Table 3. 3-month task-specific Functional Movement Training protocol.
Exercise | Details and exercise progression | Frequency | Intensity | Duration |
---|---|---|---|---|
Two-leg balance on foam with electromyographic biofeedback | • Participant stands on a stability trainer. Activity of the rectus femoris and gluteus maximus muscles monitored by electromyographic biofeedback. | Twice per week | Not beyond muscle fatigue | 10 minutes |
• Participant learns to maintain balance through coordinated hip and ankle strategies. | ||||
One-leg balance on ground (alternate feet) | • Participant stands on one leg with arms held freely at sides and free leg bent backwards at the knee. Swaying is allowed. | Not beyond muscle fatigue | 5 minutes | |
• Participant progresses to one-leg balance on balance board with a jumping-stand base (alternate feet). | ||||
Walking in a straight line with heels raised | • Participant walks on tiptoe (heels raised) in a straight line for 4.5 m. | 20 repetitions | 5 minutes | |
• Participant progresses to heel-to-toe (tandem) walking in a straight line (4.5 m). | ||||
Double-leg hops | • Participant jumps forward repeatedly with feet together; each series of jumps must be completed in a balanced, controlled position. | 50 hops (per foot) | 5 minutes | |
• Participant progresses to continuous single-leg hops forward (alternate feet). | ||||
Ball balance while walking | • Participant balances a ball on a peg board while walking. The board must be steadied to ensure that the ball remains stationary without being held. The board can be held in either the right or the left hand. | Walking for 50 metres | 5 minutes |
Note. Children with DCD practised these balance manoeuvres repeatedly for 1.5 hours in each training session. Short breaks were allowed if absolutely necessary.