present her physiotherapist is working on improving her gross motor skills. She is a friendly girl who enjoys playing. Every month her mom and dad attend support group meetings, which we volunteer at, run by the Chaeli Campaign and this is how we met Cindy.
*name n/a Conception - Ovum inherits genetic information Total - 47 chromosomes Copy of 21 st chromosome leads to physical & cognitive delays Identified prior to birth or at birth. Cause - unknown
Head : Small Neck : Short Oral Cavity : Small, high pitched cries in infancy, tongue protrudes Ears : Short and low set Eyes : Slanting with folds of skin at the inner corners Nose : Flat Bridge Hands : Short, broad, single crease across the palm on one or both Feet : Broad with short toes, excessive space between large and second toe Tone : Poor Hyper flexibility Weight: Overweight
Small Head Short and low set ears Short neck Slanting eyes Short and Broad Hands Flat Bridge Nose Mental Retardation Learning Disabilities-including Dyslexia Cognitive Impairment Congenital Heart Disease Developmental Impairments Attention-Deficit Disorder Attention-Deficit Hyperactivity Disorder Hyperactivity Visual Hearing Co-ordination Speech
PHYSIOTHERAPIST
OCCUPATIONAL THERAPIST Delayed Milestones Delayed Fine motor skills Delayed Gross motor skills
AUDIOLOGIST Hearing difficulties- liquid in the ear -structural problems.
Factors Influencing Gross Motor Development: Hypotonia Ligamentous laxity Decreased strength Short arms and legs Medical problems
Develop compensatory movement patterns
Physiotherapy Child's long-term functional outcome Minimize the development of compensatory movement patterns Build strength in the appropriate muscle groups so that the child develops optimal movement patterns Focus on gait, posture and exercise
Objectives of the post-walking skills Improved foot alignment Longer steps Weight shift onto the lateral borders of the feet Active ankle movements Rotation of the pelvis on the trunk Neutral hip rotation Tibia forward over the foot Hip and knee flexion Eccentric control/lowering Hip hyperextension Ankle plantarflexion Ankle dorsiflexion Neutral hip rotation when lowering Ensuring that all the muscles arebeing used
Exercises Walking on uneven surfaces Kicking a ball fast walking and running Balance beam skills Walk up and own inclined surfaces Walking up and down curbs Walking up and down stairs Jumping on trampolines Rolling Exercises Riding a tricycle Obstacle Courses Ball Games- Passing the Ball over, Under and through
Books Down Syndrome: The Facts By Mark Selikowitz Babies with Down's Syndrome: A New Parents' Guide (Special Needs Collection) From Woodbine House Inc.,U.S. Speech and Language Development for Infants with Down Syndrome (0-5 Years): Speech and Language Pt. 2 (Down Syndrome Issues & Inforation) By Gillian Bird, Susan Buckley
Phone Numbers
Down Syndrome Association 021 949 0900 Chaeli Campaign- 021 715 0525 THINK of me FIRST as a PERSON
You look at me with pity, concern or indifference, for I am a disabled child. But you see only the outside me. If I could express myself, I would tell you what I am inside. I am very much like you!
Think of me first as a person, who hurts and loves and feels joy. And know I am a child to encourage and direct. Smile and say helloeven that is enough.
Author unknown
To Cindy and her parents, teachers and Physiotherapists for taking part in our assignment and providing us with lots of useful information To the Chaeli Campaign for introducing us to Cindy and her family
Zelda Mycroft- Chaeli Campaign Wikipedia Pubmedcentral Physiotherapist at Special Care Masipumelele Google Parents of Cindy