Static standing balance in adolescents with Down syndrome

► The shift from visual to multimodal control is present in adolescents with Down syndrome. ► Postural control patterns are similar in adolescents with and without Down syndrome. ► Adolescents with Down syndrome show worse static balance with altered somatosensory input. To analyse static-standing-b...

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Bibliographic Details
Published in:Research in developmental disabilities 2012-07, Vol.33 (4), p.1294-1300
Main Authors: Villarroya, M. Adoración, González-Agüero, Alejandro, Moros-García, Teresa, de la Flor Marín, Mario, Moreno, Luis A., Casajús, José A.
Format: Article
Language:English
Subjects:
Adolescent
Adolescents
Biological and medical sciences
Child
Chromosome aberrations
Disability Evaluation
Down Syndrome
Down Syndrome - complications
Down Syndrome - physiopathology
Down's syndrome
Eyes
Female
Human Posture
Humans
Male
Medical genetics
Medical sciences
Motor Skills - physiology
Multimodal control
Perceptual Disorders - etiology
Perceptual Disorders - physiopathology
Postural Balance - physiology
Postural control
Posture
Psychomotor Performance - physiology
Rehabilitation
Rehabilitation Programs
Sensory Integration
Stabilometry
Task Analysis
Young Adult
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Summary:► The shift from visual to multimodal control is present in adolescents with Down syndrome. ► Postural control patterns are similar in adolescents with and without Down syndrome. ► Adolescents with Down syndrome show worse static balance with altered somatosensory input. To analyse static-standing-balance of adolescents with Down syndrome (DS). Thirty-two adolescents with DS aged 10–19 years (DSG); 33 adolescents, age/sex-matched, without DS (CG). Static-standing-balance under four conditions (C1: open-eyes/fixed-foot-support; C2: closed-eyes/fixed-foot-support; C3: open-eyes/compliant-foot-support; closed-eyes/compliant-foot-support) was examined by means of time and frequency Postural-Parameters (PPs). To evaluate the contribution of each sensory system influencing postural control ratios among the four conditions were calculated. Mean values of all PPs were higher in the DSG than in the CG. Mean values of time PPs were higher in both groups on compliant-foot-support (with open and closed eyes) than on fixed-foot-support. Ratios C2/C1 were significantly lower in DSG than in CG; ratios C3/C1 presented higher values in DSG than in CG, with significant differences in length path and RMS-velocity; there were no differences in ratios C4/C1. In our group of DS adolescents the shift from visual to multimodal control of stance had occurred and they showed similar postural control patterns than non-DS. Even though, they presented worse static balance than their peers without DS and they had more problems with altered somasosensory input. An adequate rehabilitation program insisting on somatosensory input could be a useful measure to improve balance.
ISSN:0891-4222
1873-3379
DOI:10.1016/j.ridd.2012.02.017