scholarly journals Therapeutic Exercise to Improve Motor Function Among Children with Down Syndrome Aged 0 to 3 Years: A Systematic Literature Review

Author(s):  
Eliana-Isabel Rodríguez-Grande ◽  
Adriana Buitrago-Lopez ◽  
Martha-Rocio Torres-Narvaez ◽  
Yannely Serrano-Villar ◽  
Francisca Verdugo-Paiva ◽  
...  

Abstract Objective: To determine the effect of therapeutic exercises on the motor function of children with Down syndrome (DS) aged 0 to 3 years.Data Sources: A search was carried out on PubMed, PEDro, EMBASE, SCIELO, Lilacs, Cochrane library without publication date restrictions for the terms.Study Selection: The search yielded 1384 eligible articles, which were screened by 2 reviewers. RCTs that would have evaluated the effectiveness of therapeutic exercise were selected, and that would have reported the effectiveness in the outcomes.Data Extraction: The methodology and results of the studies were critically appraised in compliance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes guidelines. Data Synthesis: Six studies were included. Two types of therapeutic exercises, aerobic and neuromuscular, were identified. A therapeutic aerobic exercise was performed using the treadmill, while a neuromuscular exercise was done using unstable surfaces. The exercise frequency ranged from three days to five days a week, and the duration of each session was between six and 15 minutes. Conclusion: There is moderate to high evidence to support that therapeutic exercise promotes the occurrence of motor patterns such as gait patterns and enhances the motor skills of children with DS aged 0 to 3 years.

2022 ◽  
Author(s):  
Eliana-Isabel Rodríguez-Grande ◽  
Olga-Cecilia Vargas-Pinilla ◽  
Martha-Rocio Torres-Narvaez ◽  
Nelcy Rodríguez-Malagón

Abstract Objective to evaluate the effects of neuromuscular exercise, specifying the parameters and characteristics of effective interventions to improve balance, muscle strength and flexibility in children with DS between the ages of 4 and 18 years. Data Sources: A search was carried out on PubMed, PEDro, EMBASE, SCIELO, Lilacs, Cochrane library. Study Selection: The search yielded 1384 eligible articles. Randomized clinical trials were selected, and that would have reported the effectiveness in the outcomes. Data Extraction: The methodology and results of the studies were critically appraised in compliance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes guidelines. Data Synthesis: Ten studies were included. The interventions included mechanotherapy, vibration, and use of different unstable surfaces. The exercise frequency ranged from three days to five days a week, and the duration of each session was between six and 15 minutes. The frequency was between two and three times a week for 6 and 12 weeks and the intensity was between 60% and 80% of maximum resistance (MR). Conclusion neuromuscular exercise appears to be effective for the improvement of both lower limb and chest muscle strength and balance in children over 8 years of age.


Author(s):  
Nazia Adeeb ◽  
◽  
Sumaira Imran Farooqui ◽  
Abid Khan ◽  
Jaza Rizvi ◽  
...  

Down syndrome is one of the most common chromosomal disorders in pediatrics characterized by variable intellectual disability, generalized joint laxity, and hypotonia that compromises their function and causes a delay in developing gross motor skills, poor balance, and coordination. Thus, this study aims to determine the current yet effective treatment approaches to improve balance in the Down syndrome population. The studies were explored across seven electronic databases that include MEDLINE, PubMed, Cochrane Library, Google Scholar, Scopus, PEDro, and Web of Science from inception till October 2020 comprised of experimental studies published in English language investigating the effects on balance in children and adults diagnosed with DS considering different interventions. A total of 1,570 records were retrieved from seven electronic databases published between the year's tenure of 2013-2020. 144 full-text papers were extracted to be reviewed, of which only 18 experimental studies were selected on the basis of inclusion criteria that involved 493 Down syndrome patients, investigated the effects of therapeutic exercises, manual therapy techniques, and patient-related instructions on standardized balance scales/tests. It was concluded that all the included trials demonstrated significantly profound effects in improving the static and dynamic balance of Down syndrome patients. Therefore, none of the interventions is declared as superior to another in terms of obtained results. Furthermore, these diverse interventions need to be investigated more for better understating and generalizability of outcomes.


2001 ◽  
Vol 82 (4) ◽  
pp. 494-500 ◽  
Author(s):  
Robert J. Palisano ◽  
Stephen D. Walter ◽  
Dianne J. Russell ◽  
Peter L. Rosenbaum ◽  
Maryan Gémus ◽  
...  

2008 ◽  
Vol 40 (10) ◽  
pp. 693-701 ◽  
Author(s):  
Dianne Russell ◽  
Robert Palisano ◽  
Stephen Walter ◽  
Peter Rosenbaum ◽  
Maryan Gemus ◽  
...  

2020 ◽  
pp. 174462952097007
Author(s):  
Marina Lummertz Magenis ◽  
Wanessa de Faveri ◽  
Kamila Castro ◽  
Gabriele Carra Forte ◽  
Antonio Jose Grande ◽  
...  

Several conditions related to serious difficulty in initiating and maintaining breastfeeding in neonates with Down syndrome are described in the literature. This study aimed to investigate the frequency of breastfeeding in neonates with Down syndrome, as well as the reasons for not breastfeeding, through a systematic literature review by searching MEDLINE via PubMed, Cochrane Library, Scopus, Embase via Elsevier, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases. Sixteen studies were included with a total sample size of 2022 children with Down syndrome. The frequency of exclusive breastfeeding was 31.6–55.4%, with five studies reporting breastfeeding for longer than 6 months. Breastfeeding from birth was present for 48–92.5% of the children with Down syndrome in six studies. Two studies reported that around 50% and 23.3% of the children with Down syndrome were never breastfed, and rates of breastfeeding in infants with Down syndrome were lower than those in controls in three studies. The reasons for not breastfeeding or cessation of breastfeeding were associated with Down syndrome-specific challenges, maternal reasons, and healthcare aspects.


2017 ◽  
Vol 32 (3) ◽  
pp. 677-690 ◽  
Author(s):  
Maíra Tristão Parra ◽  
Gustavo J. M. Porfírio ◽  
Elva M. Arredondo ◽  
Álvaro N. Atallah

Objective: To review and assess the effectiveness of physical activity interventions delivered in faith-based organizations. Data Source: We searched the Cochrane Library, DoPHER, EMBASE, LILACS, MEDLINE, PsycINFO, WHO ICTRP, and Clinicaltrials.gov databases until January 2016, without restriction of language or publication date. Study Inclusion and Exclusion Criteria: Randomized and nonrandomized controlled trials investigating physical activity interventions for adults delivered in faith-based organizations. Data Extraction: Two independent reviewers extracted data and assessed study methodological quality. Data Synthesis: We used relative risk and mean difference with 95% confidence interval to estimate the effect of the interventions on measures of physical activity, physical fitness, and health. Results: The review included 18 studies. Study participants were predominantly female, and the majority of trials were conducted in the United States. Study heterogeneity did not allow us to conduct meta-analyses. Although interventions delivered in faith-based organizations increased physical activity and positively influenced measures of health and fitness in participants, the quality of the evidence was very low. Conclusion: Faith-based organizations are promising settings to promote physical activity, consequently addressing health disparities. However, high-quality randomized clinical trials are needed to adequately assess the effectiveness of interventions delivered in faith-based organizations.


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