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\n “text”: “Chez l’enfant porteur de trisomie 21, les \u00e9tapes motrices comme la marche arrivent en moyenne plus tard, avec de fortes variations d’un enfant \u00e0 l’autre : ce d\u00e9calage est attendu et n’est pas, en soi, un mauvais signe. Ce qui compte davantage, c’est la progression : l’enfant continue-t-il d’acqu\u00e9rir de nouveaux gestes, m\u00eame lentement ? Le suivi r\u00e9gulier par le kin\u00e9sith\u00e9rapeute, le psychomotricien et le m\u00e9decin permet de situer votre enfant sur son propre chemin. En cas de doute, ou si vous observez une stagnation ou une r\u00e9gression, parlez-en \u00e0 l’\u00e9quipe qui le suit plut\u00f4t que de comparer aux autres enfants.”
\n }
\n },
\n {
\n “@type”: “Question”,
\n “name”: “Faut-il forcer un enfant qui refuse de bouger ?”,
\n “acceptedAnswer”: {
\n “@type”: “Answer”,
\n “text”: “Non, forcer est presque toujours contre-productif : cela installe la peur et le refus, et ab\u00eeme le plaisir du mouvement, qui est le vrai moteur des progr\u00e8s. Mieux vaut cr\u00e9er l’envie \u2014 placer un jouet \u00e0 attraper, transformer l’effort en jeu, proposer un choix entre deux activit\u00e9s acceptables \u2014 et r\u00e9duire l’exigence d’un cran pour garantir la r\u00e9ussite. Un refus signale souvent la fatigue, la peur d’\u00e9chouer ou une activit\u00e9 mal adapt\u00e9e. On respecte ce signal, on change la forme, on raccourcit ; et l’on s’arr\u00eate toujours sur une r\u00e9ussite plut\u00f4t que sur des pleurs.”
\n }
\n },
\n {
\n “@type”: “Question”,
\n “name”: “\u00c0 quel \u00e2ge commencer la kin\u00e9sith\u00e9rapie ou la psychomotricit\u00e9 ?”,
\n “acceptedAnswer”: {
\n “@type”: “Answer”,
\n “text”: “C’est une d\u00e9cision m\u00e9dicale, qui se prend avec l’\u00e9quipe qui suit l’enfant ; un accompagnement pr\u00e9coce est souvent propos\u00e9. Le r\u00f4le du kin\u00e9sith\u00e9rapeute et du psychomotricien est d’\u00e9valuer le tonus, l’\u00e9quilibre et les articulations, puis d’indiquer quelles positions et quels gestes encourager selon l’\u00e9tape en cours. \u00c0 la maison, votre mission n’est pas de mener des s\u00e9ances techniques, mais d’appliquer leurs consignes et de glisser du mouvement dans le jeu quotidien. Posez-leur vos questions concr\u00e8tes : fr\u00e9quence, gestes utiles, activit\u00e9s \u00e0 \u00e9viter. Ce sont eux qui adaptent le programme \u00e0 votre enfant.”
\n }
\n },
\n {
\n “@type”: “Question”,
\n “name”: “Les jeux moteurs comme les cabrioles ou les roulades sont-ils sans danger ?”,
\n “acceptedAnswer”: {
\n “@type”: “Answer”,
\n “text”: “Certaines activit\u00e9s qui sollicitent fortement le cou m\u00e9ritent la prudence : la trisomie 21 s’accompagne parfois d’une particularit\u00e9 du haut de la colonne cervicale (instabilit\u00e9 atlanto-axiale) qui doit \u00eatre \u00e9valu\u00e9e par un m\u00e9decin. Avant d’autoriser roulades, sauts p\u00e9rilleux, trampoline ou certains sports, demandez l’avis de l’\u00e9quipe m\u00e9dicale qui suit votre enfant : elle vous dira ce qui est adapt\u00e9 \u00e0 sa situation. Cela ne signifie pas priver l’enfant d’activit\u00e9 physique, au contraire : bouger est essentiel. Il s’agit simplement de choisir les activit\u00e9s avec le professionnel, et de signaler toute raideur ou g\u00eane nouvelle du cou.”
\n }
\n },
\n {
\n “@type”: “Question”,
\n “name”: “Comment savoir si une nouvelle difficult\u00e9 motrice doit amener \u00e0 consulter ?”,
\n “acceptedAnswer”: {
\n “@type”: “Answer”,
\n “text”: “Signalez rapidement toute r\u00e9gression \u2014 l’enfant perd un geste qu’il ma\u00eetrisait \u2014, une fatigue \u00e0 la marche qui s’aggrave brutalement, une raideur ou une g\u00eane nouvelle du cou, une boiterie, ou un changement inexpliqu\u00e9 de la d\u00e9marche. D\u00e9crivez pr\u00e9cis\u00e9ment la sc\u00e8ne observ\u00e9e au m\u00e9decin, au kin\u00e9sith\u00e9rapeute ou au psychomotricien : le d\u00e9tail concret aide bien plus qu’un \u00ab il r\u00e9gresse \u00bb. En cas de chute avec perte de connaissance ou de signe neurologique brutal, contactez les services d’urgence de votre pays. Entre deux bilans, mieux vaut poser une question de trop que de laisser passer un signe.”
