Down Syndrome Medical Interest Group UK & Ireland
@dsmig.bsky.social
We are a network of doctors whose aim is to ensure equitable provision of medical care for all people with Down syndrome in the UK and Republic of Ireland
dsmig.org.uk
dsmig.org.uk
A really excellent day.
Any mistakes in this thread are the responsibility of @lordsedge.bsky.social
We'll see you at @rcpch.bsky.social Conference next year, and then in Edinburgh for our next DSMIG Winter meeting ❤️
#dsmig
Any mistakes in this thread are the responsibility of @lordsedge.bsky.social
We'll see you at @rcpch.bsky.social Conference next year, and then in Edinburgh for our next DSMIG Winter meeting ❤️
#dsmig
a man in a suit and tie is smiling and says thank you and goodnight
Alt: a man in a suit and tie is smiling and says thank you and goodnight
media.tenor.com
December 5, 2025 at 5:09 PM
A really excellent day.
Any mistakes in this thread are the responsibility of @lordsedge.bsky.social
We'll see you at @rcpch.bsky.social Conference next year, and then in Edinburgh for our next DSMIG Winter meeting ❤️
#dsmig
Any mistakes in this thread are the responsibility of @lordsedge.bsky.social
We'll see you at @rcpch.bsky.social Conference next year, and then in Edinburgh for our next DSMIG Winter meeting ❤️
#dsmig
Dr (Ms?) Cloke just far too fast for me to type everything pertinent they are saying, but it's a great talk!
#dsmig
#dsmig
kermit the frog is using a typewriter in a messy room .
Alt: kermit the frog is using a typewriter in a messy room .
media.tenor.com
December 5, 2025 at 5:03 PM
Dr (Ms?) Cloke just far too fast for me to type everything pertinent they are saying, but it's a great talk!
#dsmig
#dsmig
Women with high risk of CHD should avoid COCP.
Epilepsy is more common in Down Syndrome and seizures can be worse premenstrually. Oestrogen and lamotrigine may interact
VALPROATE REQUIRES EFFECTIVE CONTRACEPTION: see @mhragovuk.bsky.social
#dsmig
Epilepsy is more common in Down Syndrome and seizures can be worse premenstrually. Oestrogen and lamotrigine may interact
VALPROATE REQUIRES EFFECTIVE CONTRACEPTION: see @mhragovuk.bsky.social
#dsmig
December 5, 2025 at 5:02 PM
Women with high risk of CHD should avoid COCP.
Epilepsy is more common in Down Syndrome and seizures can be worse premenstrually. Oestrogen and lamotrigine may interact
VALPROATE REQUIRES EFFECTIVE CONTRACEPTION: see @mhragovuk.bsky.social
#dsmig
Epilepsy is more common in Down Syndrome and seizures can be worse premenstrually. Oestrogen and lamotrigine may interact
VALPROATE REQUIRES EFFECTIVE CONTRACEPTION: see @mhragovuk.bsky.social
#dsmig
December 5, 2025 at 4:40 PM
December 5, 2025 at 4:39 PM
History of menstrual problems needs to be thorough and enough time given per consultation
Most girls can cope independently
Period pants really help
Use a period bag
Practice
Visual supports
Track periods with an app
#dsmig
Most girls can cope independently
Period pants really help
Use a period bag
Practice
Visual supports
Track periods with an app
#dsmig
December 5, 2025 at 4:37 PM
History of menstrual problems needs to be thorough and enough time given per consultation
Most girls can cope independently
Period pants really help
Use a period bag
Practice
Visual supports
Track periods with an app
#dsmig
Most girls can cope independently
Period pants really help
Use a period bag
Practice
Visual supports
Track periods with an app
#dsmig
Young people with LD have the right to:
Understand puberty
Understand menstruation
Understand implications of any conditions
Understand their sexuality
(lots more in this slide but I cannot type quickly enough)
#dsmig
Understand puberty
Understand menstruation
Understand implications of any conditions
Understand their sexuality
(lots more in this slide but I cannot type quickly enough)
#dsmig
December 5, 2025 at 4:35 PM
Young people with LD have the right to:
Understand puberty
Understand menstruation
Understand implications of any conditions
Understand their sexuality
(lots more in this slide but I cannot type quickly enough)
#dsmig
Understand puberty
Understand menstruation
Understand implications of any conditions
Understand their sexuality
(lots more in this slide but I cannot type quickly enough)
#dsmig
In Down Syndrome
No increased risk of uterine anomalies, precocious puberty or vulvovaginal issues
Possible earlier menarche
Females may be subfertile
#dsmig
No increased risk of uterine anomalies, precocious puberty or vulvovaginal issues
Possible earlier menarche
Females may be subfertile
#dsmig
December 5, 2025 at 4:33 PM
In Down Syndrome
No increased risk of uterine anomalies, precocious puberty or vulvovaginal issues
Possible earlier menarche
Females may be subfertile
#dsmig
No increased risk of uterine anomalies, precocious puberty or vulvovaginal issues
Possible earlier menarche
Females may be subfertile
#dsmig
December 5, 2025 at 4:22 PM
December 5, 2025 at 4:21 PM
Physio goals here are to maintain safe and meaningful mobility
To reduce falls risk
To support better posture
Support carers
Overall aim is to enhance quality of life, comfort and participation ❤️
#dsmig
To reduce falls risk
To support better posture
Support carers
Overall aim is to enhance quality of life, comfort and participation ❤️
#dsmig
December 5, 2025 at 4:14 PM
Physio goals here are to maintain safe and meaningful mobility
To reduce falls risk
To support better posture
Support carers
Overall aim is to enhance quality of life, comfort and participation ❤️
#dsmig
To reduce falls risk
To support better posture
Support carers
Overall aim is to enhance quality of life, comfort and participation ❤️
#dsmig
In adulthood, maintaining health and social connection through movement and support is crucial.
