Motor Behavior

The of specialized exercises package for students with Down syndrome: the principles of exercise, the best type of sports practices and the details of prescription of the exercise program

Document Type : Research Paper

Authors

1 مدیر آموزش های تخصصی و تحصیلات تکمیلی

2 Assistant Professor, Department of Physical Education and Sport Science, Khodabandeh Branch, Islamic Azad University, Khodabandeh, Iran

3 dabir/amozesh va parvaresh

Abstract
The purpose of this research was to edition a specialized exercise package for students with Down syndrome so that the coaches, specialists, parents and trianers of this people can prescribe a suitable exercise program for this people with comprehensive and complete information. This exercise package included the principles of exercise for this people, the best practics methods for them, and the details of planning an exercise program based on the etiology of this disorder and the characteristics of people with Down syndrome. After compiling this exercise package, the researchers implemented these exercises in two exceptional children's schools and checked the feasibility of these exercises and made the necessary adjustments in the exercise program. The review of the studies conducted in this field showed that the trainers of this people should consider 12 principles as the most fundamental principles and basics of sports rehabilitation of these people and the best practics methods for this people include strength training and its complementary exercises, Aerobics, muscular endurance, balance, perception-action training, yoga and gymnastics, training with transfer devices, use of vibration device, virtual games and exercises after school. Undoubtedly, providing special training packages for people with any type of disorder will enable trainers, professionals, parents and trainers to act with more confidence and self-confidence to prescribing training programs for this people in the fields of increase physical activity and health development.

