Skip to main content
Top
Published in: BMC Neurology 1/2017

Open Access 01-12-2017 | Research article

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

Authors: Carlos Bandeira de Mello Monteiro, Talita Dias da Silva, Luiz Carlos de Abreu, Felipe Fregni, Luciano Vieira de Araujo, Fernando Henrique Inocêncio Borba Ferreira, Claudio Leone

Published in: BMC Neurology | Issue 1/2017

Login to get access

Abstract

Background

Down 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.

Methods

A 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.

Results

The 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.

Conclusion

Individuals 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 registration

Literature
2.
go back to reference Mancini MC, Silva PC, Gonçalves SC, Matins SM. Comparação do desempenho funcional de crianças portadoras de síndrome de Down e crianças com desenvolvimento normal aos 2 e 5 anos de idade. Arq Neuropsiquiatr. 2003;61:15–409.CrossRef Mancini MC, Silva PC, Gonçalves SC, Matins SM. Comparação do desempenho funcional de crianças portadoras de síndrome de Down e crianças com desenvolvimento normal aos 2 e 5 anos de idade. Arq Neuropsiquiatr. 2003;61:15–409.CrossRef
3.
go back to reference Chiviacowsky S, Wulf G, Machado C, Rydberg N. Self-controlled feedback enhances learning in adults with down syndrome. Rev Bras Fisioter. 2012;16:191–6.CrossRefPubMed Chiviacowsky S, Wulf G, Machado C, Rydberg N. Self-controlled feedback enhances learning in adults with down syndrome. Rev Bras Fisioter. 2012;16:191–6.CrossRefPubMed
4.
go back to reference Latash ML, Kang N, Patterson D. Finger coordination in persons with down syndrome: atypical patterns of coordination and the effects of practice. Exp Brain Res. 2002;146:345–55.CrossRefPubMed Latash ML, Kang N, Patterson D. Finger coordination in persons with down syndrome: atypical patterns of coordination and the effects of practice. Exp Brain Res. 2002;146:345–55.CrossRefPubMed
5.
go back to reference Bussy G, Charrin E, Brun A, Curie A, des Portes V. Implicit procedural learning in fragile X and down syndrome. J Intellect Disabil Res. 2011;55:521–8.CrossRefPubMed Bussy G, Charrin E, Brun A, Curie A, des Portes V. Implicit procedural learning in fragile X and down syndrome. J Intellect Disabil Res. 2011;55:521–8.CrossRefPubMed
6.
go back to reference Ringenbach SD, Mulvey GM, Chen CC, Jung ML. Unimanual and bimanual continuous movements benefit from visual instructions in persons with down syndrome. J Mot Behav. 2012;44:233–9.CrossRefPubMed Ringenbach SD, Mulvey GM, Chen CC, Jung ML. Unimanual and bimanual continuous movements benefit from visual instructions in persons with down syndrome. J Mot Behav. 2012;44:233–9.CrossRefPubMed
7.
go back to reference Torriani-Pasin C, Bonuzzi GM, Soares MA, Antunes GL, Palma GC, Monteiro CBM, et al. Performance of down syndrome subjects during a coincident timing task. Int Arch Med. 2013;6:15.CrossRefPubMedPubMedCentral Torriani-Pasin C, Bonuzzi GM, Soares MA, Antunes GL, Palma GC, Monteiro CBM, et al. Performance of down syndrome subjects during a coincident timing task. Int Arch Med. 2013;6:15.CrossRefPubMedPubMedCentral
8.
go back to reference Courbois Y, Farran EK, Lemahieu A, Blades M, Mengue-Topio H, Sockeel P. Wayfinding behaviour in down syndrome: a study with virtual environments. Res Dev Disabil. 2013;34:1825–31.CrossRefPubMed Courbois Y, Farran EK, Lemahieu A, Blades M, Mengue-Topio H, Sockeel P. Wayfinding behaviour in down syndrome: a study with virtual environments. Res Dev Disabil. 2013;34:1825–31.CrossRefPubMed
9.
