The effect of animal movement exercises on improving upper and lower body muscles in children with down syndrome

Authors

DOI:

https://doi.org/10.15561/26649837.2025.0306

Keywords:

animal movement exercises, down syndrome, upper body muscle, lower body muscle

Abstract

Background and Study Aim. Exercise is crucial for individuals with Down syndrome (DS) as it significantly enhances their physical fitness, motor skills, and overall well-being. Therefore, the aim of this study is to evaluate the effects of animal movement exercises on upper and lower body muscle strength in children with Down syndrome. Materials and Methods. This study used a pre-experimental one-group pretest-posttest design. It involved twelve male participants with Down syndrome, aged seven to fourteen years (mean age: 10.25 ± 2.31 years). They received an animal movement exercise intervention over six weeks, with a frequency of three sessions per week. Each session lasted one hour and included a warm-up, main activity phase, and cool-down. Exercises were performed at moderate intensity (60–70% HRmax), and heart rate was monitored using the Polar H10 device. Leg muscle strength, grip strength, coordination, and balance were assessed at baseline (pre) and after six weeks (post). Statistical analysis was conducted using the paired sample t-test with a 5% significance level. Results. The results showed a significant increase in leg muscle strength (kg) between baseline and post-intervention (p = 0.000; ES = 0.955; 95% CI: -2.83, -1.84). Grip strength (kg) also increased significantly (p = 0.000; ES = 1.169; 95% CI: -3.34, -2.49). Coordination (repetitions) showed improvement (p = 0.000; ES = 1.404; 95% CI: -3.08, -2.25). Balance (seconds) increased as well (p = 0.000; ES = 0.715; 95% CI: -2.71, -1.13). Conclusions. Animal movement exercises represent a developmentally appropriate and engaging form of physical activity for children with Down syndrome. Their playful, functional nature aligns well with inclusive approaches to therapy and education, and they may offer practical value in diverse settings, including those with limited resources.

Author Biographies

Muhammad Asrul Sidik, Universitas Negeri Surabaya

muhammadsidik@unesa.ac.id; Department of Sports Coaching Education, Faculty of Sports and Health Science; Jawa Timur, Indonesia.

Adi Pranoto, Universitas Negeri Surabaya

adipranoto@unesa.ac.id; Department of Sports Coaching Education, Faculty of Sports and Health Science; Jawa Timur, Indonesia.

Fransisca Januarumi Marhaendra Wijaya, Universitas Negeri Surabaya

fransiscajanuarumi@unesa.ac.id; Department of Sports Coaching Education, Faculty of Sports and Health Science; Jawa Timur, Indonesia.

I Made Sri Undy Mahardika, Universitas Negeri Surabaya

madeundy@unesa.ac.id; Department of Sports Coaching Education, Faculty of Sports and Health Science; Jawa Timur, Indonesia.

Andri Suyoko, Universitas Negeri Surabaya

andrisuyoko@unesa.ac.id; Department of Sports Coaching Education, Faculty of Sports and Health Science; Jawa Timur, Indonesia.

Bayu Agung Pramono, Universitas Negeri Surabaya

bayupramono@unesa.ac.id; Departemen of Sport Coaching Education, Faculty of Sport and Health Science; Jawa Timur, Indonesia.

Achmad Rizanul Wahyudi, Universitas Negeri Surabaya

achmadrizanul@unesa.ac.id; Departemen of Sport Coaching Education, Faculty of Sport and Health Science; Jawa Timur, Indonesia.

Mohammad Faruk, Universitas Negeri Surabaya

mohammadfaruk@unesa.ac.id; Departemen of Sport Coaching Education, Faculty of Sport and Health Science; Jawa Timur, Indonesia.

Nuril Sri Wulandari, Universitas Negeri Surabaya

nuril.23356@mhs.unesa.ac.id; Departemen of Sport Coaching Education, Faculty of Sport and Health Science; Jawa Timur, Indonesia.

