scholarly journals Effects of the task complexity on the performance of a Coincidence Timing Task of people with Down syndrome

Motricidade ◽  
2017 ◽  
Vol 12 (4) ◽  
pp. 15 ◽  
Author(s):  
Giordano Marcio Gatinho Bonuzzi ◽  
Umberto César Corrêa ◽  
Gisele Ladik Antunes ◽  
Carlos Bandeira de Mello Monteiro ◽  
Alaércio Perotti Júnior ◽  
...  

With the present study, we aimed to investigate the task complexity effects on the performance of a coincidence timing task in individuals with Down syndrome. The experimental group was consisted by 26 subjects with Down syndrome, 20 years old (± 5), and classified as mild or moderate in International Classification of Functioning and Health. Each participant in the experimental group was matched by in function of gender and age with a participant in a control group without Down syndrome. Both groups performed a coincident timing task, in which the participant had different levels of structural and functional complexity. Performance measure was derived from the consistency (absolute error), accuracy (variable error) and direction of response (constant error). Individuals with Down syndrome presented spatiotemporal organization impairments related to the difficulty in dealing with motor demand in order to interact with the perceptive demand. They also experienced difficulty in adapt to task complexity, causing performance error in the task. Individuals with Down syndrome have deficits in perceptive and space-time organization, and this phenomenon may be explained by the difficulty in integrating perceptive stimulus to motor actions with a high number of elements involved.

2018 ◽  
Vol 5 (4) ◽  
pp. 1286 ◽  
Author(s):  
Anushka B. Paithankar ◽  
Shailaja S. Jaywant

Background: Children with central nervous dysfunction should be given a variety of long-term physical and occupational therapy interventions to facilitate their self-development and to enhance functional independence in movement, self-care, play, school activities and leisure. The present study aimed to investigate the benefit of implementing context-focused intervention approach along with occupational therapy intervention in children with CNS dysfunctions.Methods: This randomized case control study conducted in 30 children with CNS dysfunction aging between 12 months to 48 months were randomly divided into control and experimental groups consisting of 15 children in each group. Control group received conventional occupational therapy for 45 min, and experimental group received context-focused intervention approach for 30 min along with conventional occupational therapy for 15 min (thrice a week). The patients were evaluated at baseline, after 12 and 24 weeks of follow up period on Canadian occupational performance measure (COPM) to evaluate parental perception about intervention, GMFM (gross motor function measure) to study the motor ability of the patient and ICF-CY (International classification of functioning, disability and health for children and youth) for activity participation and performance with evaluation of context.Results: Significant progress in the satisfaction score during 2nd and 3rd follow ups were noted (p <0.001) in experimental group. All the activities in GMFM score except lying and rolling showed significant improvement in experimental group (p <0.001). In experimental group a significant improvement in performance qualifier of ICF was seen during follow ups (p<0.001). The capacity qualifier scoring of ICF was improved in experimental group during 2nd follow up (p = 0.006). Progress in environmental scores of ICF during all the follow ups was noted (p <0.001) in experimental group. Significant correlation in GMFM scores and COPM performance score was noted during last follow-up in both the groups.Conclusions: The findings of the study showed positive results with context focused therapy and thus can be inferred that new intervention approach context focused therapy along with the conventional occupational therapy is very effective in improving the performance of functional tasks in children with CNS dysfunction.


2020 ◽  
Vol 100 (6) ◽  
pp. 979-994
Author(s):  
Yu-Hsin Hsieh ◽  
Hua-Fang Liao ◽  
Suh-Fang Jeng ◽  
Mei-Hui Tseng ◽  
Veronica Schiariti ◽  
...  

