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Tesis Doctoral-OVIEDO Guillermo Ruben

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Tesis Doctoral-OVIEDO Guillermo Ruben TESIS DOCTORAL Valoración funcional y niveles de actividad física en personas con discapacidad intelectual ; efectos de un programa de actividad física aeróbico, de fuerza y equilibrio Guillermo Ruben Oviedo 2014 Directora: Dra. Miriam Guerra Balic TESIS DOCTORAL 472 (28-02-90) 472 Título: Valoración funcional y niveles de actividad física en personas con discapacidad intelectual; efectos de un programa de actividad física aeróbico, de fuerza y equilibrio Privada. Rgtre. Fund. Generalitat de Catalunya núm. Catalunya de Fund. Generalitat Privada. Rgtre. Realizada por Guillermo Ruben Oviedo En el Centro Facultad de Psicología, Ciencias de la Educación y del Deporte Blanquerna. Universidad Ramon Llull y en el Departamento de Ciencias de la Actividad Física y del C.I.F. G: 59069740 Universitat Ramon Lull Fundació Lull Fundació Ramon Universitat C.I.F.59069740 G: Deporte Dirigida por Dra. Miriam Guerra Balic C. Claravall, 1-3 08022 Barcelona Tel. 936 022 200 Fax 936 022 249 E-mail: [email protected] www.url.es DEPARTMENT OF PHYSICAL ACTIVITY AND SPORT SCIENCES FPCEE BLANQUERNA UNIVERSITAT RAMON LLULL FUNCTIONAL EVALUATION AND PHYSICAL ACTIVITY LEVELS IN PEOPLE WITH INTELLECTUAL DISABILIT Y; EFFECT OF AN AEROBIC, STRE NGTH AND BALANCE PHYSICAL ACTIVITY PROGRAM INTERNATIONAL PhD Thesis presented by: Guillermo Ruben Oviedo To obtain the degree of PhD by the FPCEE Blanquerna, Universitat Ramon Llull Supervised by: Dr. Miriam Guerra Balic Barcelona 2014 Este trabajo ha estado posible gracias a la ayuda recibida para la contratación y formación de Personal Investigador Joven (FI) concedida por la Agencia de Gestión de Ayudas Universitarias y de Investigación (AGAUR) de la secretaría de Universidades e Investigación (SUR) del Departamento de Economía y Conocimiento (ECO) de la Generalitat de Catalunya (2013FI_B2 00091) y por el Ministerio de Economía y Competitividad de España (I+D+i Ref: DEP2012-35335). “La ciencia es una de las formas más elevadas del quehacer espiritual pues está ligada a la actividad creadora del intelecto, forma suprema de nuestra creación humana”. René Gerónimo Favaloro (1923-2000) AGRADECIMIENTOS – AKNOWLEDGEMENTS Muchas gracias a mi familia, que a pesar de la distancia, su espíritu y corazón están siempre a mi lado. Supieron comprender y apoyarme en este proceso que decidí iniciar hace ya siete años. Deseo agradecer a todas y cada una de las personas que hicieron posible este trabajo y que de una forma u otra han contribuido a llevarlo adelante. A mi directora de tesis: la Dra. Miriam Guerra, por haber aceptado dirigirme en este camino, por sus consejos, su apoyo, sus enseñanzas, correcciones y todo el tiempo empleado para llevar a buen puerto esta tesis. Supo marcar el camino a seguir para llevar adelante el proyecto así como ayudarme a aprender cada día algo nuevo. También deseo dar las gracias a los distintos centros que colaboraron en este proyecto y sin los cuales no habría sido posible realizarlo: la Fundació Ramon Noguera que puso a disposición sus instalaciones, recursos físicos y nos permitió trabajar, conocer y asombrarnos cada día junto a sus chicos. Así también agradecer a la Unitat de Fisiologia de l’Exercici del Departament de Ciències Fisiològiques II de la Universitat de Barcelona, especialmente a su coordinador, el Dr. Casimiro Javierre, por sus ánimos, entusiasmo y por haber estado siempre dispuesto a ayudar con recursos físicos e intelectuales y echar luz sobre todas mis dudas y consultas de manera totalmente desinteresada. A los compañeros que fui conociendo a lo largo de este camino y que ayudaron en las distintas evaluaciones, recolección de datos y análisis: Noémi, Juan, Oscar, Silvia, Carlos, Mari Carmen, Mercé, Isaac, a todos muchas gracias por su ayuda y por sobre todo vuestra amistad. También quisiera agradecer a los miembros del Grupo de investigación en Salud, Actividad Física y Deporte (SAFE) que colaboraron en el proyecto: María Carbó, Xavi de Blas, Jesús Fortuño, Susana Pérez, María Giné, Carme Martín y Josep Cabedo. No quiero dejar de recordar la ayuda y apoyo que también supieron darme todos y cada uno de mis compañeros de “recerca” de la FPCEE Blanquerna de la Universitat Ramon Llull. Con muchos de ellos compartimos algunos momentos de estrés y muchos agradables, propios de este camino y trabajo elegidos. Gracias por la ayuda y respuestas recibidas a muchas de mis dudas planteadas. CONTENTS GLOSSARY OF ABBREVIATIONS AND ACRONYMS .................................................... 24 1. INTRODUCTION ............................................................................................................... 29 1.1 Introduction ............................................................................................................... 