Paraskevi Giagazoglou

JOG-WALK TRAINING IN CARDIORESPIRATORY FITNESS OF ADULTS WITH DOWN SYNDROME'

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.

Effect of a hippotherapy intervention program on static balance and strength in adolescents with intellectual disabilities

The aim of this study was to assess the effects of a hippotherapy program on static balance and strength in adolescents with intellectual disability (ID). Nineteen adolescents with moderate ID were assigned either an experimental group (n=10) or a control group (n=9). The experimental group attended a 10-week hippotherapy program. To assess static balance, three tasks of increasing difficulty (Double-Leg Stance with opened or closed eyes, and One-Leg Stance with opened eyes) were performed while standing on an EPS pressure platform (Loran Engineering S.r.I., Bologna, Italy). The strength measurements consisted of three maximal isometric half-squats from the seating position (knee joint at 90°). The hippotherapy intervention program resulted in significant improvements in strength parameters, and on the more complex balance task (i.e. standing on one leg). In conclusion, this study provides evidence that hippotherapy can be used as an effective intervention for improving balance and strength in individuals with ID, and could thus influence functional activities and quality of life.

The Movement Assessment Battery in Greek Preschoolers: The Impact of Age, Gender, Birth Order, and Physical Activity on Motor Outcome.

Early identification of possible risk factors that could impair the motor development is crucial, since poor motor performance may have long-term negative consequences for a childs overall development. The aim of the current study was the examination of disorders in motor coordination in Greek pre-school aged children and the detection of differences in motor performance with regards to age, gender, participation in sports and order of birth in the family. Performance profiles on the movement ABC were used to classify 412 Greek children aged 4-6 years old. It appears from the results that the occurrence rate of probable developmental coordination disorders (DCD) was 5.4%. Significant differences were observed in all independent variables except the order of birth in the family. The findings reinforce the need for the evaluation of motor performance in preschool-aged children, in order specific individual motor profiles to be established for optimizing and adapting early intervention programs.

Muscle Fatigue during Intermittent Exercise in Individuals with Mental Retardation.

This study examined fatigue profile during intermittent exercise in 10 men with mild to moderate mental retardation (MR) and 10 men without mental retardation (C). They performed 4 x 30s maximal knee extensions and flexions with 1-min rest on an isokinetic dynamometer. Peak torque of flexors (PTFL) and extensors (PTEX), total work (TW), and lactate were measured. Fatigue was calculated as the magnitude of decline (%) in PTFL, PTEX, and TW and as rate of decline (linear slope) in TW from 1st to 4th set. MR had lower PTFL, PTEX, TW, and lactate throughout the protocol than C, while pre-motor time was greater in MR vs. C (p<0.05). MR demonstrated a delayed pattern of reduction in muscular performance. Lower values were observed in MR vs. C in the magnitude of decline for PTEX and TW and the rate of decline for TW. In conclusion, MR exhibit a different fatigue profile during intermittent exercise than C. The lower magnitude and decline rate in neuromuscular performance in MR during intermittent exercise is associated with their lower peak strength, short-term anaerobic capacity, and lactate accumulation. Rehabilitation and sport professionals should consider the differences in fatigue profile when designing intermittent exercise programs for MR.

Muscle reaction function of individuals with intellectual disabilities may be improved through therapeutic use of a horse

Reaction time and muscle activation deficits might limit the individuals autonomy in activities of daily living and in participating in recreational activities. The aim of the present study was to assess the effects of a 14-week hippotherapy exercise program on movement reaction time and muscle activation in adolescents with intellectual disability (ID). Nineteen adolescents with moderate ID were assigned either to an experimental group (n=10) or a control group (n=9). The experimental group attended a hippotherapy exercise program, consisting of two 30-min sessions per week for 14 weeks. Reaction time, time of maximum muscle activity and electromyographic activity (EMG) of rectus femoris and biceps femoris when standing up from a chair under three conditions: in response to audio, visual and audio with closed eyes stimuli were measured. Analysis of variance designs showed that hippotherapy intervention program resulted in significant improvements in reaction time and a reduction in time to maximum muscle activity of the intervention group comparing to the control group in all 3 three conditions that were examined (p<0.05). The present findings suggest that the muscle reaction function of individuals with ID can be improved through hippotherapy training. Hippotherapy probably creates a changing environment with a variety of stimuli that enhance deep proprioception as well as other sensory inputs. In conclusion, this study provides evidence that hippotherapy can improve functional task performance by enhancing reaction time.

