Volume 22, Issue 1 (Pajouhan Scientific Journal, Winter 2024)                   Pajouhan Sci J 2024, 22(1): 31-41 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Dehghan Nasab A, Azadian E. Relationship between Fundamental Movement Skills and Variability in Postural Control: Comparison of Children with and without Intellectual Disability. Pajouhan Sci J 2024; 22 (1) :31-41
URL: http://psj.umsha.ac.ir/article-1-1030-en.html
1- Department of Physical Education and Sport Sciences, Hamedan Branch, Islamic Azad University, Hamedan, Iran
2- Department of Physical Education and Sport Sciences, Hamedan Branch, Islamic Azad University, Hamedan, Iran , azadian1@yahoo.com
Abstract:   (192 Views)
Background and Objectives: Children with intellectual disabilities (ID) not only have impairments in cognitive functioning but also experience difficulties in perceptual and motor skills, which may lead to balance deficits and increased risk of falls. The preset study aimed to assess the relationship between fundamental motor skills and postural control adaptability and compare them in teachable children with ID and normal children.
Materials and Methods: This descriptive study involved 34 girls with ID and 30 age-matched healthy peers aged 7-13. Balance variables, including amplitude, variability, and velocity of the center of pressure (CoP), were evaluated using the force plate in Tandem and Feet-together conditions. Fundamental motor skills were also assessed using the third edition of the Test of Gross Motor Development (TGMD-3). The independent t-test and repeated measures were used to examine between-group and within-group differences in balance variables. The Mann-Whitney U-test and Spearman's rank correlation were also employed to assess group differences and the relationship between variables. All statistical analyses were performed using SPSS software. A p-value less than 0.0 was considered statistically significant.
Results: The results pointed out that children with ID had lower scores on the TGMD-3 test compared to the control group (P<0.05). Adaptability in variability and amplitude of CoP was significantly lower in the ID group compared to the control group (P<0.05); nonetheless, there was no significant difference between the two groups in velocity under all conditions (P>0.05). The correlation analysis also demonstrated that displacement scales and object control had a moderate and significant relationship with balance variables (P<0.05).
Conclusion: As evidenced by the obtained results, children with ID have impairments in fundamental motor skills and balance. Adaptability in postural control, especially in the anterior-posterior direction, may increase the risk of falls. Balance interventions may be effective in improving fundamental motor skills in both children with ID and those without intellectual disabilities.
Full-Text [PDF 1131 kb]   (43 Downloads)    
Type of Study: Research Article | Subject: Rehabilitation
Received: 2023/06/17 | Accepted: 2024/01/2 | Published: 2024/03/19

References
1. Trew M, Everett T. Human movement: an introductory text: Churchill Livingstone; 2005.
2. Westendorp M, Hartman E, Houwen S, Smith J, Visscher C. The relationship between gross motor skills and academic achievement in children with learning disabilities. Research in developmental disabilities. 2011;32(6):2773-9. [DOI:10.1016/j.ridd.2011.05.032] [PMID]
3. Dolva A-S, Coster W, Lilja M. Functional performance in children with Down syndrome. The American journal of occupational therapy. 2004;58(6):621-9. [DOI:10.5014/ajot.58.6.621] [PMID]
4. Hartman E, Houwen S, Scherder E, Visscher C. On the relationship between motor performance and executive functioning in children with intellectual disabilities. Journal of Intellectual Disability Research. 2010;54(5):468-77. [DOI:10.1111/j.1365-2788.2010.01284.x] [PMID]
5. Skinner RA, Piek JP. Psychosocial implications of poor motor coordination in children and adolescents. Human movement science. 2001;20(1-2):73-94. [DOI:10.1016/S0167-9457(01)00029-X] [PMID]
6. Suominen G, Marttila J, Loovis E, Rintala P. Comparative Analysis of fundamental motor skills in Finnish children with and without intellectual disability: A replication study. European Psychomotricity Journal. 2021;13.
