Motor skill development in schoolchildren with hearing impairments during physical education in general secondary schools
DOI:
https://doi.org/10.15561/26649837.2025.0501Keywords:
motor development, hearing impairment, schoolchildren, physical education, Ruffier test, respiratory enduranceAbstract
Background and Study Aim. Hearing impairment is a common childhood disorder that influences communication, learning and physical development. It is often associated with delays in motor skills and reduced functional capacity. Although physical education is widely applied in schools, its role in supporting children with hearing impairments remains a practical concern. The purpose of this study was to compare motor and functional indicators between schoolchildren with hearing impairments and their typically developing peers. Material and Methods. A comparative cross-sectional study was conducted with 36 schoolchildren with hearing impairments (7–8 years old) and 50 typically developing peers. Functional development was assessed using anthropometric measurements, spirometry, the Ruffier test, the Stange test, and the Genchi test. Statistical analysis included descriptive statistics, tests of normality (Shapiro–Wilk), Student’s t-test, and calculation of effect sizes (Cohen’s d). Results are presented as mean ± standard error (SE), with significance set at p < 0.05. Results. Children with hearing impairments demonstrated significantly lower lung vital capacity (1100–1250 ml vs. 1200–1300 ml in peers, p < 0.05) and a reduced vital index (approximately 41–43 ml/kg vs. 44 ml/kg, p > 0.05). The Ruffier test showed consistently higher scores (17–19 vs. 10–11, p < 0.01), reflecting poorer cardiovascular adaptation. The Stange test revealed markedly shorter breath-holding times (18–20 s vs. 34–40 s, p < 0.001), while the Genchi test confirmed limited hypoxic reserves (13–14 s vs. 16–18 s, p < 0.01). These patterns were consistent across both age groups and sexes. Conclusions. Schoolchildren with hearing impairments exhibit marked functional limitations compared to their typically developing peers. These results underline the need for differentiated approaches in physical education and provide a scientific basis for the development of adapted programs focused on improving cardiorespiratory endurance, motor coordination, and overall physical fitness in this group.References
World Health Organization. World report on hearing. Geneva: World Health Organization; 2021.
Singh A, Raynor EM, Lee JW, Smith SL, Heet H, Garrison D, et al. Vestibular Dysfunction and Gross Motor Milestone Acquisition in Children With Hearing Loss: A Systematic Review. Otolaryngology–Head and Neck Surgery, 2021;165(4): 493–506. https://doi.org/10.1177/0194599820983726
Genovese E, Segato E, Liberale C, Zampieri E, Monzani D, Apa E, et al. Congenital deafness and vestibular disorders: a systematic literature review. Frontiers in Neurology, 2024;15: 1463234. https://doi.org/10.3389/fneur.2024.1463234
Mbhele S, Rogers C, Saman Y. Clinical balance assessment tools for children with hearing loss: a scoping review. BMC Pediatrics, 2025;25(1): 218. https://doi.org/10.1186/s12887-025-05563-2
Zhou Y, Qi J. Effectiveness of Interventions on Improving Balance in Children and Adolescents With Hearing Impairment: A Systematic Review. Frontiers in Physiology, 2022;13: 876974. https://doi.org/10.3389/fphys.2022.876974
Kisjes J, Van Der Schaaf AL, Noordstar JJ, Mombarg R, Gerrits E, Wijnen F, et al. A systematic review of language and motor skills in children with developmental coordination disorder (DCD) and developmental language disorder (DLD). Research in Developmental Disabilities, 2025;161: 104994. https://doi.org/10.1016/j.ridd.2025.104994
Wang J, Xu T, Chen Y, Jia Y, Chen Y, Li F, et al. Motor skill interventions in children with developmental coordination disorder: a systematic review and meta-analysis. Pediatrics. 2020;146(6):e20200327. https://doi.org/10.1542/peds.2020-0327.
