The Latest Approaches in Physical Therapy for Kids with Down Syndrome

Parents of children with Down syndrome (DS) want to ensure their children receive the best possible care. Physical therapy plays a crucial role in addressing the unique challenges these children face. A recent study sheds light on the current trends in this field.

The study was conducted by Beka Johnson, Julia Looper, and Alyssa Fiss* from the University of Puget Sound. They aimed to “gain an understanding of current PT practice for children with DS including which physical therapy (PT) problems are identified clinically and which PT interventions are reported.” By surveying 108 practicing pediatric physical therapists, the researchers uncovered valuable insights.

Addressing a Wide Range of Impairments

One of the key findings was the diversity of interventions used by therapists. As the authors note, “Practicing PTs use a diversity of interventions with varying amounts of supporting evidence.” This highlights the need for further research to determine the effectiveness of these approaches. The study identified several common areas of focus, with functional motor skills being a top priority. As one therapist stated, “Working on functional mobility skills such as transitioning from the floor to standing, walking, running, and negotiating stairs and uneven surfaces is a big part of my treatment.”

Targeting Joint Stability and Cardiopulmonary Health

Interestingly, the researchers found that a higher percentage of PTs “identify joint stability and cardiopulmonary deficits than report specifically targeting these areas in treatment.” This suggests an opportunity for increased emphasis on these aspects, which could potentially benefit children with DS.

Aligning with the ICF Framework

The study also explored the use of the International Classification of Functioning, Disability and Health (ICF) framework in treatment. ICF is the World Health Organization’s framework for measuring health and disability at both individual and population levels. “The majority of PTs identify problems and interventions at the ICF level of body functions and structures though some of these ‘impairments’ are being treated at the level of activities and participation,” according to the authors. This holistic approach is essential for enhancing the children’s quality of life and function.

Looking Ahead

While the study provides valuable insights, the authors acknowledge the need for further research. As they state, “Further research is needed to determine the effectiveness of identified interventions currently used by pediatric PTs to treat children with DS.” By staying informed about the latest trends and evidence-based practices, parents can ensure their children receive the best possible care.

Physical therapy plays a vital role in supporting the development and well-being of children with Down syndrome. This study offers a glimpse into the current landscape of this important field.

*Johnson, Beka; Looper, Julia; and Fiss, Alyssa, “Current Trends in Pediatric Physical Therapy Practice for Children with Down Syndrome” (2019). Physical Therapy Research Symposium. 48.

https://soundideas.pugetsound.edu/ptsymposium/48