Bekir Erhan Orhan, Istanbul Aydin University

bekirerhanorhan@aydin.edu.tr; Faculty of Sports Sciences; Istanbul, Turkey.

References

Kashi A, Dawes H, Mansoubi M, Sarlak Z. The Effect of a Physical Exercise Package on the Motor Proficiency of Students with Down Syndrome. Iranian Journal of Pediatrics, 2023;33(1). https://doi.org/10.5812/ijp-120408

Raharjo S, Yunus M, Pelana R, Azidin RMFR. The benefit of a four-week range of motion exercise on hand muscle strength in children with Down Syndrome. Pedagogy of Physical Culture and Sports, 2023;27(6): 481–486. https://doi.org/10.15561/26649837.2023.0606

Gupta S, Rao BK, Kumaran S. Effect of strength and balance training in children with Down’s syndrome: a randomized controlled trial. Clinical Rehabilitation, 2011;25(5): 425–432. https://doi.org/10.1177/0269215510382929

Puspitosari A. Sandsack Physical Activity Increasing Balance Score in Children with Down Syndrome. Jurnal Keterapian Fisik, 2021; 49–57. https://doi.org/10.37341/jkf.v0i0.254

Rahmayanti A, Rahman F, Herlinawati I. The Effect of Combination of Core Stability Training and Lower Extremity Strength Training on Static Standing Balance Ability in a Child with Down Syndrome. Journal of Advanced Multidisciplinary Research, 2022;3(2): 71. https://doi.org/10.30659/jamr.3.2.71-78

Pawlikowski B, Betta ND, Elston T, Williams DA, Olwin BB. Muscle stem cell dysfunction impairs muscle regeneration in a mouse model of Down syndrome. Scientific Reports, 2018;8(1): 4309. https://doi.org/10.1038/s41598-018-22342-5

Saquetto MB, Pereira FF, Queiroz RS, Da Silva CM, Conceição CS, Gomes Neto M. Effects of whole-body vibration on muscle strength, bone mineral content and density, and balance and body composition of children and adolescents with Down syndrome: a systematic review. Osteoporosis International, 2018;29(3): 527–533. https://doi.org/10.1007/s00198-017-4360-1

Modesto EL, Oliveira LDS, Seron BB, Almeida EWD, Greguol M. Influence of skeletal maturation on physical fitness of young people with Down syndrome. Revista Brasileira de Educação Física e Esporte, 2020;34(3): 373–383. https://doi.org/10.11606/issn.1981-4690.v34i3p373-383

Shields N, Taylor NF, Wee E, Wollersheim D, O’Shea SD, Fernhall B. A community-based strength training programme increases muscle strength and physical activity in young people with Down syndrome: A randomised controlled trial. Research in Developmental Disabilities, 2013;34(12): 4385–4394. https://doi.org/10.1016/j.ridd.2013.09.022

Higgins JK, Kleimbaun AP. Design methodology for randomized clinical trials. Arlington (VA): Family Health International; 1985.

Paul Y, Ellapen TJ, Barnard M, Hammill HV, Swanepoel M. The health benefits of exercise therapy for patients with Down syndrome: A systematic review. African Journal of Disability, 2019;8. https://doi.org/10.4102/ajod.v8i0.576

Melo GLR, Neto IVDS, Fonseca EFD, Stone W, Nascimento DDC. Resistance training and Down Syndrome: A narrative review on considerations for exercise prescription and safety. Frontiers in Physiology, 2022;13: 948439. https://doi.org/10.3389/fphys.2022.948439

Zolghadr H, Yahyaei M, Sedaghati P, Ahmadabadi S. The impact of exercise interventions on postural control in individuals with Down syndrome: a systematic review and meta-analysis. BMC Sports Science, Medicine and Rehabilitation, 2025;17(1): 35. https://doi.org/10.1186/s13102-025-01096-4

Lim PQ, Shields N, Nikolopoulos N, Barrett JT, Evans AM, Taylor NF, et al. The association of foot structure and footwear fit with disability in children and adolescents with Down syndrome. Journal of Foot and Ankle Research, 2015;8(1): 4. https://doi.org/10.1186/s13047-015-0062-0

