Cyberpsychology Laboratory, Department of Psychoeducation and Psychology, Université du Québec en Outaouais, 5 Rue Saint-Joseph, Saint Jérôme, Quebec, Canada J7Z 0B7.
Department of Physical Activity Sciences, Université du Québec à Trois-Rivières, Trois-Rivières, Quebec, Canada.
Phys Ther. 2019 May 1;99(5):507-518. doi: 10.1093/ptj/pzz012.
Youths with Down syndrome are characterized by deficits in balance/postural stability. One way to palliate balance deficits among this population is through exercise interventions. However, to the authors' knowledge, the effects of exercise interventions designed to improve the balance of youths with Down syndrome have never been systematically reviewed.
The purpose of this review was to summarize the findings from studies examining the effects of exercise interventions designed to improve balance in youths with Down syndrome.
A systematic literature search was performed in 10 databases (Academic Search Complete, CINAHL Plus With Full-Text, Education Source, ERIC, Medline With Full-Text, PsycARTICLES, Psychology and Behavioral Sciences Collection, Scopus, SocINDEX, and SPORTDiscus With Full-Text) on June 12, 2017.
Randomized controlled trials and controlled trials examining the effects of exercise interventions designed to improve balance in youths with Down syndrome were included.
Two authors selected the studies and extracted their characteristics and results. Three authors assessed the risk of bias in the studies using the Cochrane Collaboration tool.
Eleven studies, published between 2010 and 2017, met the inclusion criteria. The findings showed that exercise interventions were more effective than control conditions for improving the static balance of children with Down syndrome and the static-dynamic balance (ie, global balance score obtained with a scale measuring both static and dynamic balance) of children and adolescents with Down syndrome. Nevertheless, the findings on dynamic balance in children and static balance in adolescents were inconclusive.
With a small number of studies and their high risk of bias, the present findings must be interpreted with caution.
The reviewed exercise interventions were successful in improving the static balance of children with Down syndrome and the static-dynamic balance of children and adolescents with Down syndrome.
唐氏综合征患者的平衡/姿势稳定性存在缺陷。改善该人群平衡缺陷的一种方法是通过运动干预。然而，据作者所知，旨在改善唐氏综合征患者平衡的运动干预措施的效果从未被系统地审查过。
本综述的目的是总结研究运动干预措施对改善唐氏综合征患者平衡能力的效果。
2017 年 6 月 12 日，在 10 个数据库（学术搜索全文、CINAHL Plus 全文、教育资源、ERIC、Medline 全文、PsycARTICLES、心理学和行为科学收藏、Scopus、社会索引和 SPORTDiscus 全文）中进行了系统的文献检索。
纳入了旨在改善唐氏综合征患者平衡的运动干预措施的随机对照试验和对照试验。
两名作者选择了研究，并提取了其特征和结果。三名作者使用 Cochrane 协作工具评估了研究的偏倚风险。
11 项研究于 2010 年至 2017 年发表，符合纳入标准。研究结果表明，运动干预措施比对照组更有效地改善唐氏综合征儿童的静态平衡以及唐氏综合征儿童和青少年的静态-动态平衡（即，通过测量静态和动态平衡的量表获得的整体平衡评分）。然而，关于儿童动态平衡和青少年静态平衡的研究结果尚无定论。
由于研究数量较少且存在高偏倚风险，因此必须谨慎解释本研究结果。
所审查的运动干预措施成功地改善了唐氏综合征儿童的静态平衡和唐氏综合征儿童和青少年的静态-动态平衡。
