Early and late neurostimulation in children with Down’s Syndrome usng the Wroclaw Rehabilitation Model (WMU) and the level of concentration of attention

Ludwika Sadowska, Maria B. Pecyna

Ludwika Sadowska, Maria B. Pecyna – Early and late neurostimulation in children with Down’s Syndrome using the Wroclaw Rehabilitation Model (WMU) and the level of concentration of attention. Fizjoterapia Polska 2001; 1(1); 9-16

Abstract
Background. Morphological changes of cerebral cortex and early aging of the brain may suggest altered bioelectrical activity reflected by the rhythms of beta and theta waves in children with Down’s syndrome. Results. The cognitive potential of children with Down’s syndrome treated with early neurostimulation using the Wrocław Rehabilitation Model (WMU) in infancy was higher than in Down’s children treated after the age of 3. during neurostimulation by the Vojta method increased amplitudes of beta wave rhythm were obtained, along with reduced theta amplitudes. Conclusion. The early neurostimulation of children with Down’s syndrome from the first months of life significantly improves their concentration and increases their mental activity, which helps them to achieve a better start in life.

Key words:
neurostimulation, Down, brain wave rhythms, concentration

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The occurrence of congenital defects in children with Down’s Syndrome (DS) in outpatient rehabilitation

Ludwika Sadowska, Anna Gruna-Ożarowska, Monika Mysłek, Elżbieta Wójcik, Ewa Masłowska

Ludwika Sadowska, Anna Gruna-Ożarowska, Monika Mysłek, Elżbieta Wójcik, Ewa Masłowska – The occurrence of congenital defects in children with Down’s Syndrome (DS) in outpatient rehabilitation. Fizjoterapia Polska 2001; 1(3); 254-260

Abstract

Background. The authors have attempted to assess the frequency of occurrence of congenital organ defects and hypothyroidism in Down’s Syndrome (DS) children rehabilitated on an outpatient basis. Trisomy of the 21st chromosome pair can be a cause of many diverse somatic defects, which can be detected in comprehensive clinical diagnosis.Material and methods. A retrospective study was performed on the basis of existing medical documentation for 527 DS children ranging in age from 0-18, registered in the period 1993-2000. Results. Cetogenetic testing performed on 497 patients with the characteristic phenotype picture revealed simple trisomy of the 21st chromosome pair in 475 cases (95% of the total population), Robertson translocation in 20 cases (4.2%), and a mosaic arrangement in 4 cases (0.8%). The occurrence of congenital heart defects in DS children was noted in 254 cases (48.2% of the total), vision defects in 238 (45%), hearing defects in 54 (10%), bone and joint defects – in the form of developmental anomalies of the spine, rib cage, upper limbs, and lower limbs – in 113 (21.4%). Other defects occurred less often: urogenital defects in 40 cases (7.6%), digestive tract defects in 29 cases (5.5%) and respiratory defects in 23 cases (4.4%). Congenital hypothyroidism confirmed by testing the level of TSH was found in 112 children (21.3%). Conclusions. The diversity of disturbances seen in DS children requires early, comprehensive diagnosis and developmental rehabilitation, a conductive family environment, and broad social support.

Key words:
congenital organ defects, Trisomy, cytogenetic testing
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Somatic development of children with Down Syndrome (DS) who were treated in ambulatory system

Ludwika Sadowska, Monika Mysłek, Agata Gruna-Ożarowska

Ludwika Sadowska, Monika Mysłek, Agata Gruna-Ożarowska – Somatic development of children with Down Syndrome (DS) who were treated in ambulatory system. Fizjoterapia Polska 2002; 2(1); 21-28

Abstract
The authors conducted the evaluation of somatic development in children with DS who were rehabilitated in ambulatory system. Trisomy of 21 pair chromosomes’ causes inharmonious psychosomatic development with could be noticed in complex clinical diagnostic. Retrospective diagnostic was conducted on account of medical documentation of 549 children with DS in the age of 0-18 with were registered in the years of 1995-2001. The disorders of physical development which increases with the age are genetic determinated. This fact was noted account antropometric measures. The young children have a big deficiency of body mass and height and also a small cranial and chest circumferences. But the older ones in second decade of live have obesity and nanosomia. The enormous physical development are strictly connected with enormous physical one, congenital defects, insufficiency of thyroid gland and often infections.

