Biopsychosocial Factors Related to Postural Sway During Sit-to-Stand Movement in Children and Adolescents With Down Syndrome: A Cross-Sectional Study

Abstract

We investigated factors related to postural sway during sit-to-stand movement in children and adolescents with Down syndrome (DS). Our assessment of participants followed the biopsychosocial model. Body function and structure were represented by muscle strength and postural sway during sit-to-stand movement, which were assessed by manual muscle testing and kinetics analysis, respectively. The Gross Motor Function Measure and Pediatric Balance Scale depicted the activity component. In addition, we included these relevant contextual factors: age, Home Observation for Measurement of the Environment, family income, and maternal schooling. A correlation analysis verified a suspected association between biopsychosocial and postural sway variables. There were significant separated correlations between postural sway in the three phases of the sit-to-stand movement, and age, GMFM-88 dimension D, and muscle strength. Thus, postural control in sit-to-stand movement was related to biopsychosocial factors involving different life aspects of children and adolescents with DS, and these factors should be addressed in rehabilitation therapy intended to improve postural control among these individuals.

Keywords

children down syndrome international classification of functioning sit-to-stand movement adolescent biopsychosocial factors

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References

Alcántara-Porcuna

Sánchez-López

Martínez-Vizcaíno

Martínez-Andrés

Ruiz-Hermosa

Rodríguez-Martín

(2021). Parents’ perceptions on barriers and facilitators of physical activity among schoolchildren: A qualitative study. International Journal of Environmental Research and Public Health, 18(6), 3086. https://doi.org/10.3390/ijerph18063086

Andrade

S. A.

Santos

D. N.

Bastos

A. C.

Pedromônico

M. R. M.

de Almeida-Filho

Barreto

M. L.

(2005). [Family environment and child’s cognitive development: An epidemiological approach]. Revista De Saude Publica, 39(4), 606–611. https://doi.org/10.1590/s0034-89102005000400014

Axelsson

A. K.

Imms

Wilder

(2014). Strategies that facilitate participation in family activities of children and adolescents with profound intellectual and multiple disabilities: Parents’ and personal assistants’ experiences. Disability and Rehabilitation, 36(25), 2169–2177. https://doi.org/10.3109/09638288.2014.895058

Beqaj

Tërshnjaku

E. E. T.

Qorolli

Zivkovic

(2018). Contribution of physical and motor characteristics to functional performance in children and adolescents with down syndrome: A Preliminary study. Medical Science Monitor Basic Research, 24, 159–167. https://doi.org/10.12659/MSMBR.910448

Bradley

R. H.

Caldwell

B. M.

(1984). The HOME Inventory and family demographics. Developmental Psychology, 20(2), 315–320. https://doi.org/10.1037/0012-1649.20.2.315

Brugnaro

B. H.

Oliveira

M. F. P.

de Campos

A. C.

Pavão

S. L.

Rocha

N. A. C. F.

(2022). Postural control in down syndrome and relationships with the dimensions of the international classification of functioning, disability and health—a systematic review. Disability and Rehabilitation, 44(11), 2207–2222. https://doi.org/10.1080/09638288.2020.1830439

Bryman

Cramer

(1994) Quantitative data analysis for social scientists. (Rev. Ed.) alan Bryman & Duncan Cramer (1994). ISBN 0-415-11307-5. Available from Routledge, 29 west 35th street, New York, NY 10001, 1997. https://journals.sagepub.com/doi/abs/10.1177/153321019700300250

Buchner

D. M.

Larson

E. B.

Wagner

E. H.

Koepsell

T. D.

de Lateur

B. J.

(1996). Evidence for a non-linear relationship between leg strength and gait speed. Age and Ageing, 25(5), 386-391. https://doi.org/10.1093/ageing/25.5.386

Cohen

(1992). Statistical power analysis. Current Directions in Psychological Science, 1(3), 98–101. https://doi.org/10.1111/1467-8721.ep10768783

10.

Cowley

P. M.

Ploutz-Snyder

L. L.

Baynard

Heffernan

Jae

S. Y.

Hsu

Lee

Pitetti

K. H.

Reiman

M. P.

Fernhall

(2010). Physical fitness predicts functional tasks in individuals with down syndrome. Medicine and Science in Sports and Exercise, 42(2), 388–393. https://doi.org/10.1249/MSS.0b013e3181b07e7a

11.

Darr

Franjoine

M. R.

Campbell

S. K.

Smith

(2015). Psychometric Properties of the pediatric balance scale using Rasch analysis. Pediatric Physical Therapy: The Official Publication of the Section on Pediatrics of the American Physical Therapy Association, 27(4), 337–348. https://doi.org/10.1097/PEP.0000000000000178

12.