31 1.2 PhD Thesis structure ................................................................................................. 33 2. LITERATURE REVIEW .................................................................................................... 35 2.1 Intellectual Disability ................................................................................................ 37 2.2 Intellectual Disability in Spain and Catalonia ........................................................... 42 2.3 Intellectual Disability and Health-related Risk Factors ............................................ 46 2.4 Physical Activity ....................................................................................................... 49 2.5 Physical Fitness and Training ................................................................................... 56 2.6 Physical Activity and Intellectual Disability ............................................................. 58 2.7 Physical Activity Levels in persons with Intellectual Disabilities ............................ 62 2.8 Physical Fitness in Persons with Intellectual Disabilities ......................................... 67 2.8.1 Cardiorespiratory Fitness .................................................................................. 69 2.8.2 Body composition ............................................................................................... 72 2.8.3 Strength .............................................................................................................. 73 2.8.4 Flexibility ........................................................................................................... 77 2.8.5 Balance and coordination .................................................................................. 80 2.9 Physical Training effects in persons with Intellectual Disabilities ........................... 83 2.10 Physical Fitness Evaluation in persons with Intellectual Disabilities ....................... 87 2.10.1 Cardiorespiratory Tests ..................................................................................... 87 2.10.2 Body Composition Tests ..................................................................................... 89 2.10.3 Strength Tests ..................................................................................................... 91 18 2.10.4 Flexibility Tests .................................................................................................. 92 2.10.5 Balance and Coordination Tests ........................................................................ 93 3. AIMS AND HYPOTHESES ............................................................................................... 97 3.1 Aims and hypotheses ................................................................................................. 99 4. MATERIAL AND METHODS ......................................................................................... 101 4.1 Participants .............................................................................................................. 103 4.2 Study Design ........................................................................................................... 104 4.3 Ethical concerns ...................................................................................................... 106 4.4 Testing Procedures .................................................................................................. 107 4.4.1 Anthropometric measurements ........................................................................ 107 4.4.2 Peak Aerobic Capacity .................................................................................... 108 4.4.3 Physical activity levels measurements ............................................................. 112 4.4.4 Functional Test ................................................................................................ 114 4.4.5 Strength measurements .................................................................................... 116 4.4.6 Flexibility measurements ................................................................................. 118 4.4.7 Balance measurements..................................................................................... 119 4.5 Exercise Protocol..................................................................................................... 121 4.6 Statistical Analysis .................................................................................................. 125 5. RESULTS .......................................................................................................................... 127 5.1 Test-retest Reliability of the Vertical Jump Test on a Contact Platform in Adults with Intellectual Disability ................................................................................................
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