7. Schalock RL, Luckasson RA, Shogren KA, Borthwick-Duffy S, Bradley V, Buntinx WH, et al. The renaming of mental retardation: Understanding the change to the term intellectual disability. Intellectual and developmental disabilities. 2007;45(2):116-24. [DOI:10.1352/1934-9556(2007)45[116:TROMRU]2.0.CO;2] [PMID]
8. Pineda RC, Krampe RT, Vanlandewijck Y, Van Biesen D. Reliability of center of pressure excursion as a measure of postural control in bipedal stance of individuals with intellectual disability: A pilot study. Plos one. 2020;15(10):e0240702. [DOI:10.1371/journal.pone.0240702] [PMID] []
9. Ghobadi M, Naderi S, Azadian E. The Relationship between Balance Performance and Working Memory Capacity in Individuals with and without Down Syndrome. The Scientific Journal of Rehabilitation Medicine. 2019;8(2):129-37.
10. Gkotzia E, Venetsanou F, Kambas A. Motor proficiency of children with autism spectrum disorders and intellectual disabilities: a review. European Psychomotricity Journal. 2017;9(1):46-69.
11. Lloyd M. Physical activity of individuals with intellectual disabilities: challenges and future directions. Current Developmental Disorders Reports. 2016;3:91-3. [DOI:10.1007/s40474-016-0079-5]
12. Rintala P, Loovis EM. Measuring motor skills in Finnish children with intellectual disabilities. Perceptual and motor skills. 2013;116(1):294-303. [DOI:10.2466/25.10.PMS.116.1.294-303] [PMID]
13. Westendorp M, Houwen S, Hartman E, Visscher C. Are gross motor skills and sports participation related in children with intellectual disabilities? Research in developmental disabilities. 2011;32(3):1147-53. [DOI:10.1016/j.ridd.2011.01.009] [PMID]
14. Zikl P, Holoubková N, Karásková H, Veselíková TB. Gross motor skills of children with mild intellectual disabilities. International Journal of Educational and Pedagogical Sciences. 2013;7(10):2789-95.
15. Klavina A, Ostrovska K, Campa M. Fundamental movement skill and physical fitness measures in children with disabilities. European Journal of Adapted Physical Activity. 2017;10(1):28-37. [DOI:10.5507/euj.2017.004]
16. Einarsson IÞ, Jóhannsson E, Daly D, Arngrímsson SÁ. Physical activity during school and after school among youth with and without intellectual disability. Research in Developmental Disabilities. 2016;56:60-70. [DOI:10.1016/j.ridd.2016.05.016] [PMID]
17. Krause S, Ware R, McPherson L, Lennox N, O'Callaghan M. Obesity in adolescents with intellectual disability: Prevalence and associated characteristics. Obesity research & clinical practice. 2016;10(5):520-30. [DOI:10.1016/j.orcp.2015.10.006] [PMID]
18. Phillips AC, Holland AJ. Assessment of objectively measured physical activity levels in individuals with intellectual disabilities with and without Down's syndrome. PloS one. 2011;6(12):e28618. [DOI:10.1371/journal.pone.0028618] [PMID] []
19. Cuesta-Vargas AI, Paz-Lourido B, Rodriguez A. Physical fitness profile in adults with intellectual disabilities: differences between levels of sport practice. Research in developmental disabilities. 2011;32(2):788-94. [DOI:10.1016/j.ridd.2010.10.023] [PMID]
20. Barnett L, Hinkley T, Okely AD, Salmon J. Child, family and environmental correlates of children's motor skill proficiency. Journal of science and medicine in sport. 2013;16(4):332-6. [DOI:10.1016/j.jsams.2012.08.011] [PMID]
21. Balayi E, Sedaghati P. Comparison of Postural Control and Functional Balance in Individuals People with Intellectual Disabilities with and Without Developmental Coordination Disorder. Journal of Shahid Sadoughi University of Medical Sciences. 2021;28(11): 3184-3194. [DOI:10.18502/ssu.v28i11.5219]
22. Kachouri H, Borji R, Baccouch R, Laatar R, Rebai H, Sahli S. The effect of a combined strength and proprioceptive training on muscle strength and postural balance in boys with intellectual disability: An exploratory study. Research in developmental disabilities. 2016;53-54:367-76. [DOI:10.1016/j.ridd.2016.03.003] [PMID]
