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@article{1786484,
author = {Gimunová, Marta and Bozděch, Michal and Skotáková, Alena and Grün, Vojtěch and Válková, Hana},
article_location = {HOBOKEN},
article_number = {10},
doi = {http://dx.doi.org/10.1111/jir.12873},
keywords = {backward gait; Down syndrome; forward gait; intellectual disability; Special Olympics},
language = {eng},
issn = {0964-2633},
journal = {JOURNAL OF INTELLECTUAL DISABILITY RESEARCH},
title = {Comparison of forward and backward gait in males with and without intellectual disabilities},
url = {https://onlinelibrary.wiley.com/doi/10.1111/jir.12873},
volume = {65},
year = {2021}
}
TY - JOUR
ID - 1786484
AU - Gimunová, Marta - Bozděch, Michal - Skotáková, Alena - Grün, Vojtěch - Válková, Hana
PY - 2021
TI - Comparison of forward and backward gait in males with and without intellectual disabilities
JF - JOURNAL OF INTELLECTUAL DISABILITY RESEARCH
VL - 65
IS - 10
SP - 922-929
EP - 922-929
PB - WILEY
SN - 09642633
KW - backward gait
KW - Down syndrome
KW - forward gait
KW - intellectual disability
KW - Special Olympics
UR - https://onlinelibrary.wiley.com/doi/10.1111/jir.12873
N2 - Background Intellectual disabilities (ID) affect both cognitive and motor functions. The backward gait is a daily activity and its assessment is used for fall risk estimation and training in the general population. For proper use of backward gait as a rehabilitation tool and in fall prevention programmes for people with ID, it is necessary to determine the backward gait characteristics in the ID population. The aim of this study was to compare the differences between forward and backward gait in persons with nonsyndromic mild and moderate ID, persons with Down syndrome (DS) and a control group of healthy adults. Methods Fifty males divided into four groups (mild ID: n = 15, moderate ID: n = 19, DS: n = 6, controls: n = 10) participated in this study. All participants were asked to walk both forward and backward, barefooted and at their natural velocity on a Zebris FDM platform. The Kruskal-Wallis H test was used to compare differences between the analysed groups in forward and backward gait. The Mann-Whitney U test was used to compare the differences between forward and backward gait within each group. Results The velocity was significantly slower in moderate ID and DS compared to controls in forward and backward gait. When comparing forward and backward gait within each group, the gait velocity decreased in backward gait compared with forward gait by 21.80% in controls, by 33.89% in mild ID, by 34.45% in moderate ID, and by 40.32% in DS. In both moderate ID and DS, the mean backward velocity was slower than 2.16 km/h, the velocity used to identify elderly fallers in the general population. Conclusions Gait velocity was especially affected in DS and moderate ID compared with controls. In both mentioned groups, the backward gait velocity suggests an increased risk of falling. Future studies are necessary to examine the possibility of improving balance control and leg muscle strength by backward walking training in the ID population.
ER -
GIMUNOVÁ, Marta, Michal BOZDĚCH, Alena SKOTÁKOVÁ, Vojtěch GRÜN and Hana VÁLKOVÁ. Comparison of forward and backward gait in males with and without intellectual disabilities. \textit{JOURNAL OF INTELLECTUAL DISABILITY RESEARCH}. HOBOKEN: WILEY, 2021, vol.~65, No~10, p.~922-929. ISSN~0964-2633. Available from: https://dx.doi.org/10.1111/jir.12873.
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