Down syndrome therapies: Finding the right support and therapies for Down syndrome

Mum shows son with disability Mable support workers on her tablet.
Mum shows son with disability Mable support workers on her tablet.

For people with Down syndrome, therapy can play a crucial role in fostering physical, cognitive and social development. From early childhood to adulthood, different therapies help build essential skills, enhance communication and promote independence.

Why therapy is important for people with Down syndrome

Therapy can be beneficial for people with Down syndrome. Certain therapies can contribute to enhancing quality of life, fostering independence and developing life skills.

Some of the key benefits of therapy include:

  • Improved motor skills, coordination and strength
  • Enhanced speech, communication and social interaction
  • Increased independence in assisted daily living and self-care
  • Boosted confidence and emotional wellbeing
  • Greater participation in education, employment and community activities.

Learn more about understanding and supporting people with Down syndrome.

Early intervention for Down syndrome - The importance of therapy in childhood

Early intervention can be key to setting a strong foundation for future growth. Early therapy can help children with Down syndrome develop critical skills such as motor function, speech and language, and self-care. These foundational abilities can play a major role in fostering long-term independence.

Role of therapists in early intervention:

  • Physiotherapists (PTs): Improve motor function and coordination
  • Occupational Therapists (OTs): Enhance fine motor skills and self-care abilities
  • Speech Therapists (SLPs): Support language development and communication.

Therapy and skill development in adulthood

Therapy can also be essential for adults with Down syndrome, shifting focus to maintaining skills and supporting independence.

Main areas of therapy for adults with Down syndrome:

  • Mobility and physical health – Ongoing physical therapy helps prevent physical challenges by improving strength, balance and coordination, reducing the risk of falls and maintaining mobility.
  • Daily living skills – Occupational therapy (OT) supports workplace readiness, meal planning and managing daily routines to champion independence at home and work.
  • Social and communication skills – Speech therapy helps adults build confidence in conversations, enhance articulation and develop strong interpersonal skills for relationships and community interactions.

Types of therapy for individuals with Down syndrome

People with Down syndrome may benefit from a range of therapies that support their physical, cognitive, communication and life skills development.

Mable’s platform can connect individuals and families with qualified allied health professionals and independent support workers who assist in reinforcing therapy goals.

Allied health professionals must meet registration and qualification requirements to offer their services on Mable.

Learn more about finding a NDIS therapist who is right for you.

Independent support workers on Mable

Independent support workers play a vital role in reinforcing therapy goals through everyday assistance. They can help with:

  • Social and emotional support – Companionship, outings and skill-building activities.
  • Domestic support – Light housework, gardening and meal preparation.
  • Personal care – Assistance with grooming, dressing and mobility.

While support workers do not provide professional therapy, they can help to integrate therapy recommendations into daily routines, offering practical assistance that complements prescribed treatment.

Learn more about how Mable can support people with Down syndrome.

Physical Therapy (PT) for motor skills and mobility

Physical therapy can play a crucial role in enhancing strength, coordination and mobility for individuals with Down syndrome.

Physical therapy for children – Building motor skills and strength

Physical therapy can help infants and children develop essential gross motor skills, such as crawling, standing and walking. Common physical therapy exercises include assisted walking, balance training and coordination drills.

Physiotherapists can help children by:

  • Conducting movement assessments and tailoring physical therapy plans
  • Using targeted interventions like stretching, strengthening and sensory-motor activities.

Physical therapy for adults – Maintaining mobility and preventing falls

Adults with Down syndrome may experience muscle weakness, joint instability or balance issues, increasing their risk of falls. Physical therapy strategies for adults focus on maintaining mobility such as stretching, weight-bearing exercise and gait training.

A physiotherapist can help adults with Down syndrome with:

  • Improving posture, walking mechanics and joint flexibility
  • Advice on mobility aids like braces, orthotics or walkers.

