Assessment & Research

Static standing balance in adolescents with Down syndrome.

Villarroya et al. (2012) · Research in developmental disabilities 2012
★ The Verdict

Teens with Down syndrome lean on vision for balance and wobble badly when touch cues are shaky—train the feet first.

✓ Read this if BCBAs writing gross-motor goals for middle- and high-schoolers with Down syndrome.
✗ Skip if Clinicians serving only ASD or adult populations.

01Research in Context

01

What this study did

Villarroya et al. (2012) watched teens with Down syndrome stand still on a force plate. They compared the kids to same-age peers without disabilities. The team rocked the platform and blurred vision goggles to test which sense—touch or sight—the teens trusted most.

Each teen stood for three short trials while cameras tracked tiny body sway. The goal was to see if Down syndrome changes how the brain weighs balance cues.

02

What they found

The Down syndrome group swayed more and fell off balance sooner. They leaned hardest on vision and paid less attention to foot-pressure signals. When the platform moved, their sway doubled; controls barely wobbled.

03

How this fits with other research

Rigoldi et al. (2011) saw the same shaky pattern one year earlier, but across kids, teens, and adults. Their data set up the teen focus Adoración used next.

Borji et al. (2023) added a twist: ask the teens to name animals while standing. The extra talk made balance even worse, showing the deficit grows under cognitive load.

Dudley et al. (2019) looked at younger Down syndrome kids doing sit-to-stand with a hand task. Surprisingly, sway dropped a little, hinting that light dual tasks can stiffen the body. The studies seem to clash—dual task hurts versus helps—but the difference is task type. Verbal fluency (Rihab) competes for balance brain space, while simple hand play (M et al.) may trigger a stable posture strategy.

Gomes et al. (2016) followed the teens into adulthood. They found weaker links between moving-room visuals and body sway, proving the sensory mismatch lasts lifelong.

04

Why it matters

Your Down syndrome clients likely trust their eyes too much and their feet too little. Add somatosensory drills—foam standing, mini-trampoline, barefoot balance beams—to shift weight back to the feet. Keep language tasks separate at first; layer them in only after static balance improves.

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Have the teen stand on a foam pad, shoes off, eyes open for 30 s, then eyes closed for 10 s; note sway and build daily trials.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
65
Population
down syndrome, neurotypical
Finding
negative
Magnitude
medium

03Original abstract

AIM: To analyse static-standing-balance of adolescents with Down syndrome (DS). METHODS: Thirty-two adolescents with DS aged 10-19 years (DSG); 33 adolescents, age/sex-matched, without DS (CG). Static-standing-balance under four conditions (C1: open-eyes/fixed-foot-support; C2: closed-eyes/fixed-foot-support; C3: open-eyes/compliant-foot-support; closed-eyes/compliant-foot-support) was examined by means of time and frequency Postural-Parameters (PPs). To evaluate the contribution of each sensory system influencing postural control ratios among the four conditions were calculated. Mean values of all PPs were higher in the DSG than in the CG. Mean values of time PPs were higher in both groups on compliant-foot-support (with open and closed eyes) than on fixed-foot-support. Ratios C2/C1 were significantly lower in DSG than in CG; ratios C3/C1 presented higher values in DSG than in CG, with significant differences in length path and RMS-velocity; there were no differences in ratios C4/C1. CONCLUSIONS: In our group of DS adolescents the shift from visual to multimodal control of stance had occurred and they showed similar postural control patterns than non-DS. Even though, they presented worse static balance than their peers without DS and they had more problems with altered somasosensory input. An adequate rehabilitation program insisting on somatosensory input could be a useful measure to improve balance.

Research in developmental disabilities, 2012 · doi:10.1016/j.ridd.2012.02.017