Physiotherapy of children with Down syndrome

Agnieszka Adameczek, Bożena Werner

Agnieszka Adameczek, Bożena Werner – Physiotherapy of children with Down syndrome. Fizjoterapia Polska 2007; 7(4); 381-391

Abstract
Down syndrome is a disease entity associated with a characteristic phenotype and, frequently, congenital defects of organs and systems. A structural pathology of the central nervous system leads to psychomotor retardation and mental impairment later in life. The aim of the article is to present contemporary ideas about the rehabilitation of children with Down syndrome at different ages, from infancy to school age. Regular rehabilitation commenced in the first months of life and continued at pre-school and school age is necessary for better development. The aim of the physiotherapy of infants and pre-school children is to improve muscular tone and psychomotor development. The aim of the physiotherapy of children with Down syndrome at school age is to improve quality of movements and physical capacity. The most popular physiotherapeutic methods used in children with Down syndrome are the NDT-Bobath method and the Vojta method combined with the educational methods of Veronica Sherborne, sensory integration and hippotherapy. The NDT-Bobath method uses key points of control to leads movements of the child, stimulate normal motor responses and inhibit pathological responses. The Vojta method uses stimulation areas to facilitate postural and motor patterns. The Sherborne method essentially aids the development of the child by movement, physical contact and emotional contact with an exercise partner. Sensory integration therapy delivers an adequate amount of stimuli so that the child can spontaneously react and form normal adaptive responses, integrating the stimuli. During hippotherapy, the child exercises during slow-paced horse-ridding.
Key words:
Down syndrome, Vojta, NDT-Bobath
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Evaluation of neurocinesiological improvement performance of reflexlocomotion method of Vojta on children at risk of central nervous coordination disorder

Katarzyna Balewska-Juras, Grażyna Cywińska-Wasilewska

K. Balewska-Juras, G. Cywińska-Wasilewska: Evaluation of neurocinesiological improvement performance of reflexlocomotion method of Vojta on children at risk of central nervous coordination disorder. FP 2015;15(4);32-41

Abstract
Introduction. In the work there have been presented  the  assessment of 7 Vojta’s child’s spontaneous motor activity that was made according to Munich Functional Developmental Diagnostics and infant treatment with the stated central coordination disorders by Vojta’s method.
The subject of work. To demonstrate the effectiveness of Vojta’s treatment by applying two neurodevelopmental diagnostics and their comparison. A recommendation of early recognition of child’s developmental problems and the introduction of early improvement.
Materials and methods. Children between 1-10 month, who were stated to have nerve and muscle coordination disorder were subjected. The effects of Vojta’s method improving treatment were compared in groups: children beginning the therapy between 2-4 months of age, and 5-10 m. Assessment of child’s spontaneous motor activity was made according to Munich Functional Developmental Diagnostics and Vojta’s infant development. Improving treatment time was between 1-11 months, depending on improvement of child’s neurological status and spontaneous motor activity.
Results. Before the therapy 22 children were suffering from hard, 19 children from medium, 4 children from light nervous system disorders. After the therapy, the situation of all children improved.
Conclusions. Therapy according to Vojta’s method has a positive impact on improvement of spontaneous motor activity and on neurologic state of children with decreased  nervous system disorders. Evaluation of the two methods give equivalent results.

Key words:
central nervous coordination disorder, Vojta Method

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