Study on the suitability of two test for the assessment of the range of motion in sedentary people with intellectual disabilities

Authors

  • Ruth Cabeza-Ruiz Universidad de Sevilla
  • Pedro Tomás Gómez Piriz

DOI:

https://doi.org/10.47197/retos.v45i0.90399

Keywords:

psychometric porperties, intellectual disabilities, flexibility, adults, tests

Abstract

Introduction: People with intellectual disabilities (ID) show, in general, lower levels of physical fitness (PF) than people without disabilities. However, most of the test used for their assessment have been designed for the general population and do not show their suitability to be used with people with ID. Among the conditional capabilities, one of the most commonly assessed is the range of motion (ROM). The aim of this research was to assess the psychometric properties of the deep trunk flexion (DTF) and the sit and reach test (SAR) in people with mild-moderate ID in order to find out whether they are suitable for assessing this population. Method: The study was carried out with a test-retest design, in which 60 people with ID participated: 15 women (37.07±11.60 years) and 15 men (37.47±11.62) were randomly distributed to assess the DTF, and 15 women (36.87±11.72) and 15 men (36.40±8.57) were randomly distributed to assess the SAR. Reliability, feasibility, standard error of measurement (EEM) and minimum detectable change (MDC) were calculated to determine the suitability of both tests. Results: The reliability of the DTF and SAR was good to high. However, Bland-Altman plots showed biases for the SAR. The feasibility of the SAR was low, with less than 50% of participants performing the test correctly. The EEM and the MDC also showed higher variability for SAR with respect to the DTF. Conclusions: The DTF has been shown to be the more suitable of the two tests for the assessment of ROM in people with ID. However, future research should be oriented towards the creation of specific test for people with ID.

References

Aldridge VK, Dovey, T.M., & Wade, A. (2017). Assessing Test-Retest Reliability of Psychological Measures Persistent Methodological Problems. European Psychologist, 22, 207-218. https://doi.org/10.1027/1016-9040/a000298.

Atkinson, G., & Nevill, A.M. (1998). Statistical methods for assessing measurement error (reliability) in variables relevant to sports medicine. Sport Medicine, 26(4), 217-38. https://doi.org/10.2165/00007256-199826040-00002

Ayala, F., Sainz de Baranda, P., de Ste Croix, M., & Santonja, F. (2012). Fiabilidad y validez de las pruebas sit-and-reach: revisión sistemática. Revista Andaluza de Medicina del Deporte, 5(2), 57-66.

https://doi.org/10.1016/S1888-7546(12)70010-2

Ayán-Pérez, C., Martínez-Lemos, I., Lago-Ballesteros, J., Cancela Carral, J.M., & Loira-Camiña, N. (2016). Reliability and Validity of Physical Fitness Field-Based Test in Down Syndrome: A Systematic Review. Journal of Policy and Practice in Intellectual Disabilities, 13(2):142-156. https://doi.org/10.1111/jppi.12155

Ayán-Pérez, C., Martínez-Lemos, R.I., & Cancela-Carral, J.M. (2017). Reliability and convergent validity of the 6-min run test in young adults with Down syndrome. Disability and Health Journal, 10(1):105e113. https://doi.org/10.1016/j.dhjo.2016.07.004.

Bajo, S. (2003). La flexibilidad y la educación física escolar: evolución y aplicación en la escuela. En: M Guillén del Castillo, (Ed). Medicina deportiva y educación física en edad escolar. (pp. 421-40). Universidad de Córdoba, Servicio de Publicaciones.

Boer, P.H., & Moss, S.J. (2016). Test-retest reliability and minimal detectable change scores of twelve functional fitness test in adults with Down syndrome. Research in Developmental Disabilities, 48,176-185. https://doi.org/10.1016/j.ridd.2015.10.022

Cabeza-Ruiz, R. (2020). Considerations for the Design of a Physical Fitness Battery to Assess Adults with Intellectual Disabilities: Preliminary Reference Values for the SAMU DIS-FIT Study. International Journal of Environmental Research and Public Health, 17, 9280. https://doi.org/10.3390/ijerph17249280

Cabeza-Ruiz, R., Sánchez-López, A.M., Trigo, M.E., & Gómez-Píriz, P.T. (2020). Feasibility and reliability of the Assessing Levels of Physical Activity health-related fitness test battery in adults with intellectual disabilities. Journal of Intellectual Disability Research, 64, 612–628. https://doi.org/10.1111/jir.12756

Cuesta-Vargas, A.I., Paz-Lourido, B., & Rodríguez, A. (2011). Physical fitness profile in adults with intellectual disabilities: Differences between levels of sport practice. Research in Developmental Disabilities, 32, 788-794. https://doi.org/10.1016/j.ridd.2010.10.023.

