All parents expect their child to start going to school, learn writing and learning and do well in academics. However, children with dyslexia may not be able to progress at school at the same pace as others. The good news is that there are early pointers that can help a parent to identify dyslexia in the early stages. This can be helpful in training and support the child socially to learn and socialise normally.  Dyslexia is a disability that affects both spoken and written language. They have a different learning style and when supported and encouraged, instead of mocked and insulted, they can become avid readers. The following are common 10 indicators of developing dyslexia in children, in general, and at school.

10 Behavioural signs to watch for in general:

The child usually has difficulty concentrating and following instructions
The child is easily distracted, seems to daydream, and tends to forget words.
Poor personal organisation skills and is not very good at time keeping.
May get confused between today, tomorrow, yesterday; east and west; right and left; up and down.
Has difficulty remembering seasons, months and days.
Tends to be doing something to avoid work.
Seems distracted, and  daydream,  does not seem to listen
Requires a lot of effort focusing on things at hand and is constantly tired.
Slow pace of processing in terms of spoken or written language
Often appears withdrawn or lost in his own world.
10 Behaviours to watch for at school:

Poor standard of writing and written work in comparison with oratory skills.
Poor handwriting with badly formed letters.
Confused easily between similar looking letters like m/w, n/u, b/d.
Usually, messes up work by using close but wrong spellings and rewriting the same
Mixes up words by using similar-looking words   quiet and quite, tired and tried.
Same word is spelt differently at different times
Poor motor skills and pencil grip leading to slow, inaccurate writing
Produces a lot of phonetic spelling which does not change with repeated corrections
There is difficulty in blending words together, and struggles a lot when asked to read out loud, can miss out or add words that are familiar in between
Has difficulty connecting the story that is being written or read
As noted, these children have very inconsistent behaviour with very limited understanding of nonverbal communication. If these symptoms go on increasing as they grow, it is advisable to seek professional help so that support can be provided and the condition can be arrested at the early stages.

Dyslexia - 10 Signs Your Child Maybe Suffering From It!

Autoimmune disorders are one of the least understood disorders in the whole of medical science. Systemic Sclerosis is also an autoimmune disorder in which the skin undergoes changes in texture and characteristics. 

However, the changes are not confined to the skin alone. It can affect blood vessels, muscles, digestive system, heart, kidneys, as well as the lungs. It typically affects people in the age group of 30 to 50 years, but the good thing is that doctors can diagnose this at any age. 

It has been observed that more women fall prey to this disorder than men. The severity of symptoms may also vary from person to person. Nevertheless, the real cause of worry is the progressive nature of the disease. Due to this, it is, in fact, sometimes referred to as Progressive Systemic Sclerosis. 

Causes of Systemic Sclerosis 

It is an autoimmune disorder in which the immune system attacks the skin and precipitates the problem. The attack by Immune System precipitates increased collagen production in the body, which accumulates in the skin tissue. This leads to changes in characteristics and the appearance of the skin. 

Symptoms of Systemic Sclerosis 

Systemic Sclerosis affects only the skin in the early stages. It may lead to thickening of skin and development of shiny areas around bony areas, such as nose, mouth, fingers etc. However, as the disease progresses, it may limit movement of these affected areas. So one may have a problem in opening the mouth, parting fingers etc. 

Other symptoms are: 

  Loss of hair 

  Deposit of lumps under the skin 

  Blood vessels under the skin getting dilated 

  Pain in the joints 

  Breathing difficulties 

  Dry cough 

  Constipation 

  Diarrhea 

  Swallowing difficulty 

  Reflux of food from esophagus 

  Feeling of bloating after taking meals 

In addition to the above, one may also sometimes experience spasms in the blood vessels of fingers and toes. Legs and hands may turn blue or white if a person is undergoing emotional stress or is in extreme cold. This is also known as Raynaud s phenomenon. 

Risk Factors

Though the causes of the disease are not yet known, there are some risk factors which can make a person susceptible to this disease: 

  If a person is undergoing chemotherapy with certain drugs like Bleomycin or are exposed to stuff like silica dust, organic solvents etc., one may become susceptible to this disease. 

  Women are more prone to acquiring this disease than men. 

  If a person is a Native American or an African-American then too he/she is more susceptible to this problem. 

Treatment of Systemic Sclerosis 

Systemic Sclerosis can t be cured, but its symptoms can certainly be reduced to some extent. So, treatment is specific to symptoms one is experiencing, and may include using the following: 

  corticosteroids 

  immunosuppressants 

  nonsteroidal anti-inflammatory drugs 

  blood pressure medication 

  aid to resolve breathing difficulty 

  physical therapy, light therapy etc. 