Keywords

Main Subjects

  1. Ku JH, Levin MJ, Luo Y, Florea A, Lin IC, Tian Y, Tseng HF. Risk of severe coronavirus disease 2019 disease in individuals with Down syndrome: a matched cohort study from a large, integrated health care system. The Journal of Infectious Diseases. 2022 Sep 1;226(5):757-65.
  2. Beqaj S, Jusaj N, Živković V. Attainment of gross motor milestones in children with Down syndrome in Kosovo-developmental perspective. Medicinski Glasnik. 2017 Aug 1;14(2).
  3. Izquierdo-Gomez R, Martínez-Gómez D, Tejero-Gonzalez CM, Cabanas-Sánchez V, Ruiz JR, Veiga ÓL. Are poor physical fitness and obesity two features of the adolescent with Down syndrome?. Nutrición Hospitalaria. 2013;28(4):1348-51.
  4. Puszczałowska-Lizis E, Nowak K, Omorczyk J, Ambroży T, Bujas P, Nosiadek L. Foot structure in boys with Down syndrome. BioMed research international. 2017 Aug 21;2017.
  5. Elshemy SA. Comparative study: Parameters of gait in Down syndrome versus matched obese and healthy children. Egyptian Journal of Medical Human Genetics. 2013 Jul 9;14(3):285-91.
  6. Galli M, Rigoldi C, Brunner R, Virji-Babul N, Giorgio A. Joint stiffness and gait pattern evaluation in children with Down syndrome. Gait & posture. 2008 Oct 1;28(3):502-6.
  7. Block ME. Motor development in children with Down syndrome: A review of the literature. Adapted Physical Activity Quarterly. 1991 Jul 1;8(3):179-209.
  8. Angelopoulou N, Souftas V, Sakadamis A, Mandroukas K. Bone mineral density in adults with Down's syndrome. European radiology. 1999 Apr;9(4):648-51.
  9. Torr J, Strydom A, Patti P, Jokinen N. Aging in Down syndrome: morbidity and mortality. Journal of Policy and Practice in Intellectual Disabilities. 2010 Mar;7(1):70-81.
  10. González-Agüero A, Vicente-Rodríguez G, Gómez-Cabello A, Ara I, Moreno LA, Casajús JA. A combined training intervention programme increases lean mass in youths with Down syndrome. Research in developmental disabilities. 2011 Nov 1;32(6):2383-8.
  11. Winders PC. The goal and opportunity of physical therapy for children with Down syndrome. Down Syndrome: Visions for the 21st Century. 2002:203-14.
  12. Murray J, Ryan-Krause P. Obesity in children with Down syndrome: background and recommendations for management. Pediatric nursing. 2010 Nov 1;36(6).
  13. Barreto F, Gomes G, da Silva IA, Gomes AL. Proposal of a multidisciplinary program for an individual with down syndrome, through activities of riding therapy, from the principles of human motricity. Fitness & Performance Journal (Online Edition). 2007 Mar 1;6(2).
  14. Nettelbeck T. Factors affecting reaction time: Mental retardation, brain damage, and other psychopathologies. Reaction times. 1980:355-401.
  15. Davis WE, Sparrow WA, Ward T. Fractionated reaction times and movement times of Down syndrome and other adults with mental retardation. Adapted Physical Activity Quarterly. 1991 Jul 1;8(3):221-33.
  16. Ulrich DA, Lloyd MC, Tiernan CW, Looper JE, Angulo-Barroso RM. Effects of intensity of treadmill training on developmental outcomes and stepping in infants with Down syndrome: a randomized trial. Physical Therapy. 2008 Jan 1;88(1):114-22.
  17. Le Clair DA, Elliott D. Movement preparation and the costs and benefits associated with advance information for adults with Down syndrome. Adapted Physical Activity Quarterly. 1995 Jul 1;12(3):239-49.
  18. Fidler DJ, Nadel L. Education and children with Down syndrome: Neuroscience, development, and intervention. Mental retardation and developmental disabilities research reviews. 2007;13(3):262-71.
  19. Gaete B, Mellado C, Hernández M. Trastornos neurológicos en niños con síndrome de Down [Prevalence of neurological disorders among children with Down syndrome]. Rev Med Chil. 2012 Feb;140(2):214-8.
  20. Nieuwenhuis-Mark RE. Diagnosing Alzheimer's dementia in Down syndrome: problems and possible solutions. Research in developmental disabilities. 2009 Sep 1;30(5):827-38.
