Matching Items (16)
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- All Subjects: Intellectual Disability
- All Subjects: Assisted Cycling Therapy
- Creators: Ringenbach, Shannon
Description
Previous research has found improvements in motor and cognitive measures following Assisted Cycle Therapy (AC) in adolescence with Down syndrome (DS). Our study investigated whether we would find improvements in older adults with DS on measures of leisure physical activity (GLTEQ) and sleep, which are early indicators of Alzheimer's disease (AD) in persons with Down syndrome. This study consisted of eight participants with Down syndrome between 31 and 51 years old that cycled for 30 minutes 3 x/week for eight weeks either at their voluntary cycling rate (VC) or approximately 35% faster with the help of a mechanical motor (AC). We predicted that, based on pilot data (Gomez, 2015), GLTEQ would either maintain or improve after AC, but would decrease after VC and would stay the same after NC. We predicted that the sleep score may improve after both VC or AC or it may improve more after VC than AC based on pilot data related to leisure activity. Our results were consistent with our prediction that GLTEQ will either maintain or improve after AC but will decrease after VC. Our results were not consistent with our prediction that sleep may improve after both VC or AC or it may improve more after VC than AC, possibly because we did not pre-screen for sleep disorders. Future research should focus on recruiting more participants and using both objective and subjective measures of sleep and physical activity to improve the efficacy of the study.
ContributorsParker, Lucas Maury (Author) / Ringenbach, Shannon (Thesis director) / Buman, Matthew (Committee member) / Holzapfel, Simon (Committee member) / School of Social and Behavioral Sciences (Contributor) / School of Nutrition and Health Promotion (Contributor) / College of Public Service and Community Solutions (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
Description
This study examines the one month retention of executive function benefits gained by adolescents with Down syndrome after an 8-week aerobic exercise intervention. Sixteen participants were randomly divided between voluntary (VC) (i.e., self-selected cadence) and assisted (AC) (i.e., 30% faster than self-selected cadence accomplished by a motor) cycling groups, with one participant used as a control (NC). Both cycling groups rode a stationary bicycle, for 30 minutes, three times a week, for eight weeks. At the beginning (i.e., pretest) and end (posttest) of the 8-week session, three executive functions including: set-switching, inhibition, and cognitive planning, were tested. Approximately one month after the posttest, all participants underwent the cognitive testing again. The results showed that for the AC group cognitive planning improved after eight weeks of assisted cycling and these improvements were maintained after one month of no cycling. However, no significant differences were found between the cycling groups for our measure of inhibition. Set-switching appeared to be improved by both types of exercise, rather than only assisted, but the improvements were not maintained during the one month retention period for either group. Thus, our results suggest that Assisted Cycling causes potentially permanent changes in the brain in regards to cognitive planning.
ContributorsRichter, Madeline B. (Author) / Ringenbach, Shannon (Thesis director) / Amazeen, Eric (Committee member) / Maraj, Brian (Committee member) / Barrett, The Honors College (Contributor) / School of International Letters and Cultures (Contributor) / School of Life Sciences (Contributor)
Created2014-05
Does assisted cycle therapy influence activities of daily living in older adults with Down syndrome?
Description
The aim of this study is to examine the relationship between Assisted Cycle Therapy, leisure time activity levels, fine motor control, and grip force in older adults with Down syndrome (DS), all of which affect activities of daily living (ADL) and therefore quality of life. This is relevant because this particular group is at risk for developing early onset Alzheimer's disease (AD), which presents itself uniquely in this population. The parent or guardian of six participants with DS completed Godin's Leisure Time Exercise Questionnaire and the participants themselves completed Purdue Pegboard and grip force assessments before and after an 8-week exercise intervention. The results were inconsistent with past research, with no change being seen in fine motor control or grip force and a decrease being seen in leisure activity. These findings are indicative of the importance of the effect of fatigue on leisure activity as well as maintaining elevated heart rate throughout exercise interventions.