The fact that this disease really can t be fully cured makes this a pretty scare disease. Silver lining is that medication and other treatment options are able to suppress most of the symptoms.

Systemic Sclerosis - What Causes It?

The sense of hearing is a complex one. The ears are divided into three parts: the outer ear, the middle ear and the inner ear. While the outer ear sends the sound to the middle of the ear, the middle ear sends the same to the inner ear through the conductor. The inner ear in turn sends the auditory signal to the brain where the signal is processed and gives rise to a sense of hearing. 

Problems in hearings can arise if there is a problem in any of these parts. However, more often than not it is the middle or inner ear that is affected. However, there may also be situations when there are problems in both the middle and the inner ear. In that case, it is known as a mixed hearing loss. 

What is Mixed Hearing? 

Loss If there is damage to the middle ear, it may precipitate a conductive hearing loss. Now, in addition to that, if there is a sensorineural problem, then it gives rise to mixed hearing. So, in the case of a mixed hearing loss, all the parts of the ear and even the brain may be involved. There may be damage to the outer ear, middle ear, inner ear, as well as the auditory nerve. 

Causes of Hearing Loss 

Since mixed hearing loss may result from damage to any part of the ear, it is necessary that the causes be grouped into different categories. 

  Sensorineural Hearing Loss 

Sensorineural loss may result from drugs, different illnesses, head trauma, malformation of the inner ear etc. Genetic predisposition may also precipitate such problems. 

  Conductive Hearing Loss 

Such type of hearing loss may result from excessive deposition of earwax, ear infections, perforation in eardrums, malformation of the middle or outer ear, as well as problems with the fluid in the middle ear. 

Symptoms of Hearing Loss 

Reduced hearing in either or both ears is considered to be delineating symptoms of mixed hearing loss. 

Treatment 

Since mixed hearing loss can result from sensorineural failure as well as damage to outer or middle ear, treatment needs to be divided into different groups too.   To treat Conductive Hearing Loss, doctors can use surgical or medical options. 

  For sensorineural hearing loss, doctors usually prescribe hearing aids. This indicates that treatment for mixed hearing loss may include treatment for conductive hearing loss as well as that for sensorineural hearing loss. So, it is usually a combination of both medical and surgical options. Physicians may prescribe both medicines and hearing aids or resort to surgical interventions and also prescribe hearing aids. Sometimes, physicians use special hearing aids or implants to treat mixed hearing loss. 

Conclusion 

In case a person is sensing reduced hearing in one or both ears, he/she needs to seek medical advice. It may be a symptom of mixed hearing loss. Getting in touch with an experienced physician is the first step towards that.

Mixed Hearing Loss - How To Treat It?

Autism in children is a condition that is characterized by limiting social intelligence, unequal skill development across sectors, and repetitive behavioural patterns. These children may show awkwardness when dealing or speaking with people, as they seem to fail to understand what other people feel. Hence, they are unable to deal out emotional responses in kind. They themselves are very troubled, sometimes, by stimuli that are considered normal by other people, including certain visions, touches, smells and sounds.

The skill set of an autistic child forms and develops unequally. While they are not very social, they sometimes gain intense intellectual abilities in the field of math, music, chess, art and related matters which require the brain to visualize and function.

There are further ways to diagnose underlying autism in a child, and diagnosis is extremely necessary for early treatment and cure. These warning signs are-

  An autistic child will shy away from both tactile and non-tactile contact. Some children may naturally be scared of being touched by a stranger, but autistic children will not even look or smile at you when you are feeding them. They cannot maintain eye contact, and neither will they show signs of affection like small smiles or cuddles, or loving glances.

  Lack of auditory communication - This is another area of communication where an autistic child will be found lacking. Even above and beyond not responding to visual and tactile stimuli, she/he will completely forego aural communication as well. They will not respond to familiar sounds around and go even to the extent of not recognizing or being able to respond to their own name.

  If you point at things in the distance, there is a lack of communication with your child as well. These children do not have the ability to maintain a connection long enough to follow your hand and record what it is gesturing at. Either the child does not feel enough of a connection to you to actually feel your stimulus worth pursuing, or she/he does not have the power or attention span to keep following with eyes the trail your fingers have created.

  The child does not use a lot of aural communication her/himself as well too. She/he does not call out often or call you by acronyms like mother and does not make small whimpering noises like most infants do, in search for some warmth and affection.

She/he does not seem to have a natural affinity for physical touch and love and does not seem to be able to show very much love her/himself through cuddles or disappointment expressed if you get sick.

