Сomorbid conditions in children with down syndrome: problem questions of medical, psychological supervision and rehabilitation (review of literature and own observations)
Keywords:children, Down syndrome, physical development, developmental anomalies, comorbid pathology
AbstractThe aim. Determination of the main comorbid pathology in children with Down syndrome, the rationale for monitoring- groundings of monitoring and rehabilitation measures.
Materials and methods. The paper presents data from literary sources, as well as the results of authors' follow-up of 50 children with Down syndrome aged two months to three and a half years old, who underwent rehabilitation courses at Charity Fund Early Intervention Institute for children with developmental disorders and disabled children.
Results. Children with Down syndrome have a high incidence of developmental abnormalities and pathological conditions affecting functional capabilities of their life supporting systems, which requires certain medical-prophylactic and therapeutic (including surgical, medicamental) measures. The main task of medical support for such a child is diagnosis of these conditions; their correction is carried out according to the same principles as in children without chromosomal abnormalities. Combination of several pathological conditions, which is a characteristic feature of these children, complicates the implementation of rehabilitation measures. No well-defined combinations of pathology and influence of different combinations on the efficacy of rehabilitation have been established; therefore, medical support of children with Down syndrome should be individualized and determined by the needs of a particular child at a certain stage of his/her development.
Conclusion. The presence of comorbid conditions affects the period of childhood and possibilities of medical and psychological rehabilitation in children with Down syndrome. Medical support of these children is of high importance because timely detection of pathology with its correction determines the scope and efficacy of individual rehabilitation programs.
The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee (LEC) of all participating institution. The informed consent of the patient was obtained for conducting the studies.
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