Discovering Statistics Using IBM SPSS Statistics . (2022, September 13). SAGE Publications Ltd. https://uk.sagepub.com/en-gb/eur/discovering-statistics-using-ibm-spss-statistics/book257672

13.

dos Santos

A. N.

Pavão

S. L.

de Campos

A. C.

Rocha

N. A. C. F.

(2012). International classification of functioning, disability and health in children with cerebral palsy. Disability and Rehabilitation, 34(12), 1053–1058. https://doi.org/10.3109/09638288.2011.631678

14.

dos Santos

A. N.

Pavão

S. L.

Santiago

P. R. P.

Salvini

T. de F.

Rocha

N. A. C. F.

(2013). Sit-to-stand movement in children with hemiplegic cerebral palsy: Relationship with knee extensor torque and social participation. Research in Developmental Disabilities, 34(6), 2023–2032. https://doi.org/10.1016/j.ridd.2013.03.021

15.

Duarte

Freitas

S. M. S. F.

(2010). Revisão sobre posturografia baseada em plataforma de força para avaliação do equilíbrio. Revista Brasileira de Fisioterapia, 14(3), 183–192. https://doi.org/10.1590/S1413-35552010000300003

16.

Foley

K.-R.

Girdler

Bourke

Jacoby

Llewellyn

Einfeld

Tonge

B. V.

Oarnebter

T. R.

Leonard

(2014). Influence of the environment on participation in social roles for young adults with down syndrome. PloS One, 9(9), Article e108413. https://doi.org/10.1371/journal.pone.0108413

17.

Franjoine

M. R.

Gunther

J. S.

Taylor

M. J.

(2003). Pediatric balance scale: A modified version of the berg balance scale for the school-age child with mild to moderate motor impairment. Pediatric Physical Therapy: The Official Publication of the Section on Pediatrics of the American Physical Therapy Association, 15(2), 114–128. https://doi.org/10.1097/01.PEP.0000068117.48023.18

18.

Fujiwara

Kiyota

Mammadova

Yaguchi

(2011). Age-related changes and sex differences in postural control adaptability in children during periodic floor oscillation with eyes closed. Journal of physiological anthropology, 30(5), 187–194. https://doi.org/10.2114/jpa2.30.187

19.

Herrington

Brussoni

(2015). Beyond physical activity: The importance of play and nature-based play spaces for children’s health and development. Current Obesity Reports, 4(4), 477–483. https://doi.org/10.1007/s13679-015-0179-2

20.

Jeevanantham

(2016). Application of the international classification of functioning, disability and health—children and youth in children with cerebral palsy. Indian Pediatrics, 53(9), 805–810. https://doi.org/10.1007/s13312-016-0935-8

21.

Kendall

F. P.

McCreary

E. K.

Provance

P. G.

(1995). Muscles, tests and functions: Posture and pain. https://bds.unb.br/handle/123456789/853

22.

Kralj

Jaeger

R. J.

Munih

(1990). Analysis of standing up and sitting down in humans: Definitions and normative data presentation. Journal of Biomechanics, 23(11), 1123–1138. https://doi.org/10.1016/0021-9290(90)90005-n

23.

Lima

C. R. G.

Pavão

S. L.

de Campos

A. C.

Rocha

N. A. C. F.

(2020). Impact of dual task on postural sway during sit-to-stand movement in children with unilateral cerebral palsy. Clinical Biomechanics (Bristol, Avon), 78, 105072. https://doi.org/10.1016/j.clinbiomech.2020.105072

24.

Cuartas

Fink

McCoy

Liu

Daelmans

Richter

(2020). Inequalities in early childhood care and development in low/middle-income countries: 2010-2018. BMJ Global Health, 5(2), Article e002314. https://doi.org/10.1136/bmjgh-2020-002314

25.

Magill

R. A.

(2000). Aprendizagem motora: Conceitos e Aplicações. Editora Blucher.

26.

Malak

Kotwicka

Krawczyk-Wasielewska

Mojs

Samborski

(2013). Motor skills, cognitive development and balance functions of children with down syndrome. Annals of Agricultural and Environmental Medicine: AAEM, 20(4), 803–806.

27.

Minns

R. A.

(2010). Children’s Orthopaedics and Fractures. Chapter 15—neuromotor development and Examination. Springer Science & Business Media.

28.

Palisano

R. J.

Walter

S. D.

Russell

D. J.

Rosenbaum

P. L.

Gémus

Galuppi

B. E.

Cunningham

(2001). Gross motor function of children with down syndrome: Creation of motor growth curves. Archives of Physical Medicine and Rehabilitation, 82(4), 494–500. https://doi.org/10.1053/apmr.2001.21956

29.

Patla

(1990). Assessment of balance control in the elderly: Major issues. Physiotherapy Canada, 42(2), 89–97. https://doi.org/10.3138/ptc.42.2.089

30.

Patterson

Rapsey

C. M.

Glue

(2013). Systematic review of cognitive development across childhood in down syndrome: Implications for treatment interventions. Journal of Intellectual Disability Research: JIDR, 57(4), 306–318. https://doi.org/10.1111/jir.12037

31.

