Effect of an Aerobic Fitness Programme Intervention on the Motor Proficiency of Children with Mild and Moderate Intellectual Disabilities in India

Ritu Kalgotra, Jaspal Singh Warwal


Purpose: The study aimed to assess the effect of an Aerobic Fitness Programme intervention on children with mild and moderate intellectual disabilities in Jammu, India.

Method: In a pre-test post-test control group design, 66 children with mild and moderate intellectual disabilities, who fulfilled the inclusion and exclusion criteria, were placed in control and experimental groups. A validated tool, the Test of Motor Proficiency, was used as a pre-test and post-test measure to assess the effect of the intervention.

Results: The mean difference between the two groups of children with mild and moderate intellectual disabilities was significant. ANCOVA analysis indicated F (1,28) = 312.13, P =.00 in children with mild intellectual disabilities, and F (1,32) = 22.540, P =.00 in children with moderate intellectual disabilities. The intervention was effective in developing visual motor control, upper limb speed and dexterity, running speed and agility, balance, strength, and upper limb coordination. It was ineffective in improving bilateral coordination in both groups of children with intellectual disabilities. 

Conclusion: This intervention programme can be introduced into the daily curriculum of children with intellectual disabilities at special schools. It would be helpful in compensating for the lack of physical activity due to classroom-based teaching.


Bilateral coordination; dexterity; intellectual disability; intervention; motor proficiency

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Ameri MHS (2012). The possible effects of motor activities on improving perceptual motor capabilities of trainable mentally retarded children. World Journal of Sport Sciences; 7(2): 94-98.

American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders, 5th Edition. Arlington, VA: American Psychiatric Publishing. https://doi.org/10.1176/appi.books.9780890425596

Bruininks RH,Bruininks B D (2005). Bruininks-Oseretsky test of motor proficiency, 2nd Edition. San Antonio, TX: Pearson.

Chaiwanichsiri D, Sanguanrungsirikul S, Suwannakul W (2000). Poor physical fitness of adolescents with mental retardation at Rajanukul School, Bangkok. Journal of the Medical Association of Thailand; 83: 1387–1392. PMid:11215871

Chanias AK, ReidG, Hoover ML (1998). Exercise effects on health-related physical fitness of individuals with an intellectual disability: a meta-analysis. Adapted Physical Activity Quarterly; 15: 119–140. https://doi.org/10.1123/apaq.15.2.119

Cluphf D, O'Connor J, Vanin S (2001). Effects of aerobic dance on the cardiovascular endurance of adults with intellectual disabilities. Adapted Physical Activity Quarterly; 18: 60-71. https://doi.org/10.1123/apaq.18.1.60

Darrah J, Wessel J, Nearingburg P, O'Connor M (1999). Evaluation of a community fitness programme for adolescents with cerebral palsy. Paediatric Physical Therapy; 11: 18–23. https://doi.org/10.1097/00001577-199901110-00004

Draheim CC, Williams DP, McCubbin JA (2002). Prevalence of physical inactivity and recommended physical activity in community-based adults with mental retardation. Mental Retardation; 40: 436-444. https://doi.org/10.1352/0047-6765(2002)040<0436:POPIAR>2.0.CO;2

Emerson E (2005). Underweight, obesity and exercise among adults with intellectual disabilities in supported accommodation in Northern England. Journal of Intellectual Disabilities Research; 49: 134–143.

https://doi.org/10.1111/j.1365-2788.2004.00617.x. PMid:15634322

Fernhall B, Pitetti KH (2001). Limitations to physical work capacity in individuals with mental retardation. Clinical Exercise Physiologist; 3: 176–185.

Frey GC, Buchanan A, Rosser Sandt DD (2005). "I'd rather watch TV": An examination of physical activity in adults with mental retardation. Mental Retardation; 43: 241-254. https://doi.org/10.1352/0047-6765(2005)43[241:IRWTAE]2.0.CO;2

Frey GC, Chow B (2006). Relationship between BMI, physical fitness, and motor skills in youth with mild intellectual disabilities. International Journal of Obesity; 30: 861–867. https://doi.org/10.1038/sj.ijo.0803196. PMid:16404408

Gabler-Halle D, Halle JW, ChungYB (1993). The effects of aerobic exercise on psychological and behavioural variables of individuals with developmental disabilities: a critical review. Research in Developmental Disabilities; 14(5): 359-86. https://doi.org/10.1016/0891-4222(93)90009-9

Goel SK, Bhargava M (1990). Handbook for Seguin form board. Agra: National Psychological Corporation.

