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Published on: November 3, 2016
Common complications of pediatric neuromuscular disorders
Andrew J Skalsky1, Pritha B Dalal1
1Division of Pediatric Rehabilitation Medicine, Department of Pediatrics, Rady Children's Hospital San Diego, University of California San Diego, 3020 Children's Way, San Diego, CA, USA.
Insights
Pediatric neuromuscular disorders in children often lead to immobility and weakness, causing musculoskeletal issues like scoliosis and fractures, and gastrointestinal problems such as constipation and reflux.
Area of Science:
- Pediatric medicine
- Neuromuscular disorders
- Child health
Background:
- Children with neuromuscular disorders frequently experience immobility and muscle weakness.
- These conditions predispose them to various secondary health complications.
- Understanding these complications is crucial for comprehensive patient care.
Purpose of the Study:
- To outline the common musculoskeletal, gastrointestinal, and sleep-related complications in pediatric neuromuscular disorders.
- To highlight the impact of immobility and weakness on the health of affected children.
- To inform healthcare providers about the multifaceted challenges faced by these patients.
Main Methods:
- This is a review of common complications associated with pediatric neuromuscular disorders.
- Information was gathered from existing literature and clinical observations.
- The focus is on identifying prevalent issues rather than novel research.
Main Results:
- Common musculoskeletal complications include hip dysplasia, scoliosis, osteoporosis, and fractures.
- Gastrointestinal issues frequently observed are constipation, gastroesophageal reflux, obesity, and malnutrition.
- Disordered sleep is a significant and common comorbidity affecting patients and their caregivers.
Conclusions:
- Pediatric neuromuscular disorders present a spectrum of complications impacting multiple body systems.
- Effective management requires addressing musculoskeletal, gastrointestinal, and sleep disturbances.
- Multidisciplinary care is essential to improve the quality of life for children with these disorders.
Abstract:
Children with pediatric neuromuscular disorders experience common complications, primarily due to immobility and weakness. Musculoskeletal complications include hip dysplasia with associated hip subluxation or dislocation, neuromuscular scoliosis, and osteoporosis and resulting fractures. Constipation, gastroesophageal reflux, and obesity and malnutrition are commonly experienced gastrointestinal complications. Disordered sleep also is frequently observed, which affects both patients and caregivers.
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