Fundamental Motor Skills and School-Aged Individuals with Visual Impairments: a Review

COMPARISON OF MOTOR PERFORMANCE BETWEEN CHILDREN WITH MULTIPLE DISABILITIES AND TYPICAL DEVELOPMENT

Purpose: Individuals with multiple disabilities have two or more disabilities at the same time, and these impairments can cause qualitatively and quantitatively insufficient motor performance. This study aimed to compare the motor performance of children with multiple disabilities to children with typical development. Methods: This prospective study included 26 children with multiple disabilities who had visual impairment according to the International Statistical Classification of Diseases and Related Health Problems: 11th Revision, and 20 children with typical development. The Bruininks-Oseretsky Test of Motor Proficiency Second Edition Short Form was used to examine motor proficiency. A standard hand dynamometer and pinchmeter were used to assess hand and finger grip strength. The Nine-Hole Peg Test was used to evaluate performance-based hand functions. Results: Children with multiple disabilities had lower scores for balance control (p

Perceived Motor Competence Mediates the Relationship Between Gross Motor Skills and Physical Activity in Youth With Visual Impairments

Children with visual impairments typically demonstrate lower levels of motor competence, physical activity, and perceived motor competence compared to their peers without visual impairments. Stodden and colleagues purport that perceived motor competence mediates the relationship between motor competence and physical activity for youth without visual impairments. Purpose: The purpose of this study was to test whether perceived motor competence mediates the relationship between motor competence and physical activity for youth with visual impairments. Methods: Participants (N = 138; boys = 81, girls = 57) were age 9-18 years (M_age = 13.37, SD = 2.34) with visual impairments. Participants completed the Test of Gross Motor Development-3, the Test of Perceived Physical Competence-VI, and the Physical Activity Questionnaire. Results: Locomotor skills predicted perceived motor competence, which predicted physical activity. Perceived motor competence showed a mediation effect on the path from locomotor skills to physical activity. There was no significant relationship between locomotor skills and physical activity. Conclusion: The results from this study provide initial evidence to support the hypothesis proposed by Stodden and colleagues. These data provide a rationale to include both perceived and actual motor competence within targeted intervention strategies to increase physical activity behaviors for youth with visual impairments. Future research should consider following participants longitudinally to test the roles of perceived and actual motor competence as factors supporting positive developmental trajectories for health.

Professional Preparation of Teachers of Students With Visual Impairments and Orientation and Mobility Specialists Regarding Physical Activity, Physical Education, and Sport

Introduction: This aim of this online study was to determine what teachers of students with visual impairments (TVIs) and orientation and mobility (O&M) specialists learned and experienced in their professional preparation programs regarding physical education, physical activity, and sport for students with visual impairments. Methods: In 2019, an initial questionnaire was sent to specialists in the field for validation. In 2020, 68 TVIs and O&M specialists participated in an online research study consisting of validated multiple choice, Likert scales, and short responses. This study was created through and accessed by participants on the website of Qualtrics, a survey tool. Results: Sixty percent of the participants did not feel that their professional preparation program provided an adequate amount of time discussing accommodations for students with visual impairments in physical education and physical activity. Eighty percent of participants learned very little or nothing at all in their courses related to physical activity, physical education, and sport; and 79% learned very little or nothing at all in their practicum experiences. Seventy-two percent of participants indicated that they wished that they had learned more about physical activity, physical education, and sport. Discussion: The findings demonstrate that TVIs and O&M specialists are not prepared to assist physical education teachers in making physical activity, physical education, and sport accessible to students with visual impairments. Implications for Practitioners: The professional preparation programs of TVIs and O&M specialists can include more information on making physical activity, physical education, and sport accessible to students with visual impairments.

