International Medical Review on Down Syndrome最新文献

{"title":"Gait analysis and Bobath physiotherapy in adults with Down syndrome","authors":"I. Navas Vinagre,&nbsp;M.M. Bermejo Cámara,&nbsp;J.C. Bonito Gadella","doi":"10.1016/j.sdeng.2015.10.003","DOIUrl":"10.1016/j.sdeng.2015.10.003","url":null,"abstract":"<div><h3>Introduction</h3><p><span><span>Down syndrome (DS) is a chromosomal disorder with variable phenotypic expression, although different patients share some common features. Among them, </span>hypotonia, ligament laxity and delayed </span>psychomotor development stand out. These traits can improve with early therapy, but remain as gait instability and pathologic compensatory strategies in adult patients.</p><p><span>Pathological gait in DS patients has been studied previously, but the treatment of motor problems has not been approached from a </span>neurological rehabilitation viewpoint, focused on quality of function.</p></div><div><h3>Objectives</h3><p>The aim of this study was to describe the gait alterations in a sample of patients with DS and to assess changes after Bobath physiotherapy.</p></div><div><h3>Material and methods</h3><p>An experimental prospective uncontrolled study was performed. Ten adults with DS (mean age: 28 years) were assessed at baseline and after 10 sessions of Bobath physiotherapy treatment. Quantitative data (such as step length or walking speed) and qualitative data (such as characteristics of arm movements and instability) were recorded by an evaluator blinded to the treatment received.</p></div><div><h3>Results</h3><p>Clear deviations with respect to normal adult gait were found, and a trend towards improvement after physiotherapy treatment. The results were significant in the correction of pitch angle and its symmetry.</p><p>The study has revealed the potential benefits of physiotherapy in adults with DS and the need to complete more studies in this sense.</p></div>","PeriodicalId":100720,"journal":{"name":"International Medical Review on Down Syndrome","volume":"20 1","pages":"Pages 8-14"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.sdeng.2015.10.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77020897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Alzheimer disease: The next challenge for individuals with Down syndrome","authors":"J. Fortea","doi":"10.1016/j.sdeng.2015.10.001","DOIUrl":"10.1016/j.sdeng.2015.10.001","url":null,"abstract":"","PeriodicalId":100720,"journal":{"name":"International Medical Review on Down Syndrome","volume":"19 3","pages":"Page 35"},"PeriodicalIF":0.0,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.sdeng.2015.10.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82299667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative study of plantar footprints in youth with Down syndrome","authors":"L. Gutiérrez-Vilahú ,&nbsp;N. Massó-Ortigosa ,&nbsp;F. Rey-Abella ,&nbsp;L. Costa-Tutusaus ,&nbsp;M. Guerra-Balic","doi":"10.1016/j.sdeng.2015.05.003","DOIUrl":"10.1016/j.sdeng.2015.05.003","url":null,"abstract":"<div><h3>Introduction</h3><p>Musculoskeletal disorders of the locomotive apparatus are common in young people with Down syndrome (DS), especially in the feet. Early diagnosis by examination of podiatric footprints can help prevent orthopaedic symptoms. Our objective was to analyse, measure and classify footprints on the basis of podiatric indices (gold standard) in young people with DS.</p></div><div><h3>Method</h3><p>Cross-sectional study; 86 footprints were analysed from 2 groups; there were 21 healthy subjects, 11 men 20.45 (2.16) years and 10 females 20.00 (1.70) years; and 22 subjects with DS, 11 men 23.82 (3.12) years and 11 females 24.82 (6.81) years. Footprints were recorded in standing position using an optical pedoscope and a digital camera system. We calculated the Hernández-Corvo index, Chippaux-Smirak index, Clarke's angle and Stahelli index. We then compared the results of both samples and analysed the concordance between types of feet and right and left feet by Chi-square test.</p></div><div><h3>Results</h3><p>Footprints in individuals with DS showed flatfoot and/or pronated foot of 38.6% according to Hernández-Corvo index; 50%, to Chippaux-Smirak; 70.4%, to Stahelli; and 59.1%, to Clarke's angle. In healthy subjects the rates of cavus foot were 57.1%, according to Hernández-Corvo index; 59.5%, to Chippaux-Smirak index; and 81%, to Stahelli index; while 57.1% showed a normal foot based on Clarke's angle. Differences between the 2 groups were statistically significant (<em>P</em> <!-->&lt;<!--> <!-->.01) in Chippaux-Smirak index, Stahelli index and Clarke's angle. The correlation between the right and left foot was not significant.</p></div><div><h3>Conclusions</h3><p>Young people with DS had a higher percentage of pronation and a lower percentage of cavus foot than the control group.</p></div>","PeriodicalId":100720,"journal":{"name":"International Medical Review on Down Syndrome","volume":"19 3","pages":"Pages 36-42"},"PeriodicalIF":0.0,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.sdeng.2015.05.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81326792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility of 2 field-based cardiorespiratory function tests on adults with Down syndrome","authors":"R.I. Martínez-Lemos,&nbsp;C. Ayán-Pérez,&nbsp;J.M. Cancela-Carral","doi":"10.1016/j.sdeng.2015.05.005","DOIUrl":"10.1016/j.sdeng.2015.05.005","url":null,"abstract":"<div><h3>Aim</h3><p>To identify the feasibility of 2 cardiorespiratory function field-based tests on adults with Down syndrome.