Effects of Eight Week of Dynamic Neuromuscular Stabilization Exercises on Respiratory, Functional Test and Quality of Life of Educable Mentally Retarded Students: Quasiexperimental Study

Document Type : Original Articles

Authors

1 MSc, Department of Sports Injury and Corrective Exercises, School of Sports Sciences, University of Isfahan, Isfahan, Iran

2 Professor, Department of Sport Injuries and Corrective Exercise, School of Sport Sciences, University of Isfahan, Isfahan, Iran

3 Assistant Professor, Department of Sport Injuries and Corrective Exercise, School of Sport Sciences, University of Isfahan, Isfahan, Iran

10.48305/jrrs.2023.41815.1052

Abstract

Introduction: Sedentary lifestyles and neurological disorders among individuals with intellectual disability have caused them to suffer from weaknesses in physical fitness and social adjustment factors. Breathing exercises along with the reconstruction of movement patterns from the first year of life in Dynamic Neuromuscular Stabilization (DNS) exercises, in addition to treatment, can be effective in preventing many disorders in these individuals. Therefore, the present study investigated the effect of 8 weeks of DNS training on respiratory function, functional tests, and quality of life (QOL) of educable intellectually disabled students.
Materials and Methods: In this semi-experimental research, 26 educable, intellectually disabled, ‎female students with a mean age of 17.19 ± 1.50 years and mean intelligence quotient‎ (IQ) score of 61.15 ± 6.07 were selected purposefully and were randomly divided into an experimental (n = 13) and control group (n = 13). Before and after the training intervention, respiratory function, functional test, and QOL variables were assessed using the Rockport Walking Test, the Functional Movement Screen (FMS) test, and the Comprehensive Quality of Life Scale (ComQOL), respectively. Repeated measures ANOVA at a significance level of 0.05 was used to analyze the data.
Results: According to the results of this study, after performing 8 weeks of DNS training, a significant difference was observed in respiratory function (P = 0.001; F = 82.93), right FMS (P = 0.011; F = 51.00), left FMS (P = 0.001; F = 46.09), and QOL (P = 0.001; F = 34.25) in the experimental group compared to before training and compared to the control group (P < 0.05). Therefore, DNS exercises showed a significant effect on respiratory performance, functional tests, and QOL of students with intellectual disabilities.
Conclusion: Based on the current results, it appears that DNS exercises can be used as an effective method for improving the breathing performance, functional tests, and QOL of mentally disabled female students.

