Effects of Intensity of Treadmill Training on Developmental Outcomes and Stepping in Infants With Down Syndrome: A Randomized Trial

Author:

Ulrich Dale A1,Lloyd Meghann C2,Tiernan Chad W2,Looper Julia E2,Angulo-Barroso Rosa M3

Affiliation:

1. DA Ulrich, PhD, is Professor, Department of Kinesiology, and Director, Center for Motor Behavior and Pediatric Disabilities, University of Michigan, 401 Washtenaw Ave, Ann Arbor, MI 48109-2214 (USA)

2. MC Lloyd, MA, CW Tiernan, MS, and JE Looper, PT, MSPT, are doctoral candidates in the Department of Kinesiology, University of Michigan, and are associated with the Center for Motor Behavior and Pediatric Disabilities

3. RM Angulo-Barroso, PhD, is Associate Professor, Department of Kinesiology, University of Michigan, and is associated with the Center for Motor Behavior and Pediatric Disabilities

Abstract

Background and PurposeInfants with Down syndrome (DS) are consistently late walkers. The purpose of this investigation was to test the effects of individualized, progressively more intense treadmill training on developmental outcomes in infants with DS.SubjectsThirty infants born with DS were randomly assigned to receive lower-intensity, generalized treadmill training or higher-intensity, individualized training implemented by their parents in their homes.MethodsResearch staff members monitored implementation of training, physical growth, and onset of motor milestones of all infants on a monthly basis.ResultsInfants in the higher-intensity, individualized training group increased their stepping more dramatically over the course of training. Infants in the higher-intensity training group attained most of the motor milestones at an earlier mean age.Discussion and ConclusionTreadmill training of infants with DS is an excellent supplement to regularly scheduled physical therapy intervention for the purpose of reducing the delay in the onset of walking.

Publisher

Oxford University Press (OUP)

Subject

Physical Therapy, Sports Therapy and Rehabilitation

Reference31 articles.

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2. Improved national prevalence estimates for 18 selected major birth defects: United States, 1999–2001;MMWR Morb Mortal Wkly Rep,2006

3. Behavioral phenotype of individuals with Down syndrome;Chapman;Ment Retard Dev Disabil Res Rev,2000

4. Coordination of pelvis-HAT (head, arms and trunk) in anterior-posterior and medio-lateral directions during treadmill gait in preadolescents with/without Down syndrome;Kubo;Gait Posture,2006

5. Treadmill training of infants with Down syndrome: evidence-based developmental outcomes;Ulrich;Pediatrics,2001

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