Shen Xin, Huang Peiying, Nie Bing, Su Maolin, Liu Dan, Guo Yin, Zheng Lan
Key Laboratory of Physical Fitness and Exercise Rehabilitation of Hunan Province, College of Physical Education, Hunan Normal University, Changsha 410012, China.
College of Physical Education, Hunan Normal University, No36 Lushan Road, Changsha 410012, China.
Life (Basel). 2024 Oct 16;14(10):1314. doi: 10.3390/life14101314.
The International Classification of Functioning, Disability, and Health (ICF) offers a comprehensive bio-psycho-social model for evaluating the multifaceted needs of individuals with disabilities. While its adoption in healthcare settings is widespread, its utilization within the domain of physical activity interventions, particularly for adolescents with intellectual disabilities (IDs), remains insufficiently explored. This study rigorously examines the efficacy of a 6-month ICF-based Adaptive Physical Activity (APA) intervention on the development of fundamental motor skills (FMSs), improvements in physical fitness (PF), and enhancements in quality of life (QoL) among adolescents with ID. A total of thirty-eight adolescents were randomly allocated into either an intervention group (IG), which participated in the tailored APA program, or a control group (CG), which received standard physical education. The findings demonstrated statistically significant improvements in the IG's test of gross motor development (TGMD) total, locomotor, object control, and QOL scores relative to the CG ( < 0.001, η² = 0.330, 0.249, 0.224, and 0.439, respectively). Furthermore, substantial gains were observed in PF measures, including upper and lower limb strength as well as cardiorespiratory fitness ( < 0.001, η² = 0.254, 0.351, 0.176). Strong positive correlations were noted between FMS, PF, and QoL (r = 0.34-0.71, < 0.05). This study underscores the importance of tailoring physical activity programs for adolescents with ID, offering insights into the relationships between FMS, PF, and QoL, and guidance for future interventions aimed at improving health outcomes in this population.
《国际功能、残疾和健康分类》（ICF）提供了一个全面的生物 - 心理 - 社会模型，用于评估残疾人士的多方面需求。虽然它在医疗保健环境中的应用很广泛，但在体育活动干预领域，特别是针对智障青少年的应用，仍未得到充分探索。本研究严格检验了一项基于ICF的为期6个月的适应性体育活动（APA）干预对智障青少年基本运动技能（FMS）发展、身体素质（PF）改善以及生活质量（QoL）提高的效果。共有38名青少年被随机分配到干预组（IG）和对照组（CG），干预组参加量身定制的APA项目，对照组接受标准体育教育。研究结果表明，相对于对照组，干预组在粗大运动发展测试（TGMD）总分、运动能力、物体控制能力和生活质量得分方面有统计学上的显著改善（分别为<0.001，η² = 0.330、0.249、0.224和0.439）。此外，在PF指标方面也有显著提高，包括上肢和下肢力量以及心肺适能（<0.001，η² = 0.254、0.351、0.176）。FMS、PF和QoL之间存在强正相关（r = 0.34 - 0.71，<0.05）。本研究强调了为智障青少年量身定制体育活动计划的重要性，深入了解了FMS、PF和QoL之间的关系，并为未来旨在改善该人群健康状况的干预措施提供了指导。
