![]() Las personas con síndrome de Down tienen dificultades de control postural, y muestran diferencias en cuanto a desplazamiento de su centro de presión y a su actividad muscular, en comparación con la población general. ![]() In the future, it will be interesting to increase the sample and also analyze the position of centre of pressure in relation to feet. These could be related to some postural adaptations. ConclusionsĪlthough no significant differences were observed in Down syndrome group after training, differences between groups were decreased. Nevertheless, less differences were observed between both groups after training than before. No significant differences were seen in pre- and post-training in Down syndrome group. They showed minor differences between different visual conditions than control group. We observed a higher level of muscle activation in Down syndrome group. Surface electromyography was used to assess ankle muscle activity before and after completion of the programme in open and closed eyes conditions. Material and methodsĮleven participants with Down syndrome and eleven participants without Down syndrome as the control group followed an 18-week dance programme. The aim of the project was to assess the effect of a dance-based physical activity programme on muscle activity in young adults with Down syndrome. Previous research has shown that centre of pressure displacement is less depending on visual conditions in people with Down syndrome, although improved balance has been observed following specific physical activities based on dance. In the dark or with eyes closed they have problems.People with Down syndrome have difficulties in postural control and exhibit differences in the displacement of their centre of pressure and in muscle activity compared with the general population. ![]() The patient does not know where their joint is in space and so uses their eyes. It is a sign of a disturbance of proprioception, either from neuropathy or posterior column disease. NOTE: THE ROMBERG TEST IS NOT A SIGN OF CEREBELLAR DISEASE. NOTE: patients with disease of the vermis and flocculonodular lobe will be unable to stand at all as they will have truncal ataxia–they may not be able to sit. (See "Gaits" section to learn more about acute cerebellar ataxia and other gaits.) Gait (Acute Cerebellar Ataxia)Īcute cerebellar ataxia is a wide based and staggering gait. “Pendular” knee jerk, leg keeps swinging after knee jerk more than 4 times (4 or less is normal). Abnormal exam occurs when they are unable to keep their foot on the shin. Have patient run their heel down the contralateral shin (this is equivalent the finger to nose test). (Be careful that you protect the patient from the unarrested movement causing them to strike themselves.) Heel to shin test However in cerebellar disease this response is completely absent causing to limb to continue moving in the desired direction. A positive sign is seen in a spastic limb where the exaggerated "rebound" occurs with movement in the opposite direction. Normally the antagonists muscles will contract and stop their arm from moving in the desired direction. Have the patient pull on your hand and when they do, slip your hand out of their grasp. Rapid alternating movementsĪsk patient to place one hand over the next and have them flip one hand back and forth as fast as possible (alternatively you can ask the patient to quickly tap their foot on the floor as fast as possible) if abnormal, this is called dysdiadochokinesia. You increase the difficulty of this test by adding resistance to the patient's movements or move your finger to different locations. Finger to nose & finger to finger testĪsk patient to fully extend arm then touch nose or ask them to touch their nose then fully extend to touch your finger. Causes enunciation of individual syllables: “the British parliament” becomes “the Brit-tish Par-la-ment.” Nystagmusįast phase toward side of cerebellar lesion.
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