A Qualitative Inquiry of a Three-Month Virtual Practicum Program on Youth with Visual Impairments and Their Coaches

Research has shown that the practicum experience for professional preparation students in physical education teacher education programs related to teaching youth with disabilities can improve self-efficacy. It is not currently known if a virtual program can be effective for the professional preparation students or the participants. The objective of this study was to determine the experiences of the participants of a three-month virtual practicum program. In this phenomenological study, thirty youth with visual impairments and 1:1 professional preparation students (coaches) took part in a three-month virtual physical activity program. A total of 11 coaches took part in 2 focus groups, and 10 of the participants were interviewed about their experiences in this unique practicum. Findings in this three-month program revealed four themes: (1) friendship, (2) self-determination, (3) goal setting, and (4) barriers. The results of the qualitative inquiry indicate that a virtual practicum program can have a positive effect on both the participants and the professional preparation students. Virtual programs should also be aware of barriers to implementing an effective program to benefit all parties.

Fundamental Motor Skill Delays in Preschool Children With Disabilities: 2012 National Youth Fitness Survey

Delays in fundamental motor skill (FMS) competency have been observed in a variety of children with disabilities. However, evidence of FMS delays is largely limited to small, geographically specific, limitedly diverse, and non-representative samples. The purpose of this study was to examine the association between FMS competency and reported disability status among pre-school children, ages 3–5 years, using the 2012 National Youth Fitness Survey (NYFS). In total, 329 preschool children (49% female; 4.00 ± 0.04 years of age) from the 2012 NYFS completed the Test of Gross Motor Development−2, including 43 preschoolers identified with a disability based on parental report (44% female; 4.20 ± 0.16 years). Associations were examined with logistic regression using sampling weights. Poor FMS competency, defined as gross motor quotient scores ≤ 79, was observed in significantly more children with disabilities (29%) than children without disabilities (10%, OR = 3.5, p = 0.04). While not statistically significant, there was a growing disparity in FMS competency at age 5 (41 vs. 11%) compared to age 3 (15 vs. 9%, OR = 1.80, p = 0.30). The results provide additional evidence for poor FMS competency among pre-school children with disabilities. FMS should be an early part of comprehensive assessments for all children suspected of disability or development delay as it is critical to identify and intervene upon FMS delays before discrepancies can widen.

A Comparison of the Fundamental Motor Skills of Preschool-Aged Children With and Without Visual Impairments

Fundamental motor skills (FMS) are an underlying mechanism driving physical activity behavior and promoting positive developmental trajectories for health. However, little is known about FMS of preschool-aged children with visual impairments (VI). The purpose of this study was to examine the FMS of preschool-aged children (N = 25) with (n = 10) and without (n = 15) VI as measured using the Test of Gross Motor Development-3. Children without VI performed significantly higher than their peers for locomotor (M = +11.87, p = .014, η2 = .31) and ball skills (M = +13.69, p < .001, η2 = .56). Regardless of the presence of a VI, many participants struggled with developing FMS, with the greatest disparity resting within ball skills. These findings help to clarify the FMS levels of preschool-aged children with VI. Thus, there is a need for both further inquiry and intervention for all children.

Longitudinal Locomotor Competence and Body Mass Index Across Self-Reported Gender and Vision Level for Youth With Visual Impairments: A 3-Year Investigation

Youth with visual impairments are more likely to be overweight than peers without visual impairments and often struggle with their locomotor skills. Locomotor development can combat unhealthy body weight statuses by supporting physical activity behaviors. There are no longitudinal investigations concerning the locomotor skill and body mass index (BMI) developmental trajectories of youth with visual impairments. The purpose of this study was to examine the 3-year developmental trajectory of the locomotor skills and BMI of youth with visual impairments including differential effects of self-reported gender and degree of vision. Participants (N = 34, Mage = 11.75 years, 47% female) showed severely delayed and arrested locomotor development with increases in BMI across 3 years regardless of self-reported gender or degree of vision. Participants failed to breech a proficiency barrier of motor competence to combat against increases in BMI across time. Additional longitudinal inquiries are needed.

