Document Type : Original Articles
Authors
- Farnoush Khosravi 1
- minoo kalantari 2
- Marzieh Pashmdarfard 3
- Hamidreza Rostami 4
- Alireza Akbarzadeh Baghban 5
- Faezeh Heidari Beni 3
1 Department of Occupational Therapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Department of Occupational Therapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran,
3 Department of Occupational Therapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
4 Department of Occupational Therapy, Faculty of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran.
5 Proteomics Research Center, Department of Biostatistics, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract
Background: Active participation in school is an effective way to foster children’s cognitive and social development. Children with Down syndrome (DS) face various challenges in the school environment due to different impairments in body functions and structures.
Methods: In this cross-sectional study, a convenience sample of 51 children with DS was recruited from five schools for exceptional children, and their normally developing peers were recruited from four regular schools in Isfahan, Iran. Parents and teachers completed a demographic information questionnaire, and only teachers completed the School Function Assessment (SFA).
Results: Children with DS had a moderate level of participation (criterion score = 60.04). Their school function scores were significantly lower than those of their normally developing peers. No significant relationship was found between gender, age, or educational level and school function scores in children with DS (p>0.05).
Conclusion: The school functions of children with DS significantly differed from those of their normally developing peers. Children with DS performed significantly better in physical tasks than in cognitive-behavioral functions. The weakest cognitive-behavioral functions requiring particular rehabilitation interventions are task behavior/completion and safety.
Keywords
2. Lersilp S, Putthinoi S, Panyo K. Fine Motor Activities Program to Promote Fine Motor Skills in a Case Study of Down’s Syndrome. Global Journal of Health Science. 2016;8:60.
3. Daunhauer LA, Fidler DJ, Will E. School function in students with Down syndrome. Am J Occup Ther. 2014;68(2):167-76.
4. Silva DKSd, Cotonhoto LA, Souza MLd. Body self-perception in age school children with Down Syndrome. Journal of Human Growth and Development. 2020;30:49-57.
5. Wuang YP, Su CY. Correlations of sensory processing and visual organization ability with participation in school-aged children with Down syndrome. Res Dev Disabil. 2011;32(6):2398-407.
6. Hassani Mehraban A, Hasani M, Amini M. The Comparison of Participation in School-Aged Cerebral Palsy Children and Normal Peers: A Preliminary Study. Iranian journal of pediatrics. 2016;26(3):e5303-e.
7. MacDonald M, Leichtman J, Esposito P, Cook N, Ulrich DA. The Participation Patterns of Youth with Down Syndrome. Frontiers in public health. 2016;4:253-.
8. Egilson S, Coster W. School Function Assessment: Performance of Icelandic students with special needs. Scandinavian Journal of Occupational Therapy. 2004;11:163-70.
9. Aulia F, editor Improving Student Well-being in School.International Conference of Mental Health, Neuroscience, and Cyber-psychology; 2018: Fakultas Ilmu Pendidikan.
10. Esmaeilpour M, Rezaee M, Pashazadeh Azari Z, Mirzakhani N,Tabatabaei SM. Comparison of Participation between Children with Down Syndrome 7 to 13 Years and Healthy Peers at Life Habits. Middle Eastern Journal Of Disability Studies. 2018;8:00-.
11. Alizadeh Zarei M, Kheirollahzadeh M, Amini M. An Investigation of the Relationship Between Set-Shifting and School Function in Children with Autism Spectrum Disorder, Tehran, Iran (2017 - 2018). Iranian Journal Of Psychiatry And Behavioral Sciences (IJPBS). 2019;13(3):e91536.
12. Mancini MC, Coster WJ. Functional predictors of school participation by children with disabilities. Occup Ther Int. 2004;11(1):12-25.
13. Maciver D, Rutherford M, Arakelyan S, Kramer JM, Richmond J, Todorova L, et al. Participation of children with disabilities in school: A realist systematic review of psychosocial and environmental factors.2019;14(1):e0210511.
14. Ghorbani N, Zarei M, Lajevardi L, Rahimzadegan H, Shojaei A. The Reliability of the Persian Version of the School Function Assessment in Iranian Students 6 to 12 Years Old in Tehran Schools. Middle East Journal of Rehabilitation and Health. 2018;5(1):0-.
