IF THE CHILD HAS THIS
sway back
AND ALSO THIS
• belly often sticks out
• may be due to
contractures here, or weak
stomach muscles
rounded back
hard, sharp bend
of or bump in
backbone
dark soft lump
over backbone
• starts slowly and without pain
• often family history of
•
tuberculosis
may lead to paralysis
of
lower body
• present at birth
• sometimes only a soft or
slightly swollen area over spine
• weakness and loss of feeling
in feet or lower body
OTHER DEFORMITIES
missing body parts
born that way
hand problems
(For hand problems from
birth, see p. 305.)
accidental or surgical loss of limbs
(amputation)
gradual loss of
fingers, toes, hands,
or feet, often in
persons who lack
feeling
• floppy
paralysis
(no spasticity)
• without care may lead
to contractures so that
fingers cannot be opened
clubbing or
bending of feet
(For club feet from
birth, see p. 114.)
• uncontrolled muscle
•
tightness (spasticity)
s trange movements
or hand in tight fist
burn scars and deformities
may begin as floppy weakness and
become stiff from contractures, if not
prevented
DISABILITY GUIDE 57
HE MAY HAVE
‘lordosis’—may occur in:
••
••••••
polio
spina bifida
cerebral palsy
muscular dystrophy
Down syndrome
hypothyrodism
child who stays small
many other disabilities
‘kyphosis’—often occurs with:
••
arthritis
spinal cord
injury
••
severe polio
brittle bone disease
SEE PAGE
59
167
87
109
279
282
126
161
136
175
59
125
tuberculosis of the spine
165
spina bifida
(‘sack on the back’)
167
born with missing or
incomplete parts
121
amputations
• osteomyelitis (bone
infections)
s•• omslepepitnriomasbeyisf(ihdsaaene(dfnesewotritofhne:leyt))
may occur with:
••
••
polio
muscular dystrophy
muscular atrophy
spinal cord injury
••
(at neck level)
leprosy
damage to nerves
or
cords of arms
All may lead to contractures.
spastic cerebral palsy
may lead to contractures
burns
may occur with many physical
disabilities, including:
••••
••
polio
cerebral palsy
spina bifida
muscular dystrophy
arthritis
spinal cord injury
227
159
215
167
59
109
112
175
215
127
89
231
89
87
167
109
139
175
disabled village children