Golubovic S, Maksimovic J, Golubovic B, Glumbic N (2012). Effects of exercise on physical fitness in children with intellectual disability. Research in Developmental Disabilities; 33: 608–614. https://doi.org/10.1016/j.ridd.2011.11.003. PMid:22155534

Graham A, Reid G (2000). Physical fitness of adults with an intellectual disability: A 13-year follow-up study. Research Quarterly for Exercise and Sport; 71(2): 152–161. https://doi.org/10.1080/02701367.2000.10608893. PMid:10925812

Guideti L, Franciosi E, Gallota MC, Emeranziani GP, Baldari C (2010). Could sport specialization influence fitness and health of adults with mental retardation? Research in Developmental Disabilities; 5: 1070–1075. https://doi.org/10.1016/j.ridd.2010.04.002. PMid:20434307

Halle JW, Gabler-Halle D, Chung YB (1999). Effects of a peer-mediated aerobic conditioning programme on fitness levels of youth with mental retardation: two systematic replications. Mental Retardation; 37: 435–448. https://doi.org/10.1352/0047-6765(1999)037<0435:EOAPAC>2.0.CO;2

Hartman E, Houwen S, Scherder E, Visscher C (2010). On the relationship between motor performance and executive functioning in children with intellectual disabilities. Journal of Intellectual Disability Research; 5: 468–477. https://doi.org/10.1111/j.1365-2788.2010.01284.x. PMid:20537052

Henderson SE, Sugden DA, Barnett A (2007). Movement assessment battery for children, 2nd Edition. San Antonio, TX: Pearson.

Hoffmann TC, GlasziouPP, Boutron I, Milne R, Perera R, Moher D, Altman DG, Barbour, V, Macdonald H, Johnston M, Lamb SE, Dixon-Woods M, McCulloch P, Wyatt JC, Chan AW, Michie S (2014).Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide. British Medical Journal; 348: g1687. https://doi.org/10.1080/1369801X.2013.816077

Horvat M, Croce R, Pitetti KH (1998). A comparison of isokinetic peak force and work parameters in youth with and without mental retardation. Research Quarterly for Exercise and Sport; 69(1): 131–132.

Horvat M, Franklin C (2001). The effects of the environment on physical activity patterns of children with mental retardation. Research Quarterly for Exercise and Sport; 72: 189-195. https://doi.org/10.1080/02701367.2001.10608949. PMid:11393882

Jones MC, Walley MR, Leech A, Paterson M, Common S, Metcalf C (2007). Behavioural and psychosocial outcome of a 16-week rebound therapy-based exercise programme for people with profound intellectual disabilities. Journal of Policy and Practice in Intellectual Disabilities; 4(2): 111-119. https://doi.org/10.1111/j.1741-1130.2007.00108.x

Krahn GL, Hammond L, Turner A (2006). A cascade of disparities: Health and healthcare access for people with intellectual disabilities. Mental Retardation and Developmental Disabilities Research Reviews; 12:70–82. https://doi.org/10.1002/mrdd.20098. PMid:16435327

Lorenzi D, Horvat M, Pellegrini A (1999). Physical activity of children with and without mental retardation in inclusive recess settings. Research Quarterly for Exercise and Sport; 70(1): 136.

Lotan M, Henderson CM, Merrick J (2006). Physical activity for adolescents with intellectual disability. Minerva Paediatratics; 58: 219-226.

Meenakshi (2004). Manual for Socio Economic Status Scale. Agra: Rakhi Prakashan.

Owlia G, French R, Ben-Ezra V, Silliman LM (1995). Influences of reinforces on the time-on-task performance of adults who are profoundly mentally retarded. Adapted Physical Activity Quarterly; 12: 275-288. https://doi.org/10.1123/apaq.12.3.275

Pallant J (2007). SPSS survival manual: A step by step guide to data analysis using SPSS for windows. New York: McGraw-Hill/Open University Press. PMCid:PMC1950699

Pitetti KH, Millar AL, Fernhall B (2000). Reliability of a peak performance treadmill test for children and adolescents with and without mental retardation.Adapted Physical Activity Quarterly; 17: 322–332. https://doi.org/10.1123/apaq.17.3.322

Pitetti KH, Yarmer DA, Fernhall B (2001). Cardiovascular fitness and body composition of youth with and without mental retardation. Adapted Physical Activity Quarterly; 18 (2): 127–141. https://doi.org/10.1123/apaq.18.2.127

Pitetti KH, Yarmer DA (2002). Lower body strength of children and adolescents with and without mild mental retardation: a comparison. Adapted Physical Activity Quarterly; 19 (1): 68–81. https://doi.org/10.1123/apaq.19.1.68. PMid:28195802

Pitetti K, Baynard T, Agiovlasitis S (2013). Children and adolescents with Down syndrome, physical fitness and physical activity. Journal of Sport and Health Science; 2(10): 47–57. https://doi.org/10.1016/j.jshs.2012.10.004

Rimmer JH, BraddockD,Pitetti KH (1996). Research on physical activity and disability: An emerging national priority. Medicine and Science in Sports Exercise; 28: 1366-1372. https://doi.org/10.1097/00005768-199611000-00004. PMid:8933486

Rimmer JH, Braddock D (2002). Health promotion for people with physical, cognitive, and sensory disabilities: An emerging national priority. American Journal of Health Promotion; 16:220-224. https://doi.org/10.4278/0890-1171-16.4.220. PMid:11913327

SeagravesF, Horvat M, Franklin C et al (2004). Effects of a school-based programme on physical function and work productivity in individuals with mental retardation. Clinical Kinesiology; 58: 18.