</p></div><div><h3>Methods</h3><p>Thirty-three adults with Down syndrome (mean age 27.21<!--> <!-->±<!--> <!-->8.76 years; 60.6% men) carried out the Mini-Cooper Test (MC) and the 16<!--> <!-->m shuttle run test (16-m PACER). During the performance of both tests, heart rate was monitored with the aim of measuring the degree of effort shown by the participants. The Pearson correlation coefficient was used to assess the level of concordance between both tests.</p></div><div><h3>Results</h3><p>Both the MC and the 16-m PACER were easy to administer, and understandable for all the participants. Significant differences were observed by sex. Men achieved greater distances than women in the MC (529.23<!--> <!-->±<!--> <!-->127.45 vs. 690.00<!--> <!-->±<!--> <!-->126.59<!--> <!-->m), and reached more stages in the 16-m PACER (1.69<!--> <!-->±<!--> <!-->1.07 vs. 3.15<!--> <!-->±<!--> <!-->1.28). The analysis of the degree of effort showed that final heart rate obtained at the end of both tests were around 90% of the predicted maximum heart rate. A significant degree of correlation between the MC and the 16-m PACER was observed both in men (<em>r</em> <!-->=<!--> <!-->0.567; sig<!--> <!-->=<!--> <!-->0.043) and in women (<em>r</em> <!-->=<!--> <!-->0.797; sig<!--> <!-->=<!--> <!-->0.001).</p></div><div><h3>Conclusion</h3><p>The results of this study suggest that the MC and the 16-m PACER test can be safely performed by adults with Down syndrome in order to assess their cardiorespiratory function.</p></div>","PeriodicalId":100720,"journal":{"name":"International Medical Review on Down Syndrome","volume":"19 3","pages":"Pages 43-47"},"PeriodicalIF":0.0,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.sdeng.2015.05.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90411520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A reexamination of the receptive–expressive language gap in individuals with Down syndrome","authors":"L. Kumin","doi":"10.1016/j.sdeng.2015.05.002","DOIUrl":"10.1016/j.sdeng.2015.05.002","url":null,"abstract":"<div><p>Research that focuses on the expressive–receptive language gap in individuals with Down syndrome has consistently found that receptive language skills are more advanced than expressive language skills. Although this research has been limited to children, the assumption has been made that the relationship between receptive and expressive language skills does not change over the lifespan. The current research focuses on the receptive–expressive language gap in adults with Down syndrome (DS). The first phase of the study used a survey to explore the perceived difficulty of receptive and expressive language tasks by adults with DS. Findings were that the adults perceive receptive language tasks (following instructions) to be more difficult than expressive language tasks (speaking to others at work). The second phase of the study was designed as a follow-up to the survey results to explore the receptive–expressive language gap in greater depth in ten adults with Down syndrome. Formal language testing, surveys and interviews were used. Formal testing indicated that the relationship between receptive and expressive language skills was more individualized in the adults. Survey and interview results indicated that participants perceived receptive skills to be more difficult than expressive skills in employment settings and daily living. Discussion considers reasons for the between subject variation and ramifications for IEP (Individualized Eduation Program) and transition planning. Conclusion is that the assumption cannot be made that the receptive–expressive language gap is the same at different ages and that there is a need to individually assess receptive and expressive language skills at all ages.</p></div>","PeriodicalId":100720,"journal":{"name":"International Medical Review on Down Syndrome","volume":"19 2","pages":"Pages 28-34"},"PeriodicalIF":0.0,"publicationDate":"2015-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.sdeng.2015.05.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90201293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dr. Valentine Dmitriev","authors":"M. Trueta","doi":"10.1016/j.sdeng.2015.06.001","DOIUrl":"10.1016/j.sdeng.2015.06.001","url":null,"abstract":"","PeriodicalId":100720,"journal":{"name":"International Medical Review on Down Syndrome","volume":"19 2","pages":"Pages 19-20"},"PeriodicalIF":0.0,"publicationDate":"2015-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.sdeng.2015.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89430202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nutrition assessment and indicators of visceral fat and subcutaneous fat in children with Down syndrome","authors":"E. Venegas ,&nbsp;T. Ortiz ,&nbsp;G. Grandfeltd ,&nbsp;D. Zapata ,&nbsp;P. Fuenzalida ,&nbsp;C. Mosso","doi":"10.1016/j.sdeng.2015.05.001","DOIUrl":"10.1016/j.sdeng.2015.05.001","url":null,"abstract":"<div><h3>Background</h3><p>There are only few publications related to body composition in Down syndrome (DS).</p></div><div><h3>Objective</h3><p>Evaluate the relationship between indicators of nutrition assessment by Catalan references and CDC/NCHS and indicators of body composition, and compare the concordance between weight/height index (WHI), body mass index/age (BMIa) and weight/age (WA) to evaluate nutritional status in children with DS.