Postural disorders, walking difficulties and static problems due to ligamen- tous laxity and muscular hypotonia, are common condition in children and adults with Down syndrome. These involve flat foot, valgus knees, posterior sacral pivots, forward navel projections, compensatory dorsal hy- percyphosis and cervical hyperlordosis. Our study included 10 subjects, 7 males and 3 females, aged between 7 and 35 years. Preliminary baropodo- metric tests showed different degrees of flatness. We use a protocol of ther- apeutic exercises called “Play of the flat foot rehabilitation” for a period of ten months, three times a week. The protocol consists in 13 game exercises, performing or in the gym or outdoors. The supports used for the exercis- es are both technical instruments (medicine ball, elastic band, Bobath’s platform), and everyday objects such as napkins, straws, shapes of colored paper circles and rubber balls. A baropodometric platform was used to perform the static and dynamic analysis before and after the treatment. The results of the study were truly remarkable; Of the 10 cases examined, 3 subjected showed a partial improvement of the distribution of the load and of the plantar support, with consequent reduction of muscular tension and pain in the loading; in 4 subjected an overall improvement was found, both in the load distribution and in the plantar support, but also in the alignment of the pressure centers. Moreover, there was a reduction in the difference in support surface between the forefoot and the backfoot; in 2 subjects no improvement was measured; 1 subject was used as control. The results show that the “Play of the flat foot rehabilitation” considerably reduced the plantar load, improving walking and postural control.

Parisi, M.C., Francavilla, V.C., Crescimanno, C. & Orofino F. (2020). "Trattamenti rieducativi del piattismo plantare nei soggetti affetti da sindrome di Down [Rehabilitation treatments of plantar flatness in subjects suffering from Down syndrome]". In D'Avanzo, W. (ed.). Mantua Humanistic Studies. Volume X. Mantova: Universitas Studiorum. 225-244

Francavilla Vincenzo Cristian;Crescimanno Caterina;Orofino Francesca
2020

Abstract

Postural disorders, walking difficulties and static problems due to ligamen- tous laxity and muscular hypotonia, are common condition in children and adults with Down syndrome. These involve flat foot, valgus knees, posterior sacral pivots, forward navel projections, compensatory dorsal hy- percyphosis and cervical hyperlordosis. Our study included 10 subjects, 7 males and 3 females, aged between 7 and 35 years. Preliminary baropodo- metric tests showed different degrees of flatness. We use a protocol of ther- apeutic exercises called “Play of the flat foot rehabilitation” for a period of ten months, three times a week. The protocol consists in 13 game exercises, performing or in the gym or outdoors. The supports used for the exercis- es are both technical instruments (medicine ball, elastic band, Bobath’s platform), and everyday objects such as napkins, straws, shapes of colored paper circles and rubber balls. A baropodometric platform was used to perform the static and dynamic analysis before and after the treatment. The results of the study were truly remarkable; Of the 10 cases examined, 3 subjected showed a partial improvement of the distribution of the load and of the plantar support, with consequent reduction of muscular tension and pain in the loading; in 4 subjected an overall improvement was found, both in the load distribution and in the plantar support, but also in the alignment of the pressure centers. Moreover, there was a reduction in the difference in support surface between the forefoot and the backfoot; in 2 subjects no improvement was measured; 1 subject was used as control. The results show that the “Play of the flat foot rehabilitation” considerably reduced the plantar load, improving walking and postural control.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11387/140485
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