Education and related support from medical specialists for Japanese patients with major skeletal dysplasias.

[achondroplasia]

Skeletal dysplasias manifest various clinical symptoms . Age at onset , severity , and progression of symptoms differ even among individuals with the same diagnosis . Though necessary support in education is presumed to differ among patients with different disorders , few articles report on education in patients with skeletal dysplasias .To clarify what types of schools children with major skeletal dysplasias attend , what kind of support they needed at schools , and how the advice on such support was conveyed from medical specialists to schools .Questionnaire study on patients with achondroplasia or hypochondroplasia (A /HCH ), and osteogenesis imperfecta (OI ).In A /HCH childhood locomotion ability was high and most patients had received general education , irrespective of their generation . Children with OI showed a lower level of locomotion ability ; only about half of them had received general education . In selecting schools , the patients received advice from pediatricians , physiatrists , and orthopedic surgeons . The degree of necessity and content of support at the schools differed between A /HCH and OI . Remodeling of the lavatory , washbasin , and chair and support during swimming lessons were common in A /HCH patients . Support in school for OI patients was more frequent and included propelling wheelchairs , assisting in the use of the bathroom , and remodeling the lavatory . Most children were restricted from participating in physical education classes .Locomotion ability and the necessary support at school differed between A /HCH and OI . Support and advice from medical specialists who recognize disability of patients with skeletal dysplasias may improve patients ' participation and education in schools .

Diseases
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Diseases presenting "skeletal dysplasias" symptom

achondroplasia

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