How support workers on Mable can assist with physical therapy goals

Support workers can help clients stay active and engaged by:

  • Assisting with daily movement exercises – Under the guidance of a physiotherapist, support workers can help clients practice prescribed physiotherapy routines.
  • Encouraging active participation in gentle activities – Support workers can motivate individuals to engage in low-impact exercises like walking, swimming, yoga or dance to support movement in a fun and social way.
  • Providing mobility support in community settings – Whether it’s walking through a park, navigating public transport or participating in social activities, support workers assist clients in staying mobile and independent.

Occupational Therapy (OT) for daily life skills

Occupational therapy (OT) can help individuals with Down syndrome build the skills needed for daily independence. OTs work with people across all life stages to improve their ability to perform everyday activities.

OTs focus on:

  • Fine motor skills – OTs help strengthen hand-eye coordination and dexterity, which are essential for tasks like writing, using utensils or buttoning clothing.
  • Self-care – OTs support individuals in mastering personal care routines, such as dressing, grooming and meal preparation.
  • Work readiness – OTs help develop practical skills like organisation, time management and workplace adaptability for functional independence.

OT for children – Developing fine motor and self-care skills

OT can play an important role in helping children with Down syndrome develop fine motor control, which is essential for everyday tasks like writing, eating and dressing themselves. By strengthening small muscles and improving coordination, an OT helps children to engage confidently in school, home and social environments.

OT for adults – Life skills and workplace readiness

Occupational therapy can play a vital role in helping adults with Down syndrome manage daily responsibilities, develop workplace skills and maintain independence in their homes and communities.

How support workers can assist with OT goals

Ways support workers assist with OT goals:

  • Self-care skills – Support workers can guide individuals in practicing essential self-care routines, such as brushing teeth, getting dressed and meal preparation.
  • Community participation – Encouraging individuals to engage in community activities, such as grocery shopping, attending social events or using public transportation.
  • Guided practice at home and work – Support workers provide hands-on assistance with OT recommended exercises and strategies, such as organising personal schedules, practicing workplace skills or using adaptive tools.

Speech and language therapy for communication

Speech-language pathologists (SLPs) provide targeted therapy to improve articulation, language comprehension and social communication, adapting their approach based on an individual’s age and needs.

Speech therapy for children vs. adults

Speech therapy in childhood focuses on building foundational communication skills such as:

  • Strengthening oral muscles to support feeding and clearer speech
  • Improving articulation and phonation for better pronunciation
  • Expanding vocabulary and sentence structure
  • Developing social communication skills.

As people with Down syndrome grow, speech therapy shifts to supporting:

  • Clear speech production for confidence in social and workplace settings
  • Understanding tone, facial expressions and maintaining conversations
  • Overcoming communication barriers in professional and community environments.

How independent support workers can assist with speech therapy goals

Support workers can assist with:

Encouraging speech practice
  • Engaging in daily conversations to promote verbal expression and sentence building.
  • Reading books aloud together to build language processing and pronunciation.
Reinforcing therapist recommended techniques
  • Supporting individuals in using communication aids, such as speech-generating devices or sign language.
  • Helping participants practice articulation exercises prescribed by speech therapists.
Supporting social engagement
  • Assisting with interactions in community settings such as ordering food at a cafe, speaking to store employees or participating in group activities.
  • Encouraging participation in social groups, hobbies or recreational activities where communication skills can be applied naturally.

Behavioural and emotional therapy

People with Down syndrome may experience challenges in emotional regulation, anxiety and social frustration, which can impact their daily lives. These difficulties can arise from communication barriers, sensory sensitivities or difficulties in processing emotions.

Behavioural therapy helps with:

Building coping mechanisms

  • Teaching strategies to self-regulate emotions, such as deep breathing or sensory breaks
  • Encouraging alternative ways to express frustration or anxiety in social settings.

Managing routines and transitions

  • Using structure to create predictability
  • Helping individuals adapt to changes in route with gradual exposure and support.