\n }
\n }
\n ]
\n }
\n ]
\n}<\/p>\n

<\/p>\n
\n
\n \u092a\u0930\u093f\u0935\u093e\u0930 \u0914\u0930 \u0938\u0939\u093e\u092f\u0915 \u00b7 \u091f\u094d\u0930\u093f\u0938\u094b\u092e\u0940 21<\/span><\/p>\n

\u091f\u094d\u0930\u093f\u0938\u094b\u092e\u0940 21 \u092e\u0947\u0902 \u092e\u094b\u091f\u0930 \u0935\u093f\u0915\u093e\u0938 \u0915\u094b \u0938\u092e\u091d\u0928\u093e \u0914\u0930 \u0909\u0924\u094d\u0924\u0947\u091c\u093f\u0924 \u0915\u0930\u0928\u093e: \u0926\u0948\u0928\u093f\u0915 \u091c\u0940\u0935\u0928 \u0915\u0940 10 \u0915\u0920\u093f\u0928 \u092a\u0930\u093f\u0938\u094d\u0925\u093f\u0924\u093f\u092f\u093e\u0901 \u0914\u0930 \u0909\u0928\u0915\u093e \u0938\u092e\u093e\u0927\u093e\u0928 \u0915\u0948\u0938\u0947 \u0915\u0930\u0947\u0902<\/h1>\n\u091a\u091f\u093e\u0908 \u0938\u0947 \u0909\u0920\u0928\u093e, \u091a\u092e\u094d\u092e\u091a \u0915\u094b \u092e\u0941\u0901\u0939 \u0924\u0915 \u092a\u0915\u0921\u093c\u0928\u093e, \u090f\u0915 \u0938\u0940\u0922\u093c\u0940 \u0915\u094b \u092a\u093e\u0930 \u0915\u0930\u0928\u093e, \u0915\u094b\u091f \u092a\u0939\u0928\u0928\u0947 \u0915\u0947 \u0932\u093f\u090f \u0916\u0921\u093c\u0947 \u0930\u0939\u0928\u093e: \u092f\u0947 \u091b\u094b\u091f\u0947-\u091b\u094b\u091f\u0947 \u0907\u0936\u093e\u0930\u0947 \u0939\u0948\u0902, \u0914\u0930 \u092b\u093f\u0930 \u092d\u0940 \u092f\u0939\u0940 \u0926\u093f\u0928 \u0915\u094b \u0935\u094d\u092f\u0935\u0938\u094d\u0925\u093f\u0924 \u0915\u0930\u0924\u0947 \u0939\u0948\u0902\u0964 \u091f\u094d\u0930\u093f\u0938\u094b\u092e\u0940 21 \u092e\u0947\u0902 \u092e\u094b\u091f\u0930 \u0935\u093f\u0915\u093e\u0938 \u0915\u094b \u0938\u092e\u091d\u0928\u093e \u0914\u0930 \u0909\u0924\u094d\u0924\u0947\u091c\u093f\u0924 \u0915\u0930\u0928\u093e<\/strong> \u0915\u092d\u0940 \u092d\u0940 \u092c\u0921\u093c\u0947 \u0924\u0915\u0928\u0940\u0915\u0940 \u0938\u0924\u094d\u0930\u094b\u0902 \u092e\u0947\u0902 \u0928\u0939\u0940\u0902 \u0939\u094b\u0924\u093e: \u092f\u0939 \u0926\u0948\u0928\u093f\u0915 \u091c\u0940\u0935\u0928 \u0915\u0947 \u0907\u0928 \u0926\u0930\u094d\u091c\u0928\u094b\u0902 \u091b\u094b\u091f\u0947 \u0926\u0943\u0936\u094d\u092f\u094b\u0902 \u092e\u0947\u0902 \u0939\u094b\u0924\u093e \u0939\u0948 \u091c\u0939\u093e\u0901 \u0939\u092e \u0938\u094b\u091a\u0924\u0947 \u0939\u0948\u0902, \u0909\u0938 \u0915\u094d\u0937\u0923 \u092e\u0947\u0902, \u0915\u094d\u092f\u093e \u0915\u0930\u0928\u093e \u0939\u0948 – \u0915\u094d\u092f\u093e \u092e\u0926\u0926 \u0915\u0930\u0928\u0940 \u091a\u093e\u0939\u093f\u090f, \u0907\u0902\u0924\u091c\u093c\u093e\u0930 \u0915\u0930\u0928\u093e \u091a\u093e\u0939\u093f\u090f, \u091c\u094b\u0930 \u0926\u0947\u0928\u093e \u091a\u093e\u0939\u093f\u090f, \u091b\u094b\u0921\u093c \u0926\u0947\u0928\u093e \u091a\u093e\u0939\u093f\u090f?<\/pee>\n