Assessment & Research

Gait Characteristics of Adults With Intellectual Disability.

Oppewal et al. (2018) · American journal on intellectual and developmental disabilities 2018
★ The Verdict

Adults with ID walk with the unsteady pattern of someone twenty years older—screen for fall risk and teach balance skills now.

✓ Read this if BCBAs working with adults or teens with ID in day programs, group homes, or vocational sites.
✗ Skip if Clinicians who only serve typically developing athletes or very young children.

01Research in Context

01

What this study did

Oppewal et al. (2018) watched adults with intellectual disability walk on a mat. The mat had sensors that timed each step and measured sway.

They compared the gait numbers to healthy adults who were about twenty years older. This let them see if ID adults walk like much older people.

02

What they found

Adults with ID took shorter, shakier steps and spent less time with both feet on the ground. Their walk looked like that of a typical seventy-year-old.

More sway and less double-support time means a higher chance of tripping or falling.

03

How this fits with other research

Almuhtaseb et al. (2014) had already summed up forty-four studies showing gait problems in people with ID. Alyt gives real numbers to that big picture.

Salb et al. (2015) tracked 147 adults with ID in a home and counted 140 falls. The shaky gait Alyt measured helps explain why those falls happened.

Beck et al. (2021) saw similar short, flat steps in kids with ID. Together the papers show the gait pattern starts young and stays into adulthood.

04

Why it matters

If you serve adults with ID, treat them as if they already have senior-level fall risk, even at thirty. Add simple balance checks to your intake: timed up-and-go, ten-step narrow walk, or just watch them stroll to the water fountain. Share the findings with staff so they keep floors clear, offer sturdy shoes, and plan shorter outdoor routes. Early balance training, core work, or even marching to a beat can cut future injuries.

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Time each client’s ten-meter walk and note any wobble—if slow or shaky, add five minutes of tandem walking practice to the daily schedule.

02At a glance

Intervention
not applicable
Design
case series
Sample size
31
Population
intellectual disability
Finding
not reported

03Original abstract

Gait is a relevant and complex aspect of motor functioning. Disturbances are related to negative health outcomes. Gait characteristics of 31 adults with intellectual disability (ID) without Down syndrome (DS) (42.77±16.70 years) were investigated, and associations with age, sex, body mass index (BMI), and level of ID were assessed. Sex and BMI were significantly associated with some of the gait parameters, while age and level of ID were not. Gait characteristics of adults with ID seem to be comparable to those of the general population of older adults (average 20 years older), except that adults with ID seem to spend less time in stance and double support phase and walk more variable and with a broader base of support.

American journal on intellectual and developmental disabilities, 2018 · doi:10.1352/1944-7558-123.3.283