Therapeutic exercise to improve motor function among children with Down Syndrome aged 0 to 3 years: a systematic literature review and meta‑analysis

Eliana Isabel Rodríguez-Grande; Martha Rocio Torres-Narváez; Yannely Serrano-Villar; Francisca Verdugo-Paiva; Camila Ávila

doi:10.1038/s41598-022-16332-x

Therapeutic exercise to improve motor function among children with Down Syndrome aged 0 to 3 years: a systematic literature review and meta‑analysis

Título traducido de la contribución: Ejercicio terapéutico para mejorar la función motora en niños con síndrome de Down de 0 a 3 años de edad: revisión bibliográfica sistemática y metaanálisis

Eliana Isabel Rodríguez-Grande, Martha Rocio Torres-Narváez, Yannely Serrano-Villar, Francisca Verdugo-Paiva, Camila Ávila

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Resumen

Los efectos y los parámetros de prescripción del ejercicio terapéutico no están claros. Por este motivo, es necesario determinar el efecto de los ejercicios terapéuticos sobre la función motora de los niños con síndrome de Down (SD) de 0 a 3 años. El presente estudio es una revisión sistemática y un metaanálisis de los resultados de eficacia en esta población: marcha, equilibrio, desarrollo motor, motricidad fina y funciones ejecutivas. Se realizaron búsquedas en las bases de datos de PubMed, PEDro, EMBASE, SCIELO, Lilacs, Cochrane library de enero a diciembre de 2019. Se reclutaron Ensayos Controlados Aleatorios (ECA) que cumplieron con los criterios de inclusión en nuestro estudio. Se incluyeron seis estudios y 151 participantes. Se identificaron dos tipos de ejercicios terapéuticos, aeróbicos y neuromusculares. Ambos tipos de ejercicio fueron eficaces para mejorar los resultados. No hubo diferencias entre los modos de aplicación del ejercicio. No se identificaron diferencias entre la cinta rodante y el plan de fisioterapia para la reducción del tiempo hasta alcanzar la marcha independiente, diferencia media (DM) 46,79, intervalo de confianza (IC) del 95% (- 32,60, 126,19), ni para el aumento de la velocidad de marcha DM 0,10 IC (- 0,02, 0,21) m/s. Este estudio sugiere que la terapia de ejercicio aeróbico tiene un papel potencialmente eficaz para promover la marcha y el desarrollo motor de los niños con SD de 0 a 3 años cuando se aplica utilizando un tapiz rodante con una frecuencia de 5 días, una duración de 6-8 min y una intensidad de entre 0,2 y 0,5 m/s. Se requieren estudios con menor heterogeneidad y mayor tamaño muestral.

Título traducido de la contribución	Ejercicio terapéutico para mejorar la función motora en niños con síndrome de Down de 0 a 3 años de edad: revisión bibliográfica sistemática y metaanálisis
Idioma original	Inglés estadounidense
Número de artículo	13051
Publicación	Scientific Reports
Volumen	12
N.º	1
DOI	https://doi.org/10.1038/s41598-022-16332-x
Estado	Publicada - jul. 29 2022

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title = "Therapeutic exercise to improve motor function among children with Down Syndrome aged 0 to 3 years: a systematic literature review and meta‑analysis",

abstract = "The effects and the prescription parameters of therapeutic exercise are not clear. For this reason, is needed to determine the effect of therapeutic exercises on the motor function of children with Down Syndrome (DS) aged 0 to 3 years. The present study is systematic review and meta-analysis of effectiveness outcomes in this population: gait, balance, motor development, fine motor skills, and executive functions. The databases of PubMed, PEDro, EMBASE, SCIELO, Lilacs, Cochrane library were searched from January to December 2019. We recruited Randomized Controlled Trials (RCTs) which met the inclusion criteria in our study. Six studies and 151 participants were included. Two types of therapeutic exercises, aerobic and neuromuscular, were identified. Both types of exercise were effective in improving outcomes. There were no differences between the modes of application of the exercise. No differences were identified between the treadmill and the physiotherapy plan for the reduction of the time to reach independent walking, Mean Difference (MD) 46.79, 95% Confidence Interval (IC) (− 32.60, 126.19), nor for the increase in walking speed MD 0.10 IC (− 0.02, 0.21) m/s. This study suggests that aerobic exercise therapy has a potentially effective role to promote the gait and motor development of children with DS aged 0 to 3 years when it is applied using a treadmill with a frequency of 5 days, a duration of 6–8 min, and an intensity of between 0.2 and 0.5 m/s. Studies with less heterogeneity and larger sample sizes are required.",

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Therapeutic exercise to improve motor function among children with Down Syndrome aged 0 to 3 years: a systematic literature review and meta‑analysis. / Rodríguez-Grande, Eliana Isabel ; Torres-Narváez, Martha Rocio; Serrano-Villar, Yannely et al.
En: Scientific Reports, Vol. 12, N.º 1, 13051, 29.07.2022.

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

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AU - Rodríguez-Grande, Eliana Isabel

AU - Torres-Narváez, Martha Rocio

AU - Serrano-Villar, Yannely

AU - Verdugo-Paiva, Francisca

AU - Ávila, Camila

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Therapeutic exercise to improve motor function among children with Down Syndrome aged 0 to 3 years: a systematic literature review and meta‑analysis

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