Autism & Developmental

The effectiveness of dance movement therapy for individuals with Down syndrome: a pilot randomised controlled trial.

Takahashi et al. (2023) · Journal of intellectual disability research : JIDR 2023
★ The Verdict

Ten weeks of group dance movement therapy gives a big boost to dynamic balance in Down syndrome, but does not help static balance or daily skills.

✓ Read this if BCBAs running teen or adult programs for Down syndrome who want a fresh, low-cost balance tool.
✗ Skip if Clinicians focused only on static balance, adaptive living, or behavior change.

01Research in Context

01

What this study did

Researchers ran a small pilot RCT. They split kids and young adults with Down syndrome into two groups. One group got 10 weeks of 60-minute dance movement therapy sessions. The other group waited. They tested balance and daily living skills before and after.

The dance sessions used music and guided movement. Trained therapists led the groups each week. The team wanted to see if dance would improve both body control and behavior.

02

What they found

Dynamic balance got much better. Kids moved more smoothly and recovered balance faster. The effect was large and clear.

Static balance did not change. Standing still on one foot stayed the same. Daily living skills and behavior also showed no gains.

03

How this fits with other research

Titlestad et al. (2019) pooled 27 RCTs of physical therapy for Down syndrome. Their meta-analysis found large gains in limb strength and mediolateral balance. The new DMT trial adds dance as another way to boost balance, but only the dynamic kind.

Costa et al. (2017) reviewed 19 exercise studies and saw small benefits for daily living and social skills. Takahashi et al. (2023) found zero adaptive gains. The difference: P’s review mixed many exercise types, while H tested only dance. Dance alone may not be enough for life-skills change.

Northrup et al. (2022) ran an RCT of adapted soccer for teens with Down syndrome. Soccer cut anxiety and boosted social skills. DMT did not touch behavior. The two studies together show: pick soccer for mood, pick dance for balance.

04

Why it matters

If you serve teens or adults with Down syndrome, you now have a quick tool. Add a 10-week dance group to your program and expect smoother, faster balance reactions. Keep static balance goals on the plan, because dance won’t fix them. Pair dance with strength or soccer work if you also want social or daily-living gains.

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→ Action — try this Monday

Schedule a 60-minute dance session this week—use upbeat music and simple weight-shift moves to start building dynamic balance.

02At a glance

Intervention
other
Design
randomized controlled trial
Sample size
31
Population
down syndrome
Finding
mixed
Magnitude
medium

03Original abstract

BACKGROUND: Individuals with Down syndrome (DS) exhibit deficits in static and dynamic balance abilities and maladaptive functions. This study aimed to determine the effectiveness of dance movement therapy (DMT) group intervention in individuals with DS. METHODS: The 31 participating individuals with DS, aged 5-29 years, were randomly divided into intervention (n = 16) and control (n = 15) groups. Posturography was used for static balance measurement, timed up and go test for dynamic balance measurement and the Achenbach System of Empirically Based Assessment (ASEBA) questionnaire for adaptive function and behavioural problem measurement in participants before and after the DMT interventions. The intervention group underwent 60-min DMT intervention once a week for 10 times, while the control group had usual daily activities. RESULTS: The results revealed a statistically significant difference and large effect sizes in dynamic balance [(f(1, 29) = 4.52, P = 0.04, ηp   2 = 0.14)] in the intervention group compared with the control group. There were no statistically significant differences in static balance and ASEBA scores between the groups. CONCLUSIONS: This study found that the DMT interventions helped to improve the dynamic balance in individuals with DS.

Journal of intellectual disability research : JIDR, 2023 · doi:10.1111/jir.13033