go back to reference Barton GJ, Hawken MB, Foster RJ, Holmes G, Butler PB. The effects of virtual reality game training on trunk to pelvis coupling in a child with cerebral palsy. J Neuroeng Rehabil. 2013;10:15.CrossRefPubMedPubMedCentral Barton GJ, Hawken MB, Foster RJ, Holmes G, Butler PB. The effects of virtual reality game training on trunk to pelvis coupling in a child with cerebral palsy. J Neuroeng Rehabil. 2013;10:15.CrossRefPubMedPubMedCentral
10.
go back to reference Burdea GC, Cioi D, Kale A, Janes WE, Ross SA, Engsberg JR. Robotics and gaming to improve ankle strength, motor control, and function in children with cerebral palsy--a case study series. IEEE Trans Neural Syst Rehabil Eng. 2013;21:165–73.CrossRefPubMed Burdea GC, Cioi D, Kale A, Janes WE, Ross SA, Engsberg JR. Robotics and gaming to improve ankle strength, motor control, and function in children with cerebral palsy--a case study series. IEEE Trans Neural Syst Rehabil Eng. 2013;21:165–73.CrossRefPubMed
11.
go back to reference Mitchell L, Ziviani J, Oftedal S, Boyd R. The effect of virtual reality interventions on physical activity in children and adolescents with early brain injuries including cerebral palsy. Dev Med Child Neurol. 2012;54:667–71.CrossRefPubMed Mitchell L, Ziviani J, Oftedal S, Boyd R. The effect of virtual reality interventions on physical activity in children and adolescents with early brain injuries including cerebral palsy. Dev Med Child Neurol. 2012;54:667–71.CrossRefPubMed
12.
go back to reference Riener R, Dislaki E, Keller U, Koenig A, Van Hedel H, Nagle A. Virtual reality aided training of combined arm and leg movements of children with CP. Stud Health Technol Inform. 2013;184:349–55.PubMed Riener R, Dislaki E, Keller U, Koenig A, Van Hedel H, Nagle A. Virtual reality aided training of combined arm and leg movements of children with CP. Stud Health Technol Inform. 2013;184:349–55.PubMed
13.
go back to reference Silva TD, Monteiro CBM, Hasue RH, Moura MCDS, Correa AGD, Ficheman IK, et al. Aprendizagem motora em tarefa virtual na Paralisia Cerebral. Temas Desenvolv. 2013;104:47–53. Silva TD, Monteiro CBM, Hasue RH, Moura MCDS, Correa AGD, Ficheman IK, et al. Aprendizagem motora em tarefa virtual na Paralisia Cerebral. Temas Desenvolv. 2013;104:47–53.
14.
go back to reference de Mello Monteiro CB, Massetti T, Silva TD, van der Kamp J, de Abreu LC, Leone C, et al. Transfer of motor learning from virtual to natural environments in individuals with cerebral palsy. Res Dev Disabil. 2014;35:2430–7.CrossRefPubMed de Mello Monteiro CB, Massetti T, Silva TD, van der Kamp J, de Abreu LC, Leone C, et al. Transfer of motor learning from virtual to natural environments in individuals with cerebral palsy. Res Dev Disabil. 2014;35:2430–7.CrossRefPubMed
15.
go back to reference Shea CH, Ashby AA. Modifications to the Bassin anticipation timer. Res Q Exerc Sport. 1981;52:278–80.CrossRefPubMed Shea CH, Ashby AA. Modifications to the Bassin anticipation timer. Res Q Exerc Sport. 1981;52:278–80.CrossRefPubMed
16.
go back to reference Overdorf V, Page SJ, Schweighardt R, McGrath RE. Mental and physical practice schedules in acquisition and retention of novel timing skills. Percept Mot Skills. 2004;99:51–62.PubMed Overdorf V, Page SJ, Schweighardt R, McGrath RE. Mental and physical practice schedules in acquisition and retention of novel timing skills. Percept Mot Skills. 2004;99:51–62.PubMed
17.
go back to reference Harrold D, Kozar B. Velocity, occlusion, and sex of subjects in coincidence of anticipation. Percept Mot Skills. 2002;94:914–20.CrossRefPubMed Harrold D, Kozar B. Velocity, occlusion, and sex of subjects in coincidence of anticipation. Percept Mot Skills. 2002;94:914–20.CrossRefPubMed
