A Síndrome de Down (SD) ou trissomia do cromossomo 21 é a cromossomopatia mais comum no ser humano, acontece independente de sexo, etnia ou classe social. No Brasil, nasce aproximadamente uma criança com SD para cada 700 nascimentos. Sabe-se que as pessoas com síndrome de Down, quando bem atendidas e estimuladas, têm potencial para plena inclusão social. Este protocolo foi elaborado pela equipe multiprofissional de Cuidado à Saúde da Pessoa com síndrome de Down do Instituto de Medicina Física e Reabilitação do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo. Objetivo: Oferecer orientações para o cuidado à saúde da pessoa com Síndrome de Down, nos diferentes níveis de atenção a saúde, em todo o seu ciclo vital. Método: A elaboração do protocolo de cuidado integral à saúde da pessoa com síndrome de Down baseou-se em buscas no sistema PubMed, SciELO e no Cochrane Database of Systematic Reviews utilizando como palavras chaves: “Down Syndrome” e “Síndrome de Down”; “Trisomy 21”, “Trisomíadel Cromosoma 21” e “Trissomia do Cromossomo 21” e “Growth”, “Desarollo” e “Crescimento”. Resultados: Os artigos revistos foram publicados no período de 1972 a 2011 e limitados às línguas: inglesa, espanhola e portuguesa. Priorizamos revisões sistemáticas e metanálises. Foram incluídos também registros prévios a 1972 considerados históricos. Conclusão: Os dados foram analisados por um grupo de especialistas que discutiu os resultados e elaborou este protocolo.
A Síndrome de Down (SD) ou trissomia do cromossomo 21 é a cromossomopatia mais comum no ser humano, acontece independente de sexo, etnia ou classe social. No Brasil, nasce aproximadamente uma criança com SD para cada 700 nascimentos. Sabe-se que as pessoas com síndrome de Down, quando bem atendidas e estimuladas, têm potencial para plena inclusão social. Este protocolo foi elaborado pela equipe multiprofissional de Cuidado à Saúde da Pessoa com síndrome
Down Syndrome (SD) is the most common chromosomopathy in humans. It is known that, if properly stimulated, these people have the potential for full social inclusion. The objective of this study is to show the work done with this population by the Physiotherapy service provided by the multiprofessional team at the Clinic for the Care of Persons with DS at the Institute of Physical Medicine and Rehabilitation at HC FMUSP. This clinic develops therapeutic activities for persons up to 18 years of age. The work is carried out in models, which are subdivided into: a DS General Stimulation Model which serves patients up to three years of age whose objectives are focused on the acquisition of motor marks, essential for neuropsychomotor development; a DS Child Development Model which helps children from four to eleven years of age that focuses on the development of more advanced motor skills, strength, posture, improvement of mobility, balance, and proprioception to optimize cerebellar activity and the consequent enhancement of static and dynamic balance; a DS Adolescent Model for those aged twelve to eighteen; and a DS Adult Model starting at age nineteen aimed at orthopedic and postural restoration in addition to providing health guidance. Physiotherapeutic monitoring is fundamental within the clinic for the care of a person with DS, for it stimulates the motor development of these children, along with the multiprofessional team and the family, respecting their time and favoring their potentials, in addition to acting to educate the family on health so as to prevent problems and promote the health of the person with DS and their nuclear family.
Down Syndrome (SD) is the most common chromosomopathy in humans. It is known that, if properly stimulated, these people have the potential for full social inclusion. The objective of this study is to show the work done with this population by the Physiotherapy service provided by the multiprofessional team at the Clinic for the Care of Persons with DS at the Institute of Physical Medicine and Rehabilitation at HC FMUSP. This clinic develops therapeutic activities for persons up to 18 years of age. The work is carried out in models, which are subdivided into: a DS General Stimulation Model which serves patients up to three years of age whose objectives are focused on the acquisition of motor marks, essential for neuropsychomotor development; a DS Child Development Model which helps children from four to eleven years of age that focuses on the development of more advanced motor skills, strength, posture, improvement of mobility, balance, and proprioception to optimize cerebellar activity and the consequent enhancement of static and dynamic balance; a DS Adolescent Model for those aged twelve to eighteen; and a DS Adult Model starting at age nineteen aimed at orthopedic and postural restoration in addition to providing health guidance. Physiotherapeutic monitoring is fundamental within the clinic for the care of a person with DS, for it stimulates the motor development of these children, along with the multiprofessional team and the family, respecting their time and favoring their potentials, in addition to acting to educate the family on health so as to prevent problems and promote the health of the person with DS and their nuclear family.
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