Wiener-Vacher SR, Campi M, Caldani S, Thai-Van H. Vestibular Impairment and Postural Development in Children With Bilateral Profound Hearing Loss. JAMA Network Open, 2024;7(5): e2412846. https://doi.org/10.1001/jamanetworkopen.2024.12846
Melo RS, Lemos A, Wiesiolek CC, Soares LGM, Raposo MCF, Lambertz D, et al. Postural Sway Velocity of Deaf Children with and without Vestibular Dysfunction. Sensors, 2024;24(12): 3888. https://doi.org/10.3390/s24123888
Zarei H, Norasteh AA, Lieberman LJ, Ertel MW, Brian A. The efficiency of sensory systems in postural control of children with and without hearing or visual impairments. Melo RS (ed.) PLOS One, 2025;20(5): e0321065. https://doi.org/10.1371/journal.pone.0321065
Monin E, Bahim C, Baussand L, Cugnot JF, Ranieri M, Guinand N, et al. Development of a new clinical tool to evaluate the balance abilities of children with bilateral vestibular loss: The Geneva Balance Test. Frontiers in Neurology, 2023;14: 1085926. https://doi.org/10.3389/fneur.2023.1085926
Gerdsen M, Jorissen C, Pustjens DCF, Hof JR, Van Rompaey V, Van De Berg R, et al. Effect of cochlear implantation on vestibular function in children: A scoping review. Frontiers in Pediatrics, 2022;10: 949730. https://doi.org/10.3389/fped.2022.949730
EL-Badry MM, Makhlouf M, Fahim D, Mamdouh G, Mohamad A, Gamal R. Identification of vestibular loss in children with sensorineural hearing loss using the balance subset of the BOT-2 test. The Egyptian Journal of Otolaryngology, 2023;39(1): 162. https://doi.org/10.1186/s43163-023-00522-z
Peng Hwa T, Villarin C, Davin K, Field E, Caine M, O’Reilly R. Pediatric Bilateral Vestibular Hypofunction: A Review of 26 Cases. The Laryngoscope, 2025;135(6): 2176–2181. https://doi.org/10.1002/lary.31996
Karpeta N, Karltorp E, Verrecchia L, Duan M. Long-Term Follow-Up of Vestibular Function in Cochlear-Implanted Teenagers and Young Adults. Audiology Research, 2025;15(2): 42. https://doi.org/10.3390/audiolres15020042
Janky KL, Patterson J, Thomas M, Al-Salim S, Robinson S. The effects of vestibular dysfunction on balance and self-concept in children with cochlear implants. International Journal of Pediatric Otorhinolaryngology, 2023;171: 111642. https://doi.org/10.1016/j.ijporl.2023.111642
Nosko M, Troianovska M. Comparative analysis of biomechanical parameters of balance in 7–8 years old pupils with hearing impairment during physical education classes. Visnyk Chernihiv Natl Univ T.H. Shevchenko, Ped Sci. 2025;187(31):82–8. (In Ukrainian). https://doi.org/10.58407/visnik.253114
Gryban G. Activation of sports and recreational activities of students with disabilities during the learning process in physical education. Br J Sci Educ Cult. 2014;3(1):286–91 (In Ukrainian).
Nosko, M., Nosko, Y. Motor qualities: problems of terminological apparatus.Visnyk of Chernihiv Visnyk Natsionalnoho universytetu «Chernihivskyi kolehium»imeni T.H.Shevchenka. Seriia: Pedahohichni nauky / holov. red. M.O.Nosko. Chernihiv: NUChK, 2024; 181 (25): 49-53. (In Ukrainian). https://doi.org/10.58407/visnik.242508
Adyrkhaev SG. Modern technology of physical education for students with disabilities in the conditions of inclusive education. Pedagogics, Psychology and Medico-Biological Problems of Physical Education and Sport. 2016;20(1):4–12. https://doi.org/10.6084/m9.figshare.879634
Ivanyuta NV, Koryukaev MM, Sobolenko A. Physical activity as a way to improve students’ academic performance. Naukovyy Chasopys NPU imeni MP Drahomanova. 2024;7(180):87–90. (In Ukrainian). https://doi.org/10.31392/UDU-nc.series15.2024.8(181).16
Xiao LR, Tian X, Zhang P, Diao HZ, Xu XQ, Wu HM. Associations of meeting the 24-hour movement behaviors guidelines with emotional, social, and academic function among children and adolescents with hearing loss: findings from the 2018–2022 national survey of children’s health in the U.S. BMC Public Health, 2025;25(1): 692. https://doi.org/10.1186/s12889-025-21935-w
Guo Z, Ji W, Song P, Zhao J, Yan M, Zou X, et al. Global, regional, and national burden of hearing loss in children and adolescents, 1990–2021: a systematic analysis from the Global Burden of Disease Study 2021. BMC Public Health, 2024;24(1): 2521. https://doi.org/10.1186/s12889-024-20010-0
Robler SK, Bettger JP, Turner E, Platt A, Arthur D, Hofstetter P, et al. School-based enhanced hearing screening and specialty telehealth follow-up for hearing loss among children in rural Alaska: study protocol for a hybrid effectiveness-implementation stepped wedge, cluster-randomized controlled trial (North STAR trial). Trials, 2025;26(1): 175. https://doi.org/10.1186/s13063-025-08864-0