ContributorsGomez, Elizabeth Danielle (Author) / Ringenbach, Shannon (Thesis director) / Coon, David (Committee member) / Barrett, The Honors College (Contributor) / T. Denny Sanford School of Social and Family Dynamics (Contributor) / Department of Psychology (Contributor)
Created2015-05
Description
The influence of exercise on cognitive function is an important topic. This study examines the effects of different interventions on executive functioning, specifically on cognitive planning, which is a sub-category of executive function, in adults with Down syndrome. Research has shown that an acute bout of Assisted Cycle Therapy improved manual motor functioning, cognitive planning, and information processing in adolescents with Down syndrome but there is a lack of research when it comes to resistance training. Fourteen adults with Down syndrome completed acute sessions of Assisted Cycle Therapy, Resistance Training, and No Training. Cognitive planning was measured by the Tower of London test. The results show that cognitive planning can be improved following Assisted Cycle Therapy. An increase in cognitive planning was also present in the No Training group which may be a result of cognitive stimulating games that were played. In conclusion, this study suggests that teachers, therapists, etc. that work with adults with DS, should be sure to include a cognitive component in all activities.
ContributorsMyer, Brandon Michael (Author) / Ringenbach, Shannon (Thesis director) / Arnold, Nathanial (Committee member) / Morgan, Don (Committee member) / College of Health Solutions (Contributor, Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
Description
Previous research has found improvements in motor and cognitive measures following Assisted Cycle Therapy (AC) in adolescence with Down syndrome (DS). Our study investigated whether we would find improvements in mental health in older adults with DS as measured from the Adapted Behavior Dementia Questionnaire (ABDQ), Physical Activity Self Efficacy Scales (PACES), Children's Depressive inventory, which are early indicators of Alzheimer's disease (AD) in persons with Down syndrome. This study consisted of seven participants with Down syndrome between the ages of 31 and 54, inclusive, that cycled for 30 minutes 3 x/week for eight weeks either at their voluntary cycling rate (VC) or approximately 35% faster with the help of a mechanical motor (ACT). Our results were consistent with our prediction that self efficacy improved following ACT, but not VC. However, our results were not consistent with our prediction that dementia and depression were improved following ACT more than VC. These results were interpreted with respect to the effects of exercise in older adults with DS. Future research should focus on recruiting more participants, especially those with deficits in mental health.
ContributorsPandya, Sachin (Author) / Ringenbach, Shannon (Thesis director) / Coon, David (Committee member) / School of Nutrition and Health Promotion (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
Description
There has been very little research conducted on the long-term effects of exercise on children with Down Syndrome (DS), however, there is some research on Assisted Cycle Therapy (ACT) in adolescents and adults with Down Syndrome and has found positive results on motor, cognitive and mental health measure. Therefore, a grant proposal was submitted to develop ACT Early, a pediatric version of the ACT bicycle, developed in conjunction with Theracycle, geared towards early intervention in children with DS rather than adults with DS. Once submitted, the reviewers sent back their comments of why they would not fund the development of ACT Early. The comments focused on what the parents/guardians would want for their children. Therefore, the purpose of this thesis was to create a questionnaire for parents/guardians so a new grant proposal can be created based on their input and to find the effects exercise and ACT has on children with Down Syndrome. After weeks of helping create the survey based on comments from reviewers of the previously submitted grant, I collected 70 questionnaires at several events in the community. Our results showed that the exercise regimen would be most appropriate for 7-9 year old’s for 2 days a week and 30-45 min per day. The type of exercise would be light intensity on an ACT Theracycle, and it will be done in a fitness/clinical setting. Other options that were suggested were to add music or a buddy to exercise with. Additionally, straps will be used on the Theracycle to ensure maximum safety and the results will be disseminated via emails, websites, in person and through journals. In conclusion, the hope is that the changes made to the study based on this survey of parent/guardian input will help fund the development of the ACT Early Theracycle for children. This is important because early intervention in children with neurological disorders can achieve their best quality of life as soon as possible and become independent, happy, and productive in our society.
ContributorsSpeckler, Rachelle Laura (Author) / Ringenbach, Shannon (Thesis director) / Simon, Holzapfel (Committee member) / College of Health Solutions (Contributor, Contributor) / Barrett, The Honors College (Contributor)
Created2020-05
Description
This study examines the effectiveness of two modes of exercise on self-efficacy (SE) and exercise perception (EP) in adults with Down syndrome (DS). Thirteen participants attended four sessions: a baseline assessment, an Assisted Cycling Therapy (ACT) session, a resistance training (RT) session, and a session of no training (NT). In the baseline assessment, 1-repetition max (1RM) measurements and voluntary pedal rate measurements were taken. In the cycling intervention, the participant completed 30 minutes of assisted cycling at 35 percent greater than their voluntary pedaling rate. In the resistance training session, 2 sets of 8-12 repetitions of the leg press, chest press, seated row, leg curl, shoulder press, and latissimus pulldown were performed. During the session of no training, participants played board games with student researchers for 35 minutes.Two subsets of the Physical Activity and Self Efficacy Survey were administered prior to each session (i.e., pretest) and after the intervention (i.e., post-test). The results were consistent with the hypothesis that ACT would lead to higher SE than RT or NT. However, ACT did not lead to higher EP than RT or NT as hypothesized. Additionally, it was hypothesized that RT would lead to higher SE and EP than NT, but the results did not support this. In conclusion, an acute session of ACT demonstrated a significant trend for improved self-efficacy in adults with DS.