Sherrill C (1998). Adapted physical activity, recreation and sport: cross disciplinary and lifespan. Boston: McGraw-Hill.

Sherrill C (2006). Adapted physical education and recreation: A multidisciplinary approach, 6th Edition. New York: McGraw Hill.

Skowronski W, Horvat M, Nocera J, Roswal G, Croce R (2009). Eurofit special: European fitness battery score variation among individuals with intellectual disabilities. Adapted Physical Activity Quarterly; 26(1): 54–67. https://doi.org/10.1123/apaq.26.1.54. PMid:19246773

Stanish HI, Draheim CC (2005). Assessment of walking activity using a pedometer and survey in adults with mental retardation. Adapted Physical Activity Quarterly; 22: 136-145. https://doi.org/10.1123/apaq.22.2.136

Stanish HI, Temple VA, Frey GC (2006). Health-promoting physical activity of adults with mental retardation. Mental Retardation and Developmental Disabilities Research Reviews; 12: 13–21. https://doi.org/10.1002/mrdd.20090. PMid:16435324

Stanish HI, TempleVA (2012). Efficacy of a peer-guided exercise programme for adolescents with intellectual disability. Journal of Applied Research in Intellectual Disabilities; 25(4): 319-28. https://doi.org/10.1111/j.1468-3148.2011.00668.x. PMid:22711480

Temple VA, Walkley JW (2003). Physical activity of adults with intellectual disability. Journal of Intellectual & Developmental Disability; 28: 342–353. https://doi.org/10.1080/13668250310001616380

Top E (2015). The Effect of Swimming Exercise on Motor Development Level in Adolescents with Intellectual Disabilities. American Journal of Sports Science and Medicine; 3(5): 85-89.

Van de Vliet P, Rintala P, Frojd K, Verellen J, van Houtte S, Daly DJ, Vanlandewijck YC (2006). Physical fitness profile of elite athletes with intellectual disability. Scandinavian Journal of Medicine and Science in Sports; 16(6): 417–425. https://doi.org/10.1111/j.1600-0838.2006.00539.x. PMid:17121644

Vuijk PJ, Hartman E, Scherder E, Visscher C (2010). Motor performance of children with mild intellectual disability and borderline intellectual functioning. Journal of Intellectual Disability Research; 54: 955–965. https://doi.org/10.1111/j.1365-2788.2010.01318.x. PMid:20854287

Wang WY, Chang JJ (1997). Effects of jumping skill training on walking balance for children with mental retardation and Down's syndrome. Kaohsiung Journal of Medical Sciences; 13(8): 487-95. http://www.ncbi.nlm.nih.gov/pubmed/9311200. PMid:9311200

Wilson BN, Crawford SG, Green D, Roberts G, Aylott A, Kaplan B (2009). Psychometric Properties of the Revised Developmental Coordination Disorder Questionnaire. Physical & Occupational Therapy in Paediatrics; 29(2): 182-202. https://doi.org/10.1080/01942630902784761. PMid:19401931

World Health Organisation (1992). Manual of the international classification of disease, injuries and causes of death-10. Geneva: WHO Press.

Wu CL, Lin JD, Hu J, Yen CF, Yen CT, Chou YL et al (2010). The effectiveness of healthy physical fitness programmes on people with intellectual disabilities living in a disability institution: Six-month short-term effect. Research in Developmental Disabilities; 31: 713–717. https://doi.org/10.1016/j.ridd.2010.01.013. PMid:20172687

Yilmaz I, Ergun N, Konukman F, Bonello M (2002). Effects of a 10-week water exercise and swimming programme on the physical fitness of mentally retarded children. Research Quarterly for Exercise and Sport; 73(1): 108.

Yilmaz I, Ergu N, Konukman F, Agbuga B, Zorba E, Cimen Z (2009). The effects of water exercises and swimming on physical fitness of children with mental retardation. Journal of Human Kinetics; 21: 105-111. https://doi.org/10.2478/v10078-09-0013-6

DOI: https://doi.org/10.5463/dcid.v29i3.768

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