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Down syndrome is a non-hereditary chromosomal abnormality that leads to the presence of three chromosomes 21.

This pathology influences the development of the child who reaches the stages of its development with a more or less marked delay.

Dynseo and its team are very involved in the development of children and their goal is to allow all children with Down syndrome to develop in harmony and serenity. By following the child’s rhythm, we can give them the tools to be autonomous and live well in society.

Down syndrome is a congenital anomaly that can lead to difficulties in language, visual perception, motor skills or cognitive abilities. Each child has a different delay that varies according to their abilities and depends on several factors.

Did you know that each year, about 1 in 1,000 babies are born with Down Syndrome worldwide?


Dynseo offers Coco, an educational memory coach on tablets and smartphones for children. Coco helps you to stimulate the cognitive functions that are involved in the development of children.

Coco accompanies you everywhere, because the app does not require Wi-Fi (Wi-Fi is only needed for updates).

Today Coco accompanies children with Down syndrome through their speech therapists, psychologists, and psychomotor therapists, in residence, at the office or for home help. Professionals who wish to subscribe to Coco can benefit from an online monitoring platform. This platform allows them to see the evolution and improvement of people with Down Syndrome to personalize their care.

Working with a person with Down syndrome is possible with activities adapted to their needs. The Coco app includes more than 30 games adapted for children to stimulate the different cognitive functions efficiently, all while having fun. Children with Down syndrome are, above all, children like any other who like to play and have fun.

Coco offers a solution that takes into consideration both the emotional aspect (by offering fun games) and the cognitive aspect (by offering cognitive stimulation games) of a child’s development. Everyone wins!

Here is a summary that allows you to see with which games you can help a child with Down syndrome according to their needs.




There are different forms of Down syndrome because each child is different, with specific difficulties and needs. It is therefore important to personalize the work for each child. Thanks to 3 levels of difficulty Coco can be used and adapted to each form of Down syndrome.

Among the different Down Syndrome genes, there is Trisomy 21, where three copies of chromosome 21 instead of two, translocation happens when only a part of chromosome 21 breaks off during cell division and attaches to another chromosome, or mosaic trisomy, where there is a mixture of two types of cells, some containing 47 chromosomes and others 46.


The follow-up of a child with Down syndrome differs according to the form of Down syndrome he has. We will therefore advise you on the use of the COCO app according to the various stages of Down Syndrome.

Mild Down Syndrome (stage 1)

Cognitive and developmental delays are mild. The child has below average skills. As the child grows, the difference in skills with others will increase, but they will be able to live semi-independently or fully independently and will be able to maintain a small amount of work. At this stage you can use the games at difficult levels

Coco Cooks


Memorize the procedure or the ingredients of the recipes.

In this game you can stimulate different functions at the same time.

In the first phase, the game shows the recipe, and the child must memorize the ingredients. You can stimulate sequencing in the “recipe” mode (the child must remember the procedure) or verbal or visual memory in the “ingredients” mode (the child must memorize the different ingredients).

The presence of the pictures helps the recognition of the ingredients and allows the game to be used with children with language disorders.

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In addition, the pictures help stimulate lexical access.

All these skills are fundamental in creating and maintaining independence.


Furious Cards


Memorize the order of the cards.

The images are simple, to allow the child to recognize them well.

Depending on the level of difficulty, there is a different number of cards to memorize (3, 4 or 5). This way you can adapt the difficulty and increase the memory capacity.

In the first phase, the child must memorize the order of the cards. You are therefore stimulating attention. Then, the child must put the cards back in order: you stimulate the immediate memory.

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You can also ask the child to name and memorize the pictures to stimulate language and verbal memory.

In addition, to move the cards you stimulate the eye-hand coordination.

To move the ball, the child must press the arrows on the right side of the screen, thus stimulating finger motor skills.

In this game, there are several objects (the ball, the obstacles, Coco) so you also stimulate divided attention.


Moderate Down Syndrome (stage 2)

The cognitive delay is greater, and the child can learn and improve skills to a certain limit. The person will still need help in daily life but can do small jobs in a protected environment. At this stage you can use games at the medium level.

Coco at the beach


Find the fastest way to return Coco’s ball.

