An Online Progressive Resistance Training Program For Individuals With Down Syndrome: A Feasible Strategy

The COVID-19 pandemic forced the development of online exercise programming (OEP), particularly for populations thought to be at higher risk for cardiorespiratory complications. OEP reduces access barriers related to transportation and scheduling, and it provides the opportunities for tailoring; all critical considerations for individuals with developmental disabilities, including Down Syndrome (DS). PURPOSE: This study explored the feasibility of participation in an online progressive resistance training program in adolescents and adults with DS. METHODS: Participants were 13 individuals with DS (3 M/10 F, age: 21.7 ± 5.9 y). Participants completed a 10-week OEP delivered using a secure website containing pre-recorded videos, each 45-60 min in duration, with routines for 3 days/week with 7-8 exercises for the lower body, core, and upper body muscles. The program had 2 levels: beginner and intermediate, and the load progressed every 2 weeks. A guardian or caretaker supported the participant. Following each workout, participants completed a short survey related to the exercises completed, enjoyment and difficulty. Participants also completed a feedback questionnaire after the 10-week program. Feasibility was determined by % of participants completing program and the criterion goal of 70 % participation rate in twice/week exercise sessions. Acceptability was evaluated examining participant ratings of their access to the website, and of the exercises and videos for difficulty and enjoyment. RESULTS: 11 (85%) participants finished the OEP, 8 participants (73%) met the exercise sessions goal. Most participants (n = 8) did not or rarely needed help to use the website to access videos, found the videos easy to understand (n = 10), and felt motivated to exercise by using the videos (n = 11). Participants (n = 267 ratings) indicated the majority of exercises in the videos were easy or-somewhat easy, with the exception of the side planks, push-ups and backpack press. Most participants reported the exercise videos were fun or a lot of fun (n = 230 ratings, 86.2%). CONCLUSION: This online pilot program showed acceptable feasibility and acceptability and should be further developed and evaluated for use with individuals with DS and/or other developmental disabilities. This study was supported by the Research Support Program from the College of Health and Human Development at California State University Fullerton