Promoting emotional wellbeing

  • Encouraging self-awareness and emotional recognition
  • Teaching problem-solving skills for peer relationships and social interactions.

Emotional wellbeing and coping strategies

People with Down syndrome may experience heightened emotional sensitivity, frustration or anxiety, often due to communication barriers or changes in routine. Difficulty expressing thoughts and feelings can lead to emotional distress, while unexpected disruptions may cause stress or anxiety. These challenges can affect social interactions, daily activities and overall wellbeing.

Key therapeutic approaches may include:

  • Emotional regulation techniques: Teaching self-awareness and strategies to recognise and manage emotions effectively.
  • Coping mechanisms: Introducing techniques to reduce stress and increase emotional resilience.
  • Social interaction support: Helping individuals navigate peer relationships, personal boundaries and communication skills.

How independent support workers can assist with behavioural and emotional goals

Ways support workers can help:

  • Reinforcing behaviour management strategies in daily routines
  • Help with transitions between activities by providing structure and encouragement
  • Encourage positive social interactions and emotional expression in safe environments.

Please note that Mable is unable to assist with behaviour management strategies that form part of a NDIS Behaviour Support Plan (‘BSP’) or involve any forms of restrictive practice.

Incorporating Down syndrome therapy into daily life

Supporting people with Down syndrome extends beyond therapy sessions – it’s about integrating therapy-based learning into daily routines.

Parents, caregivers and support workers can reinforce therapy goals through everyday activities, helping to build essential skills in a natural, engaging way. This could be through turning everyday tasks into learning opportunities, creating routine, or encouraging independence.

How independent support workers can help

While allied health professionals provide structured therapy sessions, support workers can extend these lessons into daily life. They can:

  • Assist with therapy-based exercises recommended by physiotherapists or occupational therapists.
  • Reinforce communication strategies from speech therapists during conversations and social outings.
  • Encourage participants to implement emotional regulation techniques given by psychologists or counsellors.
  • Support participation in community activities that build independence and confidence.

Learn more about how Mable support workers can assist with:

Additional resources for Down syndrome therapies and support services

There are several valuable resources available in Australia to support individuals with Down syndrome and their families, particularly when it comes to therapy services, funding and skill development.

FAQs

Depending on individual needs, effective therapies for people with Down syndrome can include physiotherapy, occupational therapy, behavioural therapy and speech therapy.

Early intervention may help improve mobility, daily living skills and communication, empowering individuals to reach milestones and live more independently. These therapies provide vital support in building strength, coordination and language skills, helping individuals thrive.

Therapy needs depend on the individual.

Early therapy can enhance motor skills, communication and independence, setting a strong foundation for lifelong progress.

Therapy needs change over time, but ongoing support may help maintain independence and wellbeing.

The specific duration of therapy depends on individual needs and goals. Therapy may help individuals with Down syndrome reach their full potential, and many will continue to use therapy for different goals and stages of life at varying levels.

The frequency of therapy sessions for individuals with Down syndrome depends on the individual's specific needs, goals and therapy type.

Regular check-ins with therapists can help determine when adjustments are needed based on the individual's development. You can refer to guidelines from organisations like Down Syndrome Australia or consult a healthcare professional for personalised recommendations.

Follow the steps on our website on how to find a qualified therapist or support worker for Down syndrome on Mable.

You can also explore this article on how Mable can support people with Down syndrome.

The information provided in this article is general information only and based on current information about managing life with Down syndrome at the date of publication. In addition to considering the information shared in this article, Mable encourages you to conduct your own research and seek independent advice about managing life with Down syndrome in your specific circumstances, including, but not limited to, independent medical advice, where appropriate. If you intend to use NDIS funding to cover any of the supports listed above, you should also check that the services align with the goals of your NDIS Support Plan and can be covered by your NDIS funding before proceeding.