William's Syndrome

[boultond]

Hi,
I am treating an almost four-year-old with William's Syndrome who is STILL not walking. His strength seems fine, he has no orthopedic problems and he walks very well with his hands held, pushing a cart or walker, and even with quad canes. As far as I can see, his main problem is balance, but he is very stubborn and resists any attempts to support him anywhere but his hands. Does anyone have any neat tricks to use with these kids?
- Debbie (Canada)

[Tipper]

consider sensory and perceptual difficulties, this may be a factor in delaying independent walking. Children with Williams syndrome often have a real strength and liking for music. Perhaps try and bring this into a session, or better yet, link up with a music therapist and work together. Also the children are often quite social and may respond well to a group situation. They often like to avoid activities too challenging, make it fun, give extra sensory information and perceptual cues. Good luck, I would be interested to know if this helps

[SURESH BABU BODDU]

What Is William's Syndrome

[Hessa]

Williams Syndrome (WS) is a rare genetic disorder characterized by mild to moderate mental retardation or learning difficulties, a distinctive facial appearance, and a unique personality that combines overfriendliness and high levels of empathy with anxiety. The most significant medical problem associated with WS is cardiovascular disease caused by narrowed arteries. WS is also associated with elevated blood calcium levels in infancy. A random genetic mutation (deletion of a small piece of chromosome 7), rather than inheritance, most often causes the disorder. However, individuals who have WS have a 50 percent chance of passing it on if they decide to have children. The characteristic facial features of WS include puffiness around the eyes, a short nose with a broad nasal tip, wide mouth, full cheeks, full lips, and a small chin. People with WS are also likely to have a long neck, sloping shoulders, short stature, limited mobility in their joints, and curvature of the spine. Some individuals with WS have a star-like pattern in the iris of their eyes. Infants with WS are often irritable and colicky, with feeding problems that keep them from gaining weight. Chronic abdominal pain is common in adolescents and adults. By age 30, the majority of individuals with WS have diabetes or pre-diabetes and mild to moderate sensorineural hearing loss (a form of deafness due to disturbed function of the auditory nerve). For some people, hearing loss may begin as early as late childhood. WS also is associated with a characteristic “cognitive profile” of mental strengths and weaknesses composed of strengths in verbal short-term memory and language, combined with severe weakness in visuospatial construction (the skills used to copy patterns, draw, or write). Within language, the strongest skills are typically in concrete, practical vocabulary, which in many cases is in the low average to average range for the general population. Abstract or conceptual-relational vocabulary is much more limited. Most older children and adults with WS speak fluently and use good grammar. More than 50% of children with WS have attention deficit disorders (ADD or ADHD), and about 50% have specific phobias, such as a fear of loud noises. The majority of individuals with WS worry excessively.
http://www.ninds.nih.gov/disorders/w...s/williams.htm