so today is national #AngelmanSyndrome day. Here is a 🧵 to help you know more.

A condition affecting between 1 in 12,000-20,000 people
1/
Angelman Syndrome is a genetic condition affecting the nervous system causing Learning and Physical disabilities.

2/
It is caused by absence or faulty copy of gene E3 ubiquitin protein ligase (UBE3A). In some instances, duplicate copies from the father and none from the mother can also result in the condition
3/
Diagnosis is usually via blood test and can include bloods from parents.

The condition usually is noticed at 6-12months when children develop slower than their milestones.
4/
Children generally are unable to speak/speak in single words/vocalisations however can learn to communicate through signs, symbols or use of those vocalisations. Hypotonia is also common
5/
Increased prevalance of epilepsy, balance/motor coordination issues including ataxia.
Increasing stiffness in limbs is noted into adulthood.
Scoliosis is also common.
6/
Goals of physiotherapy should include
- management of ataxia and coordiantion
- balance and mobility work (commonly deteriorates in later adolescence with growth periods)
- preservation of flexibility into adulthood
- scoliosis monitoring and support
7/
People with Angelman will display characteristic facial features which do not impact physio input (so not much point listing here).

More important is to note that short attention spans means you must be prepared in your sessions to be flexible in your approach.

8/
People may also smile and laugh lots which can give the impression of a happy/cheeky demeanor. Further reading can be found here: pubmed.ncbi.nlm.nih.gov/34449677/

End/
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Nov 12, 2020
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I talk a lot about getting creative with exercise and some of the time it takes the form of adapting use of equipment or supporting understanding of it's use.

Then there are days when it's about making stuff up on the spot to build engagement.

Yesterday was one such day... 1/
Young lady with Moderate LD is in the gym, she has poor balance, lower limb weakness and low bone density.

She is a really fun character to work with but is easily distractable and she rarely engages with things for more than a few seconds. 2/
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I add that I'm amazed she managed to get presents despite being on the naughty list 3/
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