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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
Validation
Diseases presenting
"the patients received advice from pediatricians"
symptom
achondroplasia
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