Functional abilities in children with Cornelia de Lange syndrome – pilot study
 
More details
Hide details
1
Department of Physiotherapy, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Poland
 
 
Corresponding author
Emilia Mikołajewska   

Department of Physiotherapy, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Poland, ul. Techników 3, 85-801 Bydgoszcz
 
 
Ann. Acad. Med. Siles. 2019;73:199-202
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Cornelia de Lange syndrome (CdLS, also called Brachmann de Lange syndrome – BdLS) is a congenital multisystem developmental disorder characterized by distinctive facial features, growth and mental retardation, limb abnormalities, and behavioral problems caused by various malformations. Despite the efforts of scientists, previous functional assessments were mainly focused on hearing and vision. The aim of the study was twofold: 1) to show the functional status of children with CdLS, 2) to propose a unified protocol/tool for the aforementioned assessment.

Material and methods:
27 children with CdLS were assessed in terms of functioning and associated limitations using a questionnaire-aided interview and observational functional assessment.

Results:
The most common functional problems were contractures (88.89%), deformities (66.67%), and torso asymmetry (66.67%).

Conclusions:
The outcomes of the study show the functional status of children with CdLS. Even preliminary findings may shape a further holistic approach to treatment, rehabilitation and care. Moreover the proposed tool was useful. This study could be a good starting point to develop new protocols/tools applicable to such complex diseases. Moreover, further and wider studies are needed in order to allow a more complete and accurate assessment, thereby ensuring more efficient treatment plans.

 
REFERENCES (18)
1.
Mikołajewska E. Interdisciplinary therapy in Cornelia de Lange syndrome – review of the literature. Adv. Clin. Exp. Med. 2013; 22(4): 571–577.
 
2.
Parisi L., Di Filippo T., Roccella M. Behavioral Phenotype and Autism Spectrum Disorders in Cornelia de Lange Syndrome. Ment. Illn. 2015; 7(2): 5988.
 
3.
Boyle M.I., Jespersgaard C., Brøndum-Nielsen K., Bisgaard A.M., Tümer Z. Cornelia de Lange syndrome. Clin. Genet. 2015; 88(1): 1–12, doi: 10.1111/.cge.12499.
 
4.
Yuan B., Pehlivan D., Karaca E., Patel N., Charng W.L., Gambin T., Gonzaga-Jauregui C., Sutton V.R., Yesil G., Bozdogan S.T., Tos T., Koparir A., Koparir E., Beck C.R., Gu S., Aslan H., Yuregir O.O., Al Rubeaan K., Alnaqeb D., Alshammari M.J., Bayram Y., Atik M.M., Aydin H., Geckinli B.B., Seven M., Ulucan H., Fenercioglu E., Ozen M., Jhangiani S., Muzny D.M., Boerwinkle E., Tuysuz B., Alkuraya F.S., Gibbs R.A., Lupski J.R. Global transcriptional disturbances underlie Cornelia de Lange syndrome and related phenotypes. J. Clin. Invest. 2015; 125(2): 636–651, doi: 10.1172/JCI77435.
 
5.
Kline A.D., Calof A.L., Lander A.D., Gerton J.L., Krantz I.D., Dorsett D., Deardorff M.A., Blagowidow N., Yokomori K., Shirahige K., Santos R., Woodman J., Megee P.C., O‘Connor J.T., Egense A., Noon S., Belote M., Goodban M.T., Hansen B.D., Timmons J.G., Musio A., Ishman S.L., Bryan Y., Wu Y., Bettini L.R., Mehta D., Zakari M., Mills J.A., Srivastava S., Haaland R.E. Clinical, developmental and molecular update on Cornelia de Lange syndrome and the cohesin complex: abstracts from the 2014 Scientific and Educational Symposium. Am. J. Med. Genet. A. 2015; 167(6): 1179–1192, doi: 10.1002/ajmg.a.37056.
 
6.
Ajmone P.F., Rigamonti C., Dall’Ara F., Monti F., Vizziello P., Milani D., Cereda A., Selicorni A., Costantino A. Communication, cognitive development. and behavior in children with Cornelia de Lange Syndrome (CdLS): preliminary results. Am. J. Med. Genet. B. Neuropsychiatr. Genet. 2014; 165B(3): 223–229, doi: 10.1002/ajmg.b.32224.
 
7.
Mulder P.A., Huisman S.A., Hennekam R.C., Oliver C., van Balkom I.D., Piening S. Behaviour in Cornelia de Lange syndrome: a systematic review. Dev. Med. Child. Neurol. 2017; 57(4): 361–366, doi: 10.1111/dmcn.13361.
 