ContributorsOberbillig, Nicole (Author) / Ringenbach, Shannon (Thesis director) / Ofori, Edward (Committee member) / School of International Letters and Cultures (Contributor) / College of Health Solutions (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05
Description
The aim of this study was to examine the influence of Assisted Cycling Therapy (ACT) on information processing measured by simple reaction time in older adults with Down Syndrome (DS). Twenty-one participants were randomly assigned to one of three interventions over eight weeks. 1) Eleven older adults with Down Syndrome completed the ACT intervention, which is stationary cycling with the assistance of a motor to maintain a cadence at least 35% greater than voluntary cycling. 2) Eight older adults with Down Syndrome completed the voluntary cycling (VC) intervention and 3) two older adults with Down Syndrome were in our no cycling (NC) intervention. Both exercise groups participated in the eight-week, supervised exercise protocol for at least three, 30-minute sessions per week. None of our results reached conventional levels of significance. However, the greatest improvements in reaction time occurred following the voluntary cycling (VC) intervention. Our results are discussed with respect to physiological differences in older adults with DS that may limit improvements in executive function following exercise. These physiological differences and limitations include muscle atrophy and reduced perceptions, age related latency between motor cortex activation and onset of muscle activity, as well as general age related slowing in reaction time. Although it may be difficult to improve executive function in older adults with DS, we suggest other benefits to exercise which include improving social communication, gross motor skills, and exercise perception. Future research should continue to investigate the effects of exercise on multiple areas in older adults with DS with the hopes of improving quality of life.
ContributorsCahill, Colleen Mary (Author) / Ringenbach, Shannon (Thesis director) / Amazeen, Eric (Committee member) / School of Nutrition and Health Promotion (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
Description
The aim of this study was to examine the effects of Assisted Cycle Therapy (ACT) on self-efficacy and exercise perception in older adults with Down syndrome (DS) after a three times a week for 8 weeks intervention. Thirteen participants were in the ACT group in which a motor assisted their cycling to be performed at least 30% faster than voluntary cycling (VC), 11 participants were in the voluntary cycling group and two participants were in the no cycling (NC) group. The results showed that both exercise groups (i.e., ACT and VC) improved in their self-efficacy after the 8 week intervention. In addition, exercise perception improved following ACT and not VC or NC. Our results are discussed with respect to their future implications for exercise in the DS population. It might be that the yielded results were due to differences in effort required by each intervention group as well as the neurotrophic factors that occur when muscle contractions create synaptic connections resulting in improvement in cognition and feelings of satisfaction. In the future, research should focus on the psychological factors such as social accountability and peer interaction as they relate to ACT and physical activity in person's with DS.
ContributorsTucker, Kori Ann (Author) / Ringenbach, Shannon (Thesis director) / Arnold, Nathaniel (Committee member) / Holzapfel, Simon (Committee member) / School of Nutrition and Health Promotion (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
Description
Executive function is vital for activities of daily living especially in stroke survivors because it is critical to everyday tasks (e.g., driving, cooking, etc.). An innovative way to improve executive function may be Assisted Cycling Therapy (ACT). This is among the first studies to use a Stroop task to measure inhibition, selective attention, and information processing speed following ACT in stroke survivors. Twenty-three participants post-stroke performed ACT, voluntary cycling (VC) and no cycling (NC). The results showed that there were improvements in the Stroop task following an acute session of ACT but not following VC or NC. These results suggest that ACT resulted in increased afferent information which may have resulted in increased arousal and excitability in regions of the prefrontal cortex. These factors have been shown to improve executive function.
ContributorsCooper, Aspen (Author) / Ringenbach, Shannon (Thesis director) / Holzapfel, Simon (Committee member) / Barrett, The Honors College (Contributor)
Created2017-05