Skip to main content

Part of the book series: Autism and Child Psychopathology Series ((ACPS))

Abstract

This chapter introduces issues regarding motor deficits in people with intellectual disability (ID), focusing on two motor skills that are essential for life, namely, gait and balance. As the average age of the general population increases and people with ID live longer the ability to achieve static and dynamic balance and an increased risk of falling are becoming increasingly important issues. A better understanding of the nature of gait and balance problems, and identification of the causes of falling in persons with ID may help to develop intervention strategies and techniques preventing falls and injuries in the future. There are several important features of the neuromuscular system that affect the efficiency of gait and balance. These include the level of general physical fitness, coordination, and muscle strength and power, which are commonly reduced in populations with ID. Bearing in mind the limitations of these deficits, the attributes of gait and balance are affected and compensatory mechanisms may be engaged. In this chapter, the literature regarding gait and balance in people with ID compared with nonsymptomatic populations is reviewed, helping to identify the causes and mechanisms of deficits in motor performance. Furthermore, apart from intrinsic causes due to the pathophysiology of the disease, there are environmental conditions, such as the level of physical activity that could reverse negative attitudes for the benefit of people with ID in terms of quality of life. It is concluded, that gait and balance can be improved with interventions involving more physical activities, although further randomized clinical trials are required to establish solid training protocols and treatments.

An erratum to this chapter can be found at http://dx.doi.org/10.1007/978-3-319-15437-4_15

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  • Agiovlasitis, S., Yun, J., Pavol, M. J., & McCubbin, J. A. (2008). Gait transitions of persons with and without intellectual disability. Research Quarterly for Exercise and Sport, 79(4), 487–494.

    Article  PubMed  Google Scholar 

  • Agiovlasitis, S., McCubbin, J. A., Yun, J., Mpitsos, G., & Pavol, M. J. (2009a). Effects of Down syndrome on three-dimensional motion during walking at different speeds. Gait & Posture, 30, 345–350.

    Article  Google Scholar 

  • Agiovlasitis, S., McCubbin, J. A., Yun, J., Pavol, M. J., & Widrick, J. (2009b). Economy and preferred speed of walking in adults with and without Down syndrome. Adapted Physical Activity Quarterly, 26, 118–130.

    PubMed  Google Scholar 

  • Agiovlasitis, S., Motl, R. W., Ranadive, S. M., Fahs, C. A., Yan, H., Echols, G. H., Rossow, L., & Fernhall, B. (2011). Energetic optimization during over-ground walking in people with and without Down syndrome. Gait & Posture, 33(4), 630–634.

    Article  Google Scholar 

  • Agiovlasitis, S., Beets, M. W., Motl, R. W., & Fernhall, B. (2012). Step-rate thresholds for moderate and vigorous-intensity activity in persons with Down syndrome. Journal of Science and Medicine in Sport, 15, 425–430.

    Article  PubMed  Google Scholar 

  • Angelopoulou, N., Tsimaras, V., Christoulas, K., Kokaridas, D., & Mandroukas, K. (1999). Isokinetic knee muscle strength of individuals with mental retardation, a comparative study. Perceptual and Motor Skills, 88, 849–855.

    Article  PubMed  Google Scholar 

  • Angulo-Barroso, R. M., Wu, J., & Ulrich, D. A. (2008). Long-term effect of different treadmill interventions on gait development in new walkers with Down syndrome. Gait & Posture, 27, 231–238.

    Article  Google Scholar 

  • Arnold, G., Boone, K. B., Lu, P., Dean, A., Wen, J., Nitch, S., & McPherson, S. (2005). Sensitivity and specificity of finger tapping test scores for the detection of suspect effort. Clinical Neurophysiology, 19(1), 105–120.

    Google Scholar 

  • Ashman, A. F., & Suttie, J. N. (1996). The medical health status of older people with mental retardation in Australia. Journal of Applied Gerontology, 15, 57–73.

    Article  Google Scholar 

  • Atlantis, E., Chow, C. M., Kirby, A., & Singh, M. F. (2004). An effective exercise-based intervention for improving mental health and quality of life measures: A randomized controlled trial. Preventive Medicine, 39, 424–434.

    Article  PubMed  Google Scholar 

  • Baumeister, A. A., & Kellas, G. (1968). Reaction time and mental retardation. International review of research in mental retardation (Vol. 2, pp. 163–192). New York: Academic Press.

    Book  Google Scholar 

  • Berg, K., Wood-Dauphine, S., Williams, J. I., & Gayton, D. (1989). Measuring balance in the elderly: Preliminary development of an instrument. Physiotherapy Canada, 41, 304–311.

    Article  Google Scholar 

  • Bhatt, T., Espy, D., Yang, F., & Pai, Y. C. (2011). Dynamic gait stability, clinical correlates, and prognosis of falls among community-dwelling older adults. Archives of Physical Medicine and Rehabilitation, 92, 799–805.

    Article  PubMed  Google Scholar 

  • Bittles, A. H., Petterson, B. A., Sullivan, S. G., Hussain, R., Glasson, E. J., & Montgomery, P. D. (2002). The influence of intellectual disability on life expectancy. Journal of Gerontology, 57A(7), M470–M472.

    Google Scholar 

  • Black, D. P., Smith, B. A., Wu, J., & Ulrich, B. D. (2007). Uncontrolled manifold analysis of segmental angle variability during walking: Preadolescents with and without Down syndrome. Experimental Brain Research, 183, 511–521.

    Article  PubMed  Google Scholar 

  • Boswell, B. (1991). Comparison of two methods of improving dynamic balance of mentally retarded children. Perceptual and Motor Skills, 73, 759–764.

    Article  PubMed  Google Scholar 

  • Boswell, B. (1993). Effects of movement sequences and creative dance on balance of children with mental retardation. Perceptual and Motor Skills, 77, 1290.

    Article  PubMed  Google Scholar 

  • Boutcher, S. H. (2000). Cognitive performance fitness and ageing. In S. J. H. Biddle, K. R. Fox & S. H. Boutcher (Eds.), Physical activity and psychological well-being (pp. 118–129). London: Routledge.

    Google Scholar 

  • Bray, A., Gates, S., Vautier, S., Simpson, J., Firth, H., Narbey, C., & Forsyth, H. (2002). Safe lives for people with intellectual disabilities: a community injury prevention project. Final report to ACC. Dunedin N.Z.: Donald Beasley Institute.

    Google Scholar 

  • Brewer, N., & Smith, G. A. (1990). Processing speed and mental retardation: Deadline procedures indicate fixed and adjustable limitations. Memory & Cognition, 18, 443–450.

    Article  Google Scholar 

  • Bruckner, J., & Herge, E. A. (2003). Assessing the risk of falls in elders with mental retardation and developmental disabilities. Topics in Geriatric Rehabilitation, 19, 206–211.

    Article  Google Scholar 

  • Bruininks, R. H. (1974). Physical and motor development of retarted persons. In N. R. Ellis (Ed.), International review of research in mental retardation (Vol. 7, pp. 209–261). New York: Academic Press.

    Google Scholar 

  • Bruininks, R. H. (1978). Bruininks-Oseretsky test of motor proficiency: Examiner’s manual. Circle Pines: American Guideance Service.

    Google Scholar 

  • Butterworth, G., & Cicchetti, D. (1978). Visual calibration of posture in normal and motor retarded Down’s syndrome infants. Perception, 7, 513–525.

    Article  PubMed  Google Scholar 

  • Buzzi, U. H., & Ulrich, B. D. (2004). Dynamic stability of gait cycles as a function of speed and system constraints. Motor Control, 8, 241–254.

    PubMed Central  PubMed  Google Scholar 

  • Buzzi, U. H., Stergiou, N., Kurz, M. J., Hageman, P. A., & Heidel, J. (2002). Nonlinear dynamics indicate aging affects variability during gait. Clinical Biomechanics, 18(5), 435–443.