With this game, you stimulate visual-spatial construction since the child must imagine the movements of the ball in space.

You also stimulate planning, as the child must look for the fastest route and pay attention to the obstacles.

To move the ball, the child must press the arrows on the right side of the screen, thus stimulating finger motor skills.

In this game, there are several objects (the ball, the obstacles, Coco) so you also stimulate divided attention.


Bouncing Ball


Touch the ball as soon as it appears on the screen.

In this game you stimulate the finger motor skills but also other cognitive functions.

The ball always appears in a different place on the screen, so you stimulate attention to see when the ball appears and visual scanning to locate the exact spot where it appeared.

You are stimulating eye-hand coordination to hit the ball. The ball is always in motion, so the precision of the touch is fundamental.


You can stimulate finger motor skills by asking the child to touch the ball with a different finger each time the ball appears, or you can alternate between right and left hands to stimulate bimanual skills.

To finish the game, you must hit ten balls, which increases the amount of time the child can and should pay attention.


Severe Down Syndrome (stage 3)


The developmental delay is significant and influences many cognitive functions. The child needs a lot of assistance and is not able to achieve independence. In this situation you can use games with easy levels.

Noah’s Ark 


Slide the animals in pairs into the ark.

The use of animal pictures makes it easy to recognize the images and therefore allows this game to be used also with children with Down syndrome who have a more severe delay.

First, you stimulate visual scanning as the child must look at all the animals on the screen. Then you work on the association skills to find the pairs of animals.

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Once the animal pairs are identified, the child uses eye-hand coordination and fine motor skills to select the correct animal and slide it into the arch.

Have them pick up the first animal with one finger and the second with another finger to stimulate fine motor skills or have them alternate hands to stimulate bimanual skills.

Finally, ask the child to name the animal to stimulate lexical access or ask the child to pick up the animal you just named to improve comprehension.


Puzzle Plus


Recreate puzzles with the pieces present.

Puzzles are easy games that can be played at any age and cognitive level. They can be played with children with major cognitive delays.

With this game you stimulate visual perception as the child must analyse the different pieces on the screen and visuo-spatial construction as he must imagine the place of each piece to reproduce the final image.


You can see if the child uses any strategies to complete the picture (do they start at the edges, or do they build on the main picture? Do they look at just the pieces or the final picture as well?). 

There are many ways to complete a puzzle so you can augment the child’s mental patterns.



A child with Down’s syndrome can have a variable cognitive delay, different difficulties at more or less severe stages.

Coco can be adapted to a severe form of Down syndrome, but also to the cognitive functions you want to improve.

Cognitive disorders

Children with Down syndrome still have cognitive difficulties which may be difficulties in recognizing or classifying objects, difficulties in planning or in establishing strategies which are simple and limited. Cognitive stimulation for children with Down syndrome is possible and can help them improve their skills and enrich their strategies.

Carnival of the Animals

Match each animal to its natural habitat.

In the easy level, you are only asked to differentiate between animals living on land, in the sky and in the sea (3 habitats). You can stimulate a first basic classification and look for common characteristics (birds have wings for example).

In the medium and difficult levels there are eight habitats to choose from. In these levels you are asking for more identification and analysis. The child should not only focus on the characteristics of the animals, but also on the characteristics of the habitats.


Ask them to name the animals or habitats and describe them to also work on language.




Memorize the position of the cards and find the duplicate images like in a memory game.

First, the game exercises the child’s attention by showing them the location of the pieces. Then, the child must remember the position of each piece to find the pairs: you stimulate the immediate memory and the visual memory.

It is possible to play this game two, each in turn, so you can stimulate patience.


The memory game is a game known by all children and can therefore become an activity to share with friends.


Visual skills

Often children with Down syndrome also show problems in visual skills. You may see impaired visual perception, difficulty following objects or visual analysis. These skills are important to be able to act in the environment and reach a good stage of autonomy.

Moles Invasion


Type the moles as soon as they appear on the screen.

With this game you stimulate the activation and inhibition of the movement since there are three different moles that require different behavior: the normal mole must be touched once, the mole with the helmet twice and the mole with the glasses must not be touched.

The child must therefore use their visual scanning to locate the mole, recognize it and identify it by associating stimuli and action.

