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Middle Childhood (Age 6-12)

Potential Topics:

  • Expectations of Developmental Progression
  • Learning Abilities & Disabilities
  • Common Learning Characteristics
  • Attention Deficit Disorder (ADD)
  • Habilitation Issues
    • Gait Analyses
      • PT
      • Adaptive PE
      • CIC
    • Clean Intermittent Catheterization
    • Pharmacological Management of Incontinence (Managing incontinence with the aid of prescription drugs)
    • Management of the Neurogenic Bowel
  • Medical Issues
    • Growth & Growth Problems
    • Precocious Puberty – Puberty is the period in life when the body changes rapidly and develops reproductive capability. Precocious puberty is the development of body characteristics that normally occur during puberty before the age of 8 (girls) or 9 (boys). Children (of both sexes) with early sexual development are more likely to have psycho-social problems. Children and adolescents generally want to be the same as their peers, and early sexual development can make them appear “different”. This can result in self-esteem problems, depression, acting out at school and home, and alcohol and illegal substance abuse. (National Library of Medicine)
    • Nutrition
      • Obesity Prevention
    • Urinary Tract Infections
    • Tethered Cord – Tethered spinal cord syndrome is a neurological disorder caused by tissue attachments that limit the movement of the spinal cord within the spinal column. These attachments cause an abnormal stretching of the spinal cord. The course of the disorder is progressive. In children, symptoms may include lesions, hairy patches, dimples, or fatty tumors on the lower back; foot and spinal deformities; weakness in the legs; low back pain; scoliosis; and incontinence. Tethered spinal cord syndrome may go undiagnosed until adulthood, when sensory and motor problems and loss of bowel and bladder control emerge. This delayed presentation of symptoms is related to the degree of strain placed on the spinal cord over time. Tethered spinal cord syndrome appears to be the result of improper growth of the neural tube during fetal development, and is closely linked to spina bifida. Tethering may also develop after spinal cord injury and scar tissue can block the flow of fluids around the spinal cord. Fluid pressure may cause cysts to form in the spinal cord, a condition called syringomyelia. This can lead to additional loss of movement, feeling or the onset of pain or autonomic symptoms. (National Library of Medicine)
      • Detethering & Retethering
    • Scoliosis Management
    • Seizures
    • Emotional Issues / Self-Esteem