Winders P, Wolter‐Warmerdam K, Hickey F. A schedule of gross motor development for children with Down syndrome. Journal of Intellectual Disability Research, 2019;63(4): 346–356. https://doi.org/10.1111/jir.12580

Ruiz‐González L, Lucena‐Antón D, Salazar A, Martín‐Valero R, Moral‐Munoz JA. Physical therapy in Down syndrome: systematic review and meta‐analysis. Journal of Intellectual Disability Research, 2019;63(8): 1041–1067. https://doi.org/10.1111/jir.12606

Basil JS, Santoro SL, Martin LJ, Healy KW, Chini BA, Saal HM. Retrospective Study of Obesity in Children with Down Syndrome. The Journal of Pediatrics, 2016;173: 143–148. https://doi.org/10.1016/j.jpeds.2016.02.046

González‐Agüero A, Vicente‐Rodríguez G, Gómez‐Cabello A, Ara I, Moreno LA, Casajús JA. A 21‐week bone deposition promoting exercise programme increases bone mass in young people with Down syndrome. Developmental Medicine & Child Neurology, 2012;54(6): 552–556. https://doi.org/10.1111/j.1469-8749.2012.04262.x

Carter K. The Effect of Vestibular Stimulation Exercises on Balance, Coordination, and Agility in Children with Down Syndrome. American Journal of Psychiatry and Neuroscience, 2018;6(2): 28. https://doi.org/10.11648/j.ajpn.20180602.11

Nahla M I, Elham El-Sayed S, Ehab Ragaa AE, Amr Abd El Ghafar AEH. Mechanical vestibular stimulation versus traditional balance exercises in children with Down syndrome. African Health Sciences, 2022;22(1): 377–383. https://doi.org/10.4314/ahs.v22i1.46

Ur Rehman Cheema R, Hafeez T, Mannan A, Sarfaraz M, Rehan Amjad M, Azhar M. Comparative Effects of Core Stability Exercises and Retro-walk on Balance and Coordination in Down Syndrome. Journal of Health and Rehabilitation Research, 2023;3(2): 363–369. https://doi.org/10.61919/jhrr.v3i2.149

Moraes AG, Copetti F, Angelo VR, Chiavoloni LL, David AC. The effects of hippotherapy on postural balance and functional ability in children with cerebral palsy. Journal of Physical Therapy Science, 2016;28(8): 2220–2226. https://doi.org/10.1589/jpts.28.2220

Piñar-Lara M, Cortés-Pérez I, Díaz-Fernández Á, Montilla-Ibáñez MDA, Sedeño-Vidal A, Obrero-Gaitán E. Virtual Reality-Based Therapy Can Enhance Balance and Muscular Endurance in Children and Adolescents with Down Syndrome: A Systematic Review with a Meta-Analysis. Bioengineering, 2024;11(11): 1112. https://doi.org/10.3390/bioengineering11111112

Raghupathy MK, Divya M, Karthikbabu S. Effects of Traditional Indian Dance on Motor Skills and Balance in Children with Down syndrome. Journal of Motor Behavior, 2022;54(2): 212–221. https://doi.org/10.1080/00222895.2021.1941736

McGuire M, Long J, Esbensen AJ, Bailes AF. Adapted Dance Improves Motor Abilities and Participation in Children With Down Syndrome: A Pilot Study. Pediatric Physical Therapy, 2019;31(1): 76–82. https://doi.org/10.1097/PEP.0000000000000559

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Published

2025-06-30

How to Cite

1.
Sidik MA, Pranoto A, Wijaya FJM, Mahardika IMSU, Suyoko A, Pramono BA, Wahyudi AR, Faruk M, Wulandari NS, Orhan BE. The effect of animal movement exercises on improving upper and lower body muscles in children with down syndrome. Pedagogy of Physical Culture and Sports. 2025;29(3):204-10. https://doi.org/10.15561/26649837.2025.0306
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