  21. González‐Agüero A, Vicente‐Rodríguez G, Moreno LA, Guerra‐Balic M, Ara I, Casajus JA. Health‐related physical fitness in children and adolescents with Down syndrome and response to training. Scandinavian journal of medicine & science in sports. 2010 Oct;20(5):716-24.
  22. Sugimoto D, Bowen SL, Meehan WP 3rd, Stracciolini A. Effects of Neuromuscular Training on Children and Young Adults with Down Syndrome: Systematic Review and Meta-Analysis. Res Dev Disabil. 2016 Aug; 55:197-206. 
  23. Shields N, Taylor NF, Fernhall B. A study protocol of a randomised controlled trial to investigate if a community-based strength training programme improves work task performance in young adults with Down syndrome. BMC pediatrics. 2010 Dec;10(1):1-7.
  24. Cowley PM, Ploutz-Snyder LL, Baynard T, Heffernan KS, Young Jae S, Hsu S, Lee M, Pitetti KH, Reiman MP, Fernhall B. The effect of progressive resistance training on leg strength, aerobic capacity and functional tasks of daily living in persons with Down syndrome. Disability and rehabilitation. 2011 Jan 1;33(22-23):2229-36.
  25. Rimmer JH, Heller T, Wang E, Valerio I. Improvements in physical fitness in adults with Down syndrome. American Journal on Mental Retardation. 2004 Mar;109(2):165-74.
  26. Rahmayanti A, Rahman F, Herlinawati I. The Effect of Combination of Core Stability Training and Lower Extremity Strength Training on Static Standing Balance Ability in a Child with Down Syndrome. Journal of Advanced Multidisciplinary Research. 2022 Dec 13;3(2):71-8.
  27. Weber R, French R. Down’s syndrome adolescents and strength training. Clin Kinesiol. 1988;42:13-21.
  28. Wang WY, Ju YH. Promoting balance and jumping skills in children with Down syndrome. Perceptual and motor skills. 2002 Apr;94(2):443-8.
  29. Zulfiqar H, Rehman HM, Razzaq A, Nisa ZU, Hina M, Bashir H, Saeed H. Effect Of Core Stability Exercises and Balance Training in Postural Control Among Children with Down Syndrome: Stability Exercises and Balance Training in Postural Control Among Children. Pakistan BioMedical Journal. 2022 Jul 31:18-22.
  30. Shields N, Taylor NF, Dodd KJ. Effects of a community-based progressive resistance training program on muscle performance and physical function in adults with Down syndrome: a randomized controlled trial. Archives of physical medicine and rehabilitation. 2008 Jul 1;89(7):1215-20.
  31. Tsimaras VK, Fotiadou EG. Effect of training on the muscle strength and dynamic balance ability of adults with Down syndrome. The Journal of Strength & Conditioning Research. 2004 May 1;18(2):343-7.
  32. Gupta S, Rao BK, Kumaran SD. Effect of strength and balance training in children with Down’s syndrome: a randomized controlled trial. Clinical rehabilitation. 2011 May;25(5):425-32.
  33. Lin HC, Wuang YP. Strength and agility training in adolescents with Down syndrome: a randomized controlled trial. Res Dev Disabil. 2012 Nov-Dec;33(6):2236-44. 
  34. Lewis CL, Fragala-Pinkham MA. Effects of aerobic conditioning and strength training on a child with Down syndrome: a case study. Pediatric Physical Therapy. 2005 Apr 1;17(1):30-6.
  35. Mendonca GV, Pereira FD, Fernhall B. Effects of combined aerobic and resistance exercise training in adults with and without Down syndrome. Archives of physical medicine and rehabilitation. 2011 Jan 1;92(1):37-45.
  36. Ulrich DA, Burghardt AR, Lloyd M, Tiernan C, Hornyak JE. Physical activity benefits of learning to ride a two-wheel bicycle for children with Down syndrome: A randomized trial. Physical therapy. 2011 Oct 1;91(10):1463-77.
  37. Clark LM. Movement Patterns and Quality of Life for Individuals with Down Syndrome: An Overview of Dance as Physical Therapy. Logos: A journal of undergraduate research. 2011 Sep 1;4.
