Sensorimotor-Enhanced Shoulder Stabilization Exercises to Improve Their Hand Function in Children with Down Syndrome
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Abstract
Background: Down syndrome is a condition of a genetic disorder caused by an abnormality of chromosome 21. Statistical data shows that the average incidence of Down syndrome worldwide is 1 in every 700 births. This incident will increase with the increasing age of pregnant women. This study aims to compare the addition of sensory motor training to shoulder stabilization exercise to further improve upper extremity strength and fine motor coordination in the Down syndrome population.
Methods: This research is an experimental study with blocked randomization. Group 1 (n=15) given the combination of sensorimotor exercises and shoulder stabilization exercise, while the Group 2 (n=15) were given shoulder stabilization exercise. The sampling technique used in this study was purposive sampling. The intervention was given 3 times a week for 4 weeks. Measurements were carried out using the manual muscle test (MMT) and the manual abilities classification system (MACS). Data were analyzed using Wilcoxon Test and the Mann–Whitney U test to compare differences between the two independent groups.
Results: The MMT value was p=0.037 (p<0.05) and the MACS value was p=0.041 (p<0.05). These results indicate a significant difference between the two groups.
Conclusion: Adding sensorimotor training in shoulder stabilization exercise intervention can improve upper extremity strength and fine motor coordination in down syndrome population. It is suggested to add sensorimotor training in down syndrome population.
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References
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