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Optimal management of complications associated with achondroplasia
Penny J Ireland1, Verity Pacey2, Andreas Zankl3
1Queensland Paediatric Rehabilitation Service, Royal Children's Hospital, Herston, Brisbane, Queensland, Australia.
Insights
Achondroplasia, a common skeletal dysplasia causing short stature, presents complex health issues managed by multidisciplinary teams. Understanding its impact on daily life requires a broad framework, like the ICF model, for better support.
Area of Science:
- Medical Genetics
- Orthopedics
- Rehabilitation Medicine
Background:
- Achondroplasia is the most prevalent skeletal dysplasia, affecting over 250,000 individuals globally.
- It leads to disproportionate short stature and numerous anatomical features impacting growth and development.
- Management necessitates a multidisciplinary team approach due to complex medical issues.
Purpose of the Study:
- To examine medical and health aspects of achondroplasia using existing literature.
- To present a pictorial model of achondroplasia based on the International Classification of Functioning, Disability, and Health (ICF).
- To review impairments and complications across the lifespan and their impact on activity and participation.
Main Methods:
- Literature review of medical and health aspects of achondroplasia.
- Application of an expanded International Classification of Functioning, Disability, and Health (ICF) model.
- Analysis of musculoskeletal, neurological, cardiorespiratory, and ENT impairments and their effects.
Main Results:
- Individuals with achondroplasia experience impairments affecting multiple areas of activity and participation.
- The ICF model provides a framework for understanding the multifaceted experience of achondroplasia.
- Current literature highlights various lifelong health challenges associated with the condition.
Conclusions:
- A comprehensive understanding of achondroplasia requires a broad framework considering individual impairments and their impact on life activities.
- Further research is needed to identify factors influencing participation and develop targeted strategies.
- The ICF model offers a valuable structure for organizing and understanding the complexities of achondroplasia.
Abstract:
Achondroplasia is the most common form of skeletal dysplasia, resulting in disproportionate short stature, and affects over 250,000 people worldwide. Individuals with achondroplasia demonstrate a number of well-recognized anatomical features that impact on growth and development, with a complex array of medical issues that are best managed through a multidisciplinary team approach. The complexity of this presentation, whereby individual impairments may impact upon multiple activity and participation areas, requires consideration and discussion under a broad framework to gain a more thorough understanding of the experience of this condition for individuals with achondroplasia. This paper examines the general literature and research evidence on the medical and health aspects of individuals with achondroplasia and presents a pictorial model of achondroplasia based on The International Classification of Functioning, Disability, and Health (ICF). An expanded model of the ICF will be used to review and present the current literature pertaining to the musculoskeletal, neurological, cardiorespiratory, and ear, nose, and throat impairments and complications across the lifespan, with discussion on the impact of these impairments upon activity and participation performance. Further research is required to fully identify factors influencing participation and to help develop strategies to address these factors.
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