When we speak of physiotherapy as a treatment for children suffering from Down syndrome, it must be kept in mind that Down syndrome is a condition that can never be completely treated. Physiotherapy is used not so much to treat the syndrome as to alleviate the complications peculiar to children afflicted by Down syndrome.
Treatment in the early stages of a child with Down syndrome concentrates on addressing four problems common in this phase. The first among these is hypotonia. Children with Down syndrome do not have muscle tone, meaning their muscles are slack and lack control. Hypotonia requires immediate attention since if left untreated it hampers a child ability to develop sufficient motor skills or balance.
A child suffering from Down syndrome also has extremely loose ligaments. Their bones are not adequately supported and their joints remain too loose to allow normal mobility in later years. The early signs of lax ligaments are seen in children with splayed legs while lying down.
Physiotherapy, with the correct exercises, is essential to rectify the muscular weakness present in children with Down syndrome. Incorrect treatment of these issues leads to further complication like locked knees, which develop to make up for the lack of strength in the lower legs. Such reactions are very harmful in the future.
Such children also face problems with their body shape. They have disproportionate limbs in comparison to their torsos, which leads to complications in the way the sit or climb stairs. Something as simple as reaching out for food can be an arduous task for affected children. Physiotherapy addresses issues such as these and helps these children on towards a semblance of normal life.
Early intervention physiotherapy for Down syndrome focuses on rectifying weakness issues and teaching general motor skills to children. Acts like rolling over, crawling, sitting up, and walking all are motor skills that children ultimately have to learn. With the assistance of a physiotherapist, these skills are taught such that the children have a strong foundation upon which to base other motor skills.
In the treatment of children who have Down syndrome, a major hurdle is educating parents on what aspects of their child's growth should be brought to the attention of a doctor, and subsequently a physiotherapist. Parents often do not know what actually requires the attention of a therapist, because there are several things in their child that are unlike other children.
For example, if a child with Down syndrome is unable to hold her neck upright, it is imperative that the doctor is informed at once so that a physiotherapist can treat the child and assist her to strengthen the muscles in her neck.
Physiotherapy, once started, should ideally be a life-long routine for a Down syndrome afflicted child, as it will help them maintain their fitness and health. People suffering from Down syndrome live as long as other people, and may not be as well-equipped to deal with age-related issues like weakening bones, ligaments or muscles. Continues physiotherapy helps a person living with Down to live a healthy life.
Physiotherapy for these children is not given its due importance till matters often go out of hand. Permanent weaknesses result, leading to odd behavior and disfigurement that could have been avoided with a little more care. Down syndrome physiotherapy should be started as soon as possible so that the child can lead a better, healithier life.
Family With Down Syndrome
In some of my golf tips I tell the story about playing a course which had severe fairway undulations. I could see where the course would be discouraging for recreational golfers. I seldom had a flat lie on the course. In fact, it was so hilly, I was almost always hitting from some kind of slope. More often than not, I was hitting down hill.
If you've ever played a course like this-and you probably have-you know how tricky hitting from a downhill lie can be. It's especially difficult for recreational golfers, who are sometimes intimidated by a downhill slope and/or have little experience hitting from this type of lie. The resulting effort isn't pretty and does nothing to lower the player's golf handicap.
Hitting from a downhill slope is primarily a matter of making the right adjustments. I cover these in my golf lessons and golf tips but, obviously, there's nothing like hitting from a down hill slope to learn how to do it.
Here are the 4 adjustments I recommend:
Tailor set-up for slope
Position ball back in stance
Swing with the slope
Chase ball down the slope
Keep two things in mind when faced with a downhill lie: (1) a shot from a down slope tends to fade right and (2) the slope affects the club's loft.
The tendency to fade is a by-product of the slope. There's little you can do about it. Even if you hit the ball perfectly, it will tend to fade right, so learn to deal with it as best you can, as I emphasize in my golf lessons.
Club loft is different. You can deal with it easily enough. On a steep slope, hitting a 7-iron becomes more like hitting a 5-iron, necessitating an adjustment in club selection depending on how far you are from the green. How much of an adjustment is hard to say. And golf instruction sessions don't help, either. Only personal experience can tell you just how much to make.
Also, tailor your set up to the slope. That means making sure your spine is perpendicular to the slope and your weight on your front foot, a weight distribution you must maintain throughout the backswing. As a result, your shoulders will tilt downward to match the lie of the land. These changes ensure clean contact with the ball, positioned toward the back of the stance.
Another problem with downhill lies is trajectory. To generate height, hit down and with the slope, as if you're chasing the ball downhill. Chase it for as long as possible by forcing your right shoulder to follow the ball to the target.
Also, don't let the transfer of weight get out of control at impact. Stay as balanced as possible, finishing the swing with a nice, smooth follow-through. Clearing your left hip as you swing down and through the ball helps with the follow-through.
These changes in your set-up and swing, as I point out in my golf lessons, almost mirror those needed for uphill lies.
With uphill lies, the weight is on the back foot, the ball is positioned forward in the stance, and the tendency is to pull the ball left, which is caused by a golfer's hands getting overactive through impact. Also, concentrate on making a wide takeaway. This change counteracts the tendency to narrow your backswing, which often occurs on an uphill lie.
Whether uphill or downhill, you must control weight transfer and you must swing down and with the slope. You also must control your head, keeping it behind the ball at the point of impact.
If you make the changes I recommend in this golf tip the next time you play a hilly course, you'll find yourself hitting better shots from a sloped fairway. You'll also find yourself developing more and more confidence playing a hilly course-and confidence never hurt anyone's golf handicap.
Both Dr Alex B. Miguel & Jack Moorehouse are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.
Dr Alex B. Miguel has sinced written about articles on various topics from Asthma, Physical Therapy. Learn more about and how to control your rising. Dr Alex B. Miguel's top article generates over 5400 views. to your Favourites.
Jack Moorehouse has sinced written about articles on various topics from Golf Guide, Recreation and Sports and Physical Therapy. Jack Moorehouse is the author of the best-selling book "." He is NOT a golf pro, rather a working man that has helped thousan. Jack Moorehouse's top article generates over 49500 views. to your Favourites.
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