A single-subject multiple baseline design across subjects was used to discern the effect of a token economy on the exercise behavior and cardiorespiratory fitness of individuals with Down syndrome. The subjects were three females ranging in age from 24 to 26 years, with estimated IQs between 32 and 56. The exercise behavior consisted of pedaling a cycle ergometer for 15 min each weekday at 50-60% of peak VO2 for 6 to 8 weeks. Subjects voluntarily pedaled the cycle ergometer during the baseline phase, and after stabilization entered the intervention phase at 5-day intervals. During the intervention phase, tokens that could be exchanged for preferred items were dispensed for a predetermined number of revolutions. Based on the data and calculations using the split-middle technique, it was concluded that a token economy can be used to increase exercise behavior. Resting heart rates decreased 12.2%, and submaximal exercise heart rates, averaged over three work stages, decreased 18.8% over the course of the study. The small sample size, variable subject response, and a malfunctioning gas analyzer call for caution in inferring any possible cardiorespiratory fitness training effect.
Over the past decade greater attention has been focused on the role of exercise and fitness for persons with disabilities. Increased involvement in exercise programmes, competitive sports and fitness activities has led to further inquiry into the broader concepts of performance, prevention of further deterioration of a given disability, maintenance for activities of daily living, and overall well-being. This paper reviews the literature on 3 categories of disabilities, mental retardation, mental illness and selected physical disabilities, in order to determine the role of exercise and fitness programmes in each. Despite problems in research design, sampling procedures, instrument validity, and delineation of fitness components, there is growing support for the premise that physical exercise has a role to play in breaking the debilitative cycle. Although the research indicates that physical activity can serve as a potential non-pharmacological adjunct therapy for persons with physical disabilities, there is still a need for well-controlled studies to quantify the individualization of exercise programming.
The data generated in this study were graphed for visual inspection of the raw data and means. Of the 5 subjects, 4 improved their time on task on the balance beam in at least one of the intervention phases. The other subject did not improve during the intervention phases but, there was a positive slope in the final intervention phase which might have continued had the intervention been longer. Further study is required.
The purpose of this study was twofold: (a) to explore the body image of athletes with physical disabilities, and (b) to understand how sport influences body image among these athletes. We interviewed 20 male and female athletes (Mage = 34.25, SD = 8.49) from a variety of sports regarding their body image and the role of sport in influencing body image. A thematic analysis (Braun & Clarke, 2006) was used to generate six themes: (a) personal significance of injury and disability, (b) noncentrality of the body and disability, (c) positive influence of sport on body esteem, (d) social factors influencing body-related emotions and perceptions, (e) body critiques and preferences, and (f) positive thoughts and emotions about the body. Sport seemed to be an important vehicle for experiencing body-related pride, and athletes expressed an intimate connection with the body parts that enabled them to physically compete.
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