Self-Perceptions, Parents’ Perceptions, Metaperceptions, and Locomotor Skills in Adolescents With Visual Impairments: A Preliminary Investigation

Individuals with visual impairments (VI) trend toward lower motor competence when compared with peers without VI. Various forms of perception often affects motor competence. Thus, it is important to explore factors that influence forms of perception and their differential effects on motor competence for those with VI. Therefore, the purposes of this study were to explore and describe the differential effects of age, gender, and degree of vision on self-perceptions, parents’ perceptions, metaperceptions, and locomotor skills, and to examine potential associations among all variables with actual locomotor competence for adolescents with VI. Adolescents with VI completed two questionnaires and the Test of Gross Motor Development-Third Edition. Parents completed a parent perception questionnaire. Mann–Whitney U and Kruskal–Wallis H analyses showed no differential effects for gender or age on any dependent measures. Degree of vision affected locomotor skills, but not any other factor. Spearman rho correlations showed significant associations among locomotor and self-perceptions, degree of vision and locomotor, and metaperceptions with parents’ perceptions. Adolescents reported relatively high self-perceptions and metaperceptions; however, their actual locomotor competence and parents’ perceptions were relatively low. Findings may help situate future intervention strategies targeting parents supporting their children’s locomotor skills through self-perceptions.

The Instructional Sensitivity of the Test of Gross Motor Development-3 to Detect Changes in Performance for Young Children With and Without Down Syndrome

The Test of Gross Motor Development is among the most commonly used measures of gross motor competency in children. An important attribute of any developmental assessment is its sensitivity to detect change. The purpose of this study was to examine the instructional sensitivity of the Test of Gross Motor Development-third edition (TGMD-3) performance criteria to changes in performance for 48 children (age 4-7 years) with and without Down syndrome following 10 weeks of physical education. Paired t tests identified significant improvements for all children on locomotor (p < .01) and ball skills (p < .01). These significant differences were associated with moderate to large effect sizes. SEM was low relative to the maximum raw score for each subtest, indicating high confidence in the scores. These findings provide evidence that the TGMD-3 is sensitive to change in performance for children with and without Down syndrome.

Effectiveness of a serious game on the self-concept of children with visual impairments: A randomized controlled trial

BACKGROUND

Young children with visual impairments (VIs) are at high risk for mental disorders, due to victimization and subsequent social withdrawal. Children with VIs have been shown to have a poorer self-concept and lower general psychosocial well-being compared with peers without VIs.

OBJECTIVE

The objective of this study was to examine the effectiveness of a serious game to improve psychosocial outcomes in children with VIs.

METHODS

A randomized controlled trial was conducted to evaluate the effectiveness of the computer game See for children with VIs. The game was developed based on rational-emotive behavioral therapy principles, with the aim of addressing self-concept (academic, social, and general), psychosocial well-being (social inclusion, exclusion, and emotions), and coping strategies (approach, avoidance). Sixty-four children aged 6-8 years were randomized to the intervention group, who played the game, or a control group, who received care-as-usual (CAU).

RESULTS

Our results showed that children with VIs who played the serious game scored significantly higher on academic self-concept and social inclusion compared with the control group. Furthermore, children rated the game positively, suggesting the desirability, validity, and feasibility of the intervention.

CONCLUSIONS

The results provide preliminary evidence that a serious game can enhance psychosocial outcomes in children with VIs. This approach might also promote positive educational outcomes, such as academic achievement, and reduce the stigma of therapy for children with VIs. Implications and future directions are discussed.

The Effects of Ecologically Valid Intervention Strategies on the Locomotor Skills of Children With Visual Impairments

Children with visual impairments often exhibit difficulties with locomotor skills (e.g., the ability to move one's body from one place to another), warranting the need for ecologically valid interventions with conditions that attempt to match the real world in a variety of settings. Parents and physical education teachers are the ones choosing to provide movement opportunities for children with visual impairments and must be included in any ecologically valid intervention strategy. This was a descriptive-analytic study. To support the greatest diversity in settings, the authors recruited 94 participants (blind = 44 and low vision = 50; Mage = 13.01 years, SD = 3.26) from schools for the deaf and blind in the United States (teacher led, n = 17) or Latvia (teacher led, n = 57), through an online LISTSERV throughout the United States (parent led, n = 10), and a control subgroup (n = 10). At the pretest, no participant's motor development met age expectations. Children with visual impairments from multiple locations and cultures significantly improved compared with controls who did not. Results were most favorable when the physical educator was the interventionist. However, further research is needed to replicate these findings.