Abstract Background Caregiver engagement and collaborative team early childhood intervention (ECI) services are international trends; however, relevant evidence of collaborative home-visiting ECI in rural areas is as yet undetermined. Objective The study aimed to investigate the effectiveness of a collaborative ECI program in a rural area of Taiwan. Design The study was a pilot randomized control led trial. Methods Children aged 6 to 33 months experiencing motor delays and their caregivers were enrolled in Taitung, Taiwan. Using stratified randomization, 24 participants were allocated to either experimental or control groups, and both received 5 home visits within 3 months. The experimental group received ECI services based on the International Classification of Functioning, Disability and Health framework and family-centered approaches. The control group received regular home visits by local social workers. Child outcomes included Pediatric Evaluation of Disability Inventory Chinese Version and Peabody Developmental Motor Scale, 2nd edition. Family outcomes included the Disability-Adapted Infant–Toddler version of Home Observation for Measurement, and Chinese versions of the Knowledge of Infant Development Inventory and Parental Stress Index-Short Form. A tester blinded to the study conducted assessments at baseline, postintervention, and 3-month follow-up. Two-way mixed analysis of variance was used with α = .05 (2-tailed). Results The experimental group improved scores on the Disability-Adapted Infant–Toddler version of Home Observation for Measurement significantly more than the control group with an effect size of 0.64 at follow-up. In other outcomes, both groups showed no significant differences. The follow-up rate was 69%, and adherence to the ECI program was acceptable. Limitations A limitation of the study was the heterogeneity of the sample. Conclusions This pilot study revealed possible effectiveness in implementing collaborative ECI programs based on family-centered approaches and the International Classification of Functioning, Disability and Health in rural areas. Larger field studies are needed to confirm our findings.


2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Elena Pinero-Pinto ◽  
María-Luisa Benítez-Lugo ◽  
Raquel Chillón-Martínez ◽  
Manuel Rebollo-Salas ◽  
Lorena-María Bellido-Fernández ◽  
...  

Objective. To determine the short-term effects of infant massage on the development of Down syndrome babies. Materials and Methods. The study compared two groups (intervention and control), each with 16 babies with Down syndrome between 4 and 8 months old. The variables developmental age and developmental quotient were measured at two distinct time points, at pretest and after 5 weeks, using the Brunet-Lézine Early Childhood Psychomotor Development revised scale. This scale measures the variables of age and development quotient in a partial way (motor, visual-motor coordination, language, and social development) and in a global way. The experimental group received infant massage, applied by the parents, during these 5 weeks, every day for at least 10 minutes. The massage protocol was based on the methodology created by Vimala McClure. The control group received it after 5 weeks. Results. All developmental variables were improved in the experimental group but not in the control group. There were significant differences in developmental age between the two groups, and this outcome was better in the experimental group (p<0.001). The 2-by-2 mixed-model analysis of variance indicates a statistically significant group-by-time interaction for all development quotients, both partial and global (p<0.001), which was significantly higher in the experimental group than in the control group. Conclusion. Infant massage therapy improves the development of babies with Down syndrome in the short term.


Author(s):  
Alexandra Perrot ◽  
Pauline Maillot ◽  
Agnès Le Foulon ◽  
Anne-Sophie Rebillat

Abstract This study examined whether exergames could improve physical, functional, and cognitive functions in people with Down syndrome. Twelve adults with DS, aged over 35 (M = 50.35, SD = 7.45), were randomly assigned to a Wii-based program (n = 6) or a control group (n = 6), and completed physical (Chair Stand Test, 6-Minute Walk Test), functional (TUG, TUDS), and cognitive tests (Corsi, Barrage tests). The experimental group completed a 12-week Wii-based program. There was high intervention adherence and, compared with the control group, greater improvements were observed in the Wii-based exercise intervention group in physical fitness and functional outcomes (p &lt; .05), with no changes in cognitive outcomes.


2003 ◽  
Vol 96 (3_suppl) ◽  
pp. 1239-1251 ◽  
Author(s):  
Vassilis Tsimaras ◽  
Paraskevi Giagazoglou ◽  
Eleni Fotiadou ◽  
Kosmas Christoulas ◽  
Nickoletta Angelopoulou

The purpose of this study was to evaluate the effects of an aerobic training program on adults with Down syndrome. 25 male adults with Down syndrome ( M age = 24.6 yr., IQs = 45–60) participated in a 12-wk. exercise training study. Subjects were assigned to an experimental group ( n = 15) and a control group ( n = 10). Pre- and posttraining treadmill tests were performed to determine the following peak physiological parameters: heart rate (HR peak), peak minute ventilation (VE peak), peak oxygen consumption (VO2 peak, absolute and relative), and time to exhaustion (min.). The experimental group underwent a 12-wk. interval training program. The control group received no structured exercise training during this period. Following the 12-wk. training program, significant improvements ( p<.05) in peak physiological parameters were seen for the experimental group for VO2 peak (both relative and absolute), VE peak, and time to exhaustion. No significant improvements in peak physiologic parameters were seen in the control group Consistent with prior research using similar subjects, we concluded that adults with Down syndrome are able to improve their aerobic capacity when performing a systematic and well-designed aerobic training program.


