The Effect of an Exercise Protocol Focused on the Combination of Strength and Proprioceptive Exercises on the Balance and Motor Performance in Boys with Intellectual Disability.

Document Type : Original research papers

Authors

1 Department of sport sciences, Faculty of Physical Education and Sport Sciences, University of Guilan, Rasht, Iran.

2 Department of Sport Injuries and Corrective Exercises, Faculty of Physical Education and Sport Sciences, University of Guilan, Rasht, Iran.

Abstract

One of the main challenges of intellectually disability children is the high prevalence of gait and balance problems due to muscle weakness. The purpose of this research was to investigate the effect of an eight-week training protocol focused on the combination of strength and proprioceptive exercises on the balance and motor performance in boys with intellectual disability. 34 boys with intellectual disability aged 9 to 13 years were selected among the available people and randomly divided into two experimental (n=17) and control (n=17) groups. The experimental group performed selected sports exercises for eight weeks, and the control group did not participate in any regular exercise program. Static balance, functional balance, lower limb strength and gait speed were measured before and after the training period. The results showed that the combined protocol of strength and proprioceptive exercises had a significant effect on static and functional balance, gait speed and lower limb strength (P=0.001). No significant change was observed in the control group (P>0.05). Combined strength and proprioceptive exercises lead to the improvement of balance and movement performance of intellectually disability boys; Therefore, it is suggested to use this exercise protocol to improve the physical fitness factors of these patients.