    Article  Google Scholar 

  • Callaghan, P. (2004). Exercise: A neglected intervention in mental health care? Journal of Psychiatric and Mental Health Nursing, 11, 476–483.

    Article  PubMed  Google Scholar 

  • Carmeli, E., Barchad, S., Lenger, R., & Coleman, R. (2002a). Muscle power, locomotor performance and flexibility in aging mentally-retarded adults with and without Down’s syndrome. Journal of Musculoskeletal and Neuronal Interactions, 2(5), 457–462.

    PubMed  Google Scholar 

  • Carmeli, E., Barchad, S., Lenger, R., & Coleman, R. (2002b). Muscle strength, locomotor performance and flexibility in aging mentally-retarded adults with and without Down’s syndrome. Journal of Musculoskeletal and Neuronal Interactions, 2, 457–462.

    PubMed  Google Scholar 

  • Carmeli, E., Kessel, S., Coleman, R., & Ayalon, M. (2002c). Effects of a treadmill walking program on muscle strength and balance in elderly people with Down syndrome. Journals of Gerontology Series A Biological Sciences and Medical Sciences, 57A, M106–M110.

    Article  Google Scholar 

  • Carmeli, E., Bar-Chad, S., Lotan, M., Merrick, J. & Coleman, R. (2003). Five clinical tests top assess balance following ball exercises and treadmill training in adult persons with intellectual disability. Journal of Gerontology, 58A, 767–772.

    Google Scholar 

  • Carmeli, E., Kessel, S., Bar-Chad, S., & Merrick, J. (2004). A comparison between older persons with Down syndrome and a control group: Clinical characteristics, functional status and sensorimotor function. Down’s Syndrome, Research and Practice, 9, 17–24.

    PubMed  Google Scholar 

  • Carmeli, E., Zinger-Vaknin, T., Morad, M., & Merrick, J. (2005). Can physical training have an effect on well-being in adults with mild intellectual disability? Mechanisms of Ageing and Development, 126, 299–304.

    Article  PubMed  Google Scholar 

  • Carmeli, E., Bar-Yossef, T., Ariav, C., Levy, R., & Lieberman, D. G. (2008). Perceptual motor coordination in persons with mild intellectual disability. Disability and Rehabilitation, 30(5), 323–329.

    Article  PubMed  Google Scholar 

  • Carmeli, E., Imam, B., Bachar, A., & Merrick, J. (2012a). Inflammation and oxidative stress as biomarkers of premature aging in persons with intellectual disability. Research in Developmental Disabilities, 33, 369–375.

    Article  PubMed  Google Scholar 

  • Carmeli, E., Imam, B., & Merrick, J. (2012b). The relationship of presarcopenia (low muscle mass) and sarcopenia (loss of muscle strength) with functional decline in individuals with intellectual disability (ID). Archives of Gerontoloy and Geriatrics, 55, 181–185.

    Article  Google Scholar 

  • Carmeli, E., Merrick, J., & Imam, B., Levy, R. (2012c). Exercises and sports participation in health older adults with intellectual disability? A pilot study. Health, 4, 769–774.

    Article  Google Scholar 

  • Carmeli, E., Imam, B., Levi, R., & Merrick, J. (2013). Hand grip strength is associated with body sway rate among older adults with intellectual disability. Journal of Policy and Practice in Intellectual Disabilities, 10(4), 321–325.

    Article  Google Scholar 

  • Carvalho, R. L., & Almeida, G. L. (2009). Assessment of postural adjustments in persons with intellectual disability during balance on the seesaw. Journal of Intellectual Disability Research, 53, 389–395.

    Article  PubMed  Google Scholar 

  • Center, J., Beange, H., & McElduff, A. (1998). People with mental retardation have an increased prevalence of osteoporosis: A population study. American Journal of Mental Retardation, 103, 19–28.

    Article  PubMed  Google Scholar 

  • Chanias, A. K., Reid, G., & Hoover, M. L. (1998). Exercise effects on health-related physical fitness of individuals with an intellectual disability: A metaanalysis. Adapted Physical Activity Quarterly, 15, 119–140.

    Google Scholar 

  • Chiba, Y., Shimada, A., Yoshida, F., Keino, H., Hasegawa, M., Ikari, H., Miyake, S., & Hosokawa, M. (2009). Risk of fall for individuals with intellectual disability. American Journal on Intellectual and Developmental Disabilities, 114(4), 225–236.

    Article  PubMed  Google Scholar 

  • Cioni, M., Cocilovo, A., Rossi, F., Paci, D., & Valle, M. S. (2001). Analysis of ankle kinetics during walking in individuals with Down syndrome. American Journal of Mental Retardation, 106, 470–478.

    Article  PubMed  Google Scholar 

  • Cipriani, D. J., Terry, M. E., Haines, M. A., Tabibnia, A. P., & Lyssanova, O. (2012). Effect of strength frequency and sex on the rate of gain and rate of loss in muscle flexibility during a hamstring-stretching program: A randomized single-blind longitudinal study. Journal of Strength and Conditioning Research, 26(8), 2119–2129.

    Article  PubMed  Google Scholar 

  • Cleaver, S., Hunter, D., & Ouellette-Kuntz, H. (2009). Physical mobility limitations in adults with intellectual disabilities: A systematic review. Journal of Intellectual Disability Research, 53, 93–105.

    Article  PubMed  Google Scholar 

  • Costa, A. C. (2011). An assessment of the vestibulo-ocular reflex (VOR) in persons with Down syndrome. Experimental Brain Research, 214, 199–213.

    Article  PubMed  Google Scholar 

  • Cox, C. R., Clemson, L., Stancliffe, R. J., Durvasula, S., & Sherrington, C. (2010). Incidence of and risk factors for falls among adults with an intellectual disability. Journal of Intellectual Disability Research, 54, 1045–1057.

    Article  PubMed  Google Scholar 

  • Creel, G. L., Light, K. E., & Thigpen, M. T. (2001). Concurrent and construct validity of scores on the timed movement battery. Physical Therapy, 81, 789–798.

    PubMed  Google Scholar 

  • Croce, R. V., Pitetti, K. H., Horvat, M., & Miller, J. (1996). Peak torque, average power, and hamstrings/quadriceps ratios in nondisabled adults and adults with mental retardation. Archives of Physical Medicine and Rehabilitation, 77(4), 369–372.

    Article  PubMed  Google Scholar 

  • Cuesta-Vargas, A. I., & González-Sánchez, M. (2013). Differences in muscle activation patterns during sit to stand task among subjects with and without intellectual disability. BioMed Research International, 2013, 173148. doi:10.1155/2013/173148.

    Article  PubMed Central  PubMed  Google Scholar 

  • Dagnan, D., & Sandhu, S. (1999). Social comparison, self-esteem and depression in people with intellectual disability. Journal of Intellectual Disability Research, 43, 372–379.

    Article  PubMed  Google Scholar 

  • Davis, W. E., & Van Emmerik, R. E. A. (1995). An ecological task analysis approach for understanding motor development in mental retardation: Philosophical and theoretical underpinnings. In M. Hebbelinck, R. J. Shephard, A. Vermeer & W. E. Davis (Eds.), Physical and motor development in mental retardation (Vol. 40, pp. 1–32). Basel: Karger.

    Chapter  Google Scholar 

  • Davis, W. E., Sparrow, W. A., & Ward, T. (1991). Fractionated reaction times and movement times of Down syndrome and other adults with mental retardation. Adapted Physical Activity Quarterly, 8, 221–233.

    Google Scholar 

  • Day, K., & Jancar, J. (1994). Mental and physical health and ageing in mental handicap: A review. Journal of Intellectual Disability Research, 38, 241–256.

    Article  PubMed  Google Scholar 

  • Dean, J. C., Alexander, N. B., & Kuo, A. D. (2007). The effect of lateral stabilization on walking in young and old adults. IEEE Transactions on Biomedical Engineering, 54, 1919–1926.