23. Enkelaar L, Smulders E, van Schrojenstein Lantman-de Valk H, Geurts AC, Weerdesteyn V. A review of balance and gait capacities in relation to falls in persons with intellectual disability. Research in developmental disabilities. 2012;33(1):291-306. [DOI:10.1016/j.ridd.2011.08.028] [PMID]
24. Galli M, Rigoldi C, Mainardi L, Tenore N, Onorati P, Albertini G. Postural control in patients with Down syndrome. Disability and Rehabilitation. 2008;30(17):1274-8. [DOI:10.1080/09638280701610353] [PMID]
25. Lipowicz A, Bugdol MN, Szurmik T, Bibrowicz K, Kurzeja P, Mitas AW. Body balance analysis of children and youth with intellectual disabilities. Journal of Intellectual Disability Research. 2019;63(11):1312-23. [DOI:10.1111/jir.12671] [PMID]
26. Rigoldi C, Galli M, Mainardi L, Crivellini M, Albertini G. Postural control in children, teenagers and adults with Down syndrome. Research in developmental disabilities. 2011;32(1):170-5. [DOI:10.1016/j.ridd.2010.09.007] [PMID]
27. Yu C, Li J, Liu Y, Qin W, Li Y, Shu N, et al. White matter tract integrity and intelligence in patients with mental retardation and healthy adults. Neuroimage. 2008;40(4):1533-41. [DOI:10.1016/j.neuroimage.2008.01.063] [PMID]
28. Hall JM, Thomas MJ. Promoting physical activity and exercise in older adults with developmental disabilities. Topics in Geriatric Rehabilitation. 2008;24(1):64-73. [DOI:10.1097/01.TGR.0000311407.09178.55]
29. Bibrowicz K, Szurmik T, Wodarski P, Michnik R, Mysliwiec A, Barszcz J, et al. Quality of body posture and postural stability in people with intellectual disability playing volleyball. Acta of Bioengineering and Biomechanics. 2019;21:23-30.
30. Kim B, Youm C, Park H, Lee M, Noh B. Characteristics of gait variability in the elderly while walking on a treadmill with gait speed variation. International Journal of Environmental Research and Public Health. 2021;18(9):4704. [DOI:10.3390/ijerph18094704] [PMID] []
31. Shelton AD, McTaggart EM, Allen JL, Mercer VS, Franz JR. Slowing down to preserve balance in the presence of optical flow perturbations. Gait & Posture. 2022;96:365-70. [DOI:10.1016/j.gaitpost.2022.07.002] [PMID]
32. Gamwell HE, Wait SO, Royster JT, Ritch BL, Powell SC, Skinner JW. Aging and gait function: Examination of multiple factors that influence gait variability. Gerontology and Geriatric Medicine. 2022;8:23337214221080304. [DOI:10.1177/23337214221080304] [PMID] []
33. Gomeñuka NA, Oliveira HB, Silva ES, Costa RR, Kanitz AC, Liedtke GV, et al. Effects of Nordic walking training on quality of life, balance and functional mobility in elderly: A randomized clinical trial. PLoS One. 2019;14(1):e0211472. [DOI:10.1371/journal.pone.0211472] [PMID] []
34. Pal J, Hale L, Mirfin-Veitch B, Claydon L. Injuries and falls among adults with intellectual disability: A prospective New Zealand cohort study. Journal of Intellectual and Developmental Disability. 2013;39(1):35-44. [DOI:10.3109/13668250.2013.867929]
35. Hsieh K, Rimmer J, Heller T. Prevalence of falls and risk factors in adults with intellectual disability. American journal on intellectual and developmental disabilities. 2012;117(6):442-54. [DOI:10.1352/1944-7558-117.6.442] [PMID]
36. Ho P, Bulsara M, Downs J, Patman S, Bulsara C, Hill A-M. Incidence and prevalence of falls in adults with intellectual disability living in the community: a systematic review. JBI Evidence Synthesis. 2019;17(3):390-413. [DOI:10.11124/JBISRIR-2017-003798] [PMID]
37. Ho P, Bulsara M, Patman S, Downs J, Bulsara C, Hill AM. Incidence and associated risk factors for falls in adults with intellectual disability. Journal of Intellectual Disability Research. 2019;63(12):1441-52. [DOI:10.1111/jir.12686] [PMID]
38. Mohammadi F, Bahram A, Khalaji H, Ghadiri F. The Validity and Reliability of Test of Gross Motor Development - 3rd Edition among 3-10 Years Old Children in Ahvaz. Jundishapur Scientific Medical Journal. 2017;16(4):379-91.
