Assessment & Research

Visuomotor skill learning in young adults with Down syndrome.

Højberg et al. (2023) · Research in developmental disabilities 2023
★ The Verdict

Young adults with Down syndrome can learn and keep new hand-eye skills if you give them repeated practice and a night to sleep on it.

✓ Read this if BCBAs teaching vocational or daily-living motor skills to teens or adults with Down syndrome.
✗ Skip if Practitioners working solely on language or social goals with no motor component.

01Research in Context

01

What this study did

Højberg et al. (2023) asked if young adults with Down syndrome can learn a new hand-eye task. They used a computer game where you trace a moving target. Everyone practiced the same short blocks.

The team compared adults with Down syndrome to same-age peers without disability. They looked at accuracy during practice and again seven days later.

02

What they found

Adults with Down syndrome started off less accurate, but their lines got straighter each block. After a week they kept most of the gain, showing both online learning and overnight consolidation.

The result says the learning machinery for visuomotor skills is intact in Down syndrome; it just begins at a lower starting point.

03

How this fits with other research

Adi-Japha et al. (2011) saw the opposite pattern in young adults with ADHD. Those learners got faster but lost accuracy after one night, a warning that speed gains can mask fragile consolidation. Munk’s Down syndrome group kept both speed and accuracy, so you can trust next-day retention.

Bleyenheuft et al. (2013) found adults with Down syndrome could memorize virtual routes yet failed to find shortcuts, hinting at rigid spatial memory. Munk’s task was simpler—track, not navigate—and the success shows the deficit is not in all visuospatial learning, just in flexible mapping.

Sparaci et al. (2015) saw kids with autism learn a 2-D tracking task at the same rate as peers, but their movement paths were jerky. Together the papers tell us to watch two things: whether accuracy holds overnight and how the movement looks, not just whether it improves.

04

Why it matters

If you teach typing, cooking, or assembly work, schedule repeated short practice rounds and expect the learner to come back sharper after a good night’s sleep. Don’t drop the task after one good session; the first-day score is not the ceiling. And because other studies show route learning may stay rigid, add variety early so the skill transfers to new tools or layouts.

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→ Action — try this Monday

Run three short tracing trials today, then re-test tomorrow; expect accuracy to hold or improve, and use that gain to set the next goal.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
25
Population
down syndrome, neurotypical
Finding
positive
Magnitude
medium

03Original abstract

BACKGROUND: Individuals with Down syndrome (DS) have impaired general motor skills compared to typically developed (TD) individuals. AIMS: To gain knowledge on how young adults with DS learn and retain new motor skills. METHODS AND PROCEDURES: A DS-group (mean age = 23.9 ± 3 years, N = 11), and an age-matched TD-group (mean age 22.8 ± 1.8, N = 14) were recruited. The participants practiced a visuomotor accuracy tracking task (VATT) in seven blocks (10.6 min). Online and offline effects of practice were assessed based on tests of motor performance at baseline immediate and 7-day retention. OUTCOMES AND RESULTS: The TD-group performed better than the DS-group on all blocks (all P < 0.001). Both groups improved VATT-performance online from baseline to immediate retention, (all P < 0.001) with no difference in online effect between groups. A significant between-group difference was observed in the offline effect (∆TD - ∆DS, P = 0.04), as the DS-group's performance at 7-day retention was equal to their performance at immediate retention (∆DS, P > 0.05), whereas an offline decrease in performance was found in the TD-group (∆TD, P < 0.001). CONCLUSIONS AND IMPLICATIONS: Visuomotor pinch force accuracy is lower for adults with DS compared to TD. However, adults with DS display significant online improvements in performance with motor practice similar to changes observed for TD. Additionally, adults with DS demonstrate offline consolidation following motor learning leading to significant retention effects.

Research in developmental disabilities, 2023 · doi:10.1016/j.ridd.2023.104535