2011 ◽  
Vol 91 (10) ◽  
pp. 1463-1477 ◽  
Author(s):  
Dale A. Ulrich ◽  
Amy R. Burghardt ◽  
Meghann Lloyd ◽  
Chad Tiernan ◽  
Joseph E. Hornyak

Background People with Down syndrome (DS) display consistent patterns of physical inactivity. If these sedentary behaviors continue over extended periods of time, there will be negative health consequences. Objective The objective of this study was to investigate the physical activity and health-related outcomes of teaching children with DS to ride a 2-wheel bicycle. Design This study was a randomized intervention in which the control group waited 1 year to receive the intervention. Setting This intervention study was conducted in a community setting. Participants The participants were children who were 8 to 15 years of age and who had been diagnosed with DS. Intervention The participants were randomly assigned to an experimental group (bicycle intervention) or a control group (no intervention). Measurements Measurements were obtained in the month before the intervention (preintervention), at 7 weeks after the intervention, and at 12 months after the preintervention measurement for all participants. Results The results indicated no group differences at the preintervention session. Fifty-six percent of the participants in the experimental group successfully learned to ride a 2-wheel bicycle during the 5-day intervention. Analysis showed that participants who learned to ride spent significantly less time in sedentary activity at 12 months after the preintervention measurement and more time in moderate to vigorous physical activity than participants in the control group. Body fat appeared to be positively influenced over time in participants who learned to ride. Limitations It is unknown how frequently the children in the experimental group rode their bicycles after the intervention. Conclusions Most children who are 8 to 15 years of age and who have been diagnosed with DS can learn to ride a 2-wheel bicycle. Learning to ride can reduce time spent in sedentary activity and increase time spent in moderate to vigorous physical activity, which may influence the health and functioning of these children.


Sensors ◽  
2019 ◽  
Vol 19 (18) ◽  
pp. 3984 ◽  
Author(s):  
Torres-Carrión ◽  
González-González ◽  
Toledo-Delgado ◽  
Muñoz-Cruz ◽  
Gil-Iranzo ◽  
...  

Down syndrome causes a reduction in cognitive abilities, with visual-motor skills being particularly affected. In this work, we have focused on this skill in order to stimulate better learning. The proposal relies on stimulating the cognitive visual-motor skills of individuals with Down Syndrome (DS) using exercises with a gestural interaction platform based on the KINECT sensor named TANGO:H, the goal being to improve them. To validate the proposal, an experimental single-case study method was designed using two groups: a control group and an experimental one, with similar cognitive ages. Didactic exercises were provided to the experimental group using visual cognitive stimulation. These exercises were created on the TANGO:H Designer, a platform that was designed for gestural interaction using the KINECT sensor. As a result, TANGO:H allows for visual-motor cognitive stimulation through the movement of hands, arms, feet and head. The “Illinois Test of Psycholinguistic Abilities (ITPA)” was applied to both groups as a pre-test and post-test in its four reference sections: visual comprehension, visual-motor sequential memory, visual association, and visual integration. Two checks were made, one using the longitudinal comparison of the pre-test/post-test of the experimental group, and another that relied on comparing the difference of the means of the pre-test/post-test. We also used an observational methodology for the working sessions from the experimental group. Although the statistical results do not show significant differences between the two groups, the results of the observations exhibited an improvement in visual-motor cognitive skills.