Hu F, Qiu X, Wu X, Wu X, Li H, Kim S. Effects of dance sports exercise on vestibular function and balance of children with sensorineural hearing loss; a randomized quasi-experimental trial. Frontiers in Pediatrics, 2024;12: 1426343. https://doi.org/10.3389/fped.2024.1426343
Zwierzchowska A, Gaweł E, Krużyńska A, Słomka KJ, Juras G. Postural stability at activation and deactivation of the cochlear implant in adolescents with late lateral implantations: a quasi-experiment. BMC Sports Science, Medicine and Rehabilitation, 2024;16(1): 159. https://doi.org/10.1186/s13102-024-00950-1
Ardıç FN, Tümkaya F, Atıgan A, Ardıç F. The Effect of Cochlear Implant Stimulation on Postural Control. Turkish Archives of Otorhinolaryngology, 2024; 1–6. https://doi.org/10.4274/tao.2024.2023-12-9
Lang C, Brand S, Colledge F, Ludyga S, Pühse U, Gerber M. Adolescents with intellectual disabilities have lower levels of cardiorespiratory fitness but similar physical activity compared to typically developing peers. Disabil Health J. 2020;13(1):100838. https://doi.org/10.1016/j.dhjo.2019.100838
Fedak S, Afonin V, Nebozhuk O, Lashta V, Romaniv I, Dzyama V, Pylypchak I. Functional fitness level of military college cadets. Pedagogics, psychology, medical-biological problems of physical training and sports. 2016;20(6):34-40. https://doi.org/10.15561/18189172.2016.0605
Pryimakov O, Prysiazhniuk S, Korobeynikov G, Oleniev D, Polyvaniuk V, Mazurok N, Omelchuk O. Improvement of students’ physical fitness in physical education classes using CrossFit means. Physical Education of Students. 2023;27(2):71-8. https://doi.org/10.15561/20755279.2023.0203
Zanevskyy I, Janiszewska R, Zanevska L. Validity of Ruffier Test in Evaluation of Resistance to the Physical Effort. Journal of Testing and Evaluation, 2017;45(6): 2193–2199. https://doi.org/10.1520/JTE20160380
Martynova N, Khotiienko S, Prysiazhna M. Strength training as a means of increasing motor activity of female students of higher education institutions during distance learning. Visnyk Luhansk Natl Univ Taras Shevchenko: Ped Sci. 2023;1(355):130–5. (In Ukrainian).
Quanjer PhH, Tammeling GJ, Cotes JE, Pedersen OF, Peslin R, Yernault JC. Lung volumes and forced ventilatory flows. European Respiratory Journal, 1993;6(Suppl 16): 5–40. https://doi.org/10.1183/09041950.005s1693
Varlamova LP, Nabiev TE. Quantitative assessment of students’ physical health. Int J Recent Technol Eng (IJRTE). 2019;8(3):5568–71.
Zhang H, Sun L, Yu Y, Xin H, Wu L, Yang F, Liu J, Zhang Z. The associations between body composition and vital capacity index of medical students in Shenyang of China: a cross-sectional survey. BMC Pulm Med. 2022;22(1):373. https://doi.org/10.1186/s12890-022-02072-4
Bernstein NA. Dexterity and its development. London: Psychology Press; 2016.
D’Anna C, Forte P, Pugliese E. Trends in Physical Activity and Motor Development in Young People – Decline or Improvement? A Review. Children, 2024;11(3): 298. https://doi.org/10.3390/children11030298
Marques A, Henriques-Neto D, Peralta M, Martins J, Demetriou Y, Schönbach DMI, et al. Prevalence of Physical Activity among Adolescents from 105 Low, Middle, and High-Income Countries. International Journal of Environmental Research and Public Health, 2020;17(9): 3145. https://doi.org/10.3390/ijerph17093145
Genç H, Ceviz E, Kızar O, Dinçer K. Respiratory function rehabilitation in individuals with Covid-19: swimming exercise. Physical Education of Students. 2023;27(5):247-52. https://doi.org/10.15561/20755279.2023.0504
Tüzer BF, Demirel H. Participation motivation in disabled athletes. Physical Education of Students. 2024;28(2):70-7. https://doi.org/10.15561/20755279.2024.0203
Pryimakov O, Sawczuk M, Prysiazhniuk S, Mazurok N, Petrachkov O. Interrelations of physical state parameters and biological age of students in the process of physical education. Physical Education of Students. 2024;28(1):16-28. https://doi.org/10.15561/20755279.2024.0102
Dobbins M, Husson H, DeCorby K, LaRocca RL. School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18. Cochrane Metabolic and Endocrine Disorders Group (ed.) Cochrane Database of Systematic Reviews, 2013; https://doi.org/10.1002/14651858.CD007651.pub2
Ortega FB, Ruiz JR, Castillo MJ, Sjöström M. Physical fitness in childhood and adolescence: a powerful marker of health. International Journal of Obesity, 2008;32(1): 1–11. https://doi.org/10.1038/sj.ijo.0803774
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Copyright (c) 2025 Mykola Nosko, Маriia Troianovska, Maura Stancu, Miroslawa Cieslicka

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