Aim To investigate the age (in months) at which motor skills are developed in children with Down syndrome (DS), and compare it to the age of the development of the same skills in both, children with typical development (TD), and children with DS reported by four other studies. Methods Sixteen children (7 girls and 9 boys) were monthly assessed for the development of nineteen motor skills between 2008 and 2011. The mean ages when the skills were accomplished were presented using descriptive statistics. Independent T-samples test (significance < 0.05) was used to compare the mean developmental ages from our study with those seen in children with TD (Comparison 1) and also in children with DS reported by four other authors (Comparison 2a-2d). Results Children with DS developed at a significantly slower pace compared to children with TD (p=0.005). Generally, delay and variance of developmental age in children with DS increased chronologically with the complexity of the skills. No significant difference was found between developmental age in children from the present study and children with DS from other studies. Conclusion The rate of attainment of motor skills is delayed in children with DS in comparison to children with TD, however, the developmental sequence is the same. The delayed development is more prominent in more complex skills.
Bjarnason-Wehrens B, Dordel S, Schickendantz S, Krumm C, Bott D, Sreeram N, et al. Motor development in children with congenital cardiac diseases compared to their healthy peers. Cardiol Young. 2007;487–98.
2.
Ferreira-Vasques A. Motor, linguistic, personal and social aspects of children with Down syndrome. J Appl Oral Sci. 2015;424–30.
3.
Hall B. Somatic deviations in newborn and older mongoloid children. Acta Paediatr Scand. 1970;199–204.
4.
Centerwall S, Centerwall W. A study of children with mongolism reared in the home compared to those reared away from the home. Pediatrics. 1960;678–85.
5.
Carr J. Mental and motor development in young mongol children. J Ment Defic Res. 1970;205–20.
6.
Lopes V, Lima C, Tudella E. Motor acquisition rate in Brazilian infants. Infant Child Dev. 2009;122–32.
7.
Tudella E, Pereira K, Basso R, Savelsbergh G. Description of the motor development of 3-12 month old infants with Down syndrome: the influence of the postural body position. Res Dev Disabil. 2011;1514–20.
8.
Cardoso A, Campos A, Santos M, Santos D, Rocha N. Motor performance of children with Down syndrome and typical development at 2 to 4 and 26 Months. Pediatr Phys Ther. 2015;135–41.
9.
Roizen N, Magyar C, Kuschner E. Sulkes SB 2 , Druschel C 4 , van Wijngaarden E 5 , Rodgers L 2 , Diehl A 2 , Lowry R 6 , Hyman SL 2 . A community cross-sectional survey of medical problems in 440 children with own syndrome in New York State. J Pediatr. 2014;871–5.
10.
Haibach P, Wagner M, Lieberman L. Determinants of gross motor skill performance in children with visual impairments. Res Dev Disabil. 2014;2577–84.
11.
Sluijs V, Wiedijk B, Last B, Grootenhuis M, Vulsma T. Evaluation of cognitive and motor development in toddlers with congenital hypothyroidism diagnosed by neonatal screening. J Dev Behav Pediatr. 2012;633–40.
12.
Melyn M, White D. Mental and developmental milestones of non-institutionalized Down’s syndrome children. Pediatrics. 1973;542–5.
13.
Haley S. Sequence of development of postural reactions by infants with Down’s syndrome. Dev Med Child Neurol. 1987;674–9.
14.
Winders P. The goal and opportunity of physical therapy for children with Down syndrome. Down Syndrome Quarterly. 2001;1–5.
15.
Elshemy S. Comparative study: Parameters of gait in Down syndrome versus matched obese and healthy children. Egypt J Med Hum Genet. 2013;285–91.
16.
Smith B, Ulrich B. Early onset of stabilizing strategies for gait and obstacles: Older adults with Down syndrome. Gait Posture. 2008;448–55.
17.
Gontijoa A, Mancinib M, Silvac P, Chagasd P, Sampaioa R, Luze R, et al. Changes in lower limb co-contraction and stiffness by toddlers with Down syndrome and toddlers with typical development during the acquisition of independent gait. Hum Movement Sci. 2008;610–21.
18.
Agiovlasitis S, Mccubbin J, Yun J, Mpitsos G, Pavol M. Effects of Down syndrome on three-dimensional motion during walking at different speeds. Gait Posture. 2009;345–50.