Keywords

Main Subjects


  1. Afruz G. Psychology and rehabilitation of children slowly (mentally retarded). Tehran. Tehran University Press; 2015.
  2. Haveman M, Heller T, Lee L, Maaskant M, Shooshtari S, Strydom A. Major health risks in aging persons with intellectual disabilities: an overview of recent studies. Journal of Policy and Practice in Intellectual Disabilities. 2010;7(1):59-69.
  3. Pitchford EA, Dixon-Ibarra A, Hauck JL. Physical activity research in intellectual disability: A scoping review using the behavioral epidemiological framework. American journal on intellectual and developmental disabilities. 2018;123(2):140-63.
  4. Sokhangoei Y. The Study of Biomechanical Gait Characteristics in Intellectual Disabilities: A Systematic Review. Journal of Health Promotion Management. 2019; 10;8(1):1-1
  5. Bahiraei S, Daneshmandi H, Norasteh AA, Sokhangoei Y. The Study of Biomechanical Gait Cycle and Balance Characteristics in Intellectual Disabilities: A Systematic Review. Physical Treatments. 2018; 8(2):63-76.
  6. Matsuda T, Akezaki Y, Tsuji Y, Hamada K, Ookura M. Effects of repetitive sit-to-stand exercise for participants with severe intellectual disabilities. Academia Journal of Scientific Research Research 2020; 8(4): 164-167.
  7. Dehghani M, Gunay M. The effect of balance training on static and dynamic balance in children with intellectual disability. Journal of Applied Environmental and Biological Science. 2015;5(9):527-31.
  8. Ghasemi G, Rahimi N, Khalil Tahmasebi R. The effects of rebound exercises on health-related physical fitness in educable children with mental retardation. Sadra Medical Journal. 2016; 22; 4(4):231-44.
  9. Daneshmandi H, Barati A, Ahmadi M. The effect of core stability training on Balance mental retardation. Journal of Rehabilitation 2012; (25): 16-24.
  10. Ahmadi M, Daneshmandi H, Barati A, The effect of Core stability training on dynamic balance mentally retarded children. Journal of Sports Medicine and Technology 2011; 2(3): P77.
  11. Kong Z, Sze T-M, Yu JJ, Loprinzi PD, Xiao T, Yeung AS, et al. Tai chi as an alternative exercise to improve physical fitness for children and adolescents with intellectual disability. International journal of environmental research and public health. 2019;16(7):1152.
  12. Lee K, Lee M, Song C. Balance training improves postural balance, gait, and functional strength in adolescents with intellectual disabilities: Single-blinded, randomized clinical trial. Disability and health journal. 2016;9(3):416-22.
  13. Jeng S-C, Chang C-W, Liu W-Y, Hou Y-J, Lin Y-H. Exercise training on skill-related physical fitness in adolescents with intellectual disability: A systematic review and meta-analysis. Disability and Health Journal. 2017;10(2):198-206.
  14. Horvat M, Croce R, Zagrodnik J, Brooks B, Carter K. Spatial and temporal variability of movement parameters in individuals with Down syndrome. Perceptual and motor skills. 2012;114(3):774-82.
  15. Smits-Engelsman B, Hill EL. The relationship between motor coordination and intelligence across the IQ range. Pediatrics. 2012;130(4):e950-e6.
  16. 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; 1(53):367-76
  17. Zolghadr H, Sedaghati P, Daneshmandi H. The Effect of Selected Balance/Corrective Exercises on the Balance Performance of Mentally-Retarded Students with Developmental Coordination Disorder. Physical Treatments-Specific Physical Therapy Journal. 2019; 10;9(1):23-30.
  18. Zolghadr H., Sedaghati P., Daneshmandi H.. Investigating the Effect of Eight Weeks of Selected Corrective-Balanced Training on Motor Function of Intellectually Disabled Students with Developmental Coordination Disorder. Complementary Medicine Journal Of Faculty Of Nursing & Midwifery. 2019;9(2 (31) ):3694-3706.
  19. Rahnama N, Movahedi AR. The effect of balance exercises on static and dynamic balance of the mentally retarded female students. Journal of Exercise Science and Medicine. 2016;22;8(2):143-58.
  20. Hoseini SA, Zar A, Khodadoust M, Hejazi E. The Effect of Eight Weeks Posture and Balance Trainings on Physical Fitness Factors of Mental Retardation Children. J Ped Nurs. 2017;10;3(3):26-31.
  21. Oviedo GR, Guerra-Balic M, Baynard T, Javierre C. Effects of aerobic, resistance and balance training in adults with intellectual disabilities. Research in developmental disabilities. 2014; 1;35(11):2624-34.
  22. Giagazoglou P, Kokaridas D, Sidiropoulou M, Patsiaouras A, Karra C, Neofotistou K. Effects of a trampoline exercise intervention on motor performance and balance ability of children with intellectual disabilities. Research in developmental disabilities. 2013;34(9):2701-7.
  23. Taghian H, Ghasemi GA, Sadeghi M. Effect of combined exercises (strength and balance) on balance and aggression in 7-14 year-old educabe intelectual disability boys. Scientific Journal of Rehabilitation Medicine. 2017; 1;6(3):174-81.
  24. Kubilay NS, Yildirim Y, Kara B, Harutoglu Akdur H. Effect of balance training and posture exercises on functional level in mental retardation. Fizyoterapi Rehabilitasyon. 2011;22(2):55-64.
  25. Bahiraei S, daneshmandi H, Norasteh A, Sokhangoei Y. The Study of Biomechanical Gait Characteristics in Intellectual Disabilities: A Systematic Review. JHPM 2019; 8 (1) :1-11.
  26. Lee KJ, Lee MM, Shin DC, Shin SH, Song CH. The effects of a balance exercise program for enhancement of gait function on temporal and spatial gait parameters in young people with intellectual disabilities. Journal of physical therapy science. 2014;26(4):513-6.
  27. Salehzadeh K ES. Effects of an Eight-Week Pilates Exercise Program on Some Physical Fitness Factors and Kinetic Performance in Girl Students with Intellectual Disability. J Res Rehabil Sci. 2016;12(5):259-66.
  28. Elmahgoub SM, Lambers S, Stegen S, Van Laethem C, Cambier D, Calders P. The influence of combined exercise training on indices of obesity, physical fitness and lipid profile in overweight and obese adolescents with mental retardation. European journal of pediatrics. 2009;1;168(11):1327.
  29. Shields N, Taylor NF. A student-led progressive resistance training program increases lower limb muscle strength in adolescents with Down syndrome: a randomised controlled trial. Journal of physiotherapy. 2010;1;56(3):187-93.
  30. Carmeli E, Zinger-Vaknin T, Morad M, Merrick J. Can physical training have an effect on well-being in adults with mild intellectual disability? Mechanisms of ageing and development. 2005;126(2):299- 304.
  31. Montero-Odasso M, Verghese J, Beauchet O, Hausdorff JM. Gait and cognition: a complementary approach to understanding brain function and the risk of falling. J Am Geriatr Soc. 2012;60(11):2127-36.
  32. Carmel IE, Bar-Yossef T, Ariav C, Paz R, Sabbag H, & Levy R. Sensorimotor impairments and strategies in adults with intellectual disabilities. Motor Control, 2008;12: 348–361
  33. Blomqvist S, Olsson J, Wallin L, Wester A, Rehn B. Adolescents with intellectual disability have reduced postural balance and muscle performance in trunk and lower limbs compared to peers without intellectual disability. Research in Developmental Disabilities. 2013 1;34(1):198-206.