    Article  PubMed  Google Scholar 

  • Deci, E. L., Koestner, R., & Ryan, R. M. (1999). A meta-analytic review of experiments examining the effects of extrinsic rewards on intrinsic motivation. Psychological Bulletin, 125, 627–668.

    Article  PubMed  Google Scholar 

  • Dellavia, C., Pallavera, A., Orlando, F., & Sforza, C. (2009). Postural stability of athletes in Special Olympics. Perceptual and Motor Skills, 108, 608–622.

    Article  PubMed  Google Scholar 

  • DePaepe, J. L., & Ciccaglione, S. (1993). A dynamic balance measure for persons with severe and profound mental retardation. Perceptual and Motor Skills, 76, 619–627.

    Article  PubMed  Google Scholar 

  • Diever, H. C., Horak, F. B., & Nasher, L. M. (1988). Influence of stimulus parameters on human postural responses. Journal of Neurophysiology, 59, 1888–1895.

    Google Scholar 

  • Dobbins, A. D., & Rarick, L. G. (1977). The performance of intellectually normal and educable mentally retarded boys on tests of throwing accuracy. Journal of Motor Behavior, 9, 23–28.

    Article  Google Scholar 

  • Doke, J., Donelan, J. M., & Kuo, A. D. (2005). Mechanics and energetics of swinging the human leg. The Journal of Experimental Biology, 208, 439–445.

    Article  PubMed  Google Scholar 

  • Donelan, J. M., Kram, R., & Kuo, A. D. (2001). Mechanical and metabolic determinants of the preferred step width in human walking. Proceedings. Biological sciences/ The Royal Society, 168, 1985–1992.

    Article  Google Scholar 

  • Donelan, J. M., Kram, R., & Kuo, A. D. (2002a). Mechanical work for step-to-step transitions is a major determinant of the metabolic cost of human walking. The Journal of Experimental Biology, 205, 3717–3727.

    PubMed  Google Scholar 

  • Donelan, J. M., Kram, R., & Kuo, A. D. (2002b). Simultaneous positive and negative external mechanical work in human walking. Journal of Biomechanics, 35, 117–124.

    Article  PubMed  Google Scholar 

  • Donelan, J. M., Shipman, D. W., Kram, R., & Kuo, A. D. (2004). Mechanical and metabolic requirements for active lateral stabilization in human walking. Journal of Biomechanics, 37, 827–835.

    Article  PubMed  Google Scholar 

  • Draheim, C. C. (2006). Cardiovascular disease prevalence and risk factors of persons with mental retardation. Mental Retardation and Developmental Disabilities Research Reviews, 12(1), 3–12.

    Article  PubMed  Google Scholar 

  • Draheim, C. C., Williams, D. P., & McCubbin, J. A. (2002a). Physical activity, dietary intake, and the insulin resistance syndrome in non-diabetic adults with mental retardation. American Journal of Mental Retardation, 107, 361–375.

    Article  PubMed  Google Scholar 

  • Draheim, C. C., Williams, D. P., & McCubbin, J. A. (2002b). Prevalence of physical inactivity and recommended physical activity in community-based adults with mental retardation. Mental Retardation, 40(6), 436–444.

    Article  PubMed  Google Scholar 

  • Draheim, C. C., Williams, D. P., & McCubbin, J. A. (2003). Cardiovascular disease risk factor differences between Special Olympians and Non-Special Olympians. Adapted Physical Activity Quarterly, 20, 118–134.

    Google Scholar 

  • Duncan, P., Weiner, D. K., Chandler, J., & Studenski, S. (1990). Functional reach: A new clinical measure of balance. Journal of Gerontology, 45, M192–M197.

    Article  PubMed  Google Scholar 

  • Dykens, E. M., Rosner, B. A., & Butterbaugh, G. (1998). Exercise and sports in children and adolescents with developmental disabilities: Positive physical and psychosocial effects. Child and Adolescent Psychiatric Clinics of North America, 7, 757–771.

    PubMed  Google Scholar 

  • England, S. A., & Granata, K. P. (2007). The influence of gait speed on local dynamic stability of walking. Gait & Posture, 25, 172–178.

    Article  Google Scholar 

  • Enkelaar, L., Smulders, E., van Schrojenstein Lantman-de Valk, H., Geurts, A. C., & Weerdesteyn, V. (2012). A review of balance and gait capacities in relation to falls in persons with intellectual disability. Research in Developmental Disabilities, 33, 291–306.

    Article  PubMed  Google Scholar 

  • Etnier, J. L., & Landers, D. M. (1998). Motor performance and motor learning as a function of age and fitness. Research Quarterly for Exercise and Sport, 69, 136–146.

    Article  PubMed  Google Scholar 

  • Farley, C. T., & Ferris, D. P. (1998). Biomechanics of walking and running: Center of mass movements to muscle action. Exercise and Sport Sciences Reviews, 26, 253–285.

    Article  PubMed  Google Scholar 

  • Fasano, A., & Bloem, B. R. (2013). Gait disorders. Continuum, 19(5), 1344–1382.

    PubMed  Google Scholar 

  • Fernhall, B. (1993). Physical fitness and exercise training of individuals with mental retardation. Medicine and Science in Sports and Exercise, 25, 442–450.

    Article  PubMed  Google Scholar 

  • Fernhall, B., & Pitetti, K. H. (2000). Leg strength related to endurance run performance in children and adolescents with mental retardation. Pediatric Exercise Science, 12, 324–333.

    Google Scholar 

  • Fernhall, B., Tymeson, G. T., & Webster, G. E. (1988). Cardiovascular fitness of mentally retarded individuals. Adapted Physical Activity Quarterly, 5(1), 12–28.

    Google Scholar 

  • Fernhall, B., Pitetti, K., Stubbs, N. B., Stadler, L., & Stadler, L. J. (1996a). Validity and reliability of the 1/2 mile run-walk as an indicator of aerobic fitness in children with mental retardation. Pediatric Exercise Science, 8, 130–142.

    Google Scholar 

  • Fernhall, B., Pitetti, K. H., Rimmer, J. H., McCubbin, J. A., Rintala, P., Millar, A. L., Kittredge, J., & Burkett, L. N. (1996b). Cardiorespiratory capacity of individuals with mental retardation including Down syndrome. Medicine and Science in Sports and Exercise, 28, 366–371.

    PubMed  Google Scholar 

  • Fernhall, B., Pitetti, K. H., Vukovich, M. D., Stubbs, N., Hensen, T., Winnick, J. P., & Short, F. X. (1998). Validation of cardiovascular fitness field tests in children with mental retardation. American Journal of Mental Retardation, 102(6), 602–012.

    Article  PubMed  Google Scholar 

  • Fielding, R. A., Rejeski, W. J., Blair, S., Church, T., Espeland, M. A., Gill, T. M., Guralnik, J. M., Hsu, F. C., Katula, J., King, A. C., Kritchevsky, S. B., McDermott, M. M., Miller, M. E., Nayfield, S., Newman, A. B., Williamson, J. D., Bonds, D., Romashkan, S., Hadley, E., Pahor, M., & LIFE Research Group. (2011). The lifestyle interventions and independence for elders study: Design and methods. Journals of Gerontology Series A Biological Sciences and Medical Sciences, 66(11), 1226–1237.

    Article  Google Scholar 

  • Finlayson, J., Morrison, J., Jackson, A., Mantry, D., & Cooper, S.-A. (2010). Injuries, falls and accidents among adults with intellectual disabilities: Prospective cohort study. Journal of Intellectual Disability Research, 54, 966–980.

    Article  PubMed  Google Scholar 

  • Frey, G. C., Stanish, H. I., & Temple, V. A. (2008). Physical activity of youth with intellectual disability: Review and research agenda. Adapted Physical Activity Quarterly, 25(2), 95–117.