Keywords

Main Subjects

  1. Sethu S, Kamalavathi MU. Comparison of gross motor skills between moderate mental retarded and non retarded children. Int J Yogic Hum Mov Sports Sci 2018; 3(1): 1122-1124.
  2. Çakmakçi E, Tatlici A, Yirmibeş B. Comparison of some performance parameters of physically active mentally retarded and inactive mentally retarded individuals. European Journal of Physical Education and Sport Science 2018; 12(4): 49-57.
  3. Dewantara S, Andiana O, Yunus M. Children with mild mental retardation interest in sports and health activities. The 3rd International Conference on Sports Sciences and Health 2019 (ICSSH 2019). Advances in Health Sciences Research 2020; 29: 126-32.
  4. Al Mosawi A. The etiology of mental retardation in Iraqi children. SunKrist Journal of Neonatology and Pediatrics 2019; 1(1): 1-9.
  5. Zolghadr H, Sedaghati P, Daneshmandi H. The effect of selected balance/corrective exercises on the balance performance of mentally-retarded students with developmental coordination disorder. Physical Treatments 2019; 9(1): 23-30.
  6. Pejci A, Kocic M. The impact of sport games exercise programs on the development of specific motor abilities in adolescents with intellectual impairment. Facta Universitatis, Series: Physical Education and Sport 2020; 18(1): 249-61.
  7. Kong Z, Sze TM, Yu JJ, Loprinzi PD, Xiao T, Yeung AS, et al. Tai Chi as an alternative exercise to improve physical fitness for children and adolescents with intellectual disability. Int J Environ Res Public Health 2019; 16(7): 1152.
  8. Askari Shahed S, Karimzadeh Shirazi K, Mousavizadeh SA. Processing and testing the quality of life in families with mentally retarded children. Armaghane-danesh 2016; 21(3): 290-304. [In Persian].
  9. Warren M, Lininger MR, Chimera NJ, Smith CA. Utility of FMS to understand injury incidence in sports: current perspectives. Open Access J Sports Med 2018; 9: 171-82.
  10. Rasoli M, Yaghmaei F, Mohajeri S, Ghodssi-Ghassemabadi R, Mehrabi Y, Naderlou M, et al. The correlation between the quality of life of mothers of children with special needs and their demographic characteristics in Tehran, Iran. Iranian Journal of Psychiatric Nursing 2021; 6(2): 71-8. [In Persian].
  11. Hashemi A, Shahrbanian S, Sheikh M. Effect of regular exercise on social interactions in children with intellectual disability. J Rehab Med 2019; 7(4): 11-20. [In Persian].
  12. Jebavy R, Balas J, Vomackova H, Szarzec J, Stastny P. The effect of traditional and stabilization-oriented exercises on deep stabilization system function in elite futsal players. Sports (Basel) 2020; 8(12): 153.
  13. Cook G, Burton L, Kiesel K, Rose G, FBryant MF. Movement: Functional movement systems: Screening, assessment and corrective strategies. 2nd Trans. Daneshmandi H, Tabatabaeenejad SM, Saki F, Nemati N. Tehran, Iran: Hatmi Publication; 2020.
  14. Kobesova A, Davidek P, Morris CE, Andel R, Maxwell M, Oplatkova L, et al. Functional postural-stabilization tests according to Dynamic Neuromuscular Stabilization approach: Proposal of novel examination protocol. J Bodyw Mov Ther 2020; 24(3): 84-95.
  15. Sharma K, Yadav A. Dynamic neuromuscular stabilization-a narrative. Int J Health Sci Res 2020; 10(9): 221-31.
  16. Frank C, Kobesova A, Kolar P. Dynamic neuromuscular stabilization and sports rehabilitation. Int J Sports Phys Ther 2013; 8(1): 62-73.
  17. Mahdieh L, Zolaktaf V, Karimi MT. Effects of dynamic neuromuscular stabilization (DNS) training on functional movements. Hum Mov Sci 2020; 70: 102568.
  18. Thomas JR, Nelson JK. Research method in physical activity. Trans. Sedigh Sarvestani RA. Tehran, Iran: SAMT; 2013. p. 169. [In Persian].
  19. Ghaeeni S, Saeraei Zadeh F. The effect of 8 weeks of regional dance on cardiovascular endurance of mentally retarded students. Sport Sciences and Health Research 2017; 9(1): 103-19. [In Persian].
  20. Ashori M, Norouzi G, Jalil-Abkenar SS. The effectiveness of motor therapy on motor skills and bilateral coordination of children with intellectual disability. Iranian Rehabilitation Journal 2018; 16(4): 331-8.
  21. Moradgholi E, Jafari M, Fathei M, Hejazi K. The effect of high-intensity interval training on e-selectin and p- selectin in obese women. Int J Endocrinol Metab 2016; 18(4): 279-86. [In Persian].
  22. Sawczyn M. Effects of a periodized functional strength training program (FST) on functional movement screen (FMS) in physical education students. Physical Education of Students 2020; 24(3): 162-7.
  23. Nejati V, Maleki G, Zabihzadeh A, Ahmadi K. Comparing the role of family and well-being centers in quality of life of trainable mental retarded. Journal of Family Research 2012; 8(2): 161-71. [In Persian].
  24. Moon MS, Renzaglia A. Physical fitness and the mentally retarded: A critical review of the literature. J Spec Educ 1982; 16(3): 269-87.
  25. Kunal, Subbalakshmi NK, Pai SR, Rashmi KS, Nayanatara A, Vinodini NA, et al. Impact of regularly supervised training of pranayama and omkar meditation on the cardio-respiratory parameters and short-term memory of persons with special needs. Pharmacogn J 2018; 10(2): 366-70.
  26. Bahiraei S, Daneshmandi H, Amiri R. physical fitness and health-related physical activity programs in people with Down syndrome: A systematic review. J Sport Biomech 2020; 5(4): 200-15. [In Persian].
  27. Thangavel D, Manivel R, Salika S. Effect of 12 weeks of slow breathing exercise practice on anthropometric parameters in healthy volunteers. Natl J Physiol Pharm Pharmacol 2018; 8(12): 1650-3.
  28. Park SJ, Lee JH, Min KO. Comparison of the effects of core stabilization and chest mobilization exercises on lung function and chest wall expansion in stroke patients. J Phys Ther Sci 2017; 29(7): 1144-7.
  29. Kesumawati S, Rahayu T. Activity model of playing 'My Hero is My Mother' to improve basic movement skills of mild mental retarded children. Journal Physical Education, Health and Recreation 2019; 4(1): 52-61.
  30. Yoon HS, Cha YJ, You JSH. Effects of dynamic core-postural chain stabilization on diaphragm movement, abdominal muscle thickness, and postural control in patients with subacute stroke: A randomized control trial. NeuroRehabilitation 2020; 46(3): 381-9.
  31. Ghosh D, Datta TK. Functional improvement and social participation through sports activity for children with mental retardation: A field study from a developing nation. Prosthet Orthot Int 2012; 36(3): 339-47.
  32. Bondar RZ, di FS, Bortoli L, Robazza C, Metsios GS, Bertollo M. The effects of physical activity or sport-based interventions on psychological factors in adults with intellectual disabilities: A systematic review. J Intellect Disabil Res 2020; 64(2): 69-92.
  33. Taghian H, Ghasemi GA, Sadeghi M. Effect of combined exercises (Strength and balance) on balance and aggression in 7-14 year-old educabe intelectual disability boys. J Rehab Med. 2017; 6(3): 174-181. [In Persian].
  34. Son MS, Jung DH, You JSH, Yi CH, Jeon HS, Cha YJ. Effects of dynamic neuromuscular stabilization on diaphragm movement, postural control, balance and gait performance in cerebral palsy. NeuroRehabilitation 2017; 41(4): 739-46.
Volume 18, Issue 1
2022
Pages 146-153
  • Receive Date: 08 July 2023
  • Revise Date: 30 August 2023
  • Accept Date: 31 August 2023