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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): http://www.rug.nl/research/portal. For technical reasons the number of authors shown on this cover page is limited to 10 maximum. Download date: 15-07-2017

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

Moving towards independence? Evaluation of the Mobility Opportunities Via Education curriculum with children with Profound Intellectual and Multiple Disabilities Annette van der Putten ISBN 90-5963-013-0 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.

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 14.45 uur door Annette Adriana Johanna van der Putten geboren op 08 februari 1969 te gemeente Haarlemmermeer

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

Voor Ma

Paranimfen Nicole Homeijer Harry Finkenflügel

Contents Chapter 1 General introduction 1 1.1 Introduction 2 1.2 Mobility Opportunities Via Education 2 1.3 Origins of the MOVE curriculum 3 1.4 Description of the MOVE curriculum 3 1.4.1 Testing 4 1.4.2 Formulating goals and task analysis 4 1.4.3 Measurement and the reduction of support 4 1.4.4 Practising the skills 4 1.5 Target group of the MOVE curriculum 5 1.6 Claimed effects 5 1.6.1 Effects on anatomical-physiological structures and functions 5 1.6.2 Effects on the acquisition of motor skills 6 1.6.3 Effects on the acquisition of functional skills 6 1.7 Research into the MOVE curriculum 6 1.8 Problem definition, objective and research question 8 1.9 Target group and setting of the present research 9 1.9.1 Target group 9 1.9.2 Centres for Special Education 10 1.10 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 83 7.1 Introduction 84 7.2 Major findings of the current study 84 7.3 Methodological reflections 86 7.3.1 Research group and selection 86 7.3.2 Research designs 87 7.3.3 Instruments and analysis 87 7.3.4 Reliability and validity 88

7.4 Theoretical reflections on the major findings 89 7.4.1 Anatomical-physiological domain 89 7.4.2 Motor domain 90 7.4.3 Effects on the acquisition of functional skills 91 7.4.4 Conclusion 92 7.5 Scientific and clinical implications 92 7.5.1 Application of the MOVE curriculum 93 7.6 Further research 95 7.7 Concluding remarks 96 Samenvatting 103 Dankwoord 109