Autism is a disease that has now spread to a whole range of behavioural peculiarities, termed collectively as the Autism Spectrum Disorder. If diagnosed sufficiently early, this condition can be helped to a great extent. Make sure to monitor your child for the above signs, and contact a doctor immediately if you see cause for concern.

The Ways You Can Identify An Autistic Child!

A neurological disorder characterized by sudden recurrent episodes of sensory disturbance, loss of consciousness, and convulsions associated with abnormal electrical activity in the brain.

Role of physiotherapy in epilepsy

It helps improve strength, mobility, and increases the range of motion and sphere of movement.

It helps improve sensory awareness, response, balance, and coordination.

It helps to improve quality of movement and physical performance.

The goals of physiotherapy

To develop strength enough to support one s head upright

To have balance and motor control to maintain their trunk at midline

To use many different muscle groups

To assist necessary motion in their trunk and extremities

The physiotherapists write short-term goals for each of the items on the problem list that need to be covered to help the patient achieve the long-term goals

To understand what the patient is good at and does well

To focus on what he or she capable of doing rather than on what they can t do

To educate and provide awareness with a view to prevent injuries

For example, advice on special swimming equipment to prevent drowning if he/she gets seizures in the pool

Padding out sharp corners in the house to prevent damage if fallen on

Physiotherapy treatment for a healed fracture consists of strengthening muscles that have got weak from being immobilized and stretching muscles that are stiff owing to being in the cast for a long period of time.

How can physical exercise help with seizures?

Physical exercise improves fitness, energy, and mood and even relieves stress. Improving overall health and well-being in this way can help reduce seizures. 

It can also help people feel more in control of their health. 
It also helps release  feel good  hormones into the brain, keeps muscles active, reduces fat levels in the body, and increases oxygen flow to the brain. 
It can also increase the bone density. 
A research showed that regular sessions of aerobic exercise (for example running, walking, swimming, cycling) for 60 minutes, twice a week, for 15 weeks can result in a significant reduction in the number of seizures they had.
Drink water, diluted fruit juice, or squash while exercising to help replace the fluids and body. Do not exercise straight after a meal.
Team sports or group activities such as walking or gardening groups can also be a good way of increasing self-confidence. 
Making new friends may help with any feelings of isolation. 
Most sports, including contact sports like football, hockey, basketball and rugby, have not shown to increase the chance of someone having a seizure, but contact sports come with an increased risk of head injuries, which could affect people with a history of epilepsy. Protective sports headgear helps to reduce this risk.


Epilepsy - Understanding The Role Of Physiotherapy In It!

Living with epilepsy can be highly challenging. This is a medical condition that can be controlled with medications in most cases, but it might not be useful for all patients due to severe side effects. It is estimated that up to 30% people who have epilepsy face this issue, and in such cases, surgery might be considered as an option.

This condition typically results in seizures which is a result of sudden electrical activity in the brain. So, certain complicated epilepsy operations on the brain can help patients with their seizures and contain their symptoms.

The goal of epilepsy surgeries involves removing part of the brain that causes these seizures and disrupting parts of the nervous system in the brain that contribute to the same. The procedure also involves the installation of a device that helps control the side effects of epilepsy.

When is surgery not an option for epilepsy?
Doctors would accurately identify the part of the brain that is causing seizures as the first step. These parts are known in medical terms as the  seizure  focus. This area should not be related critical functions of the brain like movement, sensation, and language involved   else surgery would not be possible.

Surgery is not viable when seizures are severe and impair bodily movement or if the patient has serious medical conditions (like cancer or heart diseases).

Common Surgery Options Available

Lesionectomy: This is one of the most commonly used procedures. This form of surgery involves the surgeon removing brain lesions from the brain or areas of injury due to malformed blood vessels or tumors. These injuries can often cause seizures and epilepsy and can be treated effectively with lesionectomy.
Lobe resection: This is another form of treatment which is possible only if the epilepsy is located in one of the four parts of the brain   the temporal lobe. It is quite common in younger people and can easily be treated by expert neurosurgeons by removing the brain tissues that are causing epilepsy.
Multiple Subpial Transections: While the above methods involve cutting out brain tissues, sometimes such surgeries just might not be possible due to other complications. If the parts of the brain cannot be cut out, surgeons tend to adopt Multiple Subpial Transections. This procedure can help control seizures without requiring cutting out parts of the brain. Small intersections are made in the brain to disrupt the impulses from affected brain cells that cause seizures, and they do not affect normal brain activity. It helps leave all abilities intact in patients and aids in treatment very effectively.
So, if you are just fed up with dealing with the seizures, consult your doctor who will be able to advise on the course of action depending on the history and medical condition.

Epilepsy - Is Surgery An Option?

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