  38. Garcez ME, Peres W, Salvador M. Oxidative stress and hematologic and biochemical parameters in individuals with Down syndrome. InMayo Clinic Proceedings 2005 Dec 1 (Vol. 80, No. 12, pp. 1607-1611). Elsevier.
  39. Lyons S, Corneille D, Coker P, Ellis C. A miracle in the outfield: The benefits of participation in organized baseball leagues for children with mental and physical disabilities. Therapeutic Recreation Journal. 2009 Jul 21;43(3):41-8.
  40. Rees SS, Murphy AJ, Watsford ML. Effects of whole-body vibration exercise on lower-extremity muscle strength and power in an older population: a randomized clinical trial. Physical therapy. 2008 Apr 1;88(4):462-70.
  41. Verschueren SM, Roelants M, Delecluse C, Swinnen S, Vanderschueren D, Boonen S. Effect of 6‐month whole body vibration training on hip density, muscle strength, and postural control in postmenopausal women: a randomized controlled pilot study. Journal of bone and mineral research. 2004 Mar;19(3):352-9.
  42. Virji-Babul N, Kerns K, Zhou E, Kapur A, Shiffrar M. Perceptual-motor deficits in children with Down syndrome: Implications for intervention. Down Syndrome Research and Practice. 2006 Jan 1;10(2):74-82.
  43. Platzer WS. Effect of perceptual motor training on gross-motor skill and self-concept of young children. American Journal of Occupational Therapy. 1976 Aug.
  44. Alba-Rueda A, Moral-Munoz JA, De Miguel-Rubio A, Lucena-Anton D. Exergaming for Physical Therapy in Patients with Down Syndrome: A Systematic Review and Meta-Analysis of Randomized-Controlled Trials. Games for Health Journal. 2022 Apr 1;11(2):67-78.
  45. Gordon D. The Benefits of Exercise to a Down's Syndrome Population. Understanding Intellectual Disability and Health. Down's Syndrome Association, May 2006. Web. 15 Nov. 2012.< http://www. intellectualdisability. info/physical-health/thebenefits-of-exercise-to-a-downs-syndrome-population. 2010.
  46. Wang, WY., Chang, JJ. 1997. Effects of jumping skill training on walking balance for children with mental retardation and Down's syndrome. Kaohsiung J Med Sci. 13(8), pp. 487-495.
  47. Kudláček M, Ješina O, Štěrbová D, Sherrill C. THE NATURE OF WORK AND ROLES OF PUBLIC SCHOOL ADAPTED PHYSICAL EDUCATORS IN THE UNITED STATES. European Journal of Adapted Physical Activity. 2008 Sep 1;1(2).
  48. Kashi, A., Helen, D., Mansoubi, M., Sarlak, Z. (2023). The effect of “SSRI exercise package for students with Down syndrome” on motor proficiency of these students. Iranian journal of pediatrics. In print.
  49. Swain DP, Brawner CA, American College of Sports Medicine. ACSM's resource manual for guidelines for exercise testing and prescription. Wolters Kluwer Health/Lippincott Williams & Wilkins; 2014.
  50. Jobling A. Physical education for the person with Down syndrome: More than playing games?. Down Syndrome Research and Practice. 1994 Jan 1;2(1):31-5.
  51. Arbuckle B. Team approach supports adapted physical activity for students with disabilities. Journal of General Internal Medicine. 2010;21(5):1-5.
  52. Alesi M, Pepi A. Physical activity engagement in young people with Down syndrome: Investigating parental beliefs. Journal of Applied Research in Intellectual Disabilities. 2017 Jan;30(1):71-83.
  53. Fidler DJ. The emerging Down syndrome behavioral phenotype in early childhood: Implications for practice. Infants & Young Children. 2005 Apr 1;18(2):86-103.
  54. Meegan S, MacPhail A. Irish physical educators’ attitude toward teaching students with special educational needs. European Physical Education Review. 2006 Feb;12(1):75-97.
  55. Ciocan DM, Alexe DI, MAREŞ G. The role of Special Olympics program on developing motor and social skills for individuals with Down syndrome. Ovidius University Annals, Series Physical Education & Sport/Science, Movement & Health. 2016 Jul 1;16(2).
  56. Hussein ZA. Strength training versus chest physical therapy on pulmonary functions in children with Down syndrome. Egyptian Journal of Medical Human Genetics. 2017 Feb 27;18(1):35-9.
