# A Novel Physiotherapy Approach for Enhancing Mobility in a 53-Year-Old With Down Syndrome: A Case Report

## TL;DR

This case report shows how a tailored physiotherapy program improved mobility and quality of life in a 53-year-old woman with Down syndrome.

## Contribution

A novel physiotherapy approach combining strength, balance, and coordination exercises tailored for an adult with Down syndrome.

## Key findings

- The intervention improved balance, as measured by the Berg Balance Scale and Timed Up and Go test.
- Functional independence increased, as shown by the Functional Independence Measure.
- The tailored program enhanced strength and endurance in the participant.

## Abstract

Down syndrome (DS) is a genetic condition developing from a supplementary chromosome 21, referred to as trisomy 21. It ranks among the most prevalent developmental disabilities. People with DS often live inactive lifestyles, not meeting the weekly physical activity guidelines. With age, they face increased risks of cardiovascular disease and osteoporosis, as well as neurological and orthopedic concerns. Physiotherapy is especially important for improving balance, coordination, strength, and endurance in adults over the age of 50. Our approach consisted of a three-week regimen that included strengthening exercises based on the DeLorme strength training principle, balance exercises with perturbation and treadmill training, and coordination exercises with equilibrium and non-equilibrium movements. We evaluated outcomes using measures such as the Berg Balance Scale, Timed Up and Go test, and Functional Independence Measure, which were performed before and after the physiotherapy intervention. We present a case study of a 53-year-old woman to demonstrate the importance of physiotherapy in making lifestyle changes and improving strength, balance, and endurance, thereby improving overall quality of life through tailored interventions.