Short-term motor learning through non-immersive virtual reality task in individuals with down syndrome

BackgroundDown syndrome (DS) has unique physical, motor and cognitive characteristics. Despite cognitive and motor difficulties, there is a possibility of intervention based on the knowledge of motor learning. However, it is important to study the motor learning process in individuals with DS during a virtual reality task to justify the use of virtual reality to organize intervention programs. The aim of this study was to analyze the motor learning process in individuals with DS during a virtual reality task.MethodsA total of 40 individuals participated in this study, 20 of whom had DS (24 males and 8 females, mean age of 19 years, ranging between 14 and 30 yrs.) and 20 typically developing individuals (TD) who were matched by age and gender to the individuals with DS. To examine this issue, we used software that uses 3D images and reproduced a coincidence-timing task.ResultsThe results showed that all individuals improved performance in the virtual task, but the individuals with DS that started the task with worse performance showed higher difference from the beginning. Besides that, they were able to retain and transfer the performance with increase of speed of the task.ConclusionIndividuals with DS are able to learn movements from virtual tasks, even though the movement time was higher compared to the TD individuals. The results showed that individuals with DS who started with low performance improved coincidence- timing task with virtual objects, but were less accurate than typically developing individuals.Trial registrationClinicalTrials.gov Identifier: NCT02719600.

[1]  Bill Kozar,et al.  Velocity, Occlusion, and Sex of Subjects in Coincidence of Anticipation , 2002, Perceptual and motor skills.

[2]  M. Latash,et al.  Finger coordination in persons with Down syndrome: atypical patterns of coordination and the effects of practice , 2002, Experimental Brain Research.

[3]  Manuela Galli,et al.  Motor strategies and motor programs during an arm tapping task in adults with Down Syndrome , 2012, Experimental Brain Research.

[4]  R. Kawa,et al.  Locomotor activity, object exploration and space preference in children with autism and Down syndrome. , 2010, Acta neurobiologiae experimentalis.

[5]  M. C. Mancini,et al.  Comparação do desempenho funcional de crianças portadoras de síndrome de down e crianças com desenvolvimento normal aos 2 e 5 anos de idade , 2003 .

[6]  V. Cimolin,et al.  The effects of low arched feet on foot rotation during gait in children with Down syndrome. , 2014, Journal of intellectual disability research : JIDR.

[7]  G. Mulvey,et al.  Unimanual and Bimanual Continuous Movements Benefit From Visual Instructions in Persons With Down Syndrome , 2012, Journal of motor behavior.

[8]  Włodzimierz Samborski,et al.  Motor skills, cognitive development and balance functions of children with Down syndrome. , 2013, Annals of agricultural and environmental medicine : AAEM.

[9]  M. Latash,et al.  Synergies in health and disease: relations to adaptive changes in motor coordination. , 2006, Physical therapy.

[10]  V. Tybulewicz,et al.  Down syndrome: searching for the genetic culprits , 2011, Disease Models & Mechanisms.

[11]  J. Jasiewicz,et al.  Coincidence Timing of Finger, Arm, and Whole Body Movements , 2001, Perceptual and motor skills.

[12]  Mark Blades,et al.  Wayfinding behaviour in Down syndrome: a study with virtual environments. , 2013, Research in developmental disabilities.

[13]  Giulio Rosati,et al.  On the Role of Auditory Feedback in Robot-Assisted Movement Training after Stroke: Review of the Literature , 2013, Comput. Intell. Neurosci..

[14]  G. Wulf,et al.  Self-controlled feedback enhances learning in adults with Down syndrome. , 2012, Revista brasileira de fisioterapia (Sao Carlos (Sao Paulo, Brazil)).

[15]  K Williams,et al.  Age difference on a coincident anticipation task: influence of stereotypic or "preferred" movement speed. , 1985, Journal of motor behavior.

[16]  M L Latash,et al.  Learning motor synergies by persons with Down syndrome. , 2007, Journal of intellectual disability research : JIDR.

[17]  Robert Riener,et al.  Virtual Reality Aided Training of Combined Arm and Leg Movements of Children with CP , 2013, MMVR.

[18]  R. McGrath,et al.  Mental and Physical Practice Schedules in Acquisition and Retention of Novel Timing Skills , 2004, Perceptual and motor skills.

[19]  Richard J Foster,et al.  The effects of virtual reality game training on trunk to pelvis coupling in a child with cerebral palsy , 2013, Journal of NeuroEngineering and Rehabilitation.

[20]  M. Duncan,et al.  Coincidence Anticipation Timing Performance during an Acute Bout of Brisk Walking in Older Adults: Effect of Stimulus Speed , 2015, Neural plasticity.

[21]  V. des Portes,et al.  Implicit procedural learning in fragile X and Down syndrome. , 2011, Journal of intellectual disability research : JIDR.

[22]  D. Cioi,et al.  Robotics and Gaming to Improve Ankle Strength, Motor Control, and Function in Children With Cerebral Palsy—A Case Study Series , 2013, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[23]  James L. Lyons,et al.  Goal-directed aiming: two components but multiple processes. , 2010, Psychological bulletin.

[24]  Nobuyuki Inui,et al.  Adolescents with down Syndrome Exhibit Greater Force and Delay in Onset of Tapping Movements , 2012, Perceptual and motor skills.

[25]  Modifications to the Bassin anticipation timer. , 1981, Research quarterly for exercise and sport.

[26]  Umberto Cesar Corrêa,et al.  “Timing” coincidente em tarefas complexas: estudo exploratório do desempenho de adultos de diferentes idades em diferentes velocidades de estímulo visual , 2005 .

[27]  E Mercuri,et al.  Motor and perceptual-motor competence in children with Down syndrome: variation in performance with age. , 1999, European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society.

[28]  U. Corrêa,et al.  Variability of performance in an anticipatory timing task with individuals of different ages , 2003 .

[29]  C. Zancanaro,et al.  Ultrastructural features of skeletal muscle in adult and aging Ts65Dn mice, a murine model of Down syndrome. , 2013, Muscles, ligaments and tendons journal.

[30]  P. Berg,et al.  Motor Control Outcomes Following Nintendo Wii Use by a Child With Down Syndrome , 2012, Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association.

[31]  Jenny Ziviani,et al.  The effect of virtual reality interventions on physical activity in children and adolescents with early brain injuries including cerebral palsy , 2012, Developmental medicine and child neurology.

[32]  A. Gentile,et al.  Prehension in young children with Down syndrome. , 2003, Acta psychologica.

[33]  Umberto Cesar Corrêa,et al.  VARIABILIDADE DE PERFORMANCE NUMA TAREFA DE "TIMING" ANTECIPATÓRIO EM INDIVÍDUOS DE DIFERENTES FAIXAS ETÁRIAS , 2003 .

[34]  G. Savelsbergh,et al.  Transfer of motor learning from virtual to natural environments in individuals with cerebral palsy. , 2014, Research in developmental disabilities.

[35]  Camila Torriani-Pasin,et al.  Performance of Down syndrome subjects during a coincident timing task , 2013, International archives of medicine.

[36]  A. Tenenbaum,et al.  Are the cognitive functions of children with Down syndrome related to their participation? , 2010, Developmental medicine and child neurology.