The Effect of Vision Impairment on Competitive and Technical-Tactical Performance in Judo: Is the Present System Legitimate?

In judo competition for visual impairment, athletes of different classes compete against each other in the same category; B1 athletes are totally blind, whereas B2 and B3 athletes are partially sighted. To test for potential competition disparities due a single category of athletes, this study aimed to compare competitive and technical-tactical performance in visually impaired judo athletes with different degrees of visual impairment. The authors analyzed 340 judo matches from the 2012 and 2016 Paralympic Games. The scores, penalties, efficiency index, and types of medals were examined, as well as the technical variation and temporal structure. The main finding was that blind judo athletes presented lower scores (p < .05; effect size [ES] = 0.43-0.73), medals (p < .05), and efficiency (p < .05; ES = 0.40-0.73); different patterns of play; and a shorter time to lose than partially sighted athletes (p = .027; ES = 0.10-0.14). However, the penalties were similar between classes (p > .05; ES = 0.07-0.14). The odds ratio of a winning medal was 3.5-8 times less in blind athletes than in partially sighted athletes (p < .01). In conclusion, blind judo athletes presented lower competitive and technical-tactical performance than athletes with some residual functional vision. These findings provide support for the development of new evidence-based criteria for judo classification based on vision impairment.

Developing physical activity interventions for children with a visual impairment: Lessons from the First Steps initiative

Children with a visual impairment are less active than their sighted peers. Yet, they are born with the potential to match their sighted peers’ motor skill competency and levels of physical fitness. Environmental barriers are one of the main causes of inequities. This article provides insight on these issues, drawing upon a physical activity intervention called ‘First Steps’, a British Blind Sport initiative that aimed to get more children with a visual impairment more active. Physical activity packs were delivered to 53 children, aged 5–15 years, with a visual impairment. Of these participants, 62% had additional impairments or medical conditions. A mixed-methods approach was used to gather participants’ experiences of physical activity prior to receiving this pack and canvas opinion on how the pack changed their activity levels. The findings revealed inequitable experiences of physical activity. The First Steps pack made considerable progress in developing children’s physical activity levels. Participants’ motor skills, social interactions, and confidence improved. Organisations working with this population might look to adopt a similar concept. Recommendations for those wishing to do so are provided.

“Missed opportunities”: Adults with visual impairments’ reflections on the impact of physical education on current physical activity

Research suggests that adults with visual impairments tend to participate in inadequate amounts of physical activity and are at high risk for developing health-related conditions. The most likely environment for youth with visual impairments to learn about physical activity is school-based physical education (PE) classes. However, little research exists examining the influence of PE on lifelong physical activity for those with visual impairments. Therefore, the purpose of this study was to explore the perspectives of adults with visual impairments toward the impact of PE on their current physical activity participation. Sixteen participants (7 males and 9 females) with visual impairments who attended integrated public schools and private schools participated in this study. Data were collected through semi-structured, audio-taped telephone interviews and reflective field notes. A semi-structured interview guide was used to ensure that the same lines of inquiry were pursued across participants. Member checking, peer debriefing, and communicative validity were utilized to support trustworthiness. An inductive analysis was used to interpret the data. Two key themes were revealed. The first theme, ineffectual PE experiences, described participants’ beliefs that PE experiences had little impact on their current physical activity. The second theme, retrospective needs, revealed modifications the participants believed would have improved their PE experiences. One of the primary objectives of PE is to provide the tools needed for lifelong physical activity. Upon completion of the study, most participants indicated that they considered themselves to be physically active in adulthood. However, this was attributed to meaningful experiences outside of their respective school-based PE classes.