19.
Capio C, Rotor E. Fundamental movement skills among Filipino children with Down syndrome. J Exerc Sci Fit. 2010;17–24.
20.
Winders P. Gross Motor Skills for Children with Down Syndrome: A Guide for Parents and Professionals (Topics in Down Syndrome). 2014;(2).
21.
Pereira K, Basso R, Lindquist A, Da Silva L, Tudella E. Infants with Down syndrome: percentage and age for acquisition of gross motor skills. Res Dev Disabil. 2013;894–901.
22.
Pieterse M, Treloar R. Small Steps -An Early Intervention Program for children with Developmental Delays. Booklet. 1989;
23.
Connolly B, Morgan S, Russell F, Fulliton W. A Longitudinal Study of Children with Down Syndrome Who Experienced Early Intervention Programming. Phys Ther. 1993;170–9.
24.
Loane M, Morris J, Addor M, Arriola L, Budd J, Doray B, et al. Twenty-year trends in the prevalence of Down syndrome and other trisomies in Europe: impact of maternal age and prenatal screening. Eur J Hum Genet. 2013;27–33.
25.
Shin M, Besser L, Kucik J, Lu C, Siffel C, Correa A. Prevalence of Down syndrome among children and adolescents in 10 regions of the United States. Pediatrics. 2009;1565–71.
26.
Palisano R, Walter S, Russell D, Rosenbaum P, Gémus M, Galuppi B, et al. Gross motor function in children with Down syndrome: Creation of motor growth curves. Arch Phys Med Rehab. 2001;494–500.
27.
Sacks B, Buckley S. What do we know about the movement abilities of children with Down syndrome? Down Syndrome News and Update. 2001;131–41.
28.
Wishart J. Taking the initiative in learning: a developmental investigation of children with Down syndrome. Int J Disabil Dev Ed. 1991;27–44.
29.
Cook A, Woollacott M. Dynamics of postural control in the child with Down syndrome. Phys Ther. 1985;1315–21.
30.
Teipel S, Alexander G, Schapiro M. Age related cortical grey matter reduction in non demented Down’s syndrome adults determined by MRI with voxel -based morphometry. Brain. 2004;811–24.
31.
Pinter J. Neuroanatomy of Down’s syndrome: a high-resolution MRI study. Am J Psychiatry. 2001;1659–65.
32.
Chen H, Yeh C, Howe T. Postural control during standing reach in children with Down syndrome. Res Dev Disabil. 2015;345–51.
33.
Block M. Motor development in children with Down’s syndrome: a review of the literature. Adapt Phys Act Q. 1991;179–99.
34.
Sherman S, Allen E, Bean L, Freeman S. Epidemiology of Down syndrome. Ment Retard Dev Disabil Res Rev. 2007;221–7.
35.
Mahoney G, Robinson C, Fewell R. The effects of early motor intervention on children with Down syndrome or cerebral palsy: a field-based study. J Dev BehavPediatr. 2001;153–62.
36.
Blauw-Hospers C, Hadders-Algra M. A systematic review of the effects of early intervention on motor development. Dev Med Child Neurol. 2005;421–32.
37.
Malak R, Kostiukow A, Krawczyk-Wasielewska A, Mojs E, Samborski W. Delays in motor development in children with Down syndrome. Med Sci Monit. 2015;1904–10.
38.
WHOMulticentre Growth Reference Study Group. WHO Motor Development Study: Windows of achievement for six gross motor development milestones. Acta Pediatr. 2006;86–95.
39.
Albers C, Grieve A. Bayley Scales of Infant and Toddler Development. 3rd ed. San Antonio (TX): Harcourt Assessment. J Psychoeduc Assess. 2006;180–90.
40.
Capute A, Accardo P. The infant neurodevelopmental assessment: a clinical interpretive manual for CAT-CLAMS in the first two years of life, part 1. Curr Probl Pediatr. 1996;238–57.
41.
Bergenn V, Dalton T, Lipsitt L, Myrtle. McGraw: a growth scientist. Dev Psychol. 1992;381–95.
42.
Cunningham C. Down syndrome -An introduction for parents and carers. 2006;(3).
43.
Winders P. Gross Motor Skills for Children with Down Syndrome: A Guide for Parents and Professionals (Topics in Down Syndrome). 1997;
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