    PubMed  Google Scholar 

  • Frzovic, D., Morris, M. E., & Vowels, L. (1994). Clinical tests of standing balance: Performance of persons with multiple sclerosis. Archives of Physical Medicine and Rehabilitation, 49, M85–M94.

    Google Scholar 

  • Gabler-Halle, D., Halle, J. W., & Chung, Y. B. (1993). The effects of aerobic exercise on psychological and behavioral variables of individuals with developmental disabilities: A critical review. Research in Developmental Disabilities, 14, 359–386.

    Article  PubMed  Google Scholar 

  • Galli, M., Rigoldi, C., Brunner, R., Virji-Babul, N., & Giorgio, A. (2008a). Joint stiffness and gait pattern evaluation in children with Down syndrome. Gait & Posture, 28, 502–506.

    Article  Google Scholar 

  • Galli, M., Rigoldi, C., Mainardi, L., Tenore, N., Onorati, P., & Albertini, G. (2008b). Postural control in patients with Down syndrome. Disability and Rehabilitation, 30(17), 1274–1748.

    Article  PubMed  Google Scholar 

  • Galli, M., Cimolin, V., Vismara, L., Grugni, G., Camerota, F., Celletti, C., Albertini, G., Rigoldi, C., & Capodaglio, P. (2011). The effects of muscle hypotonia and weakness on balance: A study on Prader-Willi and Ehlers-Danlos syndrome patients. Research in Developmental Disabilities, 32, 1117–1121.

    Article  PubMed  Google Scholar 

  • Gillespie, L. D., Robertson, M. C., Gillespie, W. J., Lamb, S. E., Gates, S., Cumming, R. G., & Rowe, B. H. (2009). Interventions for preventing falls in older people living in the community. Cochrane Database System Review, 15(2), CD007146. doi: 10.1002/14651858.CD007146.pub2.

    Google Scholar 

  • Gomes, M. M., & Barela, J. A. (2007). Postural control in Down syndrome: The use of somatosensory and visual information to attenuate body sway. Motor control, 11, 224–234.

    PubMed  Google Scholar 

  • Gontijo, A. P., Mancini, M. C., Silva, P. L., Chagas, P. S., Sampaio, R. F., Luz, R. E., & Fonseca, S. T. (2008). Changes in lower limb co-contraction and stiffness by toddlers with Down syndrome and toddlers with typical development during the acquisition of independent gait. Human Movement Science, 27, 610–621.

    Article  PubMed  Google Scholar 

  • Graham, A., & Reid, G. (2000). Physical fitness of adults with an intellectual disability: A 13-year follow-up study. Research Quarterly for Exercise and Sport, 71(2), 152–161.

    Article  PubMed  Google Scholar 

  • Grant, H. J., Pickett, W., Lam, M., O’Connor, M., & Ouellette-Kuntz, H. (2001). Falls among persons who have developmental disabilities in institutional and group home settings. Journal on Developmental Disabilities, 8(1), 57–73.

    Google Scholar 

  • Groden, G. (1969). Relationships between intelligence, simple and complex motor proficiency. American Journal of Mental Deficiency, 74, 373–375.

    PubMed  Google Scholar 

  • Guidetti, L., Franciosi, E., Gallotta, M. C., Emerenziani, G. P., & Baldari, C. (2010). Could sport specialization influence fitness and health of adults with mental retardation? Research in Developmental Disabilities, 31, 1070–1075.

    Article  PubMed  Google Scholar 

  • Guralnik, J. M., Simonsick, E. M., Ferrucci, L., Glynn, R. J., Berkman, L. F., Blazer, D. G., Scherr, P. A., Wallace, R. B. (1994). A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. Journal of Gerontology, 49, M85–M94.

    Article  PubMed  Google Scholar 

  • Gustafson, A. S., Noaksson, L., Kronhed, A. C., Moller, M., & Moller, C. (2000). Changes in balance performance in physically active elderly people aged 73-80. Scandinavian Journal of Rehabilitation and Medicine, 32, 168–172.

    Article  Google Scholar 

  • Haier, R. J., Jung, R. E., Yeo, R. A., Head, K., & Alkire, M. T. (2004). Structural brain variation and general intelligence. NeuroImage, 23(1), 425–433.

    Article  PubMed  Google Scholar 

  • Hale, L., & Donovan, K. (2014). A video-based balance measure for people with intellectual disability. Journal of Intellectual and Developmental Disability. doi:10.3109/13668250.2014.898743.

    Google Scholar 

  • Hale, L., Bray, A., & Littmann, A. (2007). Assessing the balance capabilities of people with profound intellectual disabilities who have experienced a fall. Journal of Intellectual Disability Research, 51(4), 260–268.

    Article  PubMed  Google Scholar 

  • Hale, L., Miller, R., Barach, A., Skinner, M., & Gray, A. (2009). Motor control test responses to balance perturbations in adults with an intellectual disability. Journal of Intellectual and Developmental Disability, 34(1), 81–86.

    Article  PubMed  Google Scholar 

  • Hale, L., McIlraith, L., Miller, C., Stanley-Clarke, T., & George, R. (2010). The interrater reliability of the modified gait abnormality rating scale for use with people with intellectual disability. Journal of Intellectual Disability Research, 35(2), 77–81.

    Article  Google Scholar 

  • Hall, J. M., & Thomas, M. J. (2008). Promoting physical activity and exercise in older adults with developmental disabilities. Topics in Geriatric Rehabilitation, 24, 64–73.

    Article  Google Scholar 

  • Hassani, A., Kotzamanidou, M. C., Fotiadou, E., Patikas, D., Evagelinou, C., & Sakadami, N. (2013). Neuromuscular differences between pubescent boys with and without mental retardation during squat jump. Research in Developmental Disabilities, 34, 2856–2863. doi:10.1016/j.ridd.2013.05.046.

    Article  PubMed  Google Scholar 

  • Hassani, A., Kotzamanidou, M. C., Tsimaras, V., Lazaridis, S., Kotzamanidis, C., & Patikas, D. (2014). Differences in counter-movement jump between boys with and without intellectual disability. Research in Developmental Disabilities, 35(7), 1433–1438. doi:10.1016/j.ridd.2014.03.034.

    Article  PubMed  Google Scholar 

  • Haynes, C. A., & Lockhart, T. E. (2012). Evaluation of gait and slip parameters for adults with intellectual disability. Journal of Biomechanics, 45, 2337–2341.

    Article  PubMed Central  PubMed  Google Scholar 

  • Heller, T., Hsieh, K., & Rimmer, J. H. (2004). Attitudinal and psychological outcomes of a fitness and health education program on adults with Down syndrome. American Journal of Mental Retardation, 109, 175–185.

    Article  PubMed  Google Scholar 

  • Hemayattalab, R., & Movahedi, A. (2010). Effects of different variations of mental and physical practice on sport skill learning in adolescents with mental retardation. Research in Developmental Disabilities, 31, 81–86.

    Article  PubMed  Google Scholar 

  • Hilgenkamp, T. I., van Wijck, R., & Evenhuis, H. M. (2012). Low physical fitness levels in older adults with ID: Results of the HA-ID study. Research in Developmental Disabilities, 33, 1148–1158.

    Google Scholar 

  • Hinckson, E. A., Dickinson, A., Water, T., & Sands, M., Penman, L. (2013). Physical activity, dietary habits and overall health in overweight and obese children and youth with intellectual disability or autism. Research in Developmental Disabilities, 34(4), 1170–1178.

    Article  PubMed  Google Scholar 

  • Hocking, J., Pearson, A., & McNeil, J. (2014). Physiotherapy to improve gross motor skills in people with intellectual disability: A systematic review protocol. JBI Database of Systematic Reviews and Implementation Reports, 11(12), 94–108. doi:10.11124/jbisrir-2013-1180.

