Motor and Perceptual Recovery in Adult Patients with Mild Intellectual Disability

Introduction. The relationship between intellectual disability (ID) and hand motor coordination and speed-accuracy, as well as the effect of aging on fine motor performance in patients with ID, has been previously investigated. However, only a few data are available on the impact of the nonpharmacol...

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Main Authors: Mariagiovanna Cantone, Maria A. Catalano, Giuseppe Lanza, Gaetano La Delfa, Raffaele Ferri, Manuela Pennisi, Rita Bella, Giovanni Pennisi, Alessia Bramanti
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Neural Plasticity
Online Access:http://dx.doi.org/10.1155/2018/3273246
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author Mariagiovanna Cantone
Maria A. Catalano
Giuseppe Lanza
Gaetano La Delfa
Raffaele Ferri
Manuela Pennisi
Rita Bella
Giovanni Pennisi
Alessia Bramanti
author_facet Mariagiovanna Cantone
Maria A. Catalano
Giuseppe Lanza
Gaetano La Delfa
Raffaele Ferri
Manuela Pennisi
Rita Bella
Giovanni Pennisi
Alessia Bramanti
author_sort Mariagiovanna Cantone
collection DOAJ
description Introduction. The relationship between intellectual disability (ID) and hand motor coordination and speed-accuracy, as well as the effect of aging on fine motor performance in patients with ID, has been previously investigated. However, only a few data are available on the impact of the nonpharmacological interventions in adult patients with long-term hand motor deficit. Methods. Fifty adults with mild ID were enrolled. A group of thirty patients underwent a two-month intensive ergotherapic treatment that included hand motor rehabilitation and visual-perceptual treatment (group A); twenty patients performing conventional motor rehabilitation alone (group B) served as a control group. Data on attention, perceptual abilities, hand dexterity, and functional independence were collected by a blind operator, both at entry and at the end of the study. Results. After the interventions, group A showed significantly better performance than group B in all measures related to hand movement from both sides and to independence in activities of daily living. Discussion. Multimodal integrated interventions targeting visual-perceptual abilities and motor skills are an effective neurorehabilitative approach in adult patients with mild ID. Motor learning and memory-mediated mechanisms of neural plasticity might underlie the observed recovery, suggesting the presence of plastic adaptive changes even in the adult brain with ID.
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spelling doaj-art-148468cdfafa4d78ba260b96bf9be24b2025-02-03T01:09:33ZengWileyNeural Plasticity2090-59041687-54432018-01-01201810.1155/2018/32732463273246Motor and Perceptual Recovery in Adult Patients with Mild Intellectual DisabilityMariagiovanna Cantone0Maria A. Catalano1Giuseppe Lanza2Gaetano La Delfa3Raffaele Ferri4Manuela Pennisi5Rita Bella6Giovanni Pennisi7Alessia Bramanti8IRCCS Centro Neurolesi Bonino Pulejo, Via Provinciale Palermo, Contrada Casazza, 98124 Messina, ItalyAssociazione Assistenziale Villa Sandra, Via per Aci Bonaccorsi 16, San Giovanni La Punta, 95037 Catania, ItalyOasi Research Institute-IRCCS, Via Conte Ruggero 73, Troina, 94018 Enna, ItalyAssociazione Assistenziale Villa Sandra, Via per Aci Bonaccorsi 16, San Giovanni La Punta, 95037 Catania, ItalyOasi Research Institute-IRCCS, Via Conte Ruggero 73, Troina, 94018 Enna, ItalySpinal Unit, Emergency Hospital “Cannizzaro”, Via Messina 829, 95126 Catania, ItalyDepartment of Medical and Surgical Sciences and Advanced Technologies, Section of Neurosciences, University of Catania, Via S. Sofia 78, 95123 Catania, ItalyDepartment of Surgery and Medical-Surgical Specialties, University of Catania, Via S. Sofia 78, 95123 Catania, ItalyIRCCS Centro Neurolesi Bonino Pulejo, Via Provinciale Palermo, Contrada Casazza, 98124 Messina, ItalyIntroduction. The relationship between intellectual disability (ID) and hand motor coordination and speed-accuracy, as well as the effect of aging on fine motor performance in patients with ID, has been previously investigated. However, only a few data are available on the impact of the nonpharmacological interventions in adult patients with long-term hand motor deficit. Methods. Fifty adults with mild ID were enrolled. A group of thirty patients underwent a two-month intensive ergotherapic treatment that included hand motor rehabilitation and visual-perceptual treatment (group A); twenty patients performing conventional motor rehabilitation alone (group B) served as a control group. Data on attention, perceptual abilities, hand dexterity, and functional independence were collected by a blind operator, both at entry and at the end of the study. Results. After the interventions, group A showed significantly better performance than group B in all measures related to hand movement from both sides and to independence in activities of daily living. Discussion. Multimodal integrated interventions targeting visual-perceptual abilities and motor skills are an effective neurorehabilitative approach in adult patients with mild ID. Motor learning and memory-mediated mechanisms of neural plasticity might underlie the observed recovery, suggesting the presence of plastic adaptive changes even in the adult brain with ID.http://dx.doi.org/10.1155/2018/3273246
spellingShingle Mariagiovanna Cantone
Maria A. Catalano
Giuseppe Lanza
Gaetano La Delfa
Raffaele Ferri
Manuela Pennisi
Rita Bella
Giovanni Pennisi
Alessia Bramanti
Motor and Perceptual Recovery in Adult Patients with Mild Intellectual Disability
Neural Plasticity
title Motor and Perceptual Recovery in Adult Patients with Mild Intellectual Disability
title_full Motor and Perceptual Recovery in Adult Patients with Mild Intellectual Disability
title_fullStr Motor and Perceptual Recovery in Adult Patients with Mild Intellectual Disability
title_full_unstemmed Motor and Perceptual Recovery in Adult Patients with Mild Intellectual Disability
title_short Motor and Perceptual Recovery in Adult Patients with Mild Intellectual Disability
title_sort motor and perceptual recovery in adult patients with mild intellectual disability
url http://dx.doi.org/10.1155/2018/3273246
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