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1 University of Groningen Moving towards independence? Evaluation of the 'Mobility Opportunities Via Education' curriculum with children with profound intellectual and multiple disabilities van der Putten, Annette IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document version below. Document Version Publisher's PDF, also known as Version of record Publication date: 2005 Link to publication in University of Groningen/UMCG research database Citation for published version (APA): Putten, A. A. J. V. D. (2005). Moving towards independence? Evaluation of the 'Mobility Opportunities Via Education' curriculum with children with profound intellectual and multiple disabilities Groningen: s.n. Copyright Other than for strictly personal use, it is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), unless the work is under an open content license (like Creative Commons). Take-down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim. Downloaded from the University of Groningen/UMCG research database (Pure): For technical reasons the number of authors shown on this cover page is limited to 10 maximum. Download date:

2 Moving towards independence? Evaluation of the Mobility Opportunities Via Education curriculum with children with profound intellectual and multiple disabilities Annette van der Putten

3 Moving towards independence? Evaluation of the Mobility Opportunities Via Education curriculum with children with Profound Intellectual and Multiple Disabilities Annette van der Putten ISBN Grafisch ontwerp: Koop Gerard Reynders 2005 Annette van der Putten Stichting kinderstudies, Postbus 102, 9700 AC Groningen Alle rechten voorbehouden. Niets uit deze uitgave mag worden verveelvoudigd, opgeslagen in een automatisch gegevensbestand, of openbaar gemaakt, in enige vorm of op enige wijze, hetzij elektronisch, mechanisch, door fotokopieën, opnamen, of op enig andere manier, zonder voorafgaande toestemming van de rechthebbenden.

4 RIJKSUNIVERSITEIT GRONINGEN Moving towards independence? Evaluation of the 'Mobility Opportunities Via Education' curriculum with children with profound intellectual and multiple disabilities Proefschrift ter verkrijging van het doctoraat in de Psychologische, Pedagogische en Sociologische Wetenschappen aan de Rijksuniversiteit Groningen op gezag van de Rector Magnificus, dr. F. Zwarts, in het openbaar te verdedigen op donderdag 03 maart 2005 om uur door Annette Adriana Johanna van der Putten geboren op 08 februari 1969 te gemeente Haarlemmermeer

5 Promotores Prof. dr. C. Vlaskamp Prof. dr. H. Nakken Beoordelingscommissie Prof. dr. B. Maes Prof. dr. A.J.J.M. Ruijssenaars Prof. dr. A. Vermeer

6 Voor Ma

7 Paranimfen Nicole Homeijer Harry Finkenflügel

8 Contents Chapter 1 General introduction Introduction Mobility Opportunities Via Education Origins of the MOVE curriculum Description of the MOVE curriculum Testing Formulating goals and task analysis Measurement and the reduction of support Practising the skills Target group of the MOVE curriculum Claimed effects Effects on anatomical-physiological structures and functions Effects on the acquisition of motor skills Effects on the acquisition of functional skills Research into the MOVE curriculum Problem definition, objective and research question Target group and setting of the present research Target group Centres for Special Education Thesis outline 11 Chapter 2 Movement skill assessment in Children with Profound Multiple Disabilities: a psychometric analysis of the Top Down Motor Milestone Test. 17 Chapter 3 The effects of movement-oriented activities on joint motion and active motor function in children with profound multiple disabilities. 31 Chapter 4 Children with Profound Intellectual and Multiple Disabilities: the effects of functional movement activities. 47 Chapter 5 Reducing support: research into the effects of movement-oriented activities on the level of support when performing movement skills for children with profound intellectual and multiple disabilities. 59 Chapter 6 A functionally focussed curriculum for children with profound multiple disabilities. A goal analysis 73 Chapter 7 General discussion Introduction Major findings of the current study Methodological reflections Research group and selection Research designs Instruments and analysis Reliability and validity 88

9 7.4 Theoretical reflections on the major findings Anatomical-physiological domain Motor domain Effects on the acquisition of functional skills Conclusion Scientific and clinical implications Application of the MOVE curriculum Further research Concluding remarks 96 Samenvatting 103 Dankwoord 109

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