Physically Disabling Conditions Part II MD • Md’s = genetic, progressive muscle wasting and weakness disorders. • Characteristics – Tire quickly – Lose fine motor control – Progressive weakness –postural changes Types of MD • Duchenne – X-linked – Affects pelvic girdle followed by shoulder girdle – Most serious of MD’s SYMPTOMS Becker MD • • • • X-linked Less severe Imitates Duchenne – progress is slower Wheelchairs in 20’s Amputations • Acquired • Congenital • Prosthetic devices – Cost of devices – Need for new prosthetics every 18 months • ( could you wear the same pair of shoes everyday for years on end?) • Insurance – the haves versus the have nots • Jordan Thomas – http://www.cnn.com/video/#/video/living/2009/08/27/cnnh eroes.jordan.thomas.cnn Dwarfism • Achondroplasia – most common type – 1 in 26,000 a) Proportionate – body parts are in proportion, but short in height - Deficiency in pituitary gland b) Disproportionate – - Short arms, short legs, normal torso , large head - Faulty gene = failure of bone to fullydevelop Friedreich’s Ataxia • Neurological disorder • Damages peripheral nerves, cerebellum, heart Multiple Sclerosis Spinal Cord Injuries Congenital & Acquired Paralysis • Spina Bifida Types of SB • • • • • Meningomyelocele (MM) Meningocele – spinal cord covering out Occulta Non-progressive No cure • Hydrocephalus • Shunts • Bladder-bowel control • Obesity • Skin lesions • Role models – – Jean Driscoll – Boston Marathon winner – Spina Bifida – Champaign-Urbana Acquired • Spinal Cord Ijuries: • traumatic or non-traumatic – Sudden blow to spine – Arthritis, cancer, infections, disk degeneration Types • Paraplegia • Quadriplegia (aka) Tetraplegia Facts • • • • Males = 80 % of SCI ( Mayo Clinic, 2006) Incidence Sex Age Etiology • • • • Crashes = 47.5% Falls = 22.9% Violence = 13.8% Sports = 8.9% Costs • Paraplegic: 1st year = $ 260,000 – Each subsequent year - $26,000 • Low Tetra (C5-C8) = $459,000 – Each subsequent year - $52,000 • High Tetra(C1-C4) = $ 710,000 – Each subsequent year = $127,000 • Leading cause of death – renal failure Physical Education • Brockport Physical Fitness test • Wheelchair softball – http://www.wheelchairsoftball.org/classificatio n.htm – http://www.wheelchairsoftball.org/# – http://www.wheelchairsoftball.org/rules.htm • Wheelchair basketball • Wheelchair rugby • http://www.nlm.nih.gov/medlineplus/tutorial s/spinalcordinjury/htm/index.htm • http://www.disability.uiuc.edu/athletics/ • http://www.murderballmovie.com/ • http://www.unitedspinal.org/spinal-corddisability-links/accessible-wheelchairsports-recreation-travel/ • http://www.pvamagazines.com/sns/