1. Prader Willi Syndrome Chelsi Anderson

2. Definition  Rare disorder present at birth that results in a number of physical, mental and behavior problems (Mayo Clinic)

3. Causes of Prader Willi  Caused by an error in a gene or genes  Particularly in the region of chromosome 15  Chromosome15 is missing  Two copies of the chromosome 15  Or defect of chromosome 15  Due to the deficiency of chromosome 15, the hypothalamus is defected.  Hypothalamus controls hunger & thirst reflexes, sexual development, and stunted growth

4. Characteristics of Prader Willi  Constant hunger that is apparent early in the person’s life  Eat constantly  Difficulty controlling weight  Often suffer from obesity Notice: narrow temples, thin upper lip, almond shaped eyes.

5. Symptoms of Prader Willi  Food cravings  Underdeveloped sex organs [produce low hormones]  Poor physical development  Increased risk of learning disabilities  Speech problems  Behavioral problems [very stubborn when denied food]  Sleep disorders [sleep apnea]  Scoliosis [develop an abnormal curvature of the spine]

6. Medical Conditions Related to Prader Willi  Type 2 Diabetes  Heart Disease  Strokes  Sleep apnea  Sterility  Osteoporosis

7. Treatments  Good nutrition  Growth hormone treatment  Overall development  Physical activity  Mental health care

8. Physical Activity: Treadmills  Promotes Cardiovascular Endurance  Can help lose or maintain weight  Stamina—people with PW tend to get tired easily  Incorporate goal setting for the student

9. Physical Activity: Pedometer  Could be used in daily PE class to monitor steps, set goals and record work effort  They could benefit from this because of the “number” it gives them  Instructors can provide a number for them to reach in the amount of time they they have them in class

10. Physical Activity: Nutritional Puzzle Relay  Educating children as well as keeping them active  Promotes cardiovascular activity  Promotes student collaboration  Promotes strategic actions

11. Importance of Leisure Activities  Most with PW have difficulty participating in competitive sports  Leisure activities gives the student a chance to enjoy themselves with little or no competition  Promote them to continue to be active for a lifetime

12. Instructional Strategies  Because of the hypothalamus is effected, they have a poor short term memory  Their long term memory, however, is extremely strong  Keeping instructions clear, concise and to the point  May have to do lots of reminding  Encouragement

13. Physical Activity Modifications: Soccer  As far as skill level, keep them with others at the same level as theirs.  Smaller playing field for those with a low level of ability  Once they become unsuccessful, it’s going to be difficult to rekindle the fire again

14. Physical Activity Modifications: Track & Field  Let them choose what 3 activities they would like to practice for the day, but they must have at least 2 running events.  Do not time them unless they want to be timed.

15. Community Recreation & Competitive Sports  YMCA  Lion’s Club  Summer School Opportunities  Swimming at local pool

17. RESOURCES  http://www.aafp.org/afp/2005/0901/p827.html http://www.aafp.org/afp/2005/0901/p827.html  http://www.pwsausa.org/Educator/Gener al%20Info%20%20Overview.pdf http://www.pwsausa.org/Educator/Gener al%20Info%20%20Overview.pdf  http://www.mayoclinic.com/health/prad er-willi-syndrome/DS00922 http://www.mayoclinic.com/health/prad er-willi-syndrome/DS00922  http://www.pwsausa.org/faq.htm http://www.pwsausa.org/faq.htm  http://www.pwsausa.org/syndrome/index.htm http://www.pwsausa.org/syndrome/index.htm  http://www.ncbi.nlm.nih.gov/pubmedhe alth/PMH0002572/ http://www.ncbi.nlm.nih.gov/pubmedhe alth/PMH0002572/