  57. Tsimaras VK, Fotiadou EG. Effect of training on the muscle strength and dynamic balance ability of adults with Down syndrome. The Journal of Strength & Conditioning Research. 2004 May 1;18(2):343-7.
  58. Fornieles G, Rosety MA, Elosegui S, Rosety JM, Alvero-Cruz JR, Garcia N, Rosety M, Rodriguez-Pareja T, Toro R, Rosety-Rodriguez M, Ordonez FJ. Salivary testosterone and immunoglobulin A were increased by resistance training in adults with Down syndrome. Brazilian Journal of Medical and Biological Research. 2014 Mar 28;47:345-8.
  59. Leavey VJ, Sandrey MA, Dahmer G. Comparative effects of 6-week balance, gluteus medius strength, and combined programs on dynamic postural control. Journal of sport rehabilitation. 2010 Aug 1;19(3).
  60. Ibrahim MM, Abdullah GA. Effect of aerobic training on physical fitness in children with Down syndrome. Asian journal of applied sciences. 2015 May 1;3(2).
  61. Savucu Y. Influence of 12-week training on aerobic capacity and respiratory functions of adolescents with Down syndrome. World Appl Sci J. 2010;11(10):1292-6.
  62. Kafeel M, Asif M, Chughtai MR, Rajput HI, Kubra KT, Khalfee SA. Effectiveness of Aerobic Training Program on Cardiorespiratory Endurance among Individuals with Down Syndrome. International Journal of Scientific & Engineering Research. 2017 Aug;8(8).
  63. Millar AL, Fernhall BO, Burkett LN. Effects of aerobic training in adolescents with Down syndrome. Medicine & Science in Sports & Exercise. 1993 Feb.
  64. Chen CC, Ringenbach S. Dose–response relationship between intensity of exercise and cognitive performance in individuals with Down syndrome: a preliminary study. Journal of Intellectual Disability Research. 2016 Jun;60(6):606-14.
  65. Van Praag H, Christie BR, Sejnowski TJ, Gage FH. Running enhances neurogenesis, learning, and long-term potentiation in mice. Proceedings of the National Academy of Sciences. 1999 Nov 9;96(23):13427-31.
  66. Hillman CH, Erickson KI, Kramer AF. Be smart, exercise your heart: exercise effects on brain and cognition. Nature reviews neuroscience. 2008 Jan;9(1):58-65.
  67. Mendonca GV, Pereira FD, Fernhall B. Effects of combined aerobic and resistance exercise training in adults with and without Down syndrome. Archives of physical medicine and rehabilitation. 2011 Jan 1;92(1):37-45.
  68. Hauck J, Jeong I, Esposito P, MacDonald M, Hornyak J, Argento A, Ulrich DA. BENEFITS OF LEARNING TO RIDE A TWO-WHEELED BICYCLE FOR ADOLESCENTS WITH DOWN SYNDROME AND AUTISM SPECTRUM DISORDER. Palaestra. 2017 Jun 1;31(2).
  69. MacDonald M, Esposito P, Hauck J, Jeong I, Hornyak J, Argento A, Ulrich DA. Bicycle training for youth with Down syndrome and autism spectrum disorders. Focus on Autism and Other Developmental Disabilities. 2012 Mar;27(1):12-21.
  70. Ringenbach SD, Holzapfel SD, Mulvey GM, Jimenez A, Benson A, Richter M. The effects of assisted cycling therapy (ACT) and voluntary cycling on reaction time and measures of executive function in adolescents with Down syndrome. Journal of Intellectual Disability Research. 2016 Nov;60(11):1073-85.
  71. Hauck JL, Ulrich DA. Acute effects of a therapeutic mobility device on physical activity and heart rate in children with Down syndrome. Research Quarterly for Exercise and Sport. 2015 Jul 3;86(3):260-6.
  72. Bezerra ME, De Deus LA, Rosa TD, Da Silva EE, Simões HG, Vieira E. Acute effects of cycling exercise on post-exercise blood pressure in individuals with Down syndrome. Human Movement. 2017;18(4):61-6.
  73. Villarroya MA, González-Agüero A, Moros T, Gómez-Trullén E, Casajús JA. Effects of whole body vibration training on balance in adolescents with and without Down syndrome. Research in developmental disabilities. 2013 Oct 1;34(10):3057-65.
