Neuromuscular exercise in children with Down Syndrome: a systematic review

Eliana Isabel Rodríguez-Grande; Olga Cecilia Vargas-Pinilla; Martha Rocio Torres-Narvaez; Nelcy Rodríguez-Malagón

doi:10.1038/s41598-022-19086-8

Neuromuscular exercise in children with Down Syndrome: a systematic review

Título traducido de la contribución: Ejercicio neuromuscular en niños con síndrome de Down: una revisión sistemática

Eliana Isabel Rodríguez-Grande, Olga Cecilia Vargas-Pinilla, Martha Rocio Torres-Narvaez, Nelcy Rodríguez-Malagón

Producción científica: Contribución a una revista › Artículo › revisión exhaustiva

3 Citas (Scopus)

Resumen

Los efectos y los parámetros de prescripción del ejercicio terapéutico no están claros. Por este motivo, se necesita determinar el efecto del ejercicio neuromuscular sobre el equilibrio, la fuerza muscular y la flexibilidad especificando los parámetros y características de intervenciones efectivas en niños entre 6 y 12 años y adolescentes entre 13 y 18 años con Síndrome de Down. El presente estudio es una revisión sistemática de los resultados de efectividad, equilibrio, fuerza muscular y flexibilidad en esta población. Se realizaron búsquedas en las bases de datos de PubMed, PEDro, EMBASE, SCIELO, Lilacs, Cochrane Library de mayo a diciembre de 2021. Reclutamos ensayos controlados aleatorios (ECA) que cumplieron con los criterios de inclusión en nuestro estudio. Se incluyeron diez estudios. Las intervenciones incluyeron mecanoterapia, vibración y uso de diferentes superficies inestables. La frecuencia del ejercicio osciló entre 3 y 5 días a la semana, y la duración de cada sesión fue entre seis y 15 min. La frecuencia fue entre dos y tres veces por semana durante 6 y 12 semanas y la intensidad entre 60 y 80% de la contracción voluntaria máxima. El ejercicio neuromuscular en diferentes modos de aplicación se asoció con aumentos en la fuerza de los músculos del pecho y de las extremidades inferiores (media 8,51, IC [2,35-14,67] kg y (21,54 [1,64, 41,43]) kg. El equilibrio también mejoró cuando el modo de aplicación fue el entrenamiento isocinético y los ejercicios de estabilidad central (- 0,20 [- 0,29, - 0,12]) evaluados con el índice de estabilidad. El ejercicio neuromuscular parece ser eficaz para mejorar la fuerza y el equilibrio de los músculos de las extremidades inferiores y del pecho en niños mayores de 8 años. No se encontró evidencia en niños menores de 8 años.

Título traducido de la contribución	Ejercicio neuromuscular en niños con síndrome de Down: una revisión sistemática
Idioma original	Inglés estadounidense
Número de artículo	14988
Páginas (desde-hasta)	1-12
Número de páginas	12
Publicación	Scientific Reports
Volumen	12
N.º	1
DOI	https://doi.org/10.1038/s41598-022-19086-8
Estado	Publicada - dic. 2022

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abstract = "The effects and the prescription parameters of therapeutic exercise are not clear. For this reason, is needed to determine the effect of neuromuscular exercise on balance, muscle strength and flexibility specifying the parameters and characteristics of effective interventions in children between 6 and 12 years and adolescent between 13 and 18 years with Down Syndrome. The present study is a systematic review of effectiveness outcomes balance, muscle strength and flexibility in this population. The databases of PubMed, PEDro, EMBASE, SCIELO, Lilacs, Cochrane library were searched from May to December 2021. We recruited randomized controlled trials (RCTs) which met the inclusion criteria in our study. Ten studies were included. The interventions included mechanotherapy, vibration, and use of different unstable surfaces. The exercise frequency ranged from 3 to 5 days a week, and the duration of each session was between six and 15 min. The frequency was between two and three times a week for 6 and 12 weeks and the intensity were between 60 and 80% of maximal voluntary contraction. Neuromuscular exercise in different modes of application was associated with increases in chest and lower limb muscle strength mean 8.51, CI [2.35–14.67] kg and (21.54 [1.64, 41.43]) kg. Balance also improved when the mode of application was isokinetic training and core stability exercises (− 0.20 [− 0.29, − 0.12]) evaluated with stability index. Neuromuscular exercise appears to be effective for the improvement of both lower limb and chest muscle strength and balance in children over 8 years. No evidence was found in children under 8 years.",

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Neuromuscular exercise in children with Down Syndrome: a systematic review

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