At Foundations for Independence (FFI) we assist individuals with a variety
of disabilities; the following is a brief overview:
- Cerebral Palsy
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Cerebral palsy is a condition caused by damage to the brain, usually
occurring before, during or shortly following birth. "Cerebral"
refers to the brain and "palsy" to a disorder of movement or posture.
It is neither progressive nor communicable which means it doesn’t get
worse, and is not contagious. It is also not "curable" in the accepted
sense, although education, therapy and applied technology can help persons with
cerebral palsy lead productive lives. It is not a disease and should never be
referred to as such. It can range from mild to severe.
The causes of cerebral palsy include illness during pregnancy, premature
delivery, or lack of oxygen supply to the baby; or it may occur early in
life as a result of an accident, lead poisoning, viral infection, child
abuse, or other factors. A less common type is acquired cerebral palsy:
head injury is the most frequent cause, usually the result of motor vehicle
accidents, falls, or child abuse.
There are three main types of cerebral palsy: spastic -- stiff and
difficult movement; athetoid -- involuntary and uncontrolled movement;
and ataxic -- disturbed sense of balance and depth perception. There may
be a combination of these types for any one individual. Other types do
occur, although infrequently.
Cerebral palsy is characterized by an inability to fully control motor
function. Depending on which part of the brain has been damaged and the
degree of involvement of the central nervous system, one or more of the
following may occur: spasms; tonal problems; involuntary movement; disturbance
in gait and mobility; seizures; abnormal sensation and perception; impairment
of sight, hearing or speech; and mental retardation. A person with cerebral
palsy may only be affected physically, their mind would function normally.
- Down Syndrome
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Down syndrome is the most common and readily identifiable chromosomal
condition associated with mental retardation. It is caused by a chromosomal
abnormality: for some unexplained reason, an accident in cell development
results in 47 instead of the usual 46 chromosomes. This extra chromosome
changes the orderly development of the body and brain. In most cases, the
diagnosis of Down syndrome is made according to results from a chromosome
test administered shortly after birth.
There are over 50 clinical signs of Down syndrome, but it is rare to find all
or even most of them in one person. Some common characteristics include:
- Poor muscle tone
- Slanting eyes with folds of skin at the inner corners (called epicanthal folds)
- Hyper flexibility (excessive ability to extend the joints)
- Short, broad hands with a single crease across the palm on one or both hands
- Broad feet with short toes
- Flat bridge of the nose
- Short, low-set ears
- Short neck
- Small head
- Small oral cavity
- Short, high-pitched cries in infancy
Individuals with Down syndrome are usually smaller than their non-disabled
peers, and their physical as well as intellectual development is slower.
Besides having a distinct physical appearance, children with Down
syndrome frequently have specific health-related problems. A lowered
resistance to infection makes these children more prone to respiratory
problems. Visual problems such as crossed eyes and far or nearsightedness
are higher in those with Down syndrome, as are mild to moderate hearing
loss and speech difficulty.
- Multiple Disabilities
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People with severe disabilities are those who traditionally have
been labeled as having severe or profound mental retardation. These
people require ongoing extensive support in more than one major life
activity in order to participate in integrated community settings and
enjoy the quality of life available to people with fewer or no disabilities;
they frequently have additional disabilities, including movement difficulties,
sensory losses and behavior problems.
People with severe or multiple disabilities may exhibit a wide
range of characteristics, depending on the combination and severity
of disabilities, and the person's age. There are, however, some
traits they may share, including:
- Limited speech or communication
- Difficulty in basic physical mobility
- Tendency to forget skills through disuse
- Trouble generalizing skills from one situation to another
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A need for support in major life activities, e.g., domestic,
leisure, community use, vocational
A variety of medical problems may accompany severe disabilities.
Examples include seizures, sensory loss, hydrocephalus (water on
the brain), and scoliosis (curvature of the spine).
- Autism
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A developmental disability significantly affecting verbal and non-verbal
communication and social interaction, generally evident before age three.
- Mental Retardation
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Significantly sub-average general intellectual functioning existing
concurrently with deficits in adaptive behavior and manifested during
the developmental period.
- Speech or Language Impairment
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A communication disorder such as stuttering, impaired articulation,
a language impairment, or a voice impairment.
- Traumatic Brain Injury (TBI)
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An injury to the brain caused by an external physical force, resulting
in total or partial functional disability or psychosocial maladjustment,
or both. The term does not include brain injuries that are congenital or
degenerative, or brain injuries induced by birth trauma.
- Developmental Disability
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Developmental disabilities are severe, chronic disabilities attributable
to mental and/or physical impairment, which manifest before age 22 and
are likely to continue indefinitely. They result in substantial limitations
in three or more areas: self-care, receptive and expressive language, learning,
mobility, self-direction, capacity for independent living, and economic self-sufficiency,
as well as the continuous need for individually planned and coordinated services.
- Congenital Adrenal Hyperplasia (CAH)
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CAH is a family of inherited disorders affecting the adrenal gland.
The most common form is 21-hydroxylase deficiency, which is inherited
in severe or mild forms. The severe form, called Classical CAH (CAH),
is usually detected in the newborn period or in early childhood. The
genetic frequency of Classical CAH is approximately 1 in 15,000 births.
The milder form, called Non classical CAH (NCAH), may cause symptoms at
anytime from infancy through adulthood. Non classical CAH is a much more
common disorder than Classical CAH. For more information please visit
http://www.caresfoundation.org/productcart/pc/ncah_late_onset_cah.html