8.
Cacioppo C.N., Conway L.J., Mehta D., Krantz I.D., Noon S.E. Attitudes about the use of internet support groups and the impact among parents of children with Cornelia de Lange syndrome. Am. J. Med. Genet. C. Semin. Med. Genet. 2016; 172(2): 229–236, doi: 10.1002/ajmg.c.31504.
 
9.
Crawford H., Moss J., McCleery J.P., Anderson G.M., Oliver C. Face scanning and spontaneous emotion preference in Cornelia de Lange syndrome and Rubinstein-Taybi syndrome. J. Neurodev. Disord. 2015; 7(1): 22, doi: 10.1186/s11689-015-9119-4.
 
10.
Silva-Hernández F., Rodríguez-Cuadrado G.I., Martin-Ruaigip R.J., Barreras-Ávila L., González-Chevere B., Valentin-Rivera R., Labat-Alvarez E. Functional Brain Imaging in Cornelia de Lange Syndrome: Case Report and Literature review. Bol. Asoc. Med. P R. 2015; 107(2): 73–77.
 
11.
January K., Conway L.J., Deardorff M., Harrington A., Krantz I.D., Loomes K., Pipan M., Noon S.E. Benefits and limitations of a multidisciplinary approach to individualized management of Cornelia de Lange syndrome and related diagnoses. Am. J. Med. Genet. C. Semin. Med. Genet. 2016; 172(2): 237–245.
 
12.
Wulffaert J., van Berckelaer-Onnes I., Kroonenberg P., Scholte E., Bhuiyan Z., Hennekam R. Simultaneous analysis of the behavioural phenotype, physical factors, and parenting stress in people with Cornelia de Lange syndrome. J. Intellect. Disabil. Res. 2009; 53(7): 604–619, doi: 10.1111/j.1365-2788.2009.01185.x.
 
13.
Roshan Lal T.R., Kliewer M.A., Lopes T., Rebsamen S.L., O’Connor J., Grados M.A., Kimball A., Clemens J., Kline A.D. Cornelia de Lange syndrome: Correlation of brain MRI findings with behavioral assessment. Am. J. Med. Genet. C. Semin. Med. Genet. 2016; 172(2): 190–197, doi: 10.1002/ajmg.c.31503.
 
14.
Mehta D., Vergano S.A., Deardorff M., Aggarwal S., Barot A., Johnson D.M., Miller N.F., Noon S.E., Kaur M., Jackson L., Krantz I.D. Characterization of limb differences in children with Cornelia de Lange Syndrome. Am. J. Med. Genet. C. Semin. Med. Genet. 2016; 172(2): 155–162, doi: 10.1002/ajmg.c.31498.
 
15.
Kline A.D., Krantz I.D., Sommer A., Kliewer M., Jackson L.G., FitzPatrick D.R., Levin A.V., Selicorni A. Cornelia de Lange syndrome: clinical review, diagnostic and scoring systems, and anticipatory guidance. Am. J. Med. Genet. A. 2007; 143A(12): 1287–1296.
 
16.
Baquero-Montoya C., Gil-Rodríguez M.C., Hernández-Marcos M., Teresa-Rodrigo M.E., Vicente-Gabas A., Bernal M.L., Casale C.H., Bueno-Lozano G., Bueno-Martínez I., Queralt E., Villa O., Hernando-Davalillo C., Armengol L., Gómez-Puertas P., Puisac B., Selicorni A., Ramos F.J., Pié J. Severe ipsilateral musculoskeletal involvement in a Cornelia de Lange patient with a novel NIPBL mutation. Eur. J. Med. Genet. 2014; 57(9): 503–509, doi: 10.1016/j.ejmg.2014.05.006.
 
17.
Mariani M., Decimi V., Bettini L.R., Maitz S., Gervasini C., Masciadri M., Ajmone P., Kullman G., Dinelli M., Panceri R., Cereda A., Selicorni A. Adolescents and adults affected by Cornelia de Lange syndrome: A report of 73 Italian patients. Am. J. Med. Genet. C. Semin. Med. Genet. 2016; 172(2): 206–213, doi: 10.1002/ajmg.c.31502.
 
18.
Lopez-Burks M.E., Santos R., Kawauchi S., Calof A.L., Lander A.D. Genetic enhancement of limb defects in a mouse model of Cornelia de Lange syndrome. Am. J. Med. Genet. C. Semin. Med. Genet. 2016; 172(2): 146–154, doi: 10.1002/ajmg.c.31491.
 
 
CITATIONS (1):
1.
Cornelia De Lange Syndrome in the International Classification of Functioning, Disability and Health Perspetive: A Case Report
Albert Setiawan, Nunung Nugroho, Thirza Hadipranata, Bernadheta Andriani, Jennifer Sangsaka
Indonesian Journal of Physical Medicine and Rehabilitation
 
eISSN:1734-025X
Journals System - logo
Scroll to top