having amniocentesis for other reasons such as decreased fetal movement have been diagnosed with unexpected prenatal SMS. On-going medical assessment of the child with SMS along with genetic counseling and psychosocial support for parents and family members are required due to the complex nature of this disorder, multiple organ involvement, and diverse symptomology presented with this condition. According to Foster (2010) parents and siblings of children with SMS suffer of a high level of depression and anxiety.
Medical tests commonly underwent by children with Smith-Magenis syndrome included but are not limited to renal ultrasound, echocardiogram, spine radiographs, electroencephalogram, magnetic resonance imaging, computed tomography, and blood work. The recommendation to perform these …show more content…
Physical therapists conduct a brief examination of the anatomical and physiological functions of the individual with SMS including heart rate, edema, skin color, height, weight, and alertness. According to an article by Smith et al., (2012) addressing and monitoring musculoskeletal changes and conducting regular neurodevelopmental evaluations are clinically necessary in the management of Smith -Magenis syndrome. Consistent with the Guide to Physical Therapist Practice 3.0 (APTA, 2014) the evaluation of children with SMS requires assessment of the following areas: muscle performance, neuromotor development and sensory processing, motor function, posture, balance, mobility/locomotion, gait, self-care, community, social, and education life, assistive technology, mental functions, reflex, peripheral nerve, and sensory integrity, range of motion and skeletal/joint integrity and environmental