Adapted Physical Activity Quarterly最新文献

Although research has shown the benefit of physical activity (PA) on executive functions (EFs) in typically developing populations, the efficacy of such interventions among individuals with Down syndrome (DS) is less understood. Therefore, the aim of the review was to systematically examine the empirical literature on the influence of PA interventions on EF in individuals with DS. The search strategy identified 10 eligible articles, which were systematically reviewed following PRISMA guidelines. Relevant data (i.e., study characteristics and major findings) were charted, and risk of bias was assessed. Study findings indicate some positive effects of PA on the EF of individuals with DS, namely, inhibition and cognitive shifting. However, risk-of-bias assessment uncovered critical methodological issues that make results difficult to interpret. Taken together, results suggest that while PA interventions may be beneficial, more high-quality intervention studies are needed to further elucidate the potential impact on the EF of individuals with DS.

Regular participation in physical activity (PA) has been linked to improved health and well-being outcomes. People with disability, however, are faced with many barriers and often require support to participate. This scoping review aimed to understand how the support needs of people with disability wanting to participate in PA are assessed. A scoping review was conducted as per the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) extension for Scoping Reviews, which involved the review of four databases. A total of 35 papers met the inclusion criteria for this review, which identified 11 standardized assessment tools. All tools measured support needs within a general health and participation assessment and included items relevant to PA. No tools were found specific to PA participation. This review suggests that a PA-specific assessment tool would be valuable in measuring the support needs of people with disability with a focus on participation-based outcomes.

This study explored how athletes with psychiatric impairment in Japan perceived the Tokyo 2020 Paralympic Games. Data from 15 interviews were analyzed using reflexive thematic analysis; consequently, three themes were generated: (1) The Paralympics: "A Story of Another World"-the participants viewed the Paralympics only as a movement and not directly related to them; (2) "Do I Really Have to Work That Hard?"-"supercrip" representations through the Paralympics led to the disempowerment and disablement of people with psychiatric impairment, exacerbating their symptoms; (3) "A Futsal That Really Isn't Very Good"-the privileged status of the Paralympics presents only a facet of disability sport, which has resulted in other sports for people with psychiatric impairment, such as football, not being properly valued. This study adds to the literature regarding the legacy of the Paralympics and emphasizes moving beyond using the Paralympics as a vehicle for a more inclusive world.

This systematic review synthesizes quantitative evidence on school factors associated with physical activity (PA) participation in children and adolescents with disabilities (CAD). A comprehensive search was conducted in four databases, and studies were included if they quantitatively measured PA levels and examined school factors associated with PA participation among CAD. Methodological quality was assessed, and a semiquantitative synthesis was performed. Twenty-four studies with good to excellent methodological quality were included. Five primary and 21 secondary school factors linked to PA engagement in CAD were identified: school time structure, school PA characteristics, school physical environment, school social environment, and school organizational factors. Among these, four factors of the school time structure (i.e., physical education time, recess time, lunch time, and before- and/or after-school time) showed the most consistent positive associations with PA. This review highlights the critical role of structured school time for school-based PA promotion in CAD.

Purpose: Gait is a complex task that requires the interaction between motor and cognitive demand, being usually assessed using the dual-task (DT) paradigm. The aim of this study was to identify the effect of 21 weeks of application of multicomponent DT training on the spatiotemporal gait parameters, coefficients of variation, and DT cost in people with intellectual disability.

Methods: A controlled longitudinal pre-post design with random assignment to two groups (experimental and control) was used. Fifty-seven participants with intellectual disability joined in this study (age: 39 ± 9 years). The OptoGait system was used to register spatiotemporal gait parameters in two different conditions: single task and DT.

Results: The main findings revealed that in both conditions, the multicomponent DT training significantly reduced the coefficients of variation of spatiotemporal gait parameters (p < .001), whereas there was no effect on DT cost.

Conclusions: These findings suggest that the multicomponent DT training elicited a more stable and confident gait pattern.

