Gait Characteristics of Adults With Intellectual Disability

Oppewal, Alyt; Festen, Dederieke; Hilgenkamp, Thessa

doi:10.1352/1944-7558-123.3.283

Cited by 14 publications

(27 citation statements)

References 81 publications

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“…Adults with ID seemed to have a lower gait velocity, more variable and broader gait pattern, and their gait is thought to already resemble an older gait pattern at a relatively younger age (Oppewal et al . 2018). These pre‐existing gait disturbances may mask the relative contribution of polypharmacy on gait, or people with ID may already have developed adaptation strategies to try to cope with their disturbances, for example, to enhance balance.…”

Section: Discussionmentioning

confidence: 99%

“…First, because this was a secondary analysis of a study with a different primary research question (study gait characteristics of adults with ID, not causes by DS), the study was not powered to answer the research question in this article (Oppewal et al . 2018). Therefore, this exploratory may have had in inadequate statistical power to find significant results, which limits generalisability of the results.…”

Section: Discussionmentioning

confidence: 99%

“…Because of a previous study with the same sample that found sex and BMI to be associated with gait (Oppewal et al . 2018), we subsequently assessed the independent association of polypharmacy and using antipsychotics with the gait parameters with multiple linear regression analysis while correcting for sex and BMI.…”

Section: Methodsmentioning

confidence: 99%

“…In a previous study, we found that gait of adults with ID was rather similar to the gait seen in older adults in the general population who were on average 20 years older, thereby already resembling an older gait pattern (Oppewal et al . 2018). Adults with ID also seemed to have a more variable and broader gait pattern (Oppewal et al .…”

Section: Introductionmentioning

confidence: 99%

“…Adults with ID also seemed to have a more variable and broader gait pattern (Oppewal et al . 2018). Furthermore, certain genetic syndromes causing ID can also result in specific gait disturbances.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

The association between medication use and gait in adults with intellectual disabilities

Maas

Festen

Hilgenkamp

et al. 2020

J intellect Disabil Res

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Background Adults with intellectual disabilities (ID) often have polypharmacy and often use antipsychotics. Both polypharmacy and antipsychotics have a negative effect on gait in the general population, but this has not been studied in adults with ID. These negative effects may add to pre‐existing gait disturbances in adults with ID and increase the risk for adverse health outcomes in this population. Therefore, the aim of this study is to investigate the difference in gait parameters between adults with ID with and without polypharmacy and between adults with ID using and not using antipsychotics. Method The gait parameters of 31 participants were collected with the GAITRite walkway, a pressure sensitive walkway measuring spatial and temporal gait parameters, in addition to information about personal characteristics, prescribed medication and presence of polypharmacy. Results After adjustment for sex and body mass index, participants with polypharmacy had a significantly shorter step length [polypharmacy B (SE) = −0.079 (0.034), P = 0.03], shorter stride length [polypharmacy B (SE) = −0.157 (0.069), P = 0.03] and longer double support time [polypharmacy B (SE) = 0.0004 (0.0001), P = 0.047]. Participants using antipsychotics had a significantly longer double support time [antipsychotic use B (SE) = 0.0003 (0.0002), P = 0.019]. Conclusion This study showed for the first time that both polypharmacy and using antipsychotics are associated with gait in adults with ID. The differences seem to resemble a more cautious gait. Further investigation with larger study samples, additional medication types and dosages are needed to acquire more insight in this important topic.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

The association between medication use and gait in adults with intellectual disabilities

Maas

Festen

Hilgenkamp

et al. 2020

J intellect Disabil Res

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Clinical usefulness and challenges of instrumented motion analysis in patients with intellectual disabilities

et al. 2019

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Background: Clinical laboratory testing of locomotor disorders is challenging in patients with intellectual disability (ID). Nevertheless, also in this population gait analysis has substantial value as motor problems are common. To promote its use, adequate protocols need to be developed and the impact on clinical decision making needs to be documented.Research Question: What is the clinical usefulness of instrumented motion analysis in patients with ID?Method: This narrative review consists of three parts. A literature review was performed to describe the gait pattern of patients with ID. Next, benefits and challenges of standard gait analysis protocols are described. Finally, a case of a girl with ID due to genetic cause showing gait abnormalities is discussed. Results:The literature review resulted in 20 studies on "gait" in patients with an "ID", published since August, 1 st 2013. Gait deviations were observed in all studies investigating the ID population with an underlying genetic syndrome. Observed gait deviations in the ID population might be attributed to physical characteristics, cognitive components or both. The main goal of clinical gait assessment is the identification of gait deviations and the evaluation of their progress over time, in order to optimize the treatment plan. The choice of adequate method and measurement modalities depends on the clinical goal, the available resources and the abilities of the patient. In the case report we presented, we succeeded in performing an instrumented 3D gait analysis in a girl with severe ID at the ages of 4y4m, 6y0m, 7y2m and 8y2m. Progressive gait deviations were found suggesting a crouch gait pattern was developing. Results of the gait analysis led to the prescription of rigid ankle-foot orthoses.Significance: Gait analysis has substantial value for patients with ID. Gait analysis allows clinicians to objectify the relationship between physical characteristics and gait features.

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Static postural balance between male athletes with intellectual disabilities and their sedentary peers: A comparative study

Jouira

Srihi

Kachouri

et al. 2021

Research Intellect Disabil

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Intellectual disability is a complex dysfunction difficult to define accurately. According to Schalock et al. (2010), it is characterized by meaningful limitations in intellectual functioning and adaptive behaviour, expressed in conceptual, social and practical adaptive skills (Schalock et al., 2010). Many individuals with intellectual disabilities experience motor impairments. In this context, it has been demonstrated that people with intellectual disabilities have gait problems (Oppewal et al., 2018). Specifically, one of the most common problems seen in people with intellectual disabilities is the decreased postural balance. In fact, several studies show that they present lim-

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Gait Characteristics of Adults With Intellectual Disability

Cited by 14 publications

References 81 publications

The association between medication use and gait in adults with intellectual disabilities

The association between medication use and gait in adults with intellectual disabilities

Clinical usefulness and challenges of instrumented motion analysis in patients with intellectual disabilities

Static postural balance between male athletes with intellectual disabilities and their sedentary peers: A comparative study

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