18.
go back to reference Corrêa UC, Oliveira PH, Oliveira JA, Freudenheim AM, Meira-Junior CM, Marinovic W, et al. “Timing” coincidente em tarefas complexas: estudo exploratório do desempenho de adultos de diferentes idades em diferentes velocidades de estímulo visual. Rev Bras Educ Fís Esporte. 2005;19:307–15. Corrêa UC, Oliveira PH, Oliveira JA, Freudenheim AM, Meira-Junior CM, Marinovic W, et al. “Timing” coincidente em tarefas complexas: estudo exploratório do desempenho de adultos de diferentes idades em diferentes velocidades de estímulo visual. Rev Bras Educ Fís Esporte. 2005;19:307–15.
19.
go back to reference Santos S, Corrêa UC, Freudenheim AM. Variabilidade de performance numa tarefa de “timing” antecipatório em indivíduos de diferentes faixas etárias. Rev Paul Educ Fís. 2003;17:154–62. Santos S, Corrêa UC, Freudenheim AM. Variabilidade de performance numa tarefa de “timing” antecipatório em indivíduos de diferentes faixas etárias. Rev Paul Educ Fís. 2003;17:154–62.
20.
go back to reference Williams K. Age difference on a coincident anticipation task: influence of stereotypic or “preferred” movement speed. J Mot Behav. 1985;17:389–410.CrossRefPubMed Williams K. Age difference on a coincident anticipation task: influence of stereotypic or “preferred” movement speed. J Mot Behav. 1985;17:389–410.CrossRefPubMed
21.
go back to reference Williams LR, Jasiewicz JM, Simmons RW. Coincidence timing of finger, arm, and whole body movements. Percept Mot Skills. 2001;92:535–47.CrossRefPubMed Williams LR, Jasiewicz JM, Simmons RW. Coincidence timing of finger, arm, and whole body movements. Percept Mot Skills. 2001;92:535–47.CrossRefPubMed
24.
go back to reference Latash ML. Learning motor synergies by persons with down syndrome. J Intellect Disabil Res. 2007;51:962–71.CrossRefPubMed Latash ML. Learning motor synergies by persons with down syndrome. J Intellect Disabil Res. 2007;51:962–71.CrossRefPubMed
25.
go back to reference Rihtman T, Tekuzener E, Parush S, Tenenbaum A, Bachrach SJ, Ornoy A. Are the cognitive functions of children with down syndrome related to their participation? Dev Med Child Neurol. 2010 Jan;52(1):72–8.CrossRefPubMed Rihtman T, Tekuzener E, Parush S, Tenenbaum A, Bachrach SJ, Ornoy A. Are the cognitive functions of children with down syndrome related to their participation? Dev Med Child Neurol. 2010 Jan;52(1):72–8.CrossRefPubMed
26.
go back to reference Malak R, Kotwicka M, Krawczyk-Wasielewska A, Mojs E, Samborski W. Motor skills, cognitive development and balance functions of children with down syndrome. Ann Agric Environ Med. 2013;20(4):803–6.PubMed Malak R, Kotwicka M, Krawczyk-Wasielewska A, Mojs E, Samborski W. Motor skills, cognitive development and balance functions of children with down syndrome. Ann Agric Environ Med. 2013;20(4):803–6.PubMed
27.
go back to reference Elliott D, Hansen S, Grierson LE, Lyons J, Bennett SJ, Hayes SJ. Goal-directed aiming: two components but multiple processes. Psychol Bull. 2010;136:1023–44.CrossRefPubMed Elliott D, Hansen S, Grierson LE, Lyons J, Bennett SJ, Hayes SJ. Goal-directed aiming: two components but multiple processes. Psychol Bull. 2010;136:1023–44.CrossRefPubMed
28.
go back to reference Berg P, Becker T, Martian A, Primrose KD, Wingen J. Motor control outcomes following Nintendo Wii use by a child with down syndrome. Pediatr Phys Ther. 2012;24:78–84.CrossRefPubMed Berg P, Becker T, Martian A, Primrose KD, Wingen J. Motor control outcomes following Nintendo Wii use by a child with down syndrome. Pediatr Phys Ther. 2012;24:78–84.CrossRefPubMed
29.