Key words:
Down Syndrome, Somatic development

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The efficacy of early neurostimulation of development in the Wroclaw Model of Rehabilitation for Down’s syndrome children, as measured by bio-electric examinations of the brain

Witold Pilecki, Ludwika Sadowska, Monika Mysłek, Zbigniew Śliwiński

Witold Pilecki, Ludwika Sadowska, Monika Mysłek, Zbigniew Śliwiński – The efficacy of early neurostimulation of development in the Wroclaw Model of Rehabilitation for Down’s syndrome children, as measured by bio-electric examinations of the brain. Fizjoterapia Polska 2002; 2(2); 99-107

Abstract
Material and methods. Brainstem auditory evoked potentials (BAEP) and visual evoked potentials (VEP) were examined in two groups of small children with Down syndrome (DZ), one group rehabilitated since birth in the Wrocław Model of Rehabilitation (WMU), and the other not rehabilitated. The findings were compared with an homologous control group of healthy children. Results. During the BAEP examinations, the latency of deflection I was analyzed, where delayed latency indicates reduced sensitivity to sound. The examinations showed a significantly higher percentage of poor results in the group of DS. children who were not rehabilitated (33.3% in the first examination and 27.3% during the control examination). In the group of children with DS rehabilitated since birth, the percentage was 5 times lower (5.4% at the beginning of rehabilitation and 3.8% after several months of rehabilitation), similar to the results achieved in the control group (3.3%). In the VEP examinations, the percentage of normal results after stimulation with a flash of light was low in the group of children not rehabilitated (34% on the first examination). In the group of rehabilitated children, 53% achieved completely normal results. In the control examination, in the group of children not rehabilitated, normalization was observed in only one case (of 5 examined children), whereas in the rehabilitated group normalization occurred in 6 out of 13 cases with previously abnormal results. Ultimately, normal results were achieved by 38% of the children not rehabilitated and 68% of the rehabilitated children. In the control group, 84% of the results were normal. Conclusion. In the case of children with Down’s Syndrome, the activity of the examined analyzers differs from healthy children. On the other hand, the improvement observed over time indicates that some normalization of function does occur in these analyzers, particularly in children subjected to neurostimulation since the first months of life.

Key words:
Down, brain evoked potentials, Wroclaw Model of Rehabilitation

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Recenzja książki – Stymulacja rozwoju dzieci z trudnościami w uczeniu się – nowe tendencje, Celestyna Grzywniak

Ludwika Sadowska

str. 98

Autorka książki dr n. hum. Celestyna Grzywniak jest pracownikiem naukowym Uniwersytetu Pedagogicznego w Krakowie z zawodu fizjoterapeuta, psycholog i logopeda zajmuje się badaniem skuteczności oddziaływania nowych metod terapeutycznych na rozwój dzieci. Książka jest przeznaczona dla pedagogów, psychologów, logopedów, studentów medycyny i fizjoterapii oraz osób zainteresowanych problematyką nowych tendencji w terapii rozwojowej u dzieci.

Sociodemographic conditions of families of children with Down syndrome born between 1980-2010 diagnosed and treated according to the Wroclaw Rehabilitation Model. Twenty years of observations

Ludwika Sadowska, Ewa Gieysztor, Anna Markuszewska, Anna Maria Choińska

L. Sadowska, E. Gieysztor, A. Markuszewska, A. M. Choińska – Sociodemographic conditions of families of children with Down syndrome born between 1980-2010 diagnosed and treated according to the Wroclaw Rehabilitation Model. Twenty years of observations. FP 2016;16(2);74-83

Abstract

Introduction. There is a number of socio-demographic factors, affecting development of children with the Down Syndrome (DS). Researching these factors provides therapists with knowledge, which increases their ability to help the people with disabilities and their caregivers.
Aim. The aim of this study is a retrospective assessment of the socio-demographic conditions of families, i.e. it specifies the location and conditions of their residence, characteristics of a given family, number of children, sources of income, employment and education of the parents, their health and the care they give their child.
Materials and Methods. The analysis includes documentation regarding 200 children with the DS, treated in the years 1980-2010 in the Independent Workshop for Development Rehabilitation (Samodzielna Pracownia Rehabilitacji Rozwojowej – SPRR) at the Department of Physical Therapy of the Medical University in Wrocław. The children participated in a rehabilitation program according to the Wrocław Rehabilitation Model (Wrocławski Model Usprawniania – WMU). Materials for the research have been divided into 3 groups, according to the decade, when the children were born. Group A has included 50 children born in the years 1980-1989 (28 girls and 22 boys), Group B – 100 children born in the years 1990-1999 (48 girls, 52 boys), and Group C – 50 children born in the years 2000-2010 (25 girls, 25 boys).
Results and Conclusions. Over the years, there have been observed an improvement in the sources of income of the families with the DS children, to which has contributed a higher education level of the parents, both mothers and fathers, growth among them of the employment rate in the private sector, full family status, in the majority of the families there have been at least two, three children and both parents have participated in the care of the child, in the good and very good residential conditions. The beneficial effect of the environment on the conditions for development, and the rehabilitation effects, are confirmed by obtaining by the children with Down Syndrome the social maturity and their functioning in the community.

Key words:
Down Syndrome, WMU, socio-demographic conditions

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