39. Wilson RB, Enticott PG, Rinehart NJ. Motor development and delay: advances in assessment of motor skills in autism spectrum disorders. Current opinion in neurology. 2018;31(2):134-139. [DOI:10.1097/WCO.0000000000000541] [PMID] []
40. Rocchi L, Chiari L, Horak F. Effects of deep brain stimulation and levodopa on postural sway in Parkinson's disease. Journal of Neurology, Neurosurgery & Psychiatry. 2002;73(3):267-74. [DOI:10.1136/jnnp.73.3.267] [PMID] []
41. Wagner MO, Haibach PS, Lieberman LJ. Gross motor skill performance in children with and without visual impairments-Research to practice. Research in developmental disabilities. 2013;34(10):3246-52. [DOI:10.1016/j.ridd.2013.06.030] [PMID]
42. Woodmansee C, Hahne A, Imms C, Shields N. Comparing participation in physical recreation activities between children with disability and children with typical development: A secondary analysis of matched data. Research in developmental disabilities. 2016;49-50:268-76. [DOI:10.1016/j.ridd.2015.12.004] [PMID]
43. Fadaei Dehcheshmeh M, Shamsi Majelan A, Jafari SR, Samami N, Daneshmandi H. Comparison of the Quality of Life and Physical Fitness in Males and Female Athletes with Intellectual Disability Participating in Iranian Special Olympics. The Scientific Journal of Rehabilitation Medicine. 2019;8(4):82-91.
44. Ghanbarzadeh A, Azadian E, Majlesi M, Jafarnezhadgero AA, Akrami M. Effects of Task Demands on Postural Control in Children of Different Ages: A Cross-Sectional Study. Applied Sciences. 2022;12(1):113. [DOI:10.3390/app12010113]
45. Masani K, Vette AH, Abe MO, Nakazawa K. Center of pressure velocity reflects body acceleration rather than body velocity during quiet standing. Gait & posture. 2014;39(3):946-52. [DOI:10.1016/j.gaitpost.2013.12.008] [PMID]
46. Ueta K, Okada Y, Nakano H, Osumi M, Morioka S. Effects of voluntary and automatic control of center of pressure sway during quiet standing. Journal of motor behavior. 2015;47(3):256-64. [DOI:10.1080/00222895.2014.974496] [PMID]
47. Pierce SR, Paremski AC, Skorup J, Stergiou N, Senderling B, Prosser LA. Linear and nonlinear measures of postural control in a toddler with cerebral palsy: Brief report. Pediatric Physical Therapy. 2020;32(1):80-3. [DOI:10.1097/PEP.0000000000000669] [PMID]
48. Lipsitz LA, Goldberger AL. Loss of'complexity'and aging: potential applications of fractals and chaos theory to senescence. Jama. 1992;267(13):1806-9. [DOI:10.1001/jama.1992.03480130122036]
49. Manor B, Costa MD, Hu K, Newton E, Starobinets O, Kang HG, et al. Physiological complexity and system adaptability: evidence from postural control dynamics of older adults. Journal of Applied Physiology. 2010;109(6):1786-91. [DOI:10.1152/japplphysiol.00390.2010] [PMID] []
50. Stergiou N, Yu Y, Kyvelidou A. A perspective on human movement variability with applications in infancy motor development. Kinesiology Review. 2013;2(1):93-102. [DOI:10.1123/krj.2.1.93]
51. Stergiou N, Decker LM. Human movement variability, nonlinear dynamics, and pathology: is there a connection? Human movement science. 2011;30(5):869-88. [DOI:10.1016/j.humov.2011.06.002] [PMID] []

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Pajouhan Scientific Journal

Designed & Developed by : Yektaweb