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J Intellect Disabil Res. 2018 May;62(5):454-466. doi: 10.1111/jir.12484. Epub 2018 Mar 25.

The association between gait and physical fitness in adults with intellectual disabilities.

Author information

1
Intellectual Disability Medicine, Department of General Practice, Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands.

Abstract

BACKGROUND:

Gait deviations are often seen in adults with intellectual disabilities (ID). Their low physical fitness levels may be associated with these deviations. Understanding the impact of fitness on gait in this population is important for developing interventions to improve gait. In a cross-sectional study, we assessed the association between multiple physical fitness components and spatiotemporal gait parameters in adults with ID.

METHOD:

Gait characteristics of 31 adults (42.77 ± 16.70 years) with ID without Down syndrome were assessed with the GAITRite at comfortable (CS) and fast speed (FS), along with fitness assessments (body composition, muscular endurance, strength, balance, Short Physical Performance Battery).

RESULTS:

At CS, adults with ID with higher BMI and/or waist circumference spent more time in double support. At FS, those with better muscular endurance took steps faster, those with better balance took bigger steps and strides and those with better Short Physical Performance Battery scores took bigger steps and strides at higher velocity.

CONCLUSIONS:

Body composition was mostly associated with gait at CS, while the other physical fitness components were mostly associated with gait at FS. Better fitness may therefore be more important in more challenging conditions. These insights are useful for developing interventions to improve gait in adults with ID.

KEYWORDS:

developmental disabilities; motor control; nervous system diseases; physical condition; walking

PMID:
29575346
DOI:
10.1111/jir.12484
[Indexed for MEDLINE]

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