3-4 days free worldwide delivery

Orthotic Care For Children With Down Syndrome

by MASS4D® Prescription Orthotics March 08, 2017

Orthotics For Children With Down Syndrome

Neurodevelopmental disabilities in children with Down syndrome include ligamentous laxity, muscle hypotonia, lack of postural stability and joint hypermobility; all of which create secondary functional problems in the lower extremity that lead to deviations in gait.

This was analysed in further detail by Galli et al. who observed that a combination of these abnormalities contributed to impediments in dynamic joint stabilisation and an increased incidence of musculoskeletal deformities in children with Down syndrome.

The authors noted that in order to compensate for muscular and ligamentous dysfunctions, patients altered their gait patterns leading to shorter strides, increased knee flexion at initial contact, increased hip flexion and increased plantar flexion of the ankle.

These kinematic modifications imply an overall weakness in the functionality of the muscles, causing an increase in joint stiffness to compensate for this weakness.


Offer your Patients a Custom Calibrated Insole with a 98% Patient Satisfaction Rate     know more


A physical examination of 50 children with Down syndrome by Concolino et al. revealed the presence of several conditions of the lower limbs – pes planus, fissures, split toenails and abnormal pressure sites – occurring secondary mostly to hypotonia and ligamentous laxity.

This emphasises the need for regular podiatric examinations for the early detection and treatment of minor orthopaedic alterations such as pes planus which could become severe and affect the motor capabilities of children with Down syndrome, if left untreated for an extended period of time.

In an article published in Lower Extremity Review by Julia Looper, assistant professor in the Physical Therapy Programme at the University of Puget Sound, the benefits of an orthotic inclusion in treatment modalities are documented to be more significant in children with Down syndrome who have an established walking pattern.

Looper suggests providing an orthotic device that does not unnecessarily limit movement across a joint as this has the potential for creating a negative impact on neuromotor development.

The global physical characteristics of the child such as height, weight and overall hypermobility need to be considered in the manufacture of the orthotics, as these are more related to gait parameters than specific biomechanical measurements like foot parameters.

In order to improve the quality of life of these children and to prevent surgical interventions at a later stage, conservative approaches in the form of customised foot orthotics such as MASS4D® and/or physical therapy treatment need to be adopted early on to improve the physical development of a child with Down syndrome.

Copyright 2017 MASS4D® All rights reserved. 


Offer your Patients a Custom Calibrated Insole with a 98% Patient Satisfaction Rate     know more


Related Links

References:

  1. Looper J. (2013) Orthosis use in children with Down syndrome. Lower Extremity Review: April 2013, Retrieved from: http://lermagazine.com/
  2. Galli M., Rigoldi C., Brunner R., Virji-Babul N., Giorgio A. (2008) Joint stiffness and gait pattern evaluation in children with Down syndrome. Gait & Posture 28: June 2008, pp. 502-506
  3. Concolino D., Pasquzzi A., Capalbo G., Sinopoli S., Strisciuglio P. (2006) Early detection of podiatric anomalies in children with Down syndrome. Acta Paediatrica: February 2006, Vol. 95, pp. 17-20

Leave a comment

Comments will be approved before showing up.


Also in Clinicians Blog

Pilates For Posture
Pilates for Posture Improvement

by MASS4D® Prescription Orthotics November 11, 2018

The emphasis of pilates on core strengthening and improvement of posture makes it a good addition to treatment and rehabilitative strategies, especially those that are designed to minimise postural disparities.

Read More

Posterior Ankle Impingement Syndrome
Posterior Ankle Impingement Syndrome

by MASS4D® Prescription Orthotics November 04, 2018

Repetitive plantarflexion can lead to pain and mechanical limitation in the posterior ankle joint which is known as posterior ankle impingement syndrome. This pathology commonly occurs in ballet dancers and football players. 

Read More

Os Peroneum Syndrome
Treating Os Peroneum Syndrome

by MASS4D® Prescription Orthotics October 29, 2018

Clinical diagnosis of os peroneum syndrome should involve physical examination that can help reveal swelling over the cuboid with pain felt during palpation. The patient will feel this pain intensify during plantar flexion, and during the heel elevation stage of the gait process.

Read More