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Development in children with achondroplasia

IRELAND PJ; DONAGHEY S; MCGILL J; ZANKL A; WARE RS; PACEY V; AULT J; SAVARIRAYAN R; SILLENCE D; THOMPSON E; TOWNSHEND S; JOHNSTON LM
DEV MED CHILD NEUROL , 2012, vol. 54, n° 6, p. 532-537
Doc n°: 157581
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1111/j.1469-8749.2012.04234.x
Descripteurs : AD3 - MOTRICITE

Achondroplasia is characterized by delays in the development of
communication and motor skills. While previously reported developmental profiles
exist across gross motor, fine motor, feeding, and communication skills, there
has been no prospective study of development across multiple areas simultaneously. METHOD: This Australasian population-based study utilized a
prospective questionnaire to quantify developmental data for skills in children
born from 2000 to 2009. Forty-eight families from Australia and New Zealand were
asked to report every 3 months on their child's attainment of 41 milestones.
Results include reference to previously available prospective information.
RESULTS: Information from questionnaires was used to develop an
achondroplasia-specific developmental recording form. The 25th, 50th, 75th, and
90th centiles were plotted to offer clear guidelines for development across gross
motor, fine motor, feeding, and communication skills in children with achondroplasia. INTERPRETATIONS: Consistent with results from previous research,
children with achondroplasia are delayed in development of gross motor and
ambulatory skills. Young children with achondroplasia demonstrate a number of
unique movement strategies that appear compensatory for the biomechanical
changes. While delays were seen in development of later communication items,
there were fewer delays seen across development of early communication, fine
motor, and feeding skills.
CI - (c) The Authors. Developmental Medicine & Child Neurology (c) 2012 Mac Keith
Press.

Langue : ANGLAIS

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