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Down Syndrome and intellectual disabilites

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melissa allein

on 18 April 2016

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Transcript of Down Syndrome and intellectual disabilites

What is it?
Intellectual disability(or mental retardation) is described as
(a) a significant subaverage intelligence
(b)having limitations in two or more adaptive skills
The Cause of ID is unknown, but genetic disorders, and maternal factors have been known to contribute
How does this effect exercise?
People who have IDs develop other problems such as congenital heart diseases, and hearing and respiratory issues
Due to this, the exercises may have to be altered for the medication or the disease itself.

Contraindications
People with ID's have contraindications just like the normal contraindications fond in average people
Angina
myocarditis
When working with people with ID's always have a physician available with you
Exercise Testing Guidelines
The general health screening can apply to individuals with IDs but not with DS
Due to the high incidences of atlantoaxial instability, a physical examination and a careful history should be completed
A physican should be present while completing the exercise test
Down Syndrome (DS)
Also known as trisomy 21
This is due to the 21st pair of chromosomes containing an extra copy
Most common cause is fetal alcohol syndrome
5 important facts
1)Individuals with DS are often obese
2)Individuals with ID require more encouragement during training and testing
3) Almost all individuals with DS have a low max HR
4)Down Syndrome happens in all races and ethnicities
5)People with DS have an increased risk for several medical conditions
Down Syndrome and intellectual disabilities
Melissa Allein

Exercise Testing Continued
When completing a test, it is suggested that no running protocols be in place and a 1-RM test should be completed with machines instead of free weights
People with DS have a low max HR. Instead of completing the average 220-age calculation this calculation has to be used instead:
HRmax= 210-0.56(age)-15.5(DS) (1 for no DS and 2 for yes DS)
FITT-VP (aerobic)
F:3-7 d/wk, 3-4 mod/vig
I:40-80% VO2 max or HRR
T:30-60 min/d
T: walking. Running in slow progession through program. Swimming
V: >100 kcal/wk
P: slowly increase time walking, then increase speed
FITT-VP Strength
F:2-3 d/wk
I:12 reps, 15-20 RM
T:2-3 sets 1-2 min rest
T:machine based weights
V:12 reps of 2-3 sets with 1-2 min rest in between
P:increase weight gradually through program
FITT-VP Felxibility
F:2-3x/wk
I: feel tension and no pain
T:20-60 seconds each, 15-30 minutes total
T:static stretch
Why should they Exercise?
1)Increase confidence in "making muscles stronger"
2)Decreased depression
3)Slower progression of diseases
4)Increased balance/coordination
5)Decreased morbidity overall
5 Questions:
1)What is Down syndrome?
2)What is the most common cause of DS?
3) T/F: you are more suspecptable to down syndrome if you are a white male.
4)What is the Frequency for aerobic training?
5)Why should those with DS exercise(list 3 out of 5)?
Citations
Thompson, W. R., Gordon, N. F., & Pescatello, L. S. (2010). ACSM's guidelines for exercise testing and prescription (9th ed.). Philadelphia: Lippincott Williams & Wilkins.
Abraham, A. (n.d.). Promoting benefits for physical activity in individuals with down syndrome. Retrieved April 06, 2016, from http://www.pelinks4u.org/articles/acsahAbraham.htm
Ordonez, F. J. (n.d.). Influence of 12-week exercise training on fat mass percentage in adolescents with Down syndrome. Retrieved March 05, 2016, from http://www.medscimonit.com/abstract/index/idArt/459195/new/1/act/3
Lewis, C. L. (n.d.). Effects of Aerobic Conditioning and Strength Training on a C... : Pediatric Physical Therapy. Retrieved March 17, 2016, from http://journals.lww.com/pedpt/Abstract/2005/01710/Effects_of_Aerobic_Conditioning_and_Strength.5.aspx
Heller, T. (n.d.). Attitudinal and Psychosocial Outcomes of a Fitness and Health Education Program on Adults With Down Syndrome. Retrieved March 15, 2016, from http://www.aaiddjournals.org/doi/abs/10.1352/0895-8017(2004)1092.0.CO;2

"There is no greater disability in society than the inability to see a person as more"-Robert M.Hanse;
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