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IJPR.2019.147

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Type of Article:  Original Research

Volume 7; Issue 4 (August 2019)

Page No.: 3173-3180

DOI: https://dx.doi.org/10.16965/ijpr.2019.147

PERFORMANCE OF CHILDREN WITH DOWN SYNDROME ON PEDIATRIC CLINICAL TEST OF SENSORY INTERACTION IN BALANCE (P-CTSIB): A DESCRIPTIVE STUDY

Zuhra Farheen *1, Pallavi Wajapey 2, Pruthviraj. R 3.

*1 Physiotherapist, RV College of Physiotherapy, Bangalore, Karnataka, India.

2 Assistant Professor, RV College of Physiotherapy, Bangalore, Karnataka, India.

3 Principal and Professor, RV College of Physiotherapy, Bangalore, Karnataka, India.

Address for correspondence: Dr. Zuhra Farheen, PT., Physiotherapist, RV College of Physiotherapy, Bangalore, Karnataka, India. E-Mail: zuhrafarheen.a@gmail.com

ABSTRACT

Background: Down syndrome is a genetic disorder attributed to chromosomal abnormality. Children with Down syndrome have low score on balance and agility tasks as well as on running speed, strength and visual-motor control. Pediatric clinical test of sensory interaction in balance (P-CTSIB) was used to assess which component amongst visual, vestibular and somatosensory was more involved in causing this imbalance in children. The aim of this study was to determine the effects of individual sensory component on stationary standing posture control and balance using P-CTSIB.

Results: Min and max time required to perform the balance test was noted down with mean SD of max 21.03±1.28 and min 7.32±1.18. ANOVA and Students t test were used for analysing data. It was found that the measure of balance on all 6 conditions of P-CTSIB was better for boys compared to girls and is also better with increase in age. Children with Down syndrome have weak performance when only the vestibular system was available for maintaining balance and the visual and somatosensory systems were compromised.

Conclusion: The findings of the present study concluded that children with Down syndrome performed better in condition1 were all the systems were available to maintain balance and the poor balance was noted in condition 6 were vestibular system was the only available sensory system for maintaining balance. Poor performance was noted at the early stage of life and was slight better as the age advanced with boys performing better than girls. Balance in children with Down syndrome is an important aspect to be considered during rehabilitation. Including the visual, vestibular and somatosensory system individually and in combination during rehabilitation will help improve the balancing skills of patients.

Key words: Down syndrome, Pediatric clinical test of sensory interaction in balance (P-CTSIB), Balance.

REFERENCES

  1. Coleman M. Down’s syndrome. Pediatr Ann. 1978;7:90.
  2. Kirman BH. Genetic errors: chromosome anomalies. In: Kirman BH, Bicknell J, eds. Mental handicap. Edinburgh: Churchill Livingstone; 1975.
  3. Harris SR, Shea AM. Down syndrome. In: Campbell SK, ed. Pediatric neurologic physical therapy, 2nd New York. Churchill Livingstone; 1991.
  4. Bertoti DB. Mental retardation: focus on Down’s syndromes syndrome.Tecklin Jan S. ed. Pediatric physical therapy. London: Lippincott Williams & Wilkins, 2008, 283.
  5. Malak R, Kotwicka M, Krawczyk-Wasielewska A, Mojs E, Samborski W. Motor skills, cognitive development and balance functions of children with Down syndrome. Ann Agric Environ Med.2013;20:803–6. [PubMed]
  6. Robert E.Emery. Parental alienation syndrome. Family court Review; 2005;73:8
    -13.
  7. Chamberlain CE Strode RM. The Source for Down syndrome. New York: Plenum Press; 1999.
  8. WHO (world health organization) Genes and human Diseases, Genes and Chromosomal Diseases, Down Syndrome. c2013.
  9. Deccan herald, 19th April , 2013; Down syndrome still fatal in India
  10. Leblanc D, French R, Schultz B. Static and dynamic balance skills of trainable children with Downs syndrome. Percept Mot Skills. 1977;45:641-2.
  11. Henderson SE, Morris J, Ray S. Performance of Down syndrome and other retarded children on Cratty Gross Motor Test. Am J MentDefic. 1981;85:416-24.
  12. Mattacola, Denisea, Lebsak, David H Perrin: Journal of Athletic Training Interstater reliability of assessing postural sway using the Chattecx Balance system.1995;(3):237.
  13. Shumway-Cook A, Marjorie H, Wollacott. Motor control theory and practical applications, 1stedition.Baltimore; Williams and Wilkins 1995.
  14. Shaffer and Harrison, Epub 2007;87(2):193-207.
  15. Merla and Spaulding. The Balance System. Physical & Occupational Therapy in Geriatrics 15, 21-36. Online publication date: 1-Jan-1997.
  16. Mohamed T. Ghannoum, Amira M. EL Shennawy, Ehab R. Abdelraouf et al, © Journal of Hearing Science. 2015;5(11):7-11.
  17. Pandian, T.joseleysunderraj, ukamath et al; Journal of pediatric neurolory; 2011;3:311-318.
  18. Chamberlain CE Strode RM. The Source for Down syndrome. New York: Plenum Press; 1999.
  19. Lowes LP, Westcott SL, Palisano RJ at el, physiotherapy and occupational therapy pediatric, 2004;24(1-2):57-77.

Cite this article: Zuhra Farheen, Pallavi Wajapey, Pruthviraj. R. PERFORMANCE OF CHILDREN WITH DOWN SYNDROME ON PEDIATRIC CLINICAL TEST OF SENSORY INTERACTION IN BALANCE (P-CTSIB): A DESCRIPTIVE STUDY. Int J Physiother Res 2019;7(4):3173-3180. DOI: 10.16965/ijpr.2019.147
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