  74. Roelants M, Delecluse C, Verschueren SM. Whole‐body‐vibration training increases knee‐extension strength and speed of movement in older women. Journal of the American Geriatrics Society. 2004 Jun;52(6):901-8.
  75. Delecluse C, Roelants M, Verschueren S. Strength increase after whole-body vibration compared with resistance training. Medicine & Science in Sports & Exercise. 2003 Jun 1;35(6):1033-41.
  76. Ishii K, Yaeda J. Job development activities for individuals with intellectual disabilities in Japan. Journal of Rehabilitation. 2010 Apr 1;76(2):11.
  77. Funk M. Physical activity interventions for children with Down syndrome: A synthesis of the research literature.
  78. Cai W, Baek SS. Effects of 24‐week basketball programme on body composition and functional fitness on adults with Down syndrome. Journal of Intellectual Disability Research. 2022.
  79. Ghaeeni S, Bahari Z, Khazaei AA. Effect of core stability training on static balance of the children with Down syndrome. Physical Treatments-Specific Physical Therapy Journal. 2015 Apr 10;5(1):49-54.
  80. MORARU C, HODORCA RM, VASILESCU D. THE ROLE OF GYMNASTICS AND DANCE IN REHABILITATING MOTOR CAPACITIES IN CHILDREN WITH DOWN SYNDROME. Sport & Society/Sport Si Societate. 2014 Mar 1;14.
  81. Kamińska K, Ciołek M, Krysta K. Benefits of treadmill training for patients with Down Syndrome. European Psychiatry. 2022 Jun;65(S1):S382-3.
  82. Hernandez‐Reif M, Field T, Largie S, Mora D, Bornstein J, Waldman R. Children with Down syndrome improved in motor functioning and muscle tone following massage therapy. Early child development and care. 2006 May 1;176(3-4):395-410.
  83. El Sawah FM. Effect of Therapeutic Massage on Muscle Tone and Motor Functioning of Children with Down syndrome. AMERICAN JOURNAL OF PHARMACY. 2022.
  84. Rodenbusch TL, Ribeiro TS, Simão CR, Britto HM, Tudella E, Lindquist AR. Effects of treadmill inclination on the gait of children with Down syndrome. Research in developmental disabilities. 2013 Jul 1;34(7):2185-90.
  85. Mirela D, Cristian P, Corina P. BOSU EXERCISES FOR IMPROVEMENT OF BALANCE TO CHILDREN WITH DOWN SYNDROM. Gymnasium. 2015;16(1):151.
  86. Reis JR, Neiva CM, Pessoa Filho DM, Ciolac EG, Verardi CE, da Cruz Siqueira LO, de Freitas Gonçalves D, da Silva GR, Hiraga CY, Tonello MG. Virtual reality therapy: Motor coordination and balance analysis in children and teenagers with Down syndrome. European Journal of Human Movement. 2017 Jul 19;38:53-67.
  87. 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 Apr 1;24(1):78-84.
  88. Wuang YP, Chiang CS, Su CY, Wang CC. Effectiveness of virtual reality using Wii gaming technology in children with Down syndrome. Research in developmental disabilities. 2011 Jan 1;32(1):312-21.
  89. Kokaridas D, Aggelopoulou-Sakadami N, Walters B. An intervention in the Halliwick method procedures (swimming) for a group of individuals with Downs syndrome. European journal of special needs education. 2000 Jun 1;15(2):218-31.
  90. VALERIA B, Gheorghe M. POINTS OF VIEW OF THE ADULTS AS REGARDS THE BENEFITS OF PRACTISING DIFFERENT MOTOR ACTIVITIES BY DOWN’S SYNDROME PATIENTS. Ovidius University Annals, Series Physical Education and Sport/Science, Movement and Health. 2015 Jun 1;15(2):100-5.
  91. Izquierdo-Gómez R, Díaz-Cueto M. YOUNG WITH DOWN SYNDROME AND RECREATION SWIMMING ACTIVITY: INCLUSION POSIBILITIES. Revista Internacional de Medicina y Ciencias de la Actividad Física y del Deporte. 2017 Mar 1;17(65).
  92. Sekban G, Stojanovic S, Ilkım M, Ilbak I, Jorgic B. Effects of Swimming on the Body Composition of Individuals with Down Syndrome: A Systematic Review. Internatıonal Journal Of Early Chıldhood Specıal Educatıon. 2022;14(5).
  93. Gutierrez-Vilahú, L., Massó, N., Tutusaus, L., Guerra-Balic, M., & Rey, F. Effects of a Dance Program on Static Balance on a Platform in Young Adults With Down Syndrome. Adapted Physical Activity Quarterly. 2016; 33, 233-252.