To investigate the effect of a 6-week tai chi (TC) training program on physical performance in adolescents with Down syndrome and its influence on the psychological well-being of their parents, in a randomized controlled design, 25 male adolescents with Down syndrome (age 14.4 ± 1.30 years) were randomly assigned to a control group (n = 10) or a training group (n = 15). Before and after the training period, lower limb explosive strength, upper limb strength, flexibility, and balance were assessed in all participants, as well as their parents' psychological well-being. Using 2 × 2 repeated-measures analysis of variance, significant Group × Time interactions (p < .05; .33<ηp2<.87) were found for physical measures and parents' depression, anxiety, and stress symptoms. A 6-week TC program significantly improved lower limb explosive strength (p < .001; d = 1.21), upper limb strength (p < .001; d = 1.49), flexibility (p < .001; d = 1.11), and static balance (p < .001; d = 1.99) and reduced depression (p < .001; d = 1.89), anxiety (p < .001; d = 1.74), and stress scores (p < .001; d = 1.88) in parents in the training group compared with those in the control group. TC programs improve physical measures in adolescents with Down syndrome and psychological well-being of their parents. Establishing TC programs in sport associations could positively impact this population's physical performance.

Little is known about physical activity (PA) participation in people with advanced multiple sclerosis (MS). The purpose of this study was to (a) characterize self-reported PA levels and (b) explore how PA levels might differ based on sociodemographic (e.g., gender) and clinical (e.g., MS clinical course) characteristics in people with advanced MS. We used a cross-sectional online survey design with 101 participants. PA was measured using the Physical Activity Scale for Individuals With Physical Disabilities. The mean score on the scale was 4.5 (SD = 5.9) metabolic equivalent hours per day. There was a significant difference in scores based on employment, population density, living situation, disability, and assistive-device type (all p < .05). PA levels were higher in those who were employed, lived alone, required bilateral support for mobility, and were manual wheelchair users (all p < .05). This study highlights low PA levels in people with advanced MS and potential variables that might impact PA in this MS subgroup.

Physical literacy (PL) is increasingly being implemented as a means for holistic development for children and youth. Despite this, children experiencing disabilities and their families continue to face barriers that impede participation in physical activities and subsequent PL development. To empower families to actively engage in their PL development, this study sought to provide an accessible, home- and play-based, parent-facilitated intervention, namely, PLayTubs. The purpose was to explore parents' subjective understanding, involvement, and attitudes toward facilitating physical activity opportunities contributing to PL development through this intervention. Four parents with a child (<12 years old) diagnosed with a developmental impairment participated in a 10-week PLayTub experience. Data were collected via semistructured interviews with parents and their children. Making use of an interpretive description methodology and an ecological-dynamics conceptual framework, this study resulted in three themes: (a) a catalyst for autonomy, (b) more than just movement, and (c) an accessible alternative. Parents found that PLayTubs fostered autonomous participation and individual agency, enhanced connections and togetherness, and allowed for the creation of meaningful experiences with physical activity. These positive insights demonstrate the benefit of home-based interventions for this population and highlight the need for larger studies in the future.

This needs-assessment study evaluated the physical activity levels, needs, preferences, and requirements for exercise among individuals with visual impairments, aiming to establish evidence for the codesign of a subsequent home-based exercise program. The questionnaire, comprising 35 questions, was developed by a research team of disability and adapted physical activity experts. It was implemented for the online survey, collecting data from 145 adults with severe low vision and blindness between January 15 and January 29, 2024. Descriptive statistical analysis and content analysis were employed. Seventy-five participants (62.5%) were classified as overweight or obese, and only 15 participants reported engaging in the recommended levels of physical activity. Regarding the requirements for future home-based exercise programs, seven themes were identified: accessibility, nonvisual learning support, safety management, personalization, motivation, education, and technology. The results emphasized the urgent need for adapted home-based exercise programs that align with individuals' specific health conditions and abilities.

Strengths-based media coverage of people with disability challenges deficits-based perceptions of impairment that are elicited through a traditional, medical model. As an evaluation of strengths-based media coverage, we examined the impact of viewing Paralympic media coverage on explicit attitudes toward people with disability. University students (N = 135, Mage = 20.2 years) were assigned to a 12-day experimental condition of viewing either (a) Paralympic events (n = 47), (b) Olympic events (n = 48), or (c) no media coverage (n = 40). Attitudes toward disability were assessed pre- and postintervention using the Attitudes to Disability Scale. Repeated-measures profile analysis with a doubly multivariate design did not reveal improved attitudes toward disability after viewing Paralympic media coverage. Supporting previous work that questioned the ability of the Paralympic Games to alter perceptions of disability, these results suggest that the International Paralympic Committee is not achieving their intended legacy of inclusion.