Autism & Developmental

Association between parent-reported level of physical activity and mobility performance in children with Down syndrome: A cross-sectional study.

Brugnaro et al. (2025) · Research in developmental disabilities 2025
★ The Verdict

Parent quick-rating of daily activity predicts mobility test score in kids with Down syndrome.

✓ Read this if BCBAs running sessions for school-age clients with Down syndrome in clinic, home, or community settings.
✗ Skip if Practitioners who only treat adults or clients without developmental disability.

01Research in Context

01

What this study did

Researchers asked 48 parents of kids with Down syndrome to rate how active their child is. They also tested each child's mobility with a standard walking and balance test.

The team then looked for a link between the parent activity score and the mobility score. All kids were 6-12 years old and lived in Brazil.

02

What they found

Kids whose parents said they were 'very active' walked farther and kept balance longer than kids rated 'little active'. The link was small but clear enough to show up in statistics.

Even after ruling out age, sex, and body size, the pattern stayed the same. More parent-reported activity still meant better test scores.

03

How this fits with other research

de Moraes et al. (2013) looked at dental age in Down syndrome and found no delay, showing that some body systems follow typical timing. Helena’s team now adds that movement skill can still vary widely inside the diagnosis.

LeBlanc et al. (2003) used parent surveys too, but asked fathers about stress instead of activity. Their work shows parent reports can be trusted, which supports Helena’s choice of a simple questionnaire.

García-López et al. (2016) compared Down syndrome to autism on sexual behavior. They used Down syndrome as the 'baseline' group, just as Helena used it as the single focus for mobility. Together the papers remind us to study strengths inside Down syndrome, not only compare it to other diagnoses.

04

Why it matters

If you serve school-age clients with Down syndrome, ask parents, 'How active is your child each day?' Their quick rating gives you a cheap screen for who might need extra gait or balance work. Pair the answer with a short walk test and you have a baseline in five minutes. When parents report low activity, build more gross-motor play into the session plan and teach parents simple indoor movement games. The small link seen here means you won’t fix mobility overnight, but every extra step counts.

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Add one question to your intake: 'On a 1-5 scale, how active is your child each day?' Use the number to decide if you need a full mobility assessment.

02At a glance

Intervention
not applicable
Design
other
Sample size
48
Population
down syndrome
Finding
positive
Magnitude
small

03Original abstract

BACKGROUND: Children with Down syndrome (DS) often face challenges maintaining adequate levels of physical activity, which might be associated with their mobility performance. Therefore, the objectives of this study were i) to describe parent-reported physical activity level and performance of mobility of children with DS and ii) to explore relationship between parent-reported physical activity level and performance of mobility in children with Down syndrome. METHODS: For this observational and cross-sectional study, 48 children with DS (mean age: 10.50 ± 3.30) were assessed using the IPAQ-short version (parent-reported physical activity level) and the PEDI-CAT mobility (performance in mobility). Data were analyzed using the Spearman correlation test with a significance level of p < 0.05 using SPSS-V24.0 software. RESULTS: A significant positive association was found between parent-reported physical activity level and mobility performance (ρ (rho) = .323; p = .025). CONCLUSION: Higher physical activity level was associated with better mobility performance in daily living activities. Therefore, this finding supports the importance of promoting both aspects of functioning in children with DS.

Research in developmental disabilities, 2025 · doi:10.1016/j.ridd.2025.105164