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- W3041781481 abstract "INTRODUCTION/BACKGROUND: Joint hypermobility (JHM) and hypotonia are features shown in people with Down Syndrome (DS). Adaptive Exercise Programs adapt not only to the physical but also to behavioral and intellectual challenges. This study characterized JHM and related measures in a sample of adults with DS attending an adaptive exercise program. METHODS: Thirteen adults with DS (11 males and 2 females, 28.5 ± 3.2 y height: 138.6 ± 45.8 cm, body mass = 78.22 ± 15.03 kg) participated. Participants attended adaptive exercise programming twice a week for ≥ 9 months. Tests included active range of motion (AROM) measured three times (median score reported), JHM was determined through the 9-point Beighton scale, upper body (hand-grip dynamometer) and lower body (30-second sit-to-stand) strength. RESULTS: Means ± SD for AROM included: shoulder extension = 21.3 ± 8.9 °, shoulder flexion = 179.0 ± 9.7 °, shoulder abduction = 174.9 ± 8 °, shoulder medial rotation = 59.2 ± 13.2 °, shoulder lateral rotation = 86.1 ± 11.6 °, hip extension = 14.3 ± 5.8 °, hip flexion = 94.0 ± 13.6 °, hip abduction = 27.8 ± 8.4 °, hip adduction = 17.1 ± 4.5 °, hip medial rotation = 31.5 ± 6.3 °, hip lateral rotation = 31.9 ± 5.6 °, ankle dorsiflexion = 16.6 ± 8.2 °, ankle plantarflexion = 44.9 ± 8.2 °, subtalar inversion = 25.9 ± 6.0 °, and subtalar eversion = 19.2 ± 9.6 °. Participants presented with: no JHM 38.4% (n=5) and with JHM 60.14% (n=8). Strength was 26.4 ± 6 kg and the sit-to-stand included 20 ± 6 movements. There were not significant correlations between JHM and muscle strength (r=-0.338, p=.259) or physical function (r=-0.085 , p=.220). DISCUSSION/CONCLUSION: Adults with DS that participated in an instructor-led adaptive exercise setting showed lower AROM compared to norms in adults without DS, potentially because of persistent hypotonia. Despite the sizable incidence of JHM, JHM was more prominent in hands (50% of 8). Participants showed comparable upper-body strength but higher lower body strength than shown in DS. The program focused on strengthening large muscle groups with less emphasis on wrist or hand muscles which can potentially explain why only 1/3 of participants presented with the overall JHM and good lower body strength. Future studies should evaluate changes in JHM, AROM and muscle strength in response to adaptive exercise training in DS." @default.
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- W3041781481 date "2020-07-01" @default.
- W3041781481 modified "2023-09-26" @default.
- W3041781481 title "Hypermobility Characterization In Participants With Down Syndrome Attending An Instructor Led Controlled Adaptive Exercise Setting" @default.
- W3041781481 doi "https://doi.org/10.1249/01.mss.0000670880.13136.f7" @default.
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