Down Syndrome (Trisomy 21): Therapy

General measures

  • Nicotine restriction (refraining from tobacco use).
  • Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day).
  • Limited caffeine consumption (max 240 mg of caffeine per day; equivalent to 2 to 3 cups of coffee or 4 to 6 cups of green/black tea).
  • Avoidance of psychosocial stress:
    • Bullying
    • Mental conflicts
    • Social isolation
    • Stress

Medical aids

  • If applicable, use of various types of orthopedic aids (walking aids, aids within the household, etc.).

Vaccinations

The following vaccinations are advised, as infection can often lead to worsening of the present disease:

  • Flu vaccination
  • Pneumococcal vaccination

Nutritional medicine

  • Nutritional counseling based on nutritional analysis
  • Nutritional recommendations according to a mixed diet taking into account the disease at hand. This means, among other things:
    • Daily total of 5 servings of fresh vegetables and fruits (≥ 400 g; 3 servings of vegetables and 2 servings of fruits).
    • Once or twice a week fresh sea fish, i.e. fatty marine fish (omega-3 fatty acids) such as salmon, herring, mackerel.
    • High-fiber diet (whole grains, vegetables).
  • Observance of the following special dietary recommendations:
    • Wg. high risk of obesity must be avoided “overeating” (excessive food intake).
  • Selection of appropriate food based on the nutritional analysis
  • See also under “Therapy with micronutrients (vital substances)” – if necessary, taking a suitable dietary supplement.
  • Detailed information on nutritional medicine you will receive from us.

Sports Medicine

  • Sports activity is recommended – if necessary with appropriate aids.
  • For detailed information on sports medicine, please contact us.

Physical therapy (including physiotherapy)

  • Orofacial regulation therapy (improvement of communication and food intake primarily through head and jaw control as a goal of intervention) [due tosymptoms: various abnormalities of oral function; including tongue protrusion (tongue forward displacement)]
  • Physiotherapy to/for:
    • Improvement of motor development
    • Improvement of self-perception
    • Improving the ability to compensate
    • Support basic body activities such as eating and drinking.
    • A stable body coordination and an upright posture
    • An adaptation of orthopedic aids (walkers, aids within the household, etc.) to improve overall mobility

Psychotherapy [due tosecondary diseases and symptoms]

  • Stress management, if necessary
  • If necessary, occupational therapy – to improve fine motor skills and perception.
  • If necessary, psychological care
  • If necessary, remedial education
  • Pedagogical early support
  • Detailed information on psychosomatics (including stress management) can be obtained from us.

Complementary treatment methods

  • If necessary, speech therapy – detection and therapy of existing speech, language, voice and swallowing disorders.

Training measures

  • Training sessions for parents regarding:
    • Quality of life of the child
    • Life expectancy of the child
    • Linguistic development of the child
    • Physical development of the child
    • Social inclusion, reaction of the environment
    • Satisfaction of the child
    • Work opportunities of the child
    • Care needs / care options of the child
    • Financial burden?