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ILMIY-AMALIY KONFERENSIYASI
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COMPREHENSIVE ASSESSMENT AND PHYSIOTHERAPEUTIC CORRECTION
OF SPINAL DEVELOPMENT IN CHILDREN WITH DOWN SYNDROME:
NEUROMOTOR APPROACH TO IMPROVING POSTURAL CONTROL AND
FUNCTIONAL OUTCOMES
Nasrieva P.Sh.
Independent Researcher, Department of Neurology,
Faculty of Postgraduate Education
Khakimova S. Z.
Doctor of Medical Sciences, Associate Professor,
Department of Neurology, Faculty of Postgraduate Education
https://doi.org/10.5281/zenodo.15401334
Abstract.
The article presents a conceptual framework for comprehensive assessment
and correction of spinal development in children with Down syndrome. Based on systematic
analysis of current scientific data regarding musculoskeletal development and neuromotor
peculiarities associated with trisomy 21, we propose an integrated physiotherapeutic
approach combining postural correction, sensorimotor integration, and functional training.
The methodology includes detailed anthropometric assessment of spinal parameters,
differentiated protocols for various age groups, and objective evaluation criteria for
rehabilitation effectiveness. Special emphasis is placed on the correlation between improved
spinal alignment and positive dynamics in motor skills, coordination, and cognitive functions.
The interdisciplinary integration of orthopedic, neurological, and physiotherapeutic
interventions with active family participation is highlighted as a crucial factor in achieving
stable functional improvements in children with Down syndrome.
Keywords
: Down syndrome, spinal development, postural control, physiotherapeutic
correction, anthropometric parameters, neuromotor integration, musculoskeletal
abnormalities, rehabilitation effectiveness.
Introduction
Down syndrome (DS) is the most common chromosomal disorder,
occurring in approximately 1:700-800 live births worldwide [1]. This genetic condition,
caused by trisomy of chromosome 21, is associated with a wide spectrum of physical and
functional characteristics, including distinctive musculoskeletal features that significantly
affect motor development and postural control. Among these features, abnormalities in spinal
development represent a particular concern due to their impact on overall functional capacity
and quality of life [2, 3].
Research indicates that 15-80% of individuals with Down syndrome develop some form
of spinal abnormality during their lifetime, including atlantoaxial instability, scoliosis,
kyphosis, and lordosis [4].
Methodology
The proposed comprehensive methodology for assessment and
correction of spinal development in children with Down syndrome integrates advanced
anthropometric evaluation techniques with neuromotor interventions designed to enhance
postural control and functional outcomes. This approach is founded on three interrelated
components: detailed structural assessment, neurophysiologically informed intervention, and
functional integration.
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Results and Discussion
Preliminary implementation of this comprehensive
methodology with a cohort of 28 children with Down syndrome (ages 3-12 years) has
demonstrated several significant findings:
Anthropometric improvements: 78% of participants showed measurable improvements
in spinal alignment parameters, with the most significant changes observed in cervical
positioning and lumbar lordosis normalization.
Functional advancements: Statistically significant improvements (p<0.05) were
documented in standardized assessments of postural control and gross motor function, with
particularly notable gains in transitional movements and stability during functional tasks.
Correlation analysis: Positive correlations were identified between improvements in
spinal alignment and enhancements in both motor coordination (r=0.72) and attention span
during structured activities (r=0.58).
Age-related response patterns: The most substantial improvements in both
anthropometric and functional parameters were observed in the preschool age group (3-6
years), suggesting a critical period for intervention effectiveness.
Sustainability of outcomes: Follow-up assessments at 6 and 12 months post-intensive
intervention demonstrated maintenance of gains in 82% of participants, with continued
improvements noted in those who maintained consistent participation in the home program.
These findings align with emerging research on the neuromotor basis of postural control
in Down syndrome and support the hypothesis that targeted intervention addressing spinal
alignment can yield benefits across multiple developmental domains. The results highlight the
importance of early intervention, consistent implementation, and the integration of
structured professional guidance with family-centered care routines.
Conclusions.
The developed comprehensive methodology for assessment and
correction of spinal development in children with Down syndrome demonstrates statistically
significant positive effects on both structural alignment and functional capabilities. The
neuromotor approach to improving postural control through optimized spinal parameters
appears to activate compensatory adaptive mechanisms and enhance sensorimotor
integration, as evidenced by improvements across multiple functional domains.
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Characteristics of postural control in individuals with Down syndrome: a systematic review //
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