    Article  Google Scholar 

  • Horvat, M., & Franklin, C. (2001). The effects of the environment on physical activity patterns of children with mental retardation. Research Quarterly for Exercise and Sport, 72(2), 189–195.

    Article  PubMed  Google Scholar 

  • Horvat, M., Pitetti, K. H., & Croce, R. J. (1997). Isokinetic torque, average power, and flexion/extension ratios in nondisabled adults and adults with mental retardation. Journal of Orthopaedic and Sports Physical Therapy, 25, 395–399.

    Article  PubMed  Google Scholar 

  • Horvat, M., Croce, R., Pitetti, K. H., & Fernhall, B. (1999). Comparison of isokinetic peak force and work parameters in youth with and without mental retardation. Medicine and Science in Sports and Exercise, 31, 1190–1195.

    Article  PubMed  Google Scholar 

  • Horvat, M., Ramsey, V., Amestoy, R., & Croce, R. (2003). Muscle activation and movement responses in youth with and without mental retardation. Research Quarterly for Exercise and Sport, 74, 319–323.

    Article  PubMed  Google Scholar 

  • Horvat, M., Croce, R., Zagrodnik, J., Brooks, B., & Carter, K. (2012). Spatial and temporal variability of movement parameters in individuals with Down syndrome. Perceptual and Motor Skills, 114(3), 774–782.

    Article  PubMed  Google Scholar 

  • Howe, C. E. (1959). A cmoparison of motor skills of mentally retarded and normal children. Council for Exceptional Children, 25, 352–354.

    Google Scholar 

  • Hsieh, K., Heller, T., & Miller, A. B. (2001). Risk factors for injuries and falls among adults with developmental disabilities. Journal of Intellectual Disability Research, 45(1), 76–82.

    Article  PubMed  Google Scholar 

  • Hsieh, K., Rimmer, J., & Heller, T. (2012). Prevalence of falls and risk factors in adults with intellectual disability. American Journal on Intellectual and Developmental Disabilities, 117(6), 442–454.

    Article  PubMed  Google Scholar 

  • Iivanainen, M. (1998). Phenytoin: Effective but insidious therapy for epilepsy in people with intellectual disability. Journal of Intellectual Disability Research, 42(suppl. 1), 24–31.

    PubMed  Google Scholar 

  • Inui, N., Yamanishi, M., & Tada, S. (1995). Simple reaction times and timing of serial reactions of adolescents with mental retardation, autism, and Down syndrome. Perceptual and Motor Skills, 81, 739–745.

    Article  PubMed  Google Scholar 

  • Isles, R. C., Choy, N. L., Steer, M., & Nitz, J. C. (2004). Normal values of balance tests in women aged 20-80. Journal of the American Geriatrics Society, 52, 1367–1372.

    Article  PubMed  Google Scholar 

  • Jaffe, J. S., Timell, A. M., Elolia, R., & Thatcher, S. S. (2005). Risk factors for low bone mineral density in individuals residing in a facility for the people with intellectual disability. Journal of Intellectual Disability Research, 49(Part 6), 457–462.

    Article  PubMed  Google Scholar 

  • Janicki, M. P., & Dalton, A. J. (2000). Prevalence of dementia and impact on intellectual disability services. Mental Retardation, 38, 276–288.

    Article  PubMed  Google Scholar 

  • Janicki, M. P., & Jacobson, J. W. (1986). Generational trends in sensory, physical and behavioral abilities among older mentally retarded persons. American Journal of Mental Deficiency, 90(5), 490–500.

    PubMed  Google Scholar 

  • Janicki, M. P., Dalton, A. J., Henderson, C. M., & Davidson, P. W. (1991). Mortality and morbidity among older adults with intellectual disability: Health services considerations. Disability and Rehabilitation, 21(5–6), 284–294.

    Google Scholar 

  • Janicki, M. P., Dalton, A. J., Henderson, C. M., & Davidson, P. W. (1999). Mortality and morbidity among older adults with intellectual disability: Health service considerations. Disability and Rehabilitation, 21, 284–294.

    Article  PubMed  Google Scholar 

  • Janicki, M. P., Davidson, P. W., Henderson, C. M., McCallion, P., Taets, J. D., Force, L. T., Sulkes, S. B., Frangenberg, E., & Ladrigan, P. M. (2002). Health characteristics and health services utilization in older adults with intellectual disability living in community residences. Journal of Intellectual Disability Research, 46(4), 287–298.

    Article  PubMed  Google Scholar 

  • Jensen, J., Nyberg, L., Gustafson, Y., & Lundin-Olsson, L. (2003). Fall and injury prevention in residential care—effects in residents with higher and lower levels of cognition. Journal of the American Geriatrics Society, 51, 627–635.

    Article  PubMed  Google Scholar 

  • Jerome, L. B., Boyette, L. W., Gaasch, D. A., & Lloyd, A. (2000). Effects of lower extremity strength training on functional mobility in older adults. Journal of Aging and Physical Activity, 8(3), 214–227.

    Google Scholar 

  • Kapell, D., Nightingale, B., Rodriguez, A., Lee, J. H., Zigman, W. B., & Schupf, N. (1998). Prevalence of chronic medical conditions in adults with mental retardation: Comparison with the general population. Mental Retardation, 36, 269–279.

    Article  PubMed  Google Scholar 

  • Kioumourtzoglou, E., Batsiou, S., Theodorakis, Y., & Mauromatis, G. (1994). Selected motor skills of mentally retarded and nonretarded individuals. Perceptual and Motor Skills, 78, 1011–1015.

    Article  PubMed  Google Scholar 

  • Ko, Y. G., Van Emmerik, R. E., Sprague, R. L., & Newell, K. M. (1992). Postural stability, tardive dyskinesia and developmental disability. Journal of Intellectual Disability Research, 36(4), 309–323.

    Article  PubMed  Google Scholar 

  • Kokubun, M., & Koike, T. (1995). Problems in balance performance in mental retardation. In A. Vermeer & W. E. Davis (Eds.), Physical and motor development in mental retardation (Vol. 40, pp. 191–197). Basel: Karger.

    Chapter  Google Scholar 

  • Kokubun, M., Shinmyo, T., Ogita, M., Morita, K., Furuta, M., Haishi, K., Okuzumi, H., & Koike, T. (1997). Comparison of postural control of children with Down syndrome and those with other forms of mental retardation. Perceptual and Motor Skills, 84(2), 499–504.

    Article  PubMed  Google Scholar 

  • Kubo, M., & Ulrich, B. (2006a). Coordination of pelvis-HAT (head, arms and trunk) in anterior-posterior and medio-lateral directions during treadmill gait in preadolescents with/without Down syndrome. Gait & Posture, 23, 512–518.

    Article  Google Scholar 

  • Kubo, M., & Ulrich, B. D. (2006b). Early stage of walking: Development of control in mediolateral and anteroposterior directions. Journal of Motor Behavior, 38(3), 229–237.

    Article  PubMed Central  PubMed  Google Scholar 

  • Kuo, A. D. (2007). The six determinants of gait and the inverted pendulum analogy: A dynamic walking perspective. Human Movement Science, 26, 617–656.

    Article  PubMed  Google Scholar 

  • Kurtz, L. A. (2008). Understanding motor skills in children with dyspraxia, ADHD, autism, and other learning disabilities. London: Jessica Kingsley Publishers.

    Google Scholar 

  • Lahtinen, U., Rintala, P., & Malin, A. (2007). Physical performance of individuals with intellectual disability: A 30-year follow up. Adapted Physical Activity Quarterly, 24, 125–143.

    PubMed  Google Scholar 

  • Latash, M. L. (2000). Motor coordination in Down syndrome: The role of adaptive changes. In D. J. Weeks, R. Chua, & D. Elliott (Eds.), Perceptual-motor behavior in Down syndrome (pp. 199–223). Champaign: Human Kinetics.

