APOIO FAMILIAR COMO FATOR DETERMINANTE NO DESENVOLVIMENTO NEUROPSICOMOTOR NA SÍNDROME DE DOWN
DOI:
https://doi.org/10.61164/mr17s283Keywords:
Down syndrome. Early stimulation. Neuropediatric physiotherapy. Motor development.Abstract
Down syndrome is a genetic alteration resulting from trisomy of chromosome 21 and is associated with delays in motor development, muscle hypotonia, postural alterations, and difficulties in body control. This study aimed to analyze the physiotherapeutic evolution of a 1-year-old female child diagnosed with Down syndrome and treated at the Physiotherapy Teaching Clinic. This is a case study conducted through a complete evaluation involving anamnesis, postural analysis, joint tests, muscle strength assessment, anthropometric measurements, primitive reflexes, and application of the Alberta Infant Motor Scale (AIMS), which indicated a three-month motor delay in relation to chronological age. The therapeutic plan was structured focusing on early stimulation techniques, sensory integration, cervical and trunk control exercises, rolling training, facilitation of motor development, and play activities to promote engagement and functional response. Throughout the follow-up, significant progress was observed, such as improved trunk control, greater stability in sitting, initiation of independent lateral rolling, increased joint range of motion, and better response to sensorimotor stimuli. Reassessment also demonstrated improved motor coordination, overall strengthening, and development of functional skills, evidencing good family adherence and continuity of home-based stimulation. The findings of this study reinforce that early and systematic physiotherapy intervention significantly contributes to the motor development of children with Down syndrome, promoting greater autonomy, better postural organization, and advancement in neuropsychomotor acquisitions.
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1. Araki, IPM; Bagagi, PS. Síndrome de Down e o seu desenvolvimento motor. Rev Cient Eletr Pedagogia. 2014;1(23):1-10.
2. Barros, ALO et al. Burden of caregivers of children and adolescents with Down syndrome. Ciênc Saúde Coletiva. 2017;11(22):3625-3634.
3. Padilla, CAP et al. Incidencia de Síndrome de Down en la sala de neonatología. Rev Univ Soc. 2022;14(2):328-335.
4. Pietricoski, LB; Justina, LAd. Revisitando a Síndrome de Down e sua história. Filos Hist Biol. 2023;18(2):177-194.
5. Martínez, JMB et al. El síndrome de Down. FMC Form Méd Contin Aten Prim. 2025;32(5):225-234.
6. Souza, DM et al. Impacto do diagnóstico de Síndrome de Down na perspectiva materna. REME Rev Min Enferm. 2023; 27(1): 1-8.
7. Santos, CCT; Rodrigues, JRSM; Ramos, JLS. A atuação da fisioterapia em crianças com Síndrome de Down. Rev JRG Estud Acadêmicos. 2021;4(8):79-85.
8. Freitas LO; Sofiatti, SL; Vieira, KVS. A importância da fisioterapia na inclusão de portadores de Síndrome de Down. Rev Ibero-Am Humanid Ciênc Educ. 2021;7(4): 869-883.
9. Silva, ERS;Neto, JMS. Fisioterapia na estimulação precoce na Síndrome de Down: um estudo de revisão. Res Soc Dev. 2023;12(13): 20-29.
10. Silva, MNS et al. Avaliação funcional do desenvolvimento psicomotor e ambiente familiar de crianças com síndrome de down. Rev Interinst Bras Ter Ocup. 2017; 1(2): 186-201.
11. Melo, AAS; Mafia, ED. O que é Síndrome de Down e as dificuldades enfrentadas pelos enfermeiros. Rev Saúde Beleza. 2011;1(1):1-10.
12. Santos, CCT; Rodrigues, JRSM; Ramos, JLS. A atuação da fisioterapia em crianças com Síndrome de Down. Rev JRG Estud Acadêmicos. 2021;4(8):1-10.
13. Ramos, BB; Muller, AB. Marcos motores e sociais de crianças com Síndrome de Down na estimulação precoce. Rev Interdiscip Ciênc Méd. 2020;4(1):37-43.
14. Mattos, BM; Bellani CDF. A importância da estimulação precoce em bebês portadores de Síndrome de Down: revisão de literatura. Rev Bras Terap Saúde. 2010; 1(1): 51-63.
15. Marinho, MFS. A intervenção fisioterapêutica no tratamento motor da Síndrome de Down: uma revisão bibliográfica. Rev Campo Saber. 2018; 4(1): 1-10.
16. Santos, GCC; Fiorini, MLS. Importância da estimulação precoce em fisioterapia para crianças com Síndrome de Down. Rev Assoc Bras Ativ Mot Adapt. 2021; 22(2): 371-382.
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Copyright (c) 2025 Roberta Martins, Laiza Vitória Siqueira Estevam, Elaine Pedrozo Azevedo, Maria da Penha Laprovita
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