Document Type : Research Article (s)

Authors

Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran

Abstract

Background: Dyscalculia and dysgraphia are among the prevalent problems faced by students with specific learning disorders (SLD). The present study aimed to investigate the role of balance enhancement exercises in improving dyscalculia and dysgraphia among students with SLD.
Methods: This was a quasi-experimental study with a pretest-posttest design and a control group. The statistical population of this study included all boy and girl second-graders and third-graders with SLD who received education and rehabilitation services from public and private centers for learning disabilities in Ahvaz, Iran in 2022. The convenience sampling method was employed to select 30 participants who were equally assigned to experimental and control groups (i.e., 15 per group). The experimental group received balance enhancement exercises (for twelve 45-minute sessions), whereas the control group received no interventions. To collect information, the Dyscalculia Test and Dysgraphia Test were used. The ANCOVA was then used for data analysis.
Results: The mean±standard deviation (SD) of the post-test scores of dyscalculia and dysgraphia in the experimental group was 106.93±14.99 and 75.60±15.10 which was significantly different from the control groups (91.33±14.45 and 60.93±19.36). The results indicated that balance enhancement exercises improved dyscalculia and dysgraphia in students with SLD (P<0.001).
Conclusion: According to the results, balance enhancement exercises can be employed to boost academic achievement by improving dyscalculia and dysgraphia in students with SLD.