go back to reference Kearney K, Gentile AM. Prehension in young children with down syndrome. Acta Psychol. 2003;112:3–16.CrossRef Kearney K, Gentile AM. Prehension in young children with down syndrome. Acta Psychol. 2003;112:3–16.CrossRef
30.
go back to reference Galli M, Cimolin V, Rigoldi C, Pau M, Costici P, Albertini G. The effects of low arched feet on foot rotation during gait in children with down syndrome. J Intellect Disabil Res. 2014;58(8):758–64. doi:10.1111/jir.12087. Epub 2013 Aug 19CrossRefPubMed Galli M, Cimolin V, Rigoldi C, Pau M, Costici P, Albertini G. The effects of low arched feet on foot rotation during gait in children with down syndrome. J Intellect Disabil Res. 2014;58(8):758–64. doi:10.​1111/​jir.​12087. Epub 2013 Aug 19CrossRefPubMed
31.
go back to reference Cisterna B, Costanzo M, Scherini E, Zancanaro C, Malatesta M. Ultrastructural features of skeletal muscle in adult and aging Ts65Dn mice, a murine model of down syndrome. Muscles Ligaments Tendons J. 2014;3(4):287–94. eCollection 2013PubMedPubMedCentral Cisterna B, Costanzo M, Scherini E, Zancanaro C, Malatesta M. Ultrastructural features of skeletal muscle in adult and aging Ts65Dn mice, a murine model of down syndrome. Muscles Ligaments Tendons J. 2014;3(4):287–94. eCollection 2013PubMedPubMedCentral
32.
go back to reference Latash ML, Anson JG. Synergies in health and disease: relations to adaptive changes in motor coordination. Phys Ther. 2006;86:1151–60.PubMed Latash ML, Anson JG. Synergies in health and disease: relations to adaptive changes in motor coordination. Phys Ther. 2006;86:1151–60.PubMed
33.
go back to reference Masumoto J, Abe T, Inui N. Adolescents with down syndrome exhibit greater force and delay in onset of tapping movements. Percept Mot Skills. 2012;114(3):826–36.CrossRefPubMed Masumoto J, Abe T, Inui N. Adolescents with down syndrome exhibit greater force and delay in onset of tapping movements. Percept Mot Skills. 2012;114(3):826–36.CrossRefPubMed
34.
go back to reference Kawa R, Pisula E. Locomotor activity, object exploration and space preference in children with autism and down syndrome. Acta Neurobiol Exp. 2010;70:131–40. Kawa R, Pisula E. Locomotor activity, object exploration and space preference in children with autism and down syndrome. Acta Neurobiol Exp. 2010;70:131–40.
35.
go back to reference Spanò M, Mercuri E, Randò T, Pantò T, Gagliano A, Henderson S, et al. Motor and perceptual-motor competence in children with down syndrome: variation in performance with age. Eur J Paediatr Neurol. 1999;3:7–13.CrossRefPubMed Spanò M, Mercuri E, Randò T, Pantò T, Gagliano A, Henderson S, et al. Motor and perceptual-motor competence in children with down syndrome: variation in performance with age. Eur J Paediatr Neurol. 1999;3:7–13.CrossRefPubMed
36.
go back to reference Vimercati SL, Galli M, Rigoldi C, Ancillao A, Albertini G. Motor strategies and motor programs during an arm tapping task in adults with down syndrome. Exp Brain Res. 2013;225:333–8.CrossRefPubMed Vimercati SL, Galli M, Rigoldi C, Ancillao A, Albertini G. Motor strategies and motor programs during an arm tapping task in adults with down syndrome. Exp Brain Res. 2013;225:333–8.CrossRefPubMed
Metadata
Title
Short-term motor learning through non-immersive virtual reality task in individuals with down syndrome
Authors
Carlos Bandeira de Mello Monteiro
Talita Dias da Silva
Luiz Carlos de Abreu
Felipe Fregni
Luciano Vieira de Araujo
Fernando Henrique Inocêncio Borba Ferreira
Claudio Leone
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Neurology / Issue 1/2017
Electronic ISSN: 1471-2377
DOI
https://doi.org/10.1186/s12883-017-0852-z

Other articles of this Issue 1/2017

BMC Neurology 1/2017 Go to the issue