Delgado-Valdivia, O., Martín-Cañada, M.A., Zurita-Ortega, F., Antequera-Rodríguez, J.J. & Fernández-Sánchez, M. (2009) Changes in flexibility according to gender and educational stage. Apunts Med Esport, 44,161, 10-7. https://doi.org/10.1016/s1886-6581(09)70103-3

European Commission. Directorate-General for Research and Innovation. (2012). El género en la investigación: manual. Publications Office. https://data.europa.eu/doi/10.2777/23655

Gempp, R. (2006). El error estándar de medida y la puntuación verdadera de los test psicológicos: Algunas recomendaciones prácticas. Terapia Psicológica, 24(2), 117–130. Recuperado Abril 13, 2021, de https://www.redalyc.org/articulo.oa?id=78524201

Geraldes, A.A.R., Albuquerque, R.B., Soares, R.M., Carvalho, J. & Farinatti, P.T.V. (2008). Correlação entre flexibilidade das articulações glenoumerais e coxofemorais e o desempenho funcional de idosas fisicamente ativas. Brasilian Journal of Physical Therapy, 12(4).

https://doi.org/10.1590/S1413-35552008000400005

Gidron, Y. (2013). Reliability and Validity. In: Gellman MD, Turner JR (eds) Encyclopedia of Behavioral Medicine (pp. 1643-1644). Springer.

Ginty, A.T. (2013) Psychometric Properties. In: Gellman M.D., Turner J.R. (eds) Encyclopedia of Behavioral Medicine (pp. 1563–1564). Springer.

Gómez-Píriz, P.T. (2011). El Entrenamiento Deportivo en el Siglo XXI. Fundación Alcalá.

Guimarães, J.M.N. & Farinatti, P.T.V. (2005). Análise descritiva de variáveis teoricamente associadas ao risco de quedas em mulheres idosas. Revista Brasileira de Medicina do Esporte, 11(5), 299-305. https://doi.org/10.1590/S1517-86922005000500011

Hilgenkamp, T.I.M., van Wijck, R., & Evenhuis, H.M. (2012). Low physical fitness levels in older adults with ID: Results of the HA-ID study. Research in Developmental Disabilities, 33, 1048–1058. https://doi.org/10.1016/j.ridd.2012.01.013

Hilgenkamp, T.I.M., van Wijck, R., & Evenhuis, H.M. (2012b). Feasibility and reliability of physical fitness test in older adults with intellectual disability: A pilot study. Journal of Intellectual & Developmental Disability, 37(2), 158–162. https://doi.org/10.3109/13668250.2012.681773

Kennedy, D.J., & Noh, M.Y. (2011). The role of core stabilization in lumbosacral radiculopathy. Physical Medicine and Rehabilitation Clinics of North America, 22(1), 91-103. https://doi.org/10.1016/j.pmr.2010.12.002

Matos-Duarte, M., Martínez de Haro, V., Sanz-Arribas, I., & Berlanga, L.A. (2022). El estilo de vida como condicionante de la flexibilidad del adulto mayor. Retos, 43, 283-289. https://doi.org/10.47197/retos.v43i0.88752

Matos-Duarte, M., Martínez de Haro, V., Sanz-Arribas, I., Andrade, A.G.P., & Chagas, M.H. (2017). Estudio longitudinal de la flexibilidad funcional en mayores físicamente activos. Revista Internacional de Medicina y Ciencias de la Actividad Física y del Deporte, 17(65), 121-137. http://dx.doi.org/10.15366/rimcafd2017.65.008

Mayorga-Vega, D., Viciana-Ramírez, J., Cocca, A., Becerra-Fernández, C., & Merino-Marbán, R. (2015). Criterion-related validity of sit-and-reach test for estimating hamstring and low back flexibility among elderly: A systematic review. Journal of Sport and Health Research, 7(1), 1-10. Recuperado Jun 20, 2021, de https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3918544/

Oppewal, A., & Hilgenkamp, T.I.M. (2020). Adding meaning to physical fitness test results in individuals with intellectual disabilities. Disability and Rehabilitation,42(10), 1-8. https://doi.org/10.1080/09638288.2018.1527399

Shrout, P.E., & Fleiss, J.L. (1979). Intraclass correlations: Uses in assessing rater reliability. Psychological Bulletin, 86(2), 420–428. https://doi.org/10.1037/0033-2909.86.2.420

Sundahl, L., Zetterberg, M., Wester, A., Rehn, B., & Blomqvist, S. (2016). Physical activity levels among adolescent and young adult women and men with and without intellectual disability. Journal of Applied Research in Intellectual Disabilities, 29, 93-98. https://doi.org/10.1111/jar.12170.

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.

Wouters, M., Van Der Zanden, A.M., Evenhuis, H.M., & Hilgenkamp, T.I.M. (2017). Feasibility and reliability of test measuring health-related physical fitness in children with moderate to severe levels of intellectual disability. American Journal of Intellectual and Developmental Disabilities, 122(5), 422-438. https://doi.org/10.1352/1944-7558-122.5.422

Zurita-Ortega, F.; Romero-Cerezo, C.; Ruiz-Rodríguez, L.; Martínez-Martínez, A.; Fernández-García, R., & Fernández-Sánchez, M. (2008). Influencia de las alteraciones raquídeas en la flexibilidad de los escolares. Revista Internacional de Medicina y Ciencias de la Actividad Física y el Deporte, 8(32), 282-298. Recuperado Jun 20, 2021, de https://cdeporte.rediris.es/revista/revista32/artalteraciones87.htm

Published

2022-06-21

How to Cite

Cabeza-Ruiz, R., & Gómez Piriz, P. T. (2022). Study on the suitability of two test for the assessment of the range of motion in sedentary people with intellectual disabilities. Retos, 45, 202–209. https://doi.org/10.47197/retos.v45i0.90399

Issue

Section

Original Research Article