Profile of physiotherapy intervention for Down syndrome children

Morais, Késia Damascena Winter de; Fiamenghi-Jr, Geraldo A.; Campos, Denise; Blascovi‐Assis, Silvana Maria

doi:10.1590/1980-5918.029.004.ao05

Cited by 7 publications

(8 citation statements)

References 12 publications

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“…The physiotherapy offered to DS patients goes beyond the medical and health area, as the needs of these people are interdisciplinary and involve multiple areas of knowledge, including medicine, psychology, speech therapy, physiotherapy, occupational therapist, and general educator. Still, according to the authors, the performance of these professionals is considered as the main objective to improve the physical and mental skills of patients with DS, thus providing them with quality of life [7].…”

Section: Resultsmentioning

confidence: 99%

Physiotherapy in Down Syndrome: A Literature Review

Silva¹,

Silva²,

Silva³

et al. 2021

INDJ

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Introduction: Down syndrome is a genetic condition arising from three chromosomal abnormalities, namely trisomy 21 (the most well-known); translocation, and/or mosaicism. This chromosome change occurs in the formation of the fetus, in more detail at the time of cell division, which will characterize the signs and symptoms of the syndrome. Objective: The purpose of this article is to research the main scientific findings in the last 10 years regarding physical therapy treatments, to verify the best techniques and their respective results, and to address the role of physiotherapy in the development of children with Down syndrome. Methods: The research only included studies published in the period from 2009 to 2019, systematic review articles and limited the Portuguese and English languages were excluded, excluding all incomplete articles, duplications, abstracts that did not address, and those works that do not have a scientific basis. Results: In this systematic review, it can be seen that the main research results were disseminated and stored in databases (SciELO, Medline, and LILACS), focusing on the study of and DS patients, specifical children in early childhood. There are few studies on down syndrome in adults. Another important aspect is the concentration of research in the field of sports physiotherapy, few studies have focused on other areas of physiotherapy, such as respiratory, cardiovascular, and cognitive physiotherapy, which go in the opposite direction. Conclusion: Physiotherapy for patients with DS can improve the quality and life expectancy of these individuals, but the needs of patients with this syndrome involve some physical, physiological and psychological aspects and require the attention of a multidisciplinary team.

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Section: Resultsmentioning

confidence: 99%

Physiotherapy in Down Syndrome: A Literature Review

Silva¹,

Silva²,

Silva³

et al. 2021

INDJ

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“…Physiotherapy interventions in children with Down syndrome do not aim to accelerate gross motor development, but rather to correct or minimise compensatory strategies by improving overall motor proficiency and QOL in this population (De Morais et al 2016 ). Physiotherapy interventions include approximation, strengthening, cardiovascular and balance exercises (Dodd & Shields 2005 ; Hardee & Fetters 2017 ; Li et al 2013 ).…”

Section: Introductionmentioning

confidence: 99%

Effect of virtual reality therapy, combined with physiotherapy for improving motor proficiency in individuals with Down syndrome: A systematic review

Stander

Preez²,

Kritzinger³

et al. 2021

South African Journal of Physiotherapy

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Background: Individuals with Down syndrome may struggle with anticipatory postural adjustments, and adapt slower to motor tasks and environmental changes, due to decreased motor proficiency.Objectives: To determine the effectiveness of virtual reality therapy (VRT), specifically Nintendo Wii, combined with physiotherapy or occupational therapy (OT) for improving motor proficiency in individuals with Down syndrome, compared to standard physiotherapy, OT or no intervention.Method: Nine computerised databases were searched from inception to July 2020. Methodological quality of randomised controlled trials and quasi-experimental studies was appraised using the physiotherapy evidence database (PEDro) scale and the Joanna Briggs Institute Critical Appraisal Checklist for Case Reports.Results: Two randomised controlled trials and four quasi-experimental studies were included, with an average PEDro score of 7.3. One included case study scored 5. This review included 345 participants. Motor proficiency includes balance, coordination, strength and agility. Agility showed a significant improvement after 5 (p = 0.01) or 24 (p 0.01) weeks. Strength showed a significant improvement after a 6- (p = 0.000) or 24-week intervention (p 0.05). Balance showed inconclusive results for adults, and significant improvement in children after 6 (p = 0.000), 8 (p 0.05) or 24 (p 0.003) weeks. One study (n = 155) showed that upper limb and bilateral coordination improved significantly after 24 weeks (p 0.003).Conclusion: Level II, III-1 and IV evidence suggested that VRT may be valuable to improve agility and strength in individuals with Down syndrome, and balance and coordination in children with Down syndrome.Clinical implications: It may be beneficial to use VRT in addition to standard physiotherapy or OT interventions for improving motor proficiency in individuals with Down syndrome.

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“…Atualmente, as intervenções terapêuticas visam a interdisciplinaridade, os psicólogos, fonoaudiólogos, Fisioterapeutas, terapeutas ocupacionais e professores. Após a divulgação do diagnóstico aos pais, a equipe de saúde deve mostrar à família a importância de iniciar a estimulação precoce, encaminhando a criança para programas especializados de terapeutas ocupacionais, fisioterapeutas e fonoaudiólogos (MORAIS et al, 2016).…”

Section: Introductionunclassified

“…A criança deve ser encaminhada à estimulação precoce de preferência antes de três anos, pois é o estágio de maior plasticidade neural. Quanto mais imediatas forem as intervenções, maiores serão as chances de minimizar ou prevenir modificações do desenvolvimento (MORAIS et al, 2016).…”

Section: Introductionunclassified

“…Os fisioterapeutas normalmente vêem as crianças de SD e suas famílias em serviços de intervenção e planejam o tratamento derivado de seus conhecimentos e especialização em diferentes técnicas, conceitos e métodos de fisioterapia, todos com o objetivo de proporcionar à criança SD mais oportunidades de adquirir habilidades motoras, longevidade e melhor qualidade de vida, melhorando o processo de desenvolvimento (MORAIS et al, 2016).…”

Section: Introductionunclassified

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A Eficácia Do Nintendo Wii No Desenvolvimento Motor De Crianças Com Paralisia Cerebral - Uma Revisão Sistemática

Souza¹,

Corrêa²,

Souza³

et al. 2018

Saberes E Competências Em Fisioterapia

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Profile of physiotherapy intervention for Down syndrome children

Abstract: Introduction: Down Syndrome (DS) is a genetic disorder that causes global delay in development, includ-

Cited by 7 publications

References 12 publications

Physiotherapy in Down Syndrome: A Literature Review

Physiotherapy in Down Syndrome: A Literature Review

Effect of virtual reality therapy, combined with physiotherapy for improving motor proficiency in individuals with Down syndrome: A systematic review

A Eficácia Do Nintendo Wii No Desenvolvimento Motor De Crianças Com Paralisia Cerebral - Uma Revisão Sistemática

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