PHYSIOTHERAPY ININTERVENTIONS IN CHILDREN WITH DOWN SYNDROME

Down sindrom ili trisomija 21 je najčešća kromosomopatija i najčešća mentalna retardacija osobito kod djece čije majke imaju 35 godina i više. Down sindrom dobio je ime po engleskom liječniku i ljekarniku Langdonu Downu, koji ga je 1866. godine opisao na vlastitom djetetu. Uzroci nerazdvajanja kromosoma još uvijek su nepoznati i nerazjašnjeni. Iako je autosomni kromosom 21 po dimenzijama i broju nukleotida najmanji, to je najtemeljitije izučavan kromosom kod čovjeka. Najučinkovitiji fizioterapijski postupci u terapiji djece sa Down sindromom su Bobath koncept, Halliwick koncept, hipoterapija, baby handling i senzorna terapija. Svrha fizioterapije je prvenstveno spriječiti razvoj abnormalnih obrazaca pokreta.Down syndrome or trisomy 21 is the most common chromosomal abnormality and most common intellectual disability, especially in children whose mothers are 35 years or older. Down syndrome is named after Langdon Down, an English physician and pharmacist who described it in 1866 on his child. The cause of chromosome changes is still unknown and unclarified. Although autosomal chromosome 21 is the smallest per dimension and the number of nucleotides, it is the most thoroughly studied chromosome in the human body. The most effective physiotherapeutic procedures in the treatment of children with Down syndrome are the Bobath concept, Halliwick concept, hippotherapy, baby handling and sensory therapy. The purpose of physiotherapy is primarily to prevent the development of abnormal movement patterns