Measuring Quadriceps strength in adults with severe or moderate intellectual and visual disabilities: Feasibility and reliability

Dijkhuizen, Annemarie; Douma, Rob; Krijnen, Wim P.; Schans, Cees P. van der; Waninge, Aly

doi:10.1111/jar.12468

Cited by 9 publications

(17 citation statements)

References 34 publications

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“…2007) and has been used in studies of adults with ID (Dijkhuizen et al . 2018). Individuals with motor function level 1 may have limitations in advanced motor skills; level 2 usually require stair railings, walk unassisted, but may occasionally use assist devices; level 3 require walking assist devices inside and usually outside and levels 4 and 5 usually require a wheelchair for mobility.…”

Section: Methodsmentioning

confidence: 99%

How do multimorbidity and lifestyle factors impact the perceived health of adults with intellectual disabilities?

Olsen

Halvorsen

Søndenaa

et al. 2021

J intellect Disabil Res

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Background Adults with intellectual disability (ID) have poorer physical and perceived health than the general population. Knowledge of perceived health predictors is both limited and important for guiding the development of preventive actions. The aims of this study were to investigate (1) the associations between perceived health and demographics, degree of ID, physical health conditions, and weight and physical activity level and (2) lifestyle factors and multimorbidity as predictors for perceived health adjusted for age, gender, and level of ID. Method The North Health in Intellectual Disability study is a community based cross‐sectional survey. The POMONA‐15 health indicators were used. Univariate and multivariate logistic regression analyses with poor versus good health as the dependent variable were applied. Results The sample included 214 adults with a mean age 36.1 (SD 13.8) years; 56% were men, and 27% reported perceiving their health as poor. In univariate analyses, there were significant associations between poor health ratings and female gender, lower motor function, number of physical health conditions and several indicators of levels of physical activity. In the final adjusted model, female gender [odds ratio (OR) 2.4, P < 0.05], level of ID (OR 0.65, P < 0.05), numbers of physical health conditions (OR 1.6, P < 0.001) and lower motor function (OR 1.5 P < 0.05) were significant explanatory variables for poor perceived health, with a tendency to independently impact failure to achieve 30 min of physical activity daily (OR 2.0, P = 0.07). Conclusion Adults with ID with female gender, reduced motor function and more physical health conditions are at increased risk of lower perceived health and should be given attention in health promoting interventions. A lack of physical activity tends to negatively influence perceived health.

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Section: Methodsmentioning

confidence: 99%

How do multimorbidity and lifestyle factors impact the perceived health of adults with intellectual disabilities?

Olsen

Halvorsen

Søndenaa

et al. 2021

J intellect Disabil Res

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“…If a learning period was required to perform the leg extension test in an appropriate/reliable way, the 1RM was measured later in the first week of the PRT programme. The leg extension test has shown to be a feasible and reliable instrument for measuring Quadriceps strength in persons with moderate and severe ID with visual impairment (Dijkhuizen et al, ).…”

Section: Methodsmentioning

confidence: 99%

“…In past research, persons with (severe) ID and visual impairment required a learning period of four to five times for adequately performing the leg extension test in an appropriate/reliable manner (Dijkhuizen et al, ). In this study, we determined whether a participant could properly perform the leg extension test in Week 1, that is, by performing the 1RM up to the maximum without any compensation.…”

Section: Methodsmentioning

confidence: 99%

“…However, these studies mainly included individuals with mild to moderate intellectual disabilities and not persons with more severe ID or persons with ID and visual impairments. Given that research has shown positive effects of other exercise programmes for persons with ID (Borji et al, ; Calders et al, ) and a past study has demonstrated successful use of the leg extension test for individuals with ID and visual impairment (Dijkhuizen, Douma, Krijnen, Schans, & Waninge, ), PRT of the Quadriceps muscles performed with the leg extension may also be feasible and effective for this population.…”

Section: Introductionmentioning

confidence: 99%

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Progressive resistance training for persons with intellectual disabilities and visual impairment

Dijkhuizen

Waninge

Hermans

et al. 2019

Research Intellect Disabil

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Background Knowledge concerning the feasibility and effects of progressive resistance training (PRT) for persons with intellectual disabilities and visual impairment who are categorized in Gross Motor Function Classification System (GMFCS) Level 1 is limited. The aim of our study was to evaluate feasibility and effect of PRT on participants' Quadriceps strength and personal goals. Methods Eight Participants followed a PRT program for 10 weeks. Feasibility was determined by percentage of attendance and compliance. The effect of PRT was analyzed with a linear mixed model (p < 0.05) and by normalized bootstrap (95% CI). Results Participants attended 87.8% of the sessions and trained according to the PRT program, indicating sufficient compliance. Quadriceps strength increased significantly by 69%, and participants' personal goals were achieved. Conclusion PRT is a feasible and potentially effective method for increasing Quadriceps strength as well as achieving personal goals in persons with intellectual disabilities and visual impairment with GMFCS Level 1.

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“…Others have reported that clinical tests of balance and gait are feasible in adults with mild to moderate intellectual disabilities (Enkelaar et al, 2013). Sufficient feasibility and test-retest reliability in lower extremity strength tests in 29 adults with severe or moderate intellectual and visual disabilities has been reported, but behaviour or communication problems may influence the examination results (Dijkhuizen et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Factors associated with non‐completion of and scores on physical capability tests in health surveys: The North Health in Intellectual Disability Study

Olsen

Halvorsen

Søndenaa

et al. 2021

Research Intellect Disabil

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Background: This study investigated the completion rates, scores and factors associated with non-completion and low scores on physical capability tests in a health survey administered to adults with intellectual disabilities.Method: Assessment comprised body mass index (BMI), the Short Physical Performance Battery (SPPB), the timed up-and-go (TUG) test, the one-legged stance (OLS) test; and gross motor, communication and behavioural functioning tests.Results: The completion rates among 93 participants (aged 17-78) were 46% for the SPPB, 42% for the TUG, and 31% for the OLS. More severe intellectual disability (OR = 3.12, p < .001) and lower BMI (OR = 0.859, p = .001) were related to test non-completion. The SPPB scores were below the reference values from the general population. Lower scores were associated with older age, motor disabilities and intellectual disability severity.

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Measuring Quadriceps strength in adults with severe or moderate intellectual and visual disabilities: Feasibility and reliability

Abstract: The MSST, the LE, and the 30sCS are feasible tests for measuring muscle strength in persons with SIVD, having sufficient test re-test reliability.

Cited by 9 publications

References 34 publications

How do multimorbidity and lifestyle factors impact the perceived health of adults with intellectual disabilities?

How do multimorbidity and lifestyle factors impact the perceived health of adults with intellectual disabilities?

Progressive resistance training for persons with intellectual disabilities and visual impairment

Factors associated with non‐completion of and scores on physical capability tests in health surveys: The North Health in Intellectual Disability Study

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