Down Syndrome Flashcards
Establish a ____ routine
predictable
Use ____charts, ____targets, ____demonstration with those who have DS
visual
Assess _____ support regularly
foot
Individuals with down syndrome have 4 unique characteristics to their physiology
- flexible joints
- flexible ligaments
- lower resting muscle tone
- flat feet
Ds changes in cardiovascular
lower maximal heart rate
pulmonary Hypertension
decreased endurance
Ds changes in neuromuscular
joint hypermobility
degenerative changes to the cervical spine
ligamentous laxity
atlantoaxial instability
scoliosis
Ds changes in endocrine
hypothyroid
Ds changes in sleep
sleep apnea
Ds changes in CNS
alzheimers disease
seizures
depression
hypotonia
91% of people with Ds have what type of foot structure
flat feet pes planus
people with Ds learn best by
visual seeing
why is physical therapy important for teen/adult with Ds
medical consideration
treat prevent pain
unique physiology
purposeful program
improved independence
is exercise dangerous for people with Ds
no but should be supervised to start
Balance is learned from _____ to the ___
head down to the toes
start with head righting
then shoulder
core
hip
knee
other than flat feet what are some common foot features in Ds
wide base of support
foot turned out
hallux valgus
great toe abduction
treatment for the flat foot
orthotic
SMO
cascade hot dog insert
benefits of foot support
controls heel position
flexible platform for activity
decreases hallux valgus
improved participation, confidence and body awareness during activity
what four movements were shown in the lecture
squat
push up
plank
glute bridges
how to calculate HR is Ds
179-(.56*age)
Why do you calculate hr differently in Ds?
Because they have a lower max heart rate
adolescents age ___ years or older can begin weight training with supervision (consistent with ACSM recommendations)
13
Pt goals for Ds
joint stability
strength
endurance
balance coordination
successful
home and community practice
Outcome measure pediatric Ds
alberta infant motor assessment
outcome measures teen/adult
LEFS
NDI
modeified oswestry
2 min set test
5 time sit to stand
Children with Ds are at higher risk for _____
leukemia
individuals with Ds have higher incidence of _____ impairments
cardiovascular
true or false important to pay attention to history of heart surgery in infants with Ds
true
