COMPREHENSIVE ASSESSMENT AND PHYSIOTHERAPEUTIC CORRECTION OF SPINAL DEVELOPMENT IN CHILDREN WITH DOWN SYNDROME: NEUROMOTOR APPROACH TO IMPROVING POSTURAL CONTROL AND FUNCTIONAL OUTCOMES

The article presents a conceptual framework for comprehensive assessment and correction of spinal development in children with Down syndrome. Based on systematic analysis of current scientific data regarding musculoskeletal development and neuromotor peculiarities associated with trisomy 21, we propose an integrated physiotherapeutic approach combining postural correction, sensorimotor integration, and functional training. The methodology includes detailed anthropometric assessment of spinal parameters, differentiated protocols for various age groups, and objective evaluation criteria for rehabilitation effectiveness. Special emphasis is placed on the correlation between improved spinal alignment and positive dynamics in motor skills, coordination, and cognitive functions. The interdisciplinary integration of orthopedic, neurological, and physiotherapeutic interventions with active family participation is highlighted as a crucial factor in achieving stable functional improvements in children with Down syndrome.