Can balance trampoline training promote motor coordination and balance performance in children with developmental coordination disorder

The present study aimed to examine movement difficulties among typically developing 8- to 9-year-old elementary students in Greece and to investigate the possible effects of a balance training program to those children assessed with Developmental Coordination Disorder (DCD). The Body Coordination Test for Children (BCTC; Körperkoordinationstest fur Kinder, KTK, Kiphard & Schilling, 1974) was chosen for the purposes of this study and 20 children out of the total number of 200, exhibited motor difficulties indicating a probable DCD disorder. The 20 students diagnosed with DCD were equally separated into two groups where each individual of the experimental group was paired with an individual of the control group. The intervention group attended a 12-week balance training program while students of the second - control group followed the regular school schedule. All participants were tested prior to the start and after the end of the 12-week period by performing static balance control tasks while standing on an EPS pressure platform and structured observation of trampoline exercises while videotaping. The results indicated that after a 12-week balance training circuit including a trampoline station program, the intervention group improved both factors that were examined. In conclusion, balance training with the use of attractive equipment such as trampoline can be an effective intervention for improving functional outcomes and can be recommended as an alternative mode of physical activity.

The Effect of Institutionalization on Psychomotor Development of Preschool Aged Children.

Development can be altered by several factors which can either facilitate or obstruct development. The aim of the current study was the examination and the detection of differences in the developmental profiles of preschool aged children living in conventional institution facilities (N=28), in SOS villages (N=20) and in natural family environment (N=48). The psychomotor development of the 96 children, aged 4-6 years old, was assessed using the six scales of the Griffiths Test No II. Two-way analysis of variance designs showed that family reared children had better performance in all scales of the Griffiths test compared with children of the other two groups and that children living in a SOS village had better scores on all domains of development examined compared to children living in a conventional institution (p<.05). The findings reinforce the need to transform institution environments into more supportive ones for the most benefit of childrens development and mental health.

Effect of rhythmic gymnastics on the dynamic balance of children with deafness

The purpose of this study was to examine the effect of a rhythmic gymnastics programme on the dynamic balance ability of a group of children with deafness. The sample consisted of 29 children with deafness. The subjects met the same criteria in terms of age, aetiology, hearing level, intelligence, school placement and socioeconomic status, and in this way, they were assigned to two groups of 12 and 17 children, for the control and experimental groups respectively. The experimental group received a 16-week rhythmic gymnastic programme at a frequency of three lessons per week, for 40 minutes, whereas the control group adhered to its regular school routine. The methods of data collection included pre-/post-test measurements of the dynamic balance for all participants of both groups. The dynamic balance ability was measured by means of a balance deck (Lafayette) in duration of 30, 45 and 60 s intervals. The findings of this study provide evidence that the specific rhythmic gymnastic programme facilitates significant improvement in the dynamic balance ability of this sample of children with deafness.

Wrist flexors are steadier than extensors.

To examine torque variability in 2 antagonistic muscles 20 individuals performed maximal and submaximal (5, 10, 20, 50 and 75% of Maximal Voluntary Contraction, MVC) isometric wrist flexions and extensions (5 s) at 5 different angles (230, 210, 180, 150 and 130°). The EMG activity of Flexor Carpi Ulnaris (FCU) and Extensor Digitorum (ED) was recorded and quantified as the integral of EMG. Participants showed higher maximal isometric torque (32.43±11.17 vs. 17.41±3.84 Nm) and lower coefficient of variability during wrist flexion compared to extension. The normalized agonist EMG increased across higher levels of torque for both wrist muscles. Interestingly, the coactivation of ED during wrist flexion was greater compared to the coactivation of FCU during wrist extension at 50 and 75% of MVC, regardless of wrist angle (f.e.: at 180° and 75% of MVC the normalised EMG of ED as antagonist was 14.84±5.18% vs. 9.33±6.94 of the FCU). It is concluded that a stronger isometric wrist flexion is more steadily produced, with greater coactivation compared to a weaker wrist extension, independently from muscle length and torque level. Even if the relative contribution of antagonists to the resultant torque is to be considered, altered activation patterns responsible for differences in force fluctuations could be suggested.

The Effect of Residence Area and Mother's Education on Motor Development of Preschool-Aged Children in Greece.

Development occurs according to the rhythm that is established by the genetic potential and the influence of environmental factors. The purpose of this study was to examine the effect of the child’s residence area and maternal education on child’s motor development. Eight hundred children (384 boys and 416 girls, aged 37–72 months), randomly selected from daycare centres and kindergartens of rural and urban areas of Northern Greece, were tested on the two motor subscales (A, locomotor; and D, eye–hand coordination) of the Griffiths Test No II. With respect to their residence, 610 children lived in urban and 190 lived in rural areas. In terms of education, 530 mothers were formally educated and 270 were highly educated. The results of this study suggest that motor development of preschool‐aged children is associated with both factors examined. Children who lived in urban areas had better performance on fine motor abilities than children who lived in rural areas. In contrast, rural children had a higher developmental quotient than urban children on the locomotor scale. With regard to mother’s education, children of highly educated mothers had a higher mean developmental quotient on both scales. The findings reinforce the need for a safe and opportunity‐rich environment, which ensures that children reach their full developmental potential.