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DOWN SYNDROME
10-20% of children with Down syndrome have atlantoaxial instability. Spinal cord
compromise deserves the most careful attention.
Msall ME, Reese ME, DiGaudio K, Griswold K, Granger CV, Cooke RE. Symptomatic
atlantoaxial instability associated with medical and rehabilitative procedures in children
with down syndrome. Pediatrics 1990 85:3(2):447-9 / Medline ID: 90159774
Although spinal manipulation is a safe procedure, the chiropractor should always be alert for
contraindications to his treatments.
Dyck
V; Upper Cervical Instability In Down's Syndrome: A Case Report. J Can Chiropr Assoc.
1981; 25(2):67-8. / Mantis ID: 15069
It is imperative that chiropractic physicians be aware of the specific clinical
entities encountered (mainly neurological) in treating these individuals. An anterior atlanto-dental interspace (ADI) of less than 1mm - greater than5
mm in a child, indicates atlanto-axial subluxation (AAS) and instability.
Mirtz,
T; Reno, M; Ratliff, C Atlantoaxial Instability In Down's Syndrome: The Role Of
Chiropractic In Special Olympic Participation. Chiropr Sports Med. 1989; 3(3): 81-4. /
Matis ID: 6194
Cognitive functioning deteriorates with age in individuals with Down syndrome.
Brown FR, Greer MK, Aylward EH, Hunt
HH. Intellectual and adaptive functioning
in individuals with down syndrome in relationship to age and environmental placement.
Pediatrics 1990 85:3(2):450-2 / Medline ID: 90159775
Most infants Down syndrome exhibit subluxation of Occiput, C1, and C2. 85% were
considered neurologically asymptomatic. While local symptoms include head tilt,
torticollis and neck discomfort.
McCullen, M. Handicapped Infants and Chiropractic Care, Down Syndrome, Part1. ICA
International Review Of Chiropractic 1990; 46(4): 32-5 / Mantis ID: 13381
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