  94. Raghupathy MK, Divya M, Karthikbabu S. Effects of traditional Indian dance on motor skills and balance in children with Down syndrome. Journal of Motor Behavior. 2022 Feb 7;54(2):212-21.
  95. Young AJ, Silliman-French L, Crawford L. Yoga for young children with down syndrome. Palaestra. 2017;31(3).
  96. Walter T, Quint A, Fischer K, Kiger J. Active movement warm-up routines. Journal of Physical Education, Recreation & Dance. 2011 Mar 1;82(3):23-31.
  97. Stratford B. Perception and perceptual-motor processes in children with Down's syndrome. The Journal of Psychology. 1980 Jan 1;104(1-2):139-45.
  98. Hauck JL, Ulrich DA. Acute effects of a therapeutic mobility device on physical activity and heart rate in children with Down syndrome. Research Quarterly for Exercise and Sport. 2015 Jul 3;86(3):260-6.
  99. Jankowicz-Szymanska A, Mikolajczyk E, Wojtanowski W. The effect of physical training on static balance in young people with intellectual disability. Research in developmental disabilities. 2012 Mar 1;33(2):675-81.
  100. Drzewowska I, Sobera M, Sikora A. Posture control after 5 months body balance training in Down syndrom children and youth. Physiotherapy/Fizjoterapia. 2013 Sep 1;21(3).
  101. Carmen TO, Larisa P, Consuela TA. USING KINESIOTHERAPY PROGRAMS IN CHILDREN WITH DOWN SYNDROME. Ovidius University Annals, Series Physical Education & Sport/Science, Movement & Health. 2018 Jul 2;18.
  102. Pescatello LS, Riebe D, Thompson PD, editors. ACSM's guidelines for exercise testing and prescription. Lippincott Williams & Wilkins; 2013.
  103. Hussein ZA. Strength training versus chest physical therapy on pulmonary functions in children with Down syndrome. Egyptian Journal of Medical Human Genetics. 2017 Feb 27;18(1):35-9.
  104. Shields N, Taylor NF, Wee E, Wollersheim D, O'Shea SD, Fernhall B. A community-based strength training programme increases muscle strength and physical activity in young people with Down syndrome: A randomised controlled trial. Research in developmental disabilities. 2013 Dec 1;34(12):4385-94.
  105. Kubukeli ZN, Noakes TD, Dennis SC. Training techniques to improve endurance exercise performances. Sports medicine. 2002 Jul;32(8):489-509.
  106. Jones AM, Carter H. The effect of endurance training on parameters of aerobic fitness. Sports medicine. 2000 Jun;29(6):373-86.
  107. Becker E, Dusing S. Participation is possible: A case report of integration into a community performing arts program. Physiotherapy theory and practice. 2010 Jan 1;26(4):275-80.
  108. Chaushu S, Yefenof E, Becker A, Shapira J, Chaushu G. Severe impairment of secretory Ig production in parotid saliva of Down Syndrome individuals. Journal of dental research. 2002 May;81(5):308-12.
  109. Roschel H, Barroso R, Batista M, Ugrinowitsch C, Tricoli V, Arsati F, Lima-Arsati YB, Araújo VC, Moreira A. Do whole-body vibration exercise and resistance exercise modify concentrations of salivary cortisol and immunoglobulin A?. Brazilian Journal of Medical and Biological Research. 2011;44:592-7.
  110. Van Praag H. Exercise and the brain: something to chew on. Trends in neurosciences. 2009 May 1;32(5):283-90.
  111. Sibley BA, Etnier JL. The relationship between physical activity and cognition in children: a meta-analysis. Pediatric exercise science. 2003 Aug 1;15(3):243-56.
  112. Winter B, Breitenstein C, Mooren FC, Voelker K, Fobker M, Lechtermann A, Krueger K, Fromme A, Korsukewitz C, Floel A, Knecht S. High impact running improves learning. Neurobiology of learning and memory. 2007 May 1;87(4):597-609.
  113. Dik M, Deeg DJ, Visser M, Jonker C. 2003.Early life physical activity and cognition at old age. J. Clin. Exp. Neuropsychol. 2003;25:643–653.
  114. Chen CC, Ringenbach SD, Crews D, Kulinna PH, Amazeen EL. The association between a single bout of moderate physical activity and executive function in young adults with D own syndrome: a preliminary study. Journal of Intellectual Disability Research. 2015 Jul;59(7):589-98.
