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; Adriana Buitrago-López; 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: revisión sistemática de la literatura y metaanálisis

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

Departamento de Epidemiología Clínica y Bioestadística

Pontificia Universidad Javeriana
Universidad del Rosario
Erasmus University Rotterdam
Pontifícia Universidade Católica do Paraná
Universidad CES
Pontificia Universidad Católica de Chile
Epistemonikos Foundation

Producción: Contribución a una revista › Artículo › revisión exhaustiva

12 Citas (Scopus)

Resumen

Los efectos y los parámetros de prescripción del ejercicio terapéutico no están claramente establecidos. Por esta razón, es necesario determinar el efecto de los ejercicios terapéuticos sobre la función motora en niños con síndrome de Down (SD) de 0 a 3 años. El presente estudio es una revisión sistemática y metaanálisis de desenlaces de efectividad en esta población: marcha, equilibrio, desarrollo motor, habilidades motoras finas y funciones ejecutivas.

Se realizó una búsqueda en las bases de datos PubMed, PEDro, EMBASE, SCIELO, LILACS y Cochrane Library entre enero y diciembre de 2019. Se incluyeron ensayos controlados aleatorizados (ECA) que cumplían con los criterios de inclusión del estudio. Se incluyeron seis estudios con un total de 151 participantes.

Se identificaron dos tipos de ejercicios terapéuticos: aeróbicos y neuromusculares. Ambos tipos de ejercicio fueron efectivos para mejorar los desenlaces. No se observaron diferencias entre los modos de aplicación del ejercicio. Tampoco se identificaron diferencias entre el uso de la cinta caminadora (treadmill) y el plan de fisioterapia en la reducción del tiempo para alcanzar la marcha independiente, diferencia de medias (DM) 46,79; intervalo de confianza (IC) del 95% (-32,60 a 126,19), ni en el aumento de la velocidad de la marcha, DM 0,10; IC del 95% (-0,02 a 0,21) m/s.

Este estudio sugiere que la terapia de ejercicio aeróbico tiene un papel potencialmente efectivo para promover la marcha y el desarrollo motor en niños con SD de 0 a 3 años cuando se aplica mediante cinta caminadora con una frecuencia de 5 días, una duración de 6–8 minutos y una intensidad entre 0,2 y 0,5 m/s. Se requieren estudios con menor heterogeneidad y con tamaños de muestra más grandes.

Título traducido de la contribución	Ejercicio terapéutico para mejorar la función motora en niños con síndrome de Down de 0 a 3 años: revisión sistemática de la literatura y metaanálisis
Idioma original	Inglés
Número de artículo	13051
Páginas (desde-hasta)	1-11
Número de páginas	11
Publicación	Scientific Reports
Volumen	12
N.º	1
DOI	https://doi.org/10.1038/s41598-022-16332-x
Estado	Publicada - 29 jul 2022

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Rodríguez-Grande, E. I., Buitrago-López, A., Torres-Narváez, M. R., Serrano-Villar, Y., Verdugo-Paiva, F., & Ávila, C. (2022). Therapeutic exercise to improve motor function among children with Down Syndrome aged 0 to 3 years: a systematic literature review and meta‑analysis. Scientific Reports, 12(1), 1-11. Artículo 13051. https://doi.org/10.1038/s41598-022-16332-x

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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; Buitrago-López, Adriana; Torres-Narváez, Martha Rocio et al.
En: Scientific Reports, Vol. 12, N.º 1, 13051, 29.07.2022, p. 1-11.

Producción: Contribución a una revista › Artículo › revisión exhaustiva

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