    Google Scholar 

  • Latash, M. L., Kang, N., & Patterson, D. (2002). Finger coordination in persons with Down syndrome: Atypical patterns of coordination and the effects of practice. Experimental Brain Research, 146, 345–355.

    Article  PubMed  Google Scholar 

  • LeClair, D. A., Pollock, B. J., & Elliott, D. (1993). Movement preparation in adults with and without Down syndrome. American Journal of Mental Retardation, 97, 628–633.

    PubMed  Google Scholar 

  • Lin, S. I., & Woollacott, M. (2005). Association between sensorimotor function and functional and reactive balance control in the elderly. Age and Ageing, 34, 558–563.

    Article  Google Scholar 

  • Lin, J.-D., Lin, L.-P., Hsia, Y.-C., Hsu, S.-W., Wu, C.-L., & Chu, C. M. (2014). A national survey of caregivers’ perspective of early symptoms of dementia among adults with an intellectual disability based on the DSQIID scale. Research in Autism Spectrum Disorders, 8, 275–280.

    Article  Google Scholar 

  • Livingstone, B., & Hirst, P. (1986). Orthopedic disorders in school children with Down’s syndrome with special reference to the incidence of joint laxity. Clinical Orthopaedics and Related Research, 207, 74–78.

    PubMed  Google Scholar 

  • Lohiya, G. S., Crinella, F. M., Tan-Figueroa, L., Caires, S., & Lohiya, S. (1999). Fracture epidemiology and control in a developmental center. The Western Journal of Medicine, 170, 203–209.

    PubMed Central  PubMed  Google Scholar 

  • Lotan, M., Yalon-Chamovitz, S., & Weiss, P. L. (2009). Improving physical fitness of individuals with intellectual and developmental disability through a virtual reality intervention program. Research in Developmental Disabilities, 30, 229–239.

    Article  PubMed  Google Scholar 

  • Maiano, C., Ninot, G., & Errais, B. (2001). Effects of alternate sport competition in perceived competence for adolescent males with mild to moderate mental retardation. International Journal of Rehabilitation Research, 24, 51–58.

    Article  PubMed  Google Scholar 

  • Matson, J. L., Mayville, S. B., & Laud, R. B. (2003). A system of assessment for adaptive behavior, social skills, behavioral function, medication sideeffects, and psychiatric disorders. Research in Developmental Disabilities, 24, 75–81.

    Article  PubMed  Google Scholar 

  • McArdle, W. D., Katch, F. I., & Katch, V. L. (2007). Exercise physiology: Energy, nutrition, and human performance. Baltimore: Lippincott Williams & Wilkins.

    Google Scholar 

  • McAuley, E., Blissmer, B., Katula, J., Duncan, T. E., & Mihalko, S. L. (2000). Physical activity, self-esteem, and self-efficacy relationships in adults: A randomized controlled trial. Annals of Behavioral Medicine, 22(2), 131–139.

    Article  PubMed  Google Scholar 

  • Nebes, R. D. (1990). Hemispheric specialization in the aged brain. In C. Threvarthen (Ed.), Brain circuits and functions of the mind. Essays in honor of Roger W. Sperry. New York: Cambridge University Press.

    Google Scholar 

  • Newell, K. M. (1997). Motor skills and mental retardation. In W. E. MacLean, Jr. (Ed.), Ellis’handbook of mental deficiency: Psychological theory and research (pp. 275–308). Mahwah: Erlbaum.

    Google Scholar 

  • Ninot, G., Bilard, J., & Sokolowski, M. (2000). Athletic competition: A mean of improving the self-image of mentally retarded adolescent? International Journal of Rehabilitation Research, 23, 111–117.

    Article  PubMed  Google Scholar 

  • Nottestad, J. A., & Linaker, O. M. (1999). Psychiatric health needs and services before and after complete deinstitutionalization of people with intellectual disability. Journal of Intellectual Disability Research, 43, 523–530.

    Article  PubMed  Google Scholar 

  • Ohwada, H., Nakayama, T., Suzuki, Y., Yokoyama, T., & Ishimaru, M. (2005). Energy expenditure in males with mental retardation. Journal of Nutritional Science and Vitaminology, 51, 68–74.

    Article  PubMed  Google Scholar 

  • Okuzumi, H., Tanaka, A., & Haishi, K. (1997). Relationship between age and head movement during stepping in place by nonhandicapped children and persons with mental retardation. Perceptual and Motor Skills, 85, 375–381.

    Article  PubMed  Google Scholar 

  • Õunpuu, S. (1994). The biomechanics of walking and running. Clinics in Sports Medicine, 13(4), 843–863.

    PubMed  Google Scholar 

  • Parker, A. W., & Bronks, R. (1980). Gait of children with Down syndrome. Archives of Physical Medicine and Rehabilitation, 61, 345–351.

    PubMed  Google Scholar 

  • Parker, A. W., Bronks, R., & Snyder, C. W., Jr (1986). Walking patterns in Down’s syndrome. Journal of Mental Deficiency Research, 30(4), 317–330.

    PubMed  Google Scholar 

  • Pinter, J. D., Eliez, S., Schmitt, J. E., Capone, G. T., & Reiss, A. L. (2001). Neuroanatomy of Down’s syndrome: A high-resolution MRI study. American Journal of Psychiatry, 158, 1659–1665.

    Article  PubMed  Google Scholar 

  • Pitetti, K., & Fernhall, B. (1997). Aerobic capacity as related to leg strength in youths with mental retardation. Pediatric Exercise Science, 9, 223–236.

    Google Scholar 

  • Pitetti, K. H., Climstein, M., Mays, M. J., & Barrett, P. J. (1992). Isokinetic arm and leg strength of adults with Down syndrome: A comparative study. Archives of Physical Medicine and Rehabilitation, 73, 847–850.

    PubMed  Google Scholar 

  • Pitetti, K. H., Yarmer, D. A., & Fernhall, B. (2001). Cardiovascular fitness and body composition of youth with and without mental retardation. Adapted Physical Activity Quarterly, 18, 127–141.

    Google Scholar 

  • Podsiadlo, D., & Richardson, S. (1991). The ‘Timed up and Go’: A test of basic functional mobility for frail elderly persons. Journal of the American Geriatrics Society, 39, 142–148.

    Article  PubMed  Google Scholar 

  • Powell, L. E., & Myers, A. M. (1995). The Activities-specific Balance Confidence (ABC) scale. Journal of Gerontology, 50A, M28–M34.

    Google Scholar 

  • Pritchard, T. C., & Alloway, K. D. (2007). Medical neuroscience (2nd ed.). Raleigh: Hayes Barton Press.

    Google Scholar 

  • Rarick, G. L. (1973). Motor perfomance of mentally retarded children. In G. L. Rarick (Ed.), Physical activity: Human growth and development (pp. 225–256). New York: Academic Press.

    Google Scholar 

  • Rarick, G. L., Widdop, J. H., & Broadhead, G. (1970). The physical fitness and motor performance of educable mentally retarded children. Council for Exceptional Children, 36(7), 509–519.

    Google Scholar 

  • Rigoldi, C., Galli, M., Mainardi, L., Crivellini, M., & Albertini, G. (2011). Postural control in children, teenagers and adults with Down syndrome. Research in Developmental Disabilities, 32, 170–175.

    Article  PubMed  Google Scholar 

  • Rimmer, J. H., & Yamaki, K. (2006). Obesity and intellectual disability. Mental Retardation and Developmental Disabilities Research Reviews, 12, 22–27.

    Article  PubMed  Google Scholar 

  • Rimmer, J. H., Braddock, D., & Fujiura, G. (1994). Cardiovascular disease risk factors in adults with mental retardation. American Journal of Mental Retardation, 98, 510–518.

