This can lead to low metabolism resulting in further reduction of growth and reinforcement of other symptoms. If it occurs early, there is also a risk of inhibited development. Regular measurement of weight and height is important, remembering the possibility of low metabolism. Blood tests to check thyroid function should be taken at intervals during the growth period. The school psychology services should be engaged early.
Some services employ a speech therapist.
Regular physiotherapy with pressure stimulation to counteract problems connected with hypotonia. The parents should be informed and encouraged to strengthen the child's musculature through play and interaction. In several cases it may be necessary to insert a drain because of fluid in the middle ear. Early testing is recommended. The dental services should be contacted early so that the child is followed up regularly.