The Relationship between Executive Functions and Postural Control in Children with Mild Intellectual Disability and Comparison with Typically Developing Peers

Objective Children with intellectual disability (ID) experience significant impairments in both cognitive and motor functions, which impact their balance and postural control. This study aimed to explore the relationship between executive functions and postural control in children with ID and compar...

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Main Authors: Elaheh Azadian, Makwan Jabar Ali
Format: Article
Language:English
Published: Islamic Azad University, Hamedan Branch 2025-01-01
Series:Biyumikānīk-i varzishī
Subjects:
Online Access:http://biomechanics.iauh.ac.ir/article-1-359-en.pdf
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author Elaheh Azadian
Makwan Jabar Ali
author_facet Elaheh Azadian
Makwan Jabar Ali
author_sort Elaheh Azadian
collection DOAJ
description Objective Children with intellectual disability (ID) experience significant impairments in both cognitive and motor functions, which impact their balance and postural control. This study aimed to explore the relationship between executive functions and postural control in children with ID and compare these findings to children with typical intelligence. Methods This causal-comparative and correlational study included 15 students with ID and 15 individuals with a normal range of intelligence. Static balance was assessed using a force plate in two conditions: stable and unstable support surfaces. Executive functions were measured using simple reaction time and response inhibition (Go/No Go) tests. The Shapiro-Wilk test results indicated that the balance data followed a normal distribution, while the cognitive data did not. Therefore, a three-way ANOVA was used for between-group comparisons of balance variables, and the Mann-Whitney U test was employed for cognitive variables. Additionally, Spearman's correlation coefficient was used to examine the relationship between balance performance (center of pressure sway) and cognitive performance (reaction time and response inhibition). Results Children with ID showed slower reaction times and a higher number of incorrect responses compared to the control group in the cognitive tests (p < 0.05). Significant differences were also found between the two groups in all balance variables (p < 0.05). A strong to moderate significant correlation was observed between cognitive test performance and balance measures (r = 0.51 to 0.82). Conclusion The results indicate that intellectual disability has a considerable effect on both cognitive processing and postural control. The increased variability and speed of center of pressure (CoP) in children with ID may suggest the use of less effective compensatory strategies, leading to increased fatigue and a higher risk of falls. Developing comprehensive interventions that target both executive functions and postural control may help reduce instability and improve the quality of life for these children.
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spelling doaj-art-4acc2af108a8409eae2c4a8ea7cbb8212025-08-20T03:58:21ZengIslamic Azad University, Hamedan BranchBiyumikānīk-i varzishī2476-49062476-59372025-01-01104294308The Relationship between Executive Functions and Postural Control in Children with Mild Intellectual Disability and Comparison with Typically Developing PeersElaheh Azadian0Makwan Jabar Ali1 Department of Motor Behavior, Hamedan Branch, Islamic Azad University, Hamedan, Iran. Physical Education and Sport Sciences Department, University of Halabja, Halabja, Kurdistan Region, Iraq. Objective Children with intellectual disability (ID) experience significant impairments in both cognitive and motor functions, which impact their balance and postural control. This study aimed to explore the relationship between executive functions and postural control in children with ID and compare these findings to children with typical intelligence. Methods This causal-comparative and correlational study included 15 students with ID and 15 individuals with a normal range of intelligence. Static balance was assessed using a force plate in two conditions: stable and unstable support surfaces. Executive functions were measured using simple reaction time and response inhibition (Go/No Go) tests. The Shapiro-Wilk test results indicated that the balance data followed a normal distribution, while the cognitive data did not. Therefore, a three-way ANOVA was used for between-group comparisons of balance variables, and the Mann-Whitney U test was employed for cognitive variables. Additionally, Spearman's correlation coefficient was used to examine the relationship between balance performance (center of pressure sway) and cognitive performance (reaction time and response inhibition). Results Children with ID showed slower reaction times and a higher number of incorrect responses compared to the control group in the cognitive tests (p < 0.05). Significant differences were also found between the two groups in all balance variables (p < 0.05). A strong to moderate significant correlation was observed between cognitive test performance and balance measures (r = 0.51 to 0.82). Conclusion The results indicate that intellectual disability has a considerable effect on both cognitive processing and postural control. The increased variability and speed of center of pressure (CoP) in children with ID may suggest the use of less effective compensatory strategies, leading to increased fatigue and a higher risk of falls. Developing comprehensive interventions that target both executive functions and postural control may help reduce instability and improve the quality of life for these children.http://biomechanics.iauh.ac.ir/article-1-359-en.pdfexecutive functionspostural controlchildren with intellectual disabilitycenter of pressurestatic
spellingShingle Elaheh Azadian
Makwan Jabar Ali
The Relationship between Executive Functions and Postural Control in Children with Mild Intellectual Disability and Comparison with Typically Developing Peers
Biyumikānīk-i varzishī
executive functions
postural control
children with intellectual disability
center of pressure
static
title The Relationship between Executive Functions and Postural Control in Children with Mild Intellectual Disability and Comparison with Typically Developing Peers
title_full The Relationship between Executive Functions and Postural Control in Children with Mild Intellectual Disability and Comparison with Typically Developing Peers
title_fullStr The Relationship between Executive Functions and Postural Control in Children with Mild Intellectual Disability and Comparison with Typically Developing Peers
title_full_unstemmed The Relationship between Executive Functions and Postural Control in Children with Mild Intellectual Disability and Comparison with Typically Developing Peers
title_short The Relationship between Executive Functions and Postural Control in Children with Mild Intellectual Disability and Comparison with Typically Developing Peers
title_sort relationship between executive functions and postural control in children with mild intellectual disability and comparison with typically developing peers
topic executive functions
postural control
children with intellectual disability
center of pressure
static
url http://biomechanics.iauh.ac.ir/article-1-359-en.pdf
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