    PubMed  Google Scholar 

  • Sackley, C., Richardson, P., McDonnell, K., Ratib, S., & Dewey, M. (2005). The reliability of balance, mobility and self-care measures in a population of adults with a learning disability known to a physiotherapy service. Clinical Rehabilitation, 19, 216–223.

    Article  PubMed  Google Scholar 

  • Sayer, A. A., Syddall, H. E., Martin, H. J., Dennison, E. M., Roberts, H. C., & Cooper, C. (2006). Is grip strength associated with healthrelated quality of life? Findings from the Hertfordshire Cohort Study. Age and Ageing, 35, 409–415.

    Article  PubMed  Google Scholar 

  • Schonknecht, P., Pantel, J., Kruse, A., & Schroder, J. (2005). Prevalence and natural course of aging-associated cognitive decline in a population-based sample of young-old subjects. American Journal of Psychiatry, 162, 2071–2077.

    Article  PubMed  Google Scholar 

  • Shaw, F. E., Bond, J., Richardson, D. A., Dawson, P., Steen, I. N., McKeith, I. G., & Kenny, R. A. (2003). Multifactorial intervention after a fall in older people with cognitive impairment and dementia presenting to the accident and emergency department: Randomised controlled trial. British Medical Journal, 326, 73–79.

    Article  PubMed Central  PubMed  Google Scholar 

  • Sherrard, J., Tonge, B. J., & Ozanne-Smith, J. (2001). Injury in young people with intellectual disability: Descriptive epidemiology. Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention, 7(1), 56–61.

    Article  Google Scholar 

  • Shinkfield, A. J., Sparrow, W. A., & Day, R. H. (1997). Visual discrimination and motor reproduction of movement by individuals with mental retardation. American Journal of Mental Retardation, 102, 172–181.

    Article  PubMed  Google Scholar 

  • Shumway-Cook, A., & Horak, F. (1986). Assessing the influence of sensory interaction on balance. Physical Therapy, 66, 1545–1550.

    Google Scholar 

  • Shumway-Cook, A., & Woollacott, M. (2001). Motor Control: Theory and Practical Applications (2nd ed.). Baltimore: Lippincott Co.

    Google Scholar 

  • Skowronski, W., Horvat, M., Nocera, J., Roswal, G., & Croce, R. (2009). Eurofit Special: European fitness battery score variation among individuals with intellectual disabilities. Adapted Physical Activity Quarterly, 26, 54–67.

    PubMed  Google Scholar 

  • Smith, B. A., & Ulrich, B. D. (2008). Early onset of stabilizing strategies for gait and obstacles: Older adults with Down syndrome. Gait & Posture, 28, 448–455.

    Article  Google Scholar 

  • Smith, B. A., Kubo, M., Black, D. P., Holt, K. G., & Ulrich, B. D. (2007). Effect of practice on a novel task-walking on a treadmill: Preadolescents with and without Down syndrome. Physical Therapy, 87, 766–777.

    Article  PubMed  Google Scholar 

  • Sparrow, S. S., & Cicchetti, D. V. (1985). Diagnostic use of the Vineland Adaptive Behavior Scales. Journal of Pediatric Psychology, 10, 215–225.

    Article  PubMed  Google Scholar 

  • Sparrow, W. A., & Day, R. H. (2002). Perception and action in mental retardation. In L. M. Glidden (Ed.), International review of research in mental retardation (Vols. 241–278). San Diego: Academic Press.

    Google Scholar 

  • Sparrow, W. A., Shinkfield, A. J., & Summers, J. J. (1998). Gait characteristics in individuals with mental retardation: Unobstructed level-walking, negotiating obstacles, and stair climbing. Human Movement Science, 17, 167–187.

    Article  Google Scholar 

  • Speechley, M., & Tinetti, M. (1991). Falls and injuries in frail and vigorous community elderly persons. Journal of the American Geriatrics Society, 39, 46–52.

    Article  PubMed  Google Scholar 

  • Sperry, R. W. (1990). Forebrain commissurotomy and conscious awareness. In C. Threvarthen (Ed.), Brain circuits and functions of the mind. Essays in honor of Roger W. Sperry. New York: Cambridge University Press.

    Google Scholar 

  • Srikanth, R., Cassidy, G., Joiner, C., & Teeluckdharry, S. (2011). Osteoporosis in people with intellectual disabilities: A review and a brief study of risk factors for osteoporosis in a community sample of people with intellectual disabilities. Journal of Intellectual Disability Research, 55, 53–62.

    Article  PubMed  Google Scholar 

  • Stanish, H. I., & Draheim, C. C. (2005). Physical activity assessment using pedometer and questionnaire in adults with mental retardation. Adapted Physical Activity Quarterly, 22, 136–145.

    Google Scholar 

  • Stanish, H. I., & Draheim, C. C. (2006). Walking activity, body composition and blood pressure in adults with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities, 20(3), 183–190.

    Article  Google Scholar 

  • Stanish, H. I., McCubbin, J. A., Draheim, C. C., & van der Mars, H. (2001). Participation of adults with mental retardation in a video- and leader-directed aerobic dance program. Adapted Physical Activity Quarterly, 18, 142–155.

    Google Scholar 

  • Stanish, H. I., Temple, V. A., & Frey, G. C. (2006). Health-promoting physical activity of adults with mental retardation. Mental Retardation and Developmental Disabilities Research Reviews, 12, 13–21.

    Article  PubMed  Google Scholar 

  • Steffen, T. M., Hacker, T. A., & Mollinger, L. (2002). Age- and gender-related test performance in community-dwelling elderly people: Six-minute walk test, Berg Balance Scale, timed up & go test, and gait speeds. Physical Therapy, 82, 128–137.

    PubMed  Google Scholar 

  • Stenholm, S., Tiainen, K., Rantanen, T., Sainio, P., Heliövaara, M., Impivaara, O., & Koskinen, S. (2012). Long-term determinants of muscle strength decline: Prospective evidence from the 22-year mini-Finland follow-up survey. Journal of the American Geriatrics Society, 60(1), 77–85.

    Article  PubMed  Google Scholar 

  • Stopka, C. B., Zambito, K. L., Suro, D. G., Pearson, K. S., Siders, R. A., & Goff, B. H. (1998). Muscular endurance and physical capacity to perform work of adolescents with mental retardation. Journal of Sport Rehabilitation, 7, 197–205.

    Google Scholar 

  • Suomi, R., & Koceja, D. M. (1994). Postural sway patterns of normal men and women and men with mental retardation during a two-legged stance test. Archives of Physical Medicine and Rehabilitation, 75, 205–209.

    PubMed  Google Scholar 

  • Tang, P. F., Moore, S., & Woollacott, M. H. (1998). Correlation between two clinical balance measures in older adults: Functional mobility and sensory organization test. Journals of Gerontology Series A Biological Sciences and Medical Sciences, 53, M140–M146.

    Article  Google Scholar 

  • Tannenbaum, T. N., Lipworth, L., & Baker, S. (1989). Risk of fractures in an intermediate care facility for persons with mental retardation. American Journal of Mental Retardation, 93, 444–451.

    PubMed  Google Scholar 

  • Temple, V., & Walkley, J. (2003). Physical activity of adults with intellectual disability. Journal of Intellectual Disability Research, 28, 342–352.

    Article  Google Scholar 

  • Temple, V. A., & Walkley, J. W. (2007). Perspectives of constraining and enabling factors for health promoting physical activity by adults with intellectual disability. Journal of Intellectual and Developmental Disability, 32(1), 28–38.

    Article  PubMed  Google Scholar 

  • Tinetti, M. E. (1986). Performance-oriented assessment of mobility problems in elderly patients. Journal of the American Geriatrics Society, 34, 119–126.

    Article  PubMed  Google Scholar 

  • Tinetti, M. E., Williams, T. F., & Mayewski, R. (1986). Fall risk index for elderly patients based on number of chronic disabilities. American Journal of Medicine, 80(3), 429–434.