  115. Fernhall B, Otterstetter M. Attenuated responses to sympathoexcitation in individuals with Down syndrome. Journal of applied physiology. 2003 Jun 1;94(6):2158-65.
  116. Baynard T, Pitetti KH, Guerra M. & Fernhall B. Heart rate variability at rest and during exercise in persons with Down syndrome. Archives of Physical Medicine and Rehabilitation. 2004. Vol.85, n°.8, pp. 1285-1290.
  117. Iellamo F, Galante A, Legramante JM, Lippi ME, Condoluci C, Albertini G, Volterrani M. Altered autonomic cardiac regulation in individuals with Down syndrome. American Journal of Physiology-Heart and Circulatory Physiology. 2005 Dec;289(6):H2387-91.
  118. Terblanche E, Boer PH. The functional fitness capacity of adults with Down syndrome in South Africa. Journal of Intellectual Disability Research. 2013 Sep;57(9):826-36.
  119. Gallagher D, Heymsfield SB, Heo M, Jebb SA, Murgatroyd PR, Sakamoto Y. Healthy percentage body fat ranges: an approach for developing guidelines based on body mass index. The American journal of clinical nutrition. 2000 Sep 1;72(3):694-701.
  120. Fonseca CT, Amaral DM, Ribeiro MG, Beserra IC, Guimarães MM. Insulin resistance in adolescents with Down syndrome: a cross-sectional study. BMC Endocrine Disorders. 2005 Dec;5(1):1-6.
  121. Wang WY, Ju YH. Promoting balance and jumping skills in children with Down syndrome. Perceptual and motor skills. 2002 Apr;94(2):443-8.
  122. Sedehi AA, Ghasemi A, Kashi A, Azimzadeh E. The relationship between the motor skills level and the severity of autism disorder in children with autism. Pedagogy of Physical Culture and Sports. 2021;25(1):59-65.
  123. Kashi A, Sheikh M, Dadkhah A, Hemayattalab R, Arabameri E. The effect of selected exercise training on reduce symptom of hypotonia and changing body composition in men with Down syndrome. Journal of Sports and Motor Development and Learning. 2015 Sep 23;7(3):269-94.
  124. Kashi A, Rafiee S, Zereshkian M. The Effect of Perceptual Motor Training and Cognitive Games on Cognitive Development in Mentally Retarded Children. Journal of sports and Motor development and learning. 2019 Jan 21;10(4):485-504.
  125. Kashi A, Sarlak Z. Edition of special educational, training package for children and adolescents with autism spectrum disorder and evaluation the effect of this package on Autistic traits. Motor Behavior. 2021 Dec 22;13(46):131-64.
  126. Memarmoghaddam M, Sohrabi M, Mashhadi A, Kashi A. Effect of a period of selected training program on planning and problem solving of children with Attention Deficit Hyperactivity Disorder. Motor Behavior. 2015 Nov 22;7(21):161-76.
  127. Sarlak Z, Dadkhah A, Kashi A, Sheikh M. The Effect Of A “Selected Exercise Training” On Reducing Symptoms Of Dementia Caused By Alzheimer's Disease in People with Down Syndrome. Iranian Rehabilitation Journal. 2013 Apr 10;11(2):35-45.
  128. Kashi A, Arabameri E, Molanorouzi K. The effect of early exercise interventions on gross motor skills of children with preterm birth aged 3 to 6 years. Jorjani Biomedicine Journal. 2021 Sep 10;9(3):4-12.
  129. Memarmoghaddam M, Taheri HR, Sohrabi M, Mashhadi A, Kashi A. Effects of a period of selected training program on the working memory of children with attention deficit hyperactivity disorder. Motor Behavior. 2016 Feb 20;7(22):149-62.
  130. Kashi A, Dawes H, Mansoubi M, Sarlak Z. The Effect of A Physical Exercise Package on Motor Proficiency of Children and Adolescents with Autism Spectrum Disorder. Journal of Exercise and Health Science. 2021 Jun 1;1(3):15-34.

 

 

 

 

 

 

 

 

 

 

 

 

 

Motor Behavior
Volume 16, Issue 55
April 2024
Pages 109-130

  • Receive Date 05 January 2023
  • Revise Date 24 July 2023
  • Accept Date 30 September 2023

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