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ACHONDROPLASIA
Also known as: ACH; Achondroplastic dwarfism
Definition
Achondroplasia is a bone growth disorder that results in dwarfism. Dwarfism is a condition in which a person can only grow to a certain extent. There are two forms: disproportionate dwarfism, in which the sizes of different body parts vary due to improper development of bones; or proportionate dwarfism, in which the overall growth of a person is stunted due to a growth hormone deficiency or medical condition, but the body parts grow at the same rate, so the body is proportional. Achondroplasia is a common form of disproportionate dwarfism caused by a genetic mutation (80% of the time) in one parent’s egg or sperm cell before conception occurs, or it is inherited from a parent (50% of the time) who already has achondroplasia. An ultrasound can detect whether a fetus has bone problems in the uterus, and an amniocentesis (a test that checks the amniotic fluid surrounding the baby) can determine the exact genetic conditions of the fetus. There are no preventative measures or “cures, ” but intellectual abilities and life expectancy are typically unaffected in people with achondroplasia.
Characteristics
-Dwarfism (typically 4 feet 6 inches or less)
-Elbows have limited mobility
-Macrocephaly (head is larger than average in size)
-Depressed nasal bridge
-Swayed back
-Short arms and legs (often developing bowed legs)
-Small fingers that appear three-pronged in appearance
-Broad, flat feet
Associated Health Problems
-Rib abnormalities
-Extra bones
-Deafness
-Weak muscles
-Obesity
-Obstructive sleep apnea
-Ear infections
-Spinal cord compression (Can result in difficulty breathing)
-Build up of fluid in the brain
-Spinal stenosis (Resulting in the narrowing of the spine, causing lower back pain, urination issues, leg pain/tingling)
Who Does It Affect?
- Achondroplasia equally affects males and females
- Achondroplasia affects bout 15,000-35,000 births
Instructional Strategies
In order to ensure that a student can thrive in their least restrictive environment, the following instructional strategies could be utilized to improve the quality of education a student with achondroplasia receives:
-Breaks to stand or sit in a different position to stretch the muscles
-Alternative seating (could include anything from height changes of chairs and desks to completely new seats altogether)
-Back support on chairs
-Limiting movement from location to location in the building/maintaining an appropriate pace for the student when traveling
-Extra time for travel between classes (passing periods)
-Providing a variety of size options for tools and equipment (i.e., at the gym)
-Quick and easy accessibility to assignments students might have missed for doctor’s appointments
-Appropriate alternatives to activities that are too physically-intensive
-Door handles, lockers, water fountains, light switches, materials, and other classroom necessities placed at an appropriate height for easy access
-Aisles in the classroom if a student is required to sit in a wheelchair
-Provide step stools when necessary and appropriate
-Alternatives to writing tasks/talk-to-text recording devices, etc. if the fine motor skills in the hand are not developed
-Ask the student what would help them make their daily lives and education easier and more effective
Useful Websites
https://rarediseases.info.nih.gov/diseases/8173/achondroplasia
https://www.mayoclinic.org/diseases-conditions/dwarfism/symptoms-causes/syc-20371969
https://rarediseases.org/rare-diseases/achondroplasia/
https://www.marchofdimes.org/complications/achondroplasia.aspx
Research
-http://hgfound.org/The Human Growth Foundation is a resource that provides up-to-date information on research, education, and advocacy on health conditions related to growth.
-https://www.lpaonline.org/Little People of America is the official website of the nonprofit organization that provides a wide range of information on research and the community.
-https://clinicaltrials.gov/This link provides an extensive list of all current clinical trials under government and private funding.