Should Children With Down Syndrome Be Screened for Atlantoaxial Instability?

Pueschel, Siegfried M.

doi:10.1001/archpedi.152.2.123

Cited by 41 publications

(17 citation statements)

References 17 publications

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“…Although the definition of a behavioral phenotype for cDS is interesting, emphasis here is on practical assessment for the purposes of health promotion. Experience with a large clinic for cDS emphasizes that preventive medical care is mostly routine except for controversy regarding screening for atlantoaxial instability [Cohen, 1998; Pueschel, 1998] or celiac disease [Zachor et al, 2000]. However, behavioral concerns remain frequent with opportunities for therapy that complement medical management in promoting school and social functions.…”

Section: Introductionmentioning

confidence: 99%

Behavioral assessment of children with Down syndrome using the Reiss psychopathology scale

Clark

Wilson

2003

American J of Med Genetics Pt A

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The behavior of 60 children with Down syndrome (cDS), aged 4 to 21 years, was assessed by parent and teacher report using the Reiss psychopathology rating scale for dual diagnosis (mental disability plus mental illness). Standard forms contained 12 categories of abnormal behavior (e.g., Psychosis), each with five descriptive items (e.g., bizarre ideas) that could be scored as no problem, problem, and major problem (0, 1, or 2 points). Total scores for individual cDS (mean of two raters) ranged from 3 to 43 out of a potential 120 points, with a mean of 14.8 points and a standard deviation of 9.5. There were no significant differences by sex, age, or ethnicity. The highest aggregate scores among the 60 cDS were in the psychometric categories of Attention-Deficit (156 points), Anger/Self Control (154.5), and Psychosis (109) and for component items such as communication problems (55 points) under the Psychosis category; distracted (48.5) or disobedient (42.5) under the Attention-Deficit category; and temper tantrums (36.5), impulsive (32), or impatient (31.5) under the Anger/Self-Control category. Agreement between parent and teacher raters was over 75% for 38 of the 60 items and above 60% for an additional 15. Selection of cDS with scores over 10 points yielded 24 families who chose parental guidance and 14 who chose professional referral. The structure of the Reiss instrument was useful for cDS, distinguishing behaviors potentially related to medical problems from true psychopathology.

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Section: Introductionmentioning

confidence: 99%

Behavioral assessment of children with Down syndrome using the Reiss psychopathology scale

Clark

Wilson

2003

American J of Med Genetics Pt A

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“…Hence, they concluded that upper cervical spine radiographs are not effective screening tests and are not required in asymptomatic individuals. Other researchers [17,18], however, recommend screening radiographs as instability is frequently present, may be gradual or progressive and can lead to catastrophic neurologic injury.…”

Section: Screening and The Special Olympicsmentioning

confidence: 99%

Down syndrome: orthopedic issues

Mik

Gholve²,

Scher³

et al. 2008

Current Opinion in Pediatrics

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“…It is important for an individual with DS to find out if they have AAI before participation in physical activity. Contact sport activities are contraindicated when AAI is present [94,95]. • Congenital heart defects are seen in about 40% of individuals with DS, but are now usually corrected soon after birth.…”

Section: Precautions Before Physical Activitymentioning

confidence: 99%

Quality Physical Intervention Activity for Persons with Down Syndrome

Lotan

2007

The Scientific World JOURNAL

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Persons with Down syndrome (DS) are at risk for a life of inactivity that can result in a multitude of medical problems including heart and vascular diseases. This review presents findings regarding the physical status of individuals with DS, as well as proper interventions found to improve the physical fitness and general health for this population. This review was written with the intent to suggest practical directions in planning and implementing quality physical intervention programs for this population.

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Should Children With Down Syndrome Be Screened for Atlantoaxial Instability?

Cited by 41 publications

References 17 publications

Behavioral assessment of children with Down syndrome using the Reiss psychopathology scale

Behavioral assessment of children with Down syndrome using the Reiss psychopathology scale

Down syndrome: orthopedic issues

Quality Physical Intervention Activity for Persons with Down Syndrome

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