Rehabilitation in Down Syndrome Patient with Malnutrition, Sensory Processing Disorder, Obstructive Sleep Apnea: A Case Report

Abstract

: Down syndrome children will experience delays in development. However, will achieve same milestones as other children on their own timetable, has same motor development sequence but it takes two times compared to healthy children. Management for comorbidities accompanied Down syndrome child is needed. Case: A 4 year 1 month girl with chief complaint could not walk. Patient was diagnosed with Down syndrome, malnutrition, sensory processing disorder, obstructive sleep apnea. She got neurodevelopmental therapy, lower extremities strengthening exercise, sensory integration therapy, consulted to nutritionist and ENT department. She was suggested to use NGT and had an adenoidectomy but the mother refused. After 3 months, she could stand without support but still could not walk. Discussion: Down syndrome causes delay in development, comorbidities make it worst. Patient had delays compared to Down syndrome developmental graphic. There were improvement in gross motor but malnutrition, adenoid hypertrophy, obstructive sleep apnea interfere the management. Conclusion: Down syndrome usually has comorbidities. Down syndrome causes delay in development and comorbidities make it worst. It is important to identify the comorbidities and make holistic approaches.