In older age, due to premature ageing, dementia and physical needs, there is increased risk of falls, worsening hearing/vision and emotional needs
#dsmig
In older age, due to premature ageing, dementia and physical needs, there is increased risk of falls, worsening hearing/vision and emotional needs
#dsmig
December 5, 2025 at 4:12 PM
In adulthood, maintaining health and social connection through movement and support is crucial.
In older age, due to premature ageing, dementia and physical needs, there is increased risk of falls, worsening hearing/vision and emotional needs
#dsmig
In older age, due to premature ageing, dementia and physical needs, there is increased risk of falls, worsening hearing/vision and emotional needs
#dsmig
In adolescence we are looking at embedding habits for adult life.
Periods of activity may dip at this time, weight may increase, education demands increase.
Include movement in transition plans
#dsmig
Periods of activity may dip at this time, weight may increase, education demands increase.
Include movement in transition plans
#dsmig
December 5, 2025 at 4:07 PM
In adolescence we are looking at embedding habits for adult life.
Periods of activity may dip at this time, weight may increase, education demands increase.
Include movement in transition plans
#dsmig
Periods of activity may dip at this time, weight may increase, education demands increase.
Include movement in transition plans
#dsmig
Promote activity in community and schools - remove barriers by shifting questions from:
"can they walk"
to
"can they join in?"
Develop strength and stamina
#dsmig
"can they walk"
to
"can they join in?"
Develop strength and stamina
#dsmig
December 5, 2025 at 4:04 PM
Promote activity in community and schools - remove barriers by shifting questions from:
"can they walk"
to
"can they join in?"
Develop strength and stamina
#dsmig
"can they walk"
to
"can they join in?"
Develop strength and stamina
#dsmig
Refer early.
Timely referral unlocks better function, participation and wellbeing.
Early therapeutic exercise results in better motor function.
#dsmig
Timely referral unlocks better function, participation and wellbeing.
Early therapeutic exercise results in better motor function.
#dsmig
December 5, 2025 at 4:02 PM
Refer early.
Timely referral unlocks better function, participation and wellbeing.
Early therapeutic exercise results in better motor function.
#dsmig
Timely referral unlocks better function, participation and wellbeing.
Early therapeutic exercise results in better motor function.
#dsmig
Mobility is one of the strongest predictors of independence.
High inactivity and obesity are risks for increased movement difficulties
@nicecomms.bsky.social , @dsmig.bsky.social and others all support timely, early referral to physio
#dsmig
High inactivity and obesity are risks for increased movement difficulties
@nicecomms.bsky.social , @dsmig.bsky.social and others all support timely, early referral to physio
#dsmig
December 5, 2025 at 3:57 PM
Mobility is one of the strongest predictors of independence.
High inactivity and obesity are risks for increased movement difficulties
@nicecomms.bsky.social , @dsmig.bsky.social and others all support timely, early referral to physio
#dsmig
High inactivity and obesity are risks for increased movement difficulties
@nicecomms.bsky.social , @dsmig.bsky.social and others all support timely, early referral to physio
#dsmig
There are sensory and neurological considerations:
Visual and hearing differences affecting balance, spatial awareness and confidence
Other health issues
Risk of arthritis, thyroid disease, dementia etc
#dsmig
Visual and hearing differences affecting balance, spatial awareness and confidence
Other health issues
Risk of arthritis, thyroid disease, dementia etc
#dsmig
December 5, 2025 at 3:55 PM
There are sensory and neurological considerations:
Visual and hearing differences affecting balance, spatial awareness and confidence
Other health issues
Risk of arthritis, thyroid disease, dementia etc
#dsmig
Visual and hearing differences affecting balance, spatial awareness and confidence
Other health issues
Risk of arthritis, thyroid disease, dementia etc
#dsmig
Children and young people with Down Syndrome have:
Hypotonia and ligament laxity
Foot and knee alignment issues
Lower strength and higher obesity
Cardioresp issues
This makes movement HARDER
#dsmig
Hypotonia and ligament laxity
Foot and knee alignment issues
Lower strength and higher obesity
Cardioresp issues
This makes movement HARDER
#dsmig
December 5, 2025 at 3:53 PM
Children and young people with Down Syndrome have:
Hypotonia and ligament laxity
Foot and knee alignment issues
Lower strength and higher obesity
Cardioresp issues
This makes movement HARDER
#dsmig
Hypotonia and ligament laxity
Foot and knee alignment issues
Lower strength and higher obesity
Cardioresp issues
This makes movement HARDER
#dsmig