Abstract

(1) Background: This study investigated the changes in step frequency, walking ability, and standing posture of students with intellectual disabilities by integrating step training into the students’ physical education curriculum; (2) Methods: The centroid formula was used to estimate the geometric center of the students’ bodies in video footage of each participant. Each participant’s stepping frequency per minute was recorded. After training, the teachers involved were interviewed regarding the participants’ everyday activities in school. Each step training session was recorded by two video cameras. Each step training session was observed and photographed by a senior physical education teacher with special education qualifications; (3) Results: The step training increased the stability of the participants’ body axes. The participants’ average steps per minute of the participants significantly improved from 24.200 ± 7.554 to 28.700 ± 8.629. Additionally, despite the students exhibiting anxious behavior (e.g., squeezing their hands and grasping at their clothes) at baseline, the frequency of these behaviors decreased significantly from week 4. Overall, the students’ daily activities, motivation, interpersonal interaction, self-confidence, and anxiety behaviors improved; (4) Conclusions: After the 8-week step program, the participants with intellectual disabilities improved their step frequency, movement stability, ability to perform daily activities, walking speed, motivation, interpersonal interaction, and self-confidence, and they exhibited a lower level of anxiety-related behaviors.

Highlights

  • Intellectual disability is a disorder that manifests during childhood and is characterized by considerable limitations in both intellectual functioning and adaptive behavior, affecting numerous everyday social and practical skills [1,2]

  • The stability of the participants’ body posture recorded during the step training, both in the horizontal and vertical axes, was significantly greater than that recorded before the training

  • The step training can increase the stability of the body axis of the students with intellectual disabilities

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Summary

Introduction

Intellectual disability is a disorder that manifests during childhood and is characterized by considerable limitations in both intellectual functioning and adaptive behavior, affecting numerous everyday social and practical skills [1,2]. Intellectual functioning refers to general mental capacity and encompasses learning, reasoning, and problem-solving. The perspectives of people with intellectual disabilities are increasingly being included in studies regarding their health. Sedentary behavior, and physical inactivity are the most common lifestyle problems among individuals with intellectual disabilities. Several studies have integrated the “healthy settings” approach into the daily routines of people with intellectual disabilities and trained support staff [3,4,5]. The person-centered health model was recommended for people with intellectual disabilities [6]

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