Psychometric Properties of the Test of Gross Motor Development-3 for Children With Visual Impairments

Results of the Test of Gross Motor Development-2 (TGMD-2) consistently show acceptable validity and reliability for children/adolescents who are sighted and those who have visual impairments. Results of the Test of Gross Motor Development-3 (TGMD-3) are often valid and reliable for children who are sighted, but its psychometric properties are unknown for children with visual impairments. Participants (N = 66; M_age = 12.93, SD = 2.40) with visual impairments completed the TGMD-2 and TGMD-3. The TGMD-3 results from this sample revealed high internal consistency (ω = .89-.95), strong interrater reliability (ICC = .91-.92), convergence with the TGMD-2 (r = .96), and good model fit, χ²(63) = 80.10, p = .072, χ²/df ratio = 1.27, RMSEA = .06, CFI = .97. Researchers and practitioners can use the TGMD-3 to assess the motor skill performance for children/adolescents with visual impairments and most likely produce results that are valid and reliable.

Construct validity and reliability of the Test of Perceived Motor Competence for children with visual impairments

The Test of Perceived Motor Competence for children with visual impairments (TPMC-VI) is currently content validated. Further validation and reliability were needed to report the psychometric properties of the TPMC-VI; therefore, the purpose of this study was to examine the construct validity and the internal consistency for the TPMC-VI. Children aged 3–8 years with visual impairments completed the TPMC-VI with assistance from their parents or members of the research team. Results indicated that the TPMC-VI is a valid and reliable (α = .68) assessment. Researchers and practitioners can confidently use the TPMC-VI to evaluate children’s perceived motor competence.

Physical Education Experiences at Residential Schools for Students who Are Blind: A Phenomenological Inquiry

Introduction

Recently, researchers have explored the perspectives of those with disabilities to better understand their experiences in physical education. However, little has been done with focusing on those with visual impairments. Utilizing a qualitative interpretive phenomenological analysis framework, the purpose of this study was to examine the meaning that adults with visual impairments who attended residential schools for students who are blind ascribed to their physical education experiences.

Methods

A group of five adult males who attended physical education at residential schools in the United States were purposely selected for this study. Data were collected via semistructured telephone interviews and reflective interview notes. Data were analyzed using a five-step analytical process, and recurring themes were summarized and presented as results.

Results and discussion

Two broadly defined interrelated themes emerged from the participants’ narratives. One theme, “being the only blind guy, to being one of the crowd,” explained how differences in school settings contributed to the differences experienced by participants when attending residential and public or community schools. Cumulatively, participants described their residential school experiences as more inclusive and explained feelings of “being normal.” The second theme, “the bullies and the bullied,” explained the lived experiences of participants within the social dynamics of physical education environments and showed perceptions of those who were “able” and “less able.”

Implications for practitioners

Listening to the voices of individuals with disabilities can afford researchers and teachers with a better understanding of how they experience classes and help identify strategies to improve instruction. Two important implications for physical education teachers derived from this study were to ensure that adaptations are made to meet students’ needs, and that students are afforded choices within their physical education curriculum. Furthermore, in addition to experiences of bullying in inclusive settings, practitioners must be aware of these instances in residential schools as well.

The content and face validity for the Test of Perceived Motor Competence for children with visual impairments: A Delphi investigation

The Perceived Physical Competence subscale of the Pictorial Scale of Perceived Competence and Social Acceptance (PSPCSA) is a valid, reliable, and widely used assessment of perceived motor competence (PMC) for young children. Recently, Brian, Haegele, and Bostick modified the PSPCSA to create the Test of Perceived Motor Competence (TPMC) for children with visual impairments (VI). However, they determined that content and face validity of the TPMC-VI was necessary. Therefore, the purpose of this study was to explore the content and face validity of the TPMC-VI for use in children with VI. This study features the Delphi technique with a panel of experts as well as participant interviews with one child and her teacher. Findings demonstrated that the TPMC-VI shows preliminary content and face validity for assessing PMC of children with VI. The TPMC-VI allows researchers and practitioners to accurately estimate the PMC of students with VI.