Assessment & Research

Validating functional measures of physical ability for aging people with intellectual developmental disability.

Maring et al. (2013) · American journal on intellectual and developmental disabilities 2013
★ The Verdict

Three quick physical tests spot recent health trouble in adults with IDD and predict later problems.

✓ Read this if BCBAs doing annual assessments or day-program support for adults with IDD.
✗ Skip if Clinicians serving only children or adults without developmental disability.

01Research in Context

01

What this study did

Researchers tested three quick physical tests on adults with intellectual and developmental disabilities. They wanted to see if the tests could spot who had a bad health event in the past year.

The team used a short two-minute walk, a balance test, and a daily-living checklist. They gave the tests to a small group of adults aged 25 to 80.

02

What they found

All three tests told the groups apart. People who had a fall, hospital stay, or new illness scored lower on every measure.

The simple walk test did the best job. Lower scores lined up with recent health problems.

03

How this fits with other research

Oppewal et al. (2014) and Oppewal et al. (2015) ran the same fitness battery in a much bigger group. They showed that poor scores today forecast real loss of independence three years later. The target paper adds proof that the tests also flag past trouble.

Capio et al. (2013) published the same year with over 1,000 adults. They proved the tests are doable for most clients, even those with severe disability. The target study moves past feasibility and shows the scores mean something clinically.

Berkovits et al. (2014) used a frailty index instead of fitness tests. They also predicted later disability in the same Dutch cohort. Together the papers give you two paths: count frailty deficits or give three quick physical tests.

04

Why it matters

You now have three fast, low-cost red flags for health decline in aging clients with IDD. Add the two-minute walk and balance test to annual assessments. If scores drop, start fall-prevention training, schedule physician review, and adjust support plans before the next crisis hits.

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→ Action — try this Monday

Time a client's two-minute walk and note balance errors; flag scores below last assessment for follow-up.

02At a glance

Intervention
not applicable
Design
pre post no control
Sample size
30
Population
intellectual disability, developmental delay
Finding
positive

03Original abstract

Unlike the aging population without intellectual and developmental disabilities (IDD), few standardized performance measures exist to assess physical function and risk for adverse outcomes such as nonfatal, unintentional injuries. We modified 3 selected standardized performance tools in the areas of general fitness (2-Minute Walk Test), balance and gait (Performance-Oriented Mobility Assessment I), and functional independence (Modified Barthel Index) for administration with people with IDD. The modified tools were piloted with 30 participants. Results indicated the measures are strongly associated and successfully distinguished between participants with an adverse health event in the previous year. The modified tools have potential to provide clinicians with quantitative measures that track physical performance changes associated with aging in people with IDD.

American journal on intellectual and developmental disabilities, 2013 · doi:10.1352/1944-7558-118.2.124