males = 80 % of SCI ( Mayo Clinic, 2006) • Incidence • Sex • Age
Etiology • Crashes = 47.5% • Falls = 22.9% • Violence = 13.8% • Sports = 8.9%
Costs • Paraplegic: 1st year = $ 260,000 • Each subsequent year - $26,000 • Low Tetra (C5-C8) = $459,000 • Each subsequent year - $52,000 • High Tetra(C1-C4) = $ 710,000 • Each subsequent year = $127,000
Physical Education • Brockport Physical Fitness test • Wheelchair softball • http://www.wheelchairsoftball.org/classification.htm • http://www.wheelchairsoftball.org/# • http://www.wheelchairsoftball.org/rules.htm
Wheelchair basketball • Wheelchair rugby
http://www.nlm.nih.gov/medlineplus/tutorials/spinalcordinjury/htm/index.htmhttp://www.nlm.nih.gov/medlineplus/tutorials/spinalcordinjury/htm/index.htm • http://www.disability.uiuc.edu/athletics/ • http://www.murderballmovie.com/ • http://www.unitedspinal.org/spinal-cord-disability-links/accessible-wheelchair-sports-recreation-travel/