15. Coster WJ. School function assessment : SFA : user’s manual. Print book : English ed: San Antonio : Psychological crop; 1998. 136 p.
16. Shojaee M, Zarei M, Mehraban A. Translation, Face and Content Validity of the Persian Version of School Function Assessment. Middle East Journal of Rehabilitation and Health. 2017;4.
17. Li X-L, Dong VA-Q, Fong KNK. Reliability and Validity of School Function Assessment for Children with Cerebral Palsy in Guangzhou, China. Hong Kong Journal of Occupational Therapy. 2015;26:43-50.
18. Daunhauer LA, Will E, Schworer E, Fidler DJ. Young students with Down syndrome: Early longitudinal academic achievement and neuropsychological predictors. Journal Of Intellectual & Developmental Disability. 2020;45(3):211-21.
19. Strein W, Kuhn-McKearin M. School Function Assessment. In:Volkmar FR, editor. Encyclopedia of Autism Spectrum Disorders.New York, NY: Springer New York; 2013. p. 2658-62.
20. Rahimzadegan H, Alizadeh Zareai M, Amini M, Ghorbani Kouhbanani N, Shojaai A. Psychometric Properties of the Persian Version of School Function Assessment (SFA) in 6 to 12-Year- Old Children with Physical Disabilities. Middle East JournaL Of Rehabilitation And Health Studies. 2018;5(1):0-.
21. Ghorbani Kouhbanani N, Alizadeh Zarei M, Lajevardi L,Rahimzadegan H, Shojaei A. The Reliability of the Persian Version of the School Function Assessment in Iranian Students 6 to 12 Years Old in Tehran’s Schools. Middle East JournaL Of Rehabilitation And Health Studies. 2018;5(1):0-.
22. Esposito PE, MacDonald M, Hornyak JE, Ulrich DA. Physical activity patterns of youth with Down syndrome. Intellect Dev Disabil. 2012;50(2):109-19.
23. Malak R, Kotwicka M, Krawczyk-Wasielewska A, Mojs E,Samborski W. Motor skills, cognitive development and balance functions of children with Down syndrome. Ann Agric Environ Med. 2013;20(4):803-6.
24. Oliveira C, Cavalcante Neto J. Manual Dexterity of Children and Adolescents with Down Syndrome: Systematic Review of the Literature. Journal of Genetic Syndromes & Gene Therapy. 2016;7.
25. Patton S, Hutton E. Writing readiness and children with Down Syndrome in an Irish context. Support for Learning.2016;31:246-59.
26. Bowers M, Esposito P. Adaptive Skills and School Readiness in Children With Down Syndrome. The American Journal of Occupational Therapy. 2019;73(4_Supplement_1):7311505197p1-p1.
27. Hwang JL, Davies PL. Rasch analysis of the School Function Assessment provides additional evidence for the internal validity of the activity performance scales. Am J Occup Ther.2009;63(3):369-73.
28. Grieco J, Pulsifer M, Seligsohn K, Skotko B, Schwartz A. Down syndrome: Cognitive and behavioral functioning across the lifespan. Am J Med Genet C Semin Med Genet. 2015;169(2):135-49.
29. Will EA, Gerlach-McDonald B, Fidler DJ, Daunhauer LA. Impact of maladaptive behavior on school function in Down syndrome.Research in Developmental Disabilities. 2016;59:328-37.
30. Benjamin TE, Lucas-Thompson RG, Little LM, Davies PL, Khetani MA. Participation in early childhood educational environments for young children with and without developmental disabilities and delays: a mixed methods study. Physical & Occupational Therapy In Pediatrics. 2017;37(1):87-107.
31. Levy Y, Eilam A. Pathways to language: a naturalistic study of children with Williams syndrome and children with Down syndrome. J Child Lang. 2013;40(1):106-38.
32. Channell MM, Mattie LJ, Hamilton DR, Capone GT, Mahone EM,Sherman SL, et al. Capturing cognitive and behavioral variability among individuals with Down syndrome: a latent profile analysis.J Neurodev Disord. 2021;13(1):16-.
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