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Learning disabilities
Tai Chi, Wii Fit and rope skipping exercise interventions are particularly effective in improving balance for young people with intellectual disabilities
  1. Lesley Collier
  1. Department of Clinical Sciences, Brunel University, Uxbridge, UK
  1. Correspondence to Dr Lesley Collier, Clinical Sciences, Brunel University College of Health and Life Sciences, Uxbridge UB8 3PH, UK; lesley.collier{at}

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Commentary on: Maiano C, Hue O, Morin A, et al. Exercise interventions to improve balance for young people with intellectual disabilities: a systematic review and meta-analysis. Dev Med Child Neurol 2019;61:406–18.

Implications for practice and research

  • Exercise interventions that focus on static and dynamic posture can improve balance in young people with intellectual disabilities.

  • Exercise interventions focussed on Tai Chi, Wii Fit balance board exercises and rope-skipping demonstrated some of the largest effects.

  • Further studies are needed to determine the fidelity of the exercise approach, and who is best placed to carry out the intervention to assist with the carry over into practice.


Falls and risk of falling is a problem for individuals with intellectual disability. Ho et al report that the risk of falling among this population group is higher than that of their …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.