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Individuals with Down syndrome may have multiple medical comorbidities that may potentially affect any system in the body. This course will provide a brief overview of common medical issues in children with Down syndrome. Appropriate questions for conducting a systems review will be discussed along with red flags that would warrant a referral to a physician. The American Academy of Pediatrics’ guidelines for health supervision of infants and young children will also be reviewed.
Dr. Martin received a BA in Athletic Training from Purdue University in 1987, an MS in Physical Therapy from the University of Indianapolis in 1990, and a Doctor of Health Science from the University of Indianapolis in 2003. She joined the faculty of the Krannert School of Physical Therapy at the University of Indianapolis in 2000…
This chapter will review common comorbidities that may be present in children with Down syndrome. The prevalence of each comorbidity, along with its implication for physical therapy, will be discussed.
This chapter will focus on the initial physical therapy evaluation of a child with Down syndrome. Specific questions to ask to elicit information about possible medical comorbidities will be discussed. A systems review approach will be used that is tailored for early childhood.
3. Health Surveillance Guidelines for Children with Down Syndrome
The American Academy of Pediatrics published health surveillance guidelines for children with Down syndrome in 2011. Relevant guidelines for children birth through age 5 years will be reviewed and importance to physical therapy will be emphasized.
4. Health Surveillance Guidelines for Adolescents with Down Syndrome
The American Academy of Pediatrics published health surveillance guidelines for children and adolescents with Down syndrome in 2011. Relevant guidelines for children from 5 years old to 21 years old will be reviewed and importance to physical therapy will be emphasized.
5. Health Surveillance Guidelines for Adults with Down Syndrome
This chapter will review the prevalence and impact of medical comorbidities for adults with Down syndrome. The relevance for physical therapists will also be discussed.
6. Q&A - Parent Interview
In this chapter, Dr. Kathy Martin is joined by a parent of a 3-year-old daughter with down syndrome to discuss health surveillance guidelines from a parent's perspective.
Children with Down syndrome have known gross motor delays. The neuromuscular and musculoskeletal factors that contribute to these delays will be reviewed in addition to discussing peer-reviewed literature that has become the gold standard for predicting when children with Down syndrome will acquire specific motor milestones. Suggestions will be offered for using this data to help educate parents about realistic expectations for motor development for their child.
Children with Down syndrome have known gross motor delays. A key role of early intervention programs is educating parents on how to foster motor development for their child. Current understanding of how typically developing children acquire new skills will be used to identify strategies to teach parents to optimize motor learning and the practice of new skills for their child with Down syndrome. These concepts will also be related back to the ideal role of a pediatric physical therapist in the early intervention setting.
Children with hypotonia often experience gross motor delays and excessive foot pronation. This course will review the variety of orthotic options available for hypotonia-related over-pronation, ranging from simple foot orthoses to custom made supramalleolar orthoses. Evidence from the peer-reviewed literature about the efficacy of these orthoses will be reviewed to summarize what is currently known and identify the gaps in our understanding that still exist.