    Article  PubMed  Google Scholar 

  • Tinetti, M. E., Speechley, M., & Ginter, S. F. (1988). Risk factors for falls among elderly persons living in the community. The New England Journal of Medicine, 319, 1701–1707.

    Article  PubMed  Google Scholar 

  • Tsimaras, V. K., & Fotiadou, E. G. (2004). Effect of training on the muscle strength and dynamic balance ability of adults with Down syndrome. Journal of Strength and Conditioning Research, 18, 343–347.

    PubMed  Google Scholar 

  • Turner, S., & Moss, S. (1996). The health needs of adults with learning disabilities and the health of the nation strategy. Journal of Intellectual Disability Research, 40, 438–450.

    Article  PubMed  Google Scholar 

  • Ulrich, D. A., Ulrich, B. D., Angulo-Kinzler, R. M., & Yun, J. (2001). Treadmill training of infants with Down syndrome: Evidence-based developmental outcomes. Pediatrics, 108, E84.

    Article  PubMed  Google Scholar 

  • Ulrich, B. D., Haehl, V., Buzzi, U. H., Kubo, M., & Holt, K. G. (2004). Modeling dynamic resource untilization in populations with unique constraints: Preadolescents with and without Down syndrome. Human Movement Science, 23, 133–156.

    Article  PubMed  Google Scholar 

  • Un, N., & Erbahceci, F. (2001). The evaluation of reaction time on mentally retarded children. Pediatric Rehabilitation, 4, 17–20.

    PubMed  Google Scholar 

  • Urv, T. K., Zigman, W. B., & Silverman, W. (2003). Maladaptive behaviors related to adaptive decline in aging adults with mental retardation. American Journal of Mental Retardation, 108, 327–339.

    Article  PubMed  Google Scholar 

  • Van De Vliet, P., Rintala, P., Fröjd, K., Verellen, J., van Houtte, S., Daly, D. J., & Vanlandewijck, Y. C. (2006). Physical fitness profile of elite athletes with intellectual disability. Scandinavian Journal of Medicine and Science in Sports, 16(6), 417–425.

    Article  PubMed  Google Scholar 

  • van Dijk, P. T., Meulenberg, O. G., van de Sande, H. J., & Habbema, J. D. (1993). Falls in dementia patients. The Gerontologist, 33(2), 200–204.

    Article  PubMed  Google Scholar 

  • Van Emmerik, R. E., Sprague, R. L., & Newell, K. M. (1993). Quantification of postural sway patterns in tardive dyskinesia. Movement disorders: Official Journal of the Movement Disorder Society, 8, 305–314.

    Article  Google Scholar 

  • Vereeck, L., Wuyts, F., Truijen, S., & Van de Heyning, P. (2008). Clinical assessment of balance: Normative data, and gender and age effects. International Journal of Audiology, 47, 67–75.

    Article  PubMed  Google Scholar 

  • Verghese, J., Holtzer, R., Lipton, R. B., & Wang, C. (2009). Quantitative gait markers and incident fall risk in older adults. Journals of Gerontology Series A Biological Sciences and Medical Sciences, 64, 896–901.

    Article  Google Scholar 

  • Virji-Babul, N., & Brown, M. (2004). Stepping over obstacles: Anticipatory modifications in children with and without Down syndrome. Experimental Brain Research, 159, 487–490.

    Article  PubMed  Google Scholar 

  • Vuijk, P. J., Hartman, E., Scherder, E., & Visscher, C. (2010). Motor performance of children with mild intellectual disability and borderline intellectual functioning. Journal of Intellectual Disability Research, 54(11), 955–965.

    Article  PubMed  Google Scholar 

  • Wade, M. G., Newell, K. M., & Wallace, S. A. (1978). Decision time and movement time as a function of response complexity in retarded persons. American Journal of Mental Deficiency, 83, 135–144.

    PubMed  Google Scholar 

  • Wagemans, A., & Cluitmans, J. (2006). Falls and fractures: A major health risk for adults with intellectual disabilities in residential settings. Journal of Policy and Practice in Intellectual Disabilities, 3, 136–138.

    Article  Google Scholar 

  • Wang, W. Y., & Ju, Y. H. (2002). Promoting balance and jumping skills in children with Down syndrome. Perceptual and Motor Skills, 94, 443–448.

    Article  PubMed  Google Scholar 

  • Wark, S., Hussain, R., & Edwards, H. (2014). The training needs of staff supporting individuals ageing with intellectual disability. Journal of Applied Research in Intellectual Disabilities, 27(3), 273–288.

    Article  PubMed  Google Scholar 

  • Webber, A., Virji-Babul, N., Edwards, R., & Lesperance, M. (2004). Stiffness and postural stability in adults with Down syndrome. Experimental Brain Research, 155, 450–458.

    Article  PubMed  Google Scholar 

  • Wennie Huang, W. N., Perera, S., VanSwearingen, J., & Studenski, S. (2010). Performance measures predict onset of activity of daily living difficulty in community-dwelling older adults. Journal of the American Geriatrics Society, 58(5), 844–852.

    Article  PubMed  Google Scholar 

  • Willgoss, T. G., Yohannes, A. M., & Mitchell, D. (2010). Review of risk factors and preventative strategies for fall-related injuries in people with intellectual disabilities. Journal of Clinical Nursing, 19, 2100–2109.

    PubMed  Google Scholar 

  • Winter, D. A. (2005). Biomechanics and motor control of human movement. Hoboken: Wiley.

    Google Scholar 

  • Wolfson, L. M., Whipple, R., Amerman, P., & Tobin, J. N. (1990). Gait assessment in the elderly: A gait abnormality rating scale and its relation to falls. Journal of Gerontology, 45, M12–M19.

    Article  PubMed  Google Scholar 

  • Wolfson, L., Judge, J., Whipple, R., & King, M. (1995). Strength is a major factor in balance, gait, and the occurrence of falls. Journals of Gerontology Series A Biological Sciences and Medical Sciences, 50, 64–67.

    Google Scholar 

  • Wu, J., Looper, J., Ulrich, B. D., Ulrich, D. A., & Angulo-Barroso, R. M. (2007). Exploring effects of different treadmill interventions on Walking onset and gait patterns in infants with Down syndrome. Developmental Medicine and Child Neurology, 49, 839–845.

    Article  PubMed  Google Scholar 

  • Wu, J., Ulrich, D. A., Looper, J., Tiernan, C. W., & Angulo-Barroso, R. M. (2008). Strategy adoption and locomotor adjustment in obstacle clearance of newly walking toddlers with Down syndrome after different treadmill interventions. Experimental Brain Research, 186, 261–272.

    Article  PubMed  Google Scholar 

  • Yanardag, M., Arikan, H., Yilmaz, I., & Konukman, F. (2013). Physical fitness levels of young adults with and without intellectual disability. Kinesiology: International Journal of Fundamental and Applied Kinesiology, 45(2), 233–240.

    Google Scholar 

  • Yu, C., Li, J., Liu, Y., Qin, W., Li, Y., Shu, N., & … Li, K. (2008). White matter tract integrity and intelligence in patients with mental retardation and healthy adults. NeuroImage, 40, 1533–1541.

    Article  PubMed  Google Scholar 

  • Zafeiridis, A., Giagazoglou, P., Dipla, K., Salonikidis, K., Karra, C., & Kellis, E. (2010). Muscle fatigue during intermittent exercise in individuals with mental retardation. Research in Developmental Disabilities, 31, 388–396.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Dimitrios Patikas PhD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Patikas, D. (2015). Gait and Balance. In: Matson, J., Matson, M. (eds) Comorbid Conditions in Individuals with Intellectual Disabilities. Autism and Child Psychopathology Series. Springer, Cham. https://doi.org/10.1007/978-3-319-15437-4_11

Download citation

Publish with us

Policies and ethics