Comparison of postural sway between healthy and Down syndrome children aged 7-12 years

Main Article Content

Arisa Parameyong
Jittapa Chawawisuttikool
Thanyaluck Sriboonrueng

Abstract

Background: Postural control is considered as an important factor for the development in children. Children with Down syndrome characterized by an impaired postural control and caused a delay of motor development when compared to healthy children. Recently, the postural sway measured by the swaymeter is an easy method to use in clinic and community to measure postural stability.


Objective: To compare the postural sway variables between the children with Down syndrome and healthy children aged 7-12 years.  In addition, this study compared the effect of visual disturbance to the postural sway in both groups.


Methods: There were 25 healthy children and 21 children with Down syndrome participated in this study. The postural sway variables including anteroposterior (AP), mediolateral (ML) and sway area which were measured by using the swaymeter in standing position with open and closed eyes for 30 seconds in each testing condition.


Results: Children with Down syndrome had significantly greater postural sway than healthy children. The postural sway was significant during eyes open in AP (p = 0.002), ML (p = 0.003) and sway area (p = 0.001). In eyes closed, p<0.001 among all the variables. Eyes closed caused a significant increase of postural sway in children with Down syndrome in AP, ML, and sway area (p = 0.001). However, there was no significant difference in healthy children.


Conclusion: Children with Down syndrome had impaired postural stability and had an increase of postural sway and rely on visual reliance more than healthy children.

Article Details

How to Cite
1.
Parameyong A, Chawawisuttikool J, Sriboonrueng T. Comparison of postural sway between healthy and Down syndrome children aged 7-12 years. Thai J Phys Ther [internet]. 2019 Oct. 3 [cited 2026 Jan. 7];41(3):129-37. available from: https://he02.tci-thaijo.org/index.php/tjpt/article/view/150178
Section
Research Articles

References

1. Shumway-Cook A, Woollacott MH. Motor control translating research into clinical practice. Philadelphia: Wolters Kluwer; 2017.

2. Horak FB. Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls?. Age Ageing. 2006;35 Suppl 2:ii7-ii11.

3. Galli M, Rigoldi C, Mainardi L, Tenore N, Onorati P, Albertini G. Postural control in patients with Down syndrome. Disabil Rehabil. 2008;30(17):1274-8.

4. Rigoldi C, Galli M, Mainardi L, Crivellini M, Albertini G. Postural control in children, teenagers and adults with Down syndrome. Res Dev Disabil. 2011;32(1):170-5.

5. Hsu YS, Kuan CC, Young YH. Assessing the development of balance function in children using stabilometry. Int J Pediatr Otorhinolaryngol. 2009;73(5):737-40.

6. Figura F, Cama G, Capranica L, Guidetti L, Pulejo C. Assessment of static balance in children. J Sports Med Phys Fitness. 1991;31(2):235-42.

7. Duarte M, Freitas S, Zatsiorsky V. Control of equilibrium in humans: sway over sway. In: Danion F, Latash ML, Eds. Motor control. Oxford University Press. 2011:219-42.

8. Villarroya MA, Gonzalez-Aguero A, Moros-Garcia T, de la Flor Marin M, Moreno LA, Casajus JA. Static standing balance in adolescents with Down syndrome. Res Dev Disabil. 2012;33(4):1294-300.

9. Lord SR, Menz HB, Tiedemann A. A physiological profile approach to falls risk assessment and prevention. Phys Ther. 2003;83(3):237-52.

10. Parameyong A, Boripuntakul S, Kamnardsiri T, Chawawisuttikool J. The Validity and reliability of the Swaymeter for postural sway measurement in typically developing children aged between 7-12 years. Gait Posture. 2018; 66: 273-77.

11. Parameyong A, Boripuntakul S, Chawawisuttikul J. Test-retest reliability of balance assessment using Swaymeter in children with Down syndrome aged 7-12 years. Journal of Associated Medical Sciences. 2017;50:253-61.

12. Latash ML. Motor control in Down syndrome: The role of adaptation and practice. J Dev Phys Disabil. 1992;49(3): 227-61.

13. Latash ML, Anson JG. What are “normal movements” in atypical populations? Behav Brain Sci. 1996; 19(1): 55-68.

14. Woollacott MH, Shumway-Cook A. Changes in posture control across the life span-a systems approach. Phys Ther. 1990; 70(12):799-807.

15. Maiano C, Hue O, Tracey D, Lepage G, Morin AJS, Moullec G. Static postural control among school-aged youth with Down syndrome: A systematic review. Gait Posture. 2018; 62: 426-33.

16. Meneghetti C, Blascovi-Assis S, Deloroso F, Rodrigues G. Avaliação do equilíbrio estático de crianças e adolescentes com síndrome de Down. Braz J Phys Ther. 2009;13:230-5.

17. Horak FB, Nashner LM. Central programming of postural movements: adaptation to altered support-surface configurations. J Neurophysiol. 1986; 55(6):1369-81.

18. Wang HY, Long IM, Liu MF. Relationships between task-oriented postural control and motor ability in children and adolescents with Down syndrome. Res Dev Disabil. 2012; 33(6):1792-8.

19. Geldhof E, Cardon G, De Bourdeaudhuij I, Danneels L, Coorevits P, Vanderstraeten G, et al. Static and dynamic standing balance: test-retest reliability and reference values in 9 to 10 year old children. Eur J Pediatr. 2006;165(11):779-86.

20. Lee AJ, Lin WH. The influence of gender and somatotype on single-leg upright standing postural stability in children. J Appl Biomech. 2007;23(3):173-9.

21. Nolan L, Grigorenko A, Thorstensson A. Balance control: sex and age differences in 9- to 16-year-olds. Dev Med Child Neurol. 2005; 47(7):449-54.

22. Peterson ML, Christou E, Rosengren KS. Children achieve adult-like sensory integration during stance at 12-years-old. Gait Posture. 2006; 23(4):455-63.