2021 ◽  
Author(s):  
Jean Baptiste Sagahutu ◽  
Jeanne Kagwiza ◽  
Francois Cilliers ◽  
Jennifer Jelsma

Abstract Background: The first step in improving interprofessional teamwork entails training health professionals (HP) to acknowledge the role and value the contribution of each member of the team. The International Classification of Functioning, Disability and Health (ICF) has been developed by WHO to provide a common language to facilitate communication between HPs. Objective: To determine whether ICF training programme would result in improved knowledge and attitudes regarding interprofessional practice within Rwandan district hospitals.Design, setting and participants: A cluster randomised, single blinded, control trial design was used to select four district hospitals. Participants included physicians, social workers, physiotherapists, nutritionists, clinical psychologists/mental health nurses. Intervention: Health professionals either received one day’s training in interprofessional practice (IPP) based on the ICF (experimental group) as a collaborative framework or a short talk on the topic (control group).Outcome measures: Validated questionnaires were used to explore changes in knowledge and attitudes. Ethical approval was obtained from the relevant authorities. Results: There were 103 participants in the experimental and 100 in the control group. There was no significant difference between Knowledge and Attitude scales at baseline. Post-intervention the experimental group (mean=41.3, SD=9.5) scored significantly higher on the knowledge scale than the control group (mean=17.7, SD=4.7 (t=22.5; p<.001)). The median scores on the Attitude Scale improved in the Experimental group from 77.8 to 91.1%, whereas the median scores of the control remained approximately 80% (Adjusted Z =10.72p<.001). Conclusion: The ICF proved to be a useful framework for structuring the training of all HPs in IPP and the training resulted in a significant improvement in knowledge and attitudes regarding IPP. As suggested by the HPs, more training and refresher courses were needed for sustainability and the training should be extended to other hospitals in Rwanda. It is thus recommended that the framework can be used in interprofessional education and practice in Rwanda and possibly in other similar countries.Key works: Interprofessional, ICF, Rwanda, District Hospital.Name of the registry: Pan African Clinical Trial Registry Trial registration number: PACTR201604001185358 Date of registration: 22/04/2016URL of trial registry record: www.pactr.orgFunding: Republic of Rwanda through Rwanda Education Board


2017 ◽  
Vol 55 (3) ◽  
pp. 125-139 ◽  
Author(s):  
Ivano Scorzato ◽  
Leonardo Zaninotto ◽  
Michela Romano ◽  
Chiara Menardi ◽  
Lino Cavedon ◽  
...  

Abstract Thirty-nine adults with severe to profound intellectual disability (ID) were randomly assigned to either an experimental group (n = 21) or a control group (n = 18). Assessment was blinded and included selected items from the International Classification of Functioning, Disability and Health (ICF), the Behavioral Assessment Battery (BAB), and the Learning Accomplishment Profile (LAP). The experimental group, who attended a dog-assisted treatment intervention over a 20-week period, showed significant improvements in several cognitive domains, including attention to movement (BAB-AM), visuomotor coordination (BAB-VM), exploratory play (BAB-EP), and motor imitation (BAB-CO-MI), as well as in some social skills, as measured by LAP items. Effects were specific to the intervention and independent of age or basic level of disability.


Motricidade ◽  
2016 ◽  
Vol 12 (1) ◽  
pp. 141
Author(s):  
Giordano Marcio Gatinho Bonuzzi ◽  
Tatiana Beline Freitas ◽  
Umberto Cesar Corrêa ◽  
Andrea Michele Freudenheim ◽  
José Eduardo Pompeu ◽  
...  

<p class="ResumoAbstract">The aim of this study was to compare the learning process of a postural control task between post-stroke patients and healthy subjects. The sample was composed of 20 post-stroke individuals (Experimental Group) and 20 aged matched healthy individuals (Control Group). Participants practiced a postural control task in a virtual environment with increasing of complexity. The study design involved four phases: pre-test (five trials), acquisition phase (four blocks of thirty minutes), post-test (five trials), and retention test (five trials after a week without practice). The statistical analysis was run by a 2 x 3 ANOVA (groups x learning tests). Results: There was no difference in motor learning between Experimental Group and Control Group (F= 41.22; p=0.88). In addition, it was founded that the Control Group could learn the task in a higher-level complexity than Experimental Group (F = 4.77; p = 0.01), and both groups increased the error during the trials of practice (F = 0.53; p = 0.00) because of task complexity.  Conclusion: Therefore has been found that post-stroke individuals have the ability to learn a postural control task similar to healthy subjects, and the task complexity seems to be a key-factor in order to differentiate stroke from healthy subject's motor learning process.</p>


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