Document Type : Original Articles
Authors
1 Department of Sport Injuries and Corrective Exercise, Faculty of Sport Sciences, University of Isfahan, Isfahan,
2 Department of Sport Injuries and Corrective Exercises, Faculty of Sport Sciences, University of Isfahan, Isfahan, Iran
3 Department of Sport Injuries and Corrective Exercise, Faculty of Sport Sciences, University of Isfahan, Isfahan, Iran
4 Isfahan University of Medical Sciences, Isfahan, Iran
Abstract
Background: The present study focuses on elucidating the effects of an eight-week combined turning exercise program on the physical performance of female students with Down syndrome (DS), a genetic disorder characterized by intellectual disability and often associated with weaker muscle strength. Individuals with DS typically exhibit reduced muscle strength due to a lower percentage of slow-twitch muscle fibers and a diminished overall number of muscle fibers.
Methods:Methods: In this semi-experimental clinical trial, the authors used purposive sampling to enroll 26 female students diagnosed with DS. Participants were randomly divided into an experimental group (n=13; mean age: 12.15±1.62 years, mean height: 139.23±8.94 cm, mean weight: 42.62±13.44 kg, mean IQ: 63.02±5.54) and a control group (n=13; mean age: 12.23±1.53 years, mean height: 141.15±10.31 cm, mean weight: 45.46±15.94 kg, mean IQ: 63.05±5.49). The authors evaluated muscle strength using a hand-held digital dynamometer, push-up test, long jump, and sit-up before and after the eight-week training period. The experimental group underwent a combined turning training program lasting 45-60 minutes daily, thrice a week, for eight weeks. We analyzed the data using repeated measures analysis of variance (ANOVA) with a significance level set at p≤0.05.
Results: The findings revealed a significant enhancement in physical performance among participants in the experimental group compared to those in the control group (p≤0.05). Specifically, the combined turning exercise program positively influenced upper body, middle body, and lower body muscle strength in female students diagnosed with DS.
Conclusion: The results of this investigation imply that incorporating combined turning exercises could serve as an effective strategy for enhancing muscle strength among female students diagnosed with DS. Integrating these exercises into rehabilitation programs tailored for individuals with DS may improve their physical performance and enhance their overall quality of life.
Highlights
Negar Heidari : googel scholar
Gholamali Ghasemi: googel scholar
Keywords
- Torr J, Strydom A, Patti P, Jokinen N. Aging in Down syndrome: morbidity and mortality. Journal of Policy and Practice in Intellectual Disabilities. 2010;7(1):70-81.
- Moore G, Durstine JL, Painter P, Medicine ACoS. Acsm's exercise management for persons with chronic diseases and disabilities, 4E: Human Kinetics; 2016.
- Cabeza-Ruiz R, García-Massó X, Centeno-Prada R, Beas-Jiménez J, Colado J, González L-M. Time and frequency analysis of the static balance in young adults with Down syndrome. Gait & posture. 2011;33(1):23-8.
- Wu J, Ulrich DA, Looper J, Tiernan CW, Angulo-Barroso RM. Strategy adoption and locomotor adjustment in obstacle clearance of newly walking toddlers with Down syndrome after different treadmill interventions. Experimental Brain Research. 2008;186(2):261-72.
- El-Meniawy GH, Kamal HM, Elshemy SA. Role of treadmill training versus suspension therapy on balance in children with Down syndrome. Egyptian Journal of Medical Human Genetics. 2012;13(1):37-43.
- Berg P, Becker T, Martian A, Danielle PK, Wingen J. Motor control outcomes following Nintendo Wii use by a child with Down syndrome. Pediatric Physical Therapy. 2012;24(1):78-84.
- Bahiraei S, Daneshmandi H. The Study of relationship between structural profiles and postural control in individual with Down syndrome. Journal of Practical Studies of Biosciences in Sport. 2014;2(4):21-32.
- Eid MA, Aly SM, Huneif MA, Ismail DK. Effect of isokinetic training on muscle strength and postural balance in children with Down’s syndrome. International Journal of Rehabilitation Research. 2017;40(2):127-33.
- Borji R, Zghal F, Zarrouk N, Sahli S, Rebai H. Individuals with intellectual disability have lower voluntary muscle activation level. Research in developmental disabilities. 2014;35(12):3574-81.
- 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.
- Graham A, Reid G. Physical fitness of adults with an intellectual disability: A 13-year follow-up study. Research quarterly for exercise and sport. 2000;71(2):152-61.
- Mashhadi M, Ghasemi G, Zolaktaf M. The Effect of selected exercise training on thoracic kyphosis and lumbar lordosis of adolescents with mental retardation. Journal of research rehabilitation. 2012;8(1):192-201.
