Table Of ContentDown Syndrome
Down  Syndrome 
Moving through life 
Edited by 
Yvonne  Burns 
Physiotherapy Department 
University of Queensland 
Brisbane, Australia 
and 
Pat  Gunn 
Fred and Eleanor Schonell Special Education Research Centre 
University of Queensland 
Brisbane, Australia 
SPRINGER-SCIENCE+BUSINESS MEDIA, B.V.
Published by Chapman & Hali, 2-6 Boundary Row, London SEl SHN 
Distributed in the USA and Canada by Singular Publishing Group !ne., 
4284 41st Street, San Diego, California 92105, USA 
First edition 1993 
©Springer Science+Business Media Dordrecht 1993 
Originally published by Chapman & Hali in 1993 
Typeset in 10/12 pt Palatino by Mews Photosetting, Beckenharn, Kent 
ISBN 978-0-412-46180-4  ISBN 978-1-4899-7240-8 (eBook) 
DOI 10.1007/978-1-4899-7240-8 
Apart frorn any fair dealing for the purposes of research or private 
study, or criticisrn or review, as perrnitted under the UK Copyright 
Designs and Patents Act, 1988, this publication rnay not be repro 
duced, stored, or transrnitted, in any forrn or by any rneans, without 
the prior perrnission in writing of the publishers, or in the case of 
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accordance with the terrns of licences issued by the appropriate 
Reproduction Rights Organization outside the UK. Enquiries 
concerning reproduction outside the terrns stated here should be sent 
to the publishers at the London address printed on this page. 
The publisher rnakes no representation, express or irnplied, with 
regard to the accuracy of the inforrnation contained in this book and 
cannot accept any legal responsibility or liability for any errors or 
ornissions that rnay be ma de. 
A catalogue record for this book is available frorn the British Library 
Library of Congress Cataloging-in-Publication data 
Down syndrorne : rnoving through life 1 edited by Yvonne Burns and 
Pat Gunn. - 1st ed. 
p.  crn. 
Includes bibliographical references and indexes. 
ISBN 978-0-412-46180-4 (acid-free paper) 
Down syndrorne - Patients - Rehabilitation. 2. Physical 
education for rnentally handicapped persons. 3. Movernent education. 
I. Burns, Yvonne. II. Gunn, Pat. 
RC571.D686  1993 
616.85'8842-dc20  93-18675 
CIP 
1§ 
Printed on permanent acid-free text paper, rnanufactured in accordance 
with the proposed ANSJ/NISO Z 39.48-199X and ANSI Z 39.48-1984
Contents 
List of contributors  viii 
Preface 
X 
Acknowledgements  xi 
1  Characteristics of Down syndrome  1 
Pat Gunn 
Introduction  1 
Systems approaches to movement  4 
Learning  14 
2  The development of movement: the basis of 
effective performance and life skills  19 
Yvonne Burns 
lntroduction  19 
Motor development: implications for the child 
with Down syndrome  21 
Assessment  31 
Intervention: principles and guidelines  33 
3  Activities during infancy  37 
Sue Price and Rose-Anne Kelso 
Introduction  37 
Feeding  38 
Carrying  45 
Lifting up  49 
Increasing awareness  53 
Head control  58 
Rolling over  60 
4  Activities during the pre-toddler and toddler 
period  65 
Rose-Anne Kelso and Sue Price 
Introduction  65
vi  Contents 
Feeding  65 
Sitting  66 
Preparation for crawling  72 
Preparation for standing and walking  74 
Climbing down  82 
Increasing awareness  84 
Fine motor activities  90 
What happens next?  92 
5  The active preschooler  95 
Louise Mercer 
6  Play and movement education  109 
Anne Jobling 
lntroduction  109 
Fundamental motor patterns  114 
Programming considerations  122 
Movement education  123 
Movement sessions  127 
Conclusion  133 
7  Fine motor skills in the classroom  135 
Jenny Ziviani and John Elkins 
Introduction  135 
Handwriting  136 
Legibility and speed  139 
Performance characteristics  141 
Keyboard skills  145 
Support strategies  145 
Conclusion  149 
8  Development of skills throughout adolescence 
and early adult life  151 
Pamela Barham 
Introduction  151 
Movement education  153 
A netball programme  157 
Physical fitness  161 
Fitness exercises  163 
Progressive programming  166 
Conclusion  166
Contents  vii 
9  The elderly person with Down syndrome: the 
benefits of an active life  169 
Barbara fames 
Introduction  169 
Motor performance  170 
Joint mobility  173 
Physical characteristics of older adults  175 
Functional capacity and activity  176 
Implications for recreational activity  178 
Exercise programme design  183 
Ageing, activity and Down syndrome: extending 
the continuum  188 
Appendix A  Glossary  191 
References  193 
Author index  216 
Subject index  221
Contributors 
Sue Price 
Yeronga Physiotherapy 
Yeronga Village 
12 Kadumba Street 
Yeronga 4104 
Australia 
Rose-Anne Kelso 
Yeronga Physiotherapy 
Yeronga Village 
12 Kadumba Street 
Yeronga 4104 
Australia 
Louise Mercer 
Physiotherapist 
Low Incidence Support Centre 
72 Cornwall Street 
Annerley 4103 
Australia 
Anne Jobling 
Fred and Eleanor Schonell Special Education 
Research Centre 
The University of Queensland 
Brisbane 4072 
Australia
Contributors  ix 
Dr Jenny Ziviani 
Occupational Therapy Department 
The University of Queensland 
Brisbane 4072 
Australia 
Prof. John Elkins 
Fred and Eleanor Schonell Special Education 
Research Centre 
The University of Queensland 
Brisbane 4072 
Australia 
Pamela Barham 
Network Coaching International 
7 Maher Street 
Sunshine Beach 4567 
Australia 
Dr Barbara James 
Division of Workplace Health and Safety 
50 Ann Street 
Brisbane 4000 
Australia
Preface 
The intent of this book is to suggest activities that will foster the 
development of efficient and effective patterns of movement 
in persons with Down syndrome. Attention to the nature of 
movement pattems is especially important for those with Down 
syndrome as their motor milestones are usually delayed and 
patterns of movement vary in quality. The book outlines prin 
ciples and practices that have gained from co-operation between 
therapists, teachers, and other professionals. All chapters have 
been written by a professional in the relevant discipline who 
has had extensive experience with Down syndrome. 
We believe that the book would be suitable as a supplemen 
tary text for final year undergraduate and postgraduate students 
and of interest to professionals concerned with movement includ 
ing physiotherapists, occupational therapists, and physical edu 
cation teachers. We hope that parents and friends of persons with 
Down syndrome will find the chapters useful and informative. 
The chapters have taken a global perspective, not only by 
considering movement through the lifespan but movement for 
function, for schoollearning, for work, leisure and recreation. 
Many of the suggestions will be appropriate for other forms 
of developmental disability, especially those with hypotonia 
and developmental delay. 
The overall theme of the book reflects the belief that an inter 
disciplinary focus on the quality of movement and the develop 
ment of motor skills in persons with Down syndrome will make 
a major contribution towards their personal competence and 
increased participation in the activities of the wider community. 
Yvonne Burns 
Pat Gunn