Evidence Based Physiotherapy Management Guideline for Children with Down’s Syndrome
Keywords:
Down’s syndrome, motor development, physiotherapy intervention, childrenAbstract
Background Down’s syndrome is a genetic disorder caused by the presence of all or part of a third copy of chromosome 21.Globally, as of 2010, Down syndrome occurs in about 1 per 1000 births and results in about 17,000 deaths {DB, 2008 #17;DB, 2008 #17}In developing countries, many children with DS die in childhood from infections and congenital heart defects.
Objective to identify and compile feasible evidence based physiotherapeutic approaches for the management of Down’s syndrome.
Method Full text RCT articles published from 2001 to 2013 in English language were searched and included. Studies which are exclusively for adults were excluded.
Result All the five articles that are included for this guideline supported different types of physiotherapy managements for the improvement of muscle tone, muscle strength and walking ability by using whole body massage, different strengthening and balance exercise, and treadmill training.
Conclusion The management of children with DS needs multidisciplinary approach to intervene in his/her body impairments, activity limitation and participation restriction. On physiotherapy, the articles I included supported different strengthening and balance exercises, treadmill training and massage when added to other exercises.
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