Pavão

(2017). Differences in postural oscillation during quiet stance alone and quiet stance following sit-to-stand movement in children with cerebral palsy. Physical Medicine and Rehabilitation - International, 4(3), https://doi.org/10.26420/physmedrehabilint.2017.1121

32.

Pavão

S. L.

de Campos

A. C.

Rocha

N. A. C. F.

(2019). Age-related changes in postural sway during sit-to-stand in typical children and children with cerebral palsy. Journal of Motor Behavior, 51(2), 185–192. https://doi.org/10.1080/00222895.2018.1454396

33.

Pavão

S. L.

Santos

A. N.

Oliveira

A. B.

Rocha

N. A. C. F.

(2015). Postural control during sit-to-stand movement and its relationship with upright position in children with hemiplegic spastic cerebral palsy and in typically developing children. Brazilian Journal of Physical Therapy, 19(1), 18–25. https://doi.org/10.1590/bjpt-rbf.2014.0069

34.

Pena

G. M.

Pavão

S. L.

Oliveira

M. F. P.

Godoi

de Campos

A. C.

Rocha

N. A. C. F.

(2019). Dual-task effects on postural sway during sit-to-stand movement in children with down syndrome. Journal of Intellectual Disability Research: JIDR, 63(6), 576–586. https://doi.org/10.1111/jir.12599

35.

Ries

L. G. K.

Michaelsen

S. M.

Soares

P. S. A.

Monteiro

V. C.

Allegretti

K. M. G.

(2012). Adaptação cultural e análise da confiabilidade da versão brasileira da Escala de Equilíbrio Pediátrica (EEP). Brazilian Journal of Physical Therapy, 16(3), 205–215. https://doi.org/10.1590/S1413-35552012005000026

36.

Russell

Palisano

Walter

Rosenbaum

Gemus

Gowland

Galuppi

Lane

(1998). Evaluating motor function in children with down syndrome: Validity of the GMFM. Developmental Medicine and Child Neurology, 40(10), 693–701. https://doi.org/10.1111/j.1469-8749.1998.tb12330.x

37.

Saccani

Valentini

N. C.

Pereira

K. R.

Müller

A. B.

Gabbard

(2013). Associations of biological factors and affordances in the home with infant motor development. Pediatrics International: Official Journal of the Japan Pediatric Society, 55(2), 197–203. https://doi.org/10.1111/ped.12042

38.

Sania

Sudfeld

C. R.

Danaei

Fink

McCoy

D. C.

Zhu

Fawzi

M. C. S.

Akman

Arifeen

S. E.

Barros

A. J. D.

Bellinger

Black

M. M.

Bogale

Braun

J. M.

van den Broek

Carrara

Duazo

Duggan

Fernald

L. C. H.

Fawzi

(2019). Early life risk factors of motor, cognitive and language development: A pooled analysis of studies from low/middle-income countries. BMJ Open, 9(10), Articlee026449. https://doi.org/10.1136/bmjopen-2018-026449

39.

Seven

Y. B.

Akalan

N. E.

Yucesoy

C. A.

(2008). Effects of back loading on the biomechanics of sit-to-stand motion in healthy children. Human Movement Science, 27(1), 65–79. https://doi.org/10.1016/j.humov.2007.11.001

40.

Sherman

S. L.

Allen

E. G.

Bean

L. H.

Freeman

S. B.

(2007). Epidemiology of down syndrome. Mental Retardation and Developmental Disabilities Research Reviews, 13(3), 221–227. https://doi.org/10.1002/mrdd.20157

41.

Sobera

Siedlecka

Syczewska

(2011). Posture control development in children aged 2-7 years old, based on the changes of repeatability of the stability indices. Neuroscience Letters, 491(1), 13–17. https://doi.org/10.1016/j.neulet.2010.12.061

42.

Totsika

Sylva

(2004). The home observation for measurement of the environment revisited. Child and Adolescent Mental Health, 9(1), 25–35. https://doi.org/10.1046/j.1475-357X.2003.00073.x

43.

Weir

J. P.

(2005). Quantifying test-retest reliability using the intraclass correlation coefficient and the SEM. Journal of Strength and Conditioning Research, 19(1), 231–240. https://doi.org/10.1519/15184.1

44.

World Health Organization . (2007). International classification of functioning, disability and health: Children and youth version: ICF-CY. World Health Organization. https://apps.who.int/iris/handle/10665/43737

45.

Wuang

C.-Y.

(2012). Patterns of participation and enjoyment in adolescents with down syndrome. Research in Developmental Disabilities, 33(3), 841–848. https://doi.org/10.1016/j.ridd.2011.12.008

46.

Yoshioka

Nagano

Hay

D. C.

Fukashiro

(2009). Biomechanical analysis of the relation between movement time and joint moment development during a sit-to-stand task. BioMedical Engineering OnLine, 8(1), 27. https://doi.org/10.1186/1475-925X-8-27