- Naczk A, Gajewska E, Naczk M. Effectiveness of swimming program in adolescents with down syndrome. International journal of environmental research and public health. 2021;18(14):7441.
- Barnard M, Swanepoel M, Ellapen TJ, Paul Y, Hammill HV. The health benefits of exercise therapy for patients with Down syndrome: A systematic review. African journal of disability. 2019;8(1):1-9.
- 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.
- Gupta S, Rao BK, Kumaran S. Effect of strength and balance training in children with Down’s syndrome: a randomized controlled trial. Clinical rehabilitation. 2011;25(5):425-32.
- Bahiraei S, Daneshmandi H, Sedaghati P. The effect of a selective combined training program on motor performance, balance and muscle strength in boys with Down Syndrome (DS). Journal of Paramedical Sciences & Rehabilitation. 2017;6(4):40-5.
- Jadczak AD, Makwana N, Luscombe-Marsh N, Visvanathan R, Schultz TJ. Effectiveness of exercise interventions on physical function in community-dwelling frail older people: an umbrella review of systematic reviews. JBI Evidence Synthesis. 2018;16(3):752-75.
- Patel K, Wilkinson N. Corrective Exercise: A Practical Approach: A Practical Approach: Routledge; 2014.
- Chen I-H, Yang Y-R, Chan R-C, Wang R-Y. Turning-based treadmill training improves turning performance and gait symmetry after stroke. Neurorehabilitation and neural repair. 2014;28(1):45-55.
- Yousefi M, Eelbeigi S, Mehrshad N, Afzalpoor M. Detection of spinal abnormalities using markers mounted on the spine appendages. Sports medicine. 2011;4:73-89.
- Bohannon R. Hand-held compared with isokinetic dynamometry for measurement of static knee extension torque (parallel reliability of dynamometers). Clinical Physics and Physiological Measurement. 1990;11(3):217.
- Arnold CM, Warkentin KD, Chilibeck PD, Magnus CR. The reliability and validity of handheld dynamometry for the measurement of lower-extremity muscle strength in older adults. The Journal of Strength & Conditioning Research. 2010;24(3):815-24.
- Bruininks RH, Bruininks BD. Bruininks-Oseretsky test of motor proficiency. 1978.
- Ghaderian M, Ghasemi GA, Lenjannejadian S, Demneh ES. The Effect of Turning Training in Comparison with Balance Training on Balance Performance, Mobility, Turning and Fear of Falling in Older Adults1. Studies in Sport Medicine. 2022;14(32):43-76.
- Arampatzis A, Frank J, Laube G, Mersmann F. Trunk muscle strength and lumbo‐pelvic kinematics in adolescent athletes: Effects of age and sex. Scandinavian journal of medicine & science in sports. 2019;29(11):1691-8.
- Hosseini-Kakhk SA, Nasrabadi S, Haghighi A-H, Sharifi-Moghadam A. The effect of combined exercise training program on some physical fitness factors in mentally retarded girls. Journal of Practical Studies of Biosciences in Sport. 2018;6(11):109-20.
- 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.
- Berg K, Wood-Dauphine S, Williams J, Gayton D. Measuring balance in the elderly: preliminary development of an instrument. Physiotherapy Canada. 1989;41(6):304-11.
- Glaister BC, Bernatz GC, Klute GK, Orendurff MS. Video task analysis of turning during activities of daily living. Gait & posture. 2007;25(2):289-94.
- Segal AD, Orendurff MS, Czerniecki JM, Shofer JB, Klute GK. Local dynamic stability in turning and straight-line gait. Journal of biomechanics. 2008;41(7):1486-93.
- Courtine G, Schieppati M. Human walking along a curved path. I. Body trajectory, segment orientation and the effect of vision. European Journal of Neuroscience. 2003;18(1):177-90.
- Orendurff MS, Segal AD, Berge JS, Flick KC, Spanier D, Klute GK. The kinematics and kinetics of turning: limb asymmetries associated with walking a circular path. Gait & posture. 2006;23(1):106-11.
- Boelen MP. Health Professionals' Guide to Physical Management of Parkinson's Disease: Human Kinetics; 2009.
- Brahms CM, Hortobágyi T, Kressig RW, Granacher U. The interaction between mobility status and exercise specificity in older adults. Exercise and sport sciences reviews. 2021;49(1):15-22.
- Cheng F-Y, Yang Y-R, Wu Y-R, Cheng S-J, Wang R-Y. Effects of curved-walking training on curved-walking performance and freezing of gait in individuals with Parkinson's disease: a randomized controlled trial. Parkinsonism & related disorders. 2017;43:20-6.
- Khobkhun F, Khacharoen S, Tretriluxana J, Richards J. The effectiveness of exercise on gait, turning and falls in individuals with Parkinson’s disease: A Scoping Review. International Journal of Pharmaceutical Research. 2021;13(2).
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