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In addition, the action to be conducted is not always the same, so the child must change their mental scheme to act according to the stimuli present.




Find the right shape or colour according to the model.

In this game you can choose to have a stable request (the child must find only the colour or only the shape) or to have a variable request at each round (10 rounds per game) where the child must adapt to the request.

The request can be to find the shape, the colour or both at the same time. 

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With these differences you stimulate the activation and inhibition of movement as the child must find the requested object quickly but carefully (if the child must look for the colour twice in a row and then must look for the shape, he must inhibit the concept of “colour” and activate the concept of “shape”).

The child must also perform visual analysis of the images and colour classification.


Motor skills

A symptom present in Down Syndrome is the presence of hypotonia, that is to say, an alteration in muscle tone. This condition influences the child’s motor skills and slows down the acquisition of different motor steps. Thanks to Coco, it is possible to stimulate motor skills with ” Coco moves “, a sporty and dynamic break to learn to know their body and their movements.

The acrobat


Hold the position indicated by Coco until a new position appears.

With this game you stimulate different motor skills.

First, the child must look at Coco, analyse the position of each body part and create a mental image of this position. Then they must adapt their body to reproduce this mental image and therefore the position.

Thanks to this game the child learns to know their body and to recognize their movements in space. they will thus improve their body scheme.


All the positions proposed work on the balance, so, to maintain the position, the child must modulate their muscular tone.


Dance with Coco


Dance with Coco to the rhythm of the music.

Children can dance according to their desire or follow the choreography proposed by Coco, the important thing is to follow the rhythm of the music.

With this game you stimulate the adaptation of the movement, which must be slow or fast according to the music.

To adapt the speed of their movement, children work on the adaptation of the muscular tone which changes according to the rhythm of the music.

If you ask Coco to follow the choreography, you also stimulate body image and the perception of their body in space.



Children with Down syndrome are often very social and affectionate. They want to play with others and be part of a group, even if the relationship with other children is not always easy. The difference between the skills of children with Down syndrome and their peers can sometimes create a distance, but it is especially important for them to have a group of friends with whom to play and share activities. Coco offers an effective solution because the program offers games for two. Children with Down syndrome can share an activity with their friends thanks to a tool that allows everyone to play safely.



Find the same shape or colour as the pattern.

In the two-player mode, each player has a button on their side of the screen and the objects scroll down the middle of the screen. So, you must share the tablet and look at the same objects.

The game uses the same concept of shape and colour recognition as other games in the Coco application. The child with Down’s syndrome will have all the necessary skills to play this game with other children.

With this game you stimulate the cognitive functions, but also the relational.

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Coco also offers the possibility of group play, so children with Down syndrome can participate in group activities with other children at school or do an activity with their family. This feature allows them to maintain positive relationships with their loved ones.

The Musical Ear


Listen and recognize the sounds.

In this game you have three game modes: you can choose between recognizing the sounds of objects, instruments, or animals.

This game is perfect for creating a group activity. You can create several teams and see which team recognizes the sound first.

You can also ask them to imitate the animal or instrument. Being in teams can help children with Down syndrome because they are in a small group where there are fewer variables to manage. Also, as a team, they can imitate others, or they can be helped by the other children.

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With this game you can create a collective and inclusive activity.

In addition, you stimulate cognitive functions such as discrimination, hearing, attention, and memory.

The Coco application includes a function that allows you to see the evolution of the child over time. You can see the results obtained in each game and the time spent on the game, to have feedback on the work done. This feedback can be useful in therapy to see if the child is reaching the goals, at school to see the level of the child or at home to follow the development of the child.
You can try Coco for free for 7 days. Afterwards, we offer subscriptions for individuals and professionals.

Coco also accompanies children with other developmental disabilities.

Here is what Coco offers you:

  • 30+ educational games,
  • reflex and attention games,
  • a sports break after 15 minutes of screen time.



  • Performance Tracking
  • Monthly updates
  • Customer support
  • No automatic renewal

$4,99 USD


  • Performance Tracking
  • Monthly updates
  • Customer support
  • No automatic renewal

$18 USD


  • Performance Tracking
  • Monthly updates
  • Customer support
  • No automatic renewal

$44 USD