</p></div><div><h3>Materials and methods</h3><p>Analytical cross-sectional study in which 40 children with DS, 20 girls and 20 boys between 3 and 13 years old were studied. Anthropometric measurements were performed to obtain indicators of nutrition assessment as WHI, BMIa and WA and indicators of subcutaneous and visceral fat and muscular compartment. Correlation tests and Kappa index were evaluated to establish relationship and agreement respectively.</p></div><div><h3>Results</h3><p>The nutrition assessment in children with DS shows that 60% presents overweight and obesity according to BMIa, and 75% according to WHI. Correlation analysis indicates that waist circumference, fat brachial area, % fat mass by Slaughter and Weststrate and Deurenberg have a high positive correlation with BMIa (<em>P</em>-value<!--> <!-->&lt;<!--> <!-->0.05). A logistic regression model showed that no indicator of fat mass is clinically significant in predicting an increase of the indicator WA. It was determined that the BMIa and WHI indicators have a higher concordance (Kappa<!--> <!-->=<!--> <!-->0.59; <em>P</em> <!-->=<!--> <!-->0.0000).</p></div><div><h3>Conclusions</h3><p>We determined a high correlation between nutritional diagnosis (BMIa and WA) with indicators of visceral fat (waist circumference) and subcutaneous (% fat mass and fat brachial area) in children with DS. A greater agreement was found between indicators of BMIa and WA suggesting that they are optimal for assessing the nutritional status.</p></div>","PeriodicalId":100720,"journal":{"name":"International Medical Review on Down Syndrome","volume":"19 2","pages":"Pages 21-27"},"PeriodicalIF":0.0,"publicationDate":"2015-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.sdeng.2015.05.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74256872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of a circuit training including plyometric jumps on cardiorespiratory fitness of children and adolescents with Down syndrome","authors":"A. González-Agüero ,&nbsp;A. Gómez-Cabello ,&nbsp;A. Matute-Llorente ,&nbsp;A. Gómez-Bruton ,&nbsp;G. Vicente-Rodríguez ,&nbsp;J.A. Casajús","doi":"10.1016/S2171-9748(14)70053-4","DOIUrl":"10.1016/S2171-9748(14)70053-4","url":null,"abstract":"<div><h3>Aim</h3><p>To ascertain the effects of 21 weeks of circuit training, including plyometric jumps, on cardiorespiratory fitness of youths with Down's syndrome (DS).</p></div><div><h3>Methods</h3><p>Twenty-seven children and adolescent aged 10 to 19 years with DS participated in this study and were divided in two groups: exercise (EXE, n=14) and control (CON, n=13). Work time, peak values of oxygen consumption, respiratory exchange ratio, heart rate and minute ventilation of the participants were measured pre- and post-training with a graded exercise treadmill test.</p></div><div><h3>Results</h3><p>EXE group increased all their cardiorespiratory parameters compared to baseline after 21 weeks of training (all <em>P</em>&lt;.05). Additionally, and despite having similar pre-training values, the EXE group showed higher values than the CON group in all cardiorespiratory parameters after training (all <em>P</em>&lt;.05).</p></div><div><h3>Conclusion</h3><p>It may be concluded that youths with Down syndrome can achieve improvements in several cardiorespiratory parameters when performing 21 weeks of training including plyometric exercises.</p></div>","PeriodicalId":100720,"journal":{"name":"International Medical Review on Down Syndrome","volume":"18 3","pages":"Pages 35-42"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2171-9748(14)70053-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91010973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Regression in young adults with Down's syndrome. A three cases review","authors":"B. Garvía ,&nbsp;B. Benejam","doi":"10.1016/S2171-9748(14)70054-6","DOIUrl":"10.1016/S2171-9748(14)70054-6","url":null,"abstract":"<div><p>A deterioration in some of their cognitive functions and adaptive skills has been observed in adolescents and young adults with Down's syndrome (DS), which is similar to that observed in individuals who suffer from Alzheimer's disease, although at much earlier ages. Little is known of the etiology of these changes. In this work, 3 cases are presented on 3 young adults with DS, who presented with a deterioration in their cognitive functions and a loss of, previously well attained, functional skills. Some medical and psychological risk factors that could be associated with this regression are examined. In all the cases, the loss of skills was associated with anxiety and depression symptoms.</p></div>","PeriodicalId":100720,"journal":{"name":"International Medical Review on Down Syndrome","volume":"18 3","pages":"Pages 43-46"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2171-9748(14)70054-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86128478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"30 years and a great future","authors":"A. Serés","doi":"10.1016/S2171-9748(14)70052-2","DOIUrl":"10.1016/S2171-9748(14)70052-2","url":null,"abstract":"","PeriodicalId":100720,"journal":{"name":"International Medical Review on Down Syndrome","volume":"18 3","pages":"Pages 33-34"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2171-9748(14)70052-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87487423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}