Keywords

1. Blanchet M, Assaiante C. Specific Learning Disorder in Children and Adolescents, a Scoping Review on Motor Impairments and Their Potential Impacts. Children. 2022;9(6):892. doi: 10.3390/children9060892. PubMed PMID: 35740829; PubMed Central PMCID: PMC9222033. ## 2. Chacko D, Vidhukumar K. The Prevalence of Specific Learning Disorder among School-going Children in Ernakulam District, Kerala, India: Ernakulam Learning Disorder (ELD) Study. Indian J Psychol Med. 2020;42(3):250-255. doi: 10.4103/IJPSYM.IJPSYM_199_19. PubMed PMID: 32612329; PubMed Central PMCID: PMC7320732. ## 3. Shah HR, Sagar JKV, Somaiya MP, Nagpal JK. Clinical Practice Guidelines on Assessment and Management of Specific Learning Disorders. Indian J Psychiatry. 2019;61(Suppl 2):211-225. doi: 10.4103/psychiatry.IndianJPsychiatry_564_18. PubMed PMID: 30745697; PubMed Central PMCID: PMC6345134. ## 4. Gholamzade Nikjoo H, Alivandi Vafa M, Tabatabaei SM, Dehrouyeh S. Comparison of the Effectiveness of Emotion Regulation-based Cognitive Therapy and Transcranial Direct Current Stimulation on Impulsivity of Students with Special Learning Disorders. Int J School Health. 2022;9(3):168-177. doi: 10.30476/intjsh.2022.91524.1152. ## 5. Chacko D, Vidhukumar K. The Prevalence of Specific Learning Disorder among School-going Children in Ernakulam District, Kerala, India: Ernakulam Learning Disorder (ELD) Study. Indian J Psychol Med. 2020;42(3):250-255. doi: 10.4103/IJPSYM.IJPSYM_199_19. PubMed PMID: 32612329; PubMed Central PMCID: PMC7320732. ## 6. Esmaili SK, Shafaroodi N, Mehraban AH, Parand A, Qorbani M, Yazdani F, et al. Prevalence of Psychiatric Symptoms and Mental Health Services in Students with Specific Learning Disabilities in Tehran, Iran. International Journal of Mental Health and Addiction. 2016;14(4):438-448. doi: 10.1007/s11469-015-9617-3. ## 7. Gartland D, Strosnider R. The Use of Response to Intervention to Inform Special Education Eligibility Decisions for Students with Specific Learning Disabilities. Learning Disability Quarterly. 2020;43(4):195-200. doi: 10.1177/0731948720949964. ## 8. Soares N, Evans T, Patel DR. Specific learning disability in mathematics: a comprehensive review. Transl Pediatr. 2018;7(1):48-62. doi: 10.21037/tp.2017.08.03. PubMed PMID: 29441282; PubMed Central PMCID: PMC5803013. ## 9. Rolison JJ, Morsanyi K, Peters E. Understanding Health Risk Comprehension: The Role of Math Anxiety, Subjective Numeracy, and Objective Numeracy. Med Decis Making. 2020;40(2):222-234. doi: 10.1177/0272989X20904725. PubMed PMID: 32052694; PubMed Central PMCID: PMC7502983. ## 10. Khaledi S, Validi Pak A, Mirkhan I, Atai M. The Positive Impact of Play Therapy on Writing Performance of Students with Dysgraphia. Int J School Health. 2014;1(2):1-4. doi: 10.17795/intjsh-22655. ## 11. Wang J, Huo S, Wu KC, Mo J, Wong WL, Maurer U. Behavioral and neurophysiological aspects of working memory impairment in children with dyslexia. Scientific Reports. 2022;12(1):12571. doi: 10.1038/s41598-022-16729-8. ## 12. Ghiasi N, Sedrpoushan N, Abedi A, Soltani A. Counseling Needs of Students with Dyslexia and the Effect of Counseling on Psychological Well-being of the Students. Int J School Health. 2022;9(3):192-203. doi: 10.30476/intjsh.2022.94971.1219. ## 13. Hashemi Malekshah S, Alizadeh H, Rezayi S, Asgari M. Development of Physical-motor Activities Training Package and Evaluation of its Effectiveness on Handwriting Problems in Children with Attention Deficit / Hyperactivity Disorder. Scientific Journal of Rehabilitation Medicine. 2021;10(4):848-865. doi: 10.32598/sjrm.10.4.18. ## 14. Hen-Herbst L, Rosenblum S. Handwriting and Motor-Related Daily Performance among Adolescents with Dysgraphia and Their Impact on Physical Health-Related Quality of Life. Children. 2022;9(10):1437.‏ doi: 10.3390/children9101437. PubMed PMID: 36291371; PubMed Central PMCID: PMC9600430. ## 15. Okuda PMM, Pinheiro FH. Motor Performance of Students with Learning Difficulties. Procedia - Social and Behavioral Sciences. 2015;174:1330-1338. doi: 10.1016/j.sbspro.2015.01.755. ## 16. Rochelle KS, Talcott JB. Impaired balance in developmental dyslexia? A meta-analysis of the contending evidence. J Child Psychol Psychiatry. 2006;47(11):1159-66. doi: 10.1111/j.1469-7610.2006.01641.x. PubMed PMID: 17076755. ## 17. Breteler MH, Arns M, Peters S, Giepmans I, Verhoeven L. Improvements in spelling after QEEG-based neurofeedback in dyslexia: a randomized controlled treatment study. Appl Psychophysiol Biofeedback. 2010;35(1):5-11. doi: 10.1007/s10484-009-9105-2. PubMed PMID: 19711183; PubMed Central PMCID: PMC2837193. ## 18. Cheung PP, Siu AM. A comparison of patterns of sensory processing in children with and without developmental disabilities. Res Dev Disabil. 2009;30(6):1468-80. doi: 10.1016/j.ridd.2009.07.009. PubMed PMID: 19665348. ## 19. Shah HR, Sagar JKV, Somaiya MP, Nagpal JK. Clinical Practice Guidelines on Assessment and Management of Specific Learning Disorders. Indian J Psychiatry. 2019;61(Suppl 2):211-225. doi: 10.4103/psychiatry.IndianJPsychiatry_564_18. PubMed PMID: 30745697; PubMed Central PMCID: PMC6345134. ## 20. Faramarzi S. The effect of sensory integration on dysorthographia of students with specific learning disability. Journal of Learning Disabilities. 2020;9(4):89-113. doi: 10.22098/jld.2020.956. ## 21. Mahvash-Vernosfaderani A, Parhoon K, Pooshaneh K. The Effectiveness of Sensory-Motor Integration on Balance and Reading Performance in Children with Dyslexia. RBS. 2016;14(2):257-263. Persian. ## 22. Azhdari Z, Alizadeh M, Homaei R. Effects of Parent-Child Interaction Therapy on Behavioral Problems of Children with Attention Deficit/Hyperactivity Disorder in Iran. Int J Pediatr. 2022;10(8):16477-16485. doi: 10.22038/ijp.2022.64370.4885. ## 23. Connolly AJ. KeyMath-3 diagnostic assessment: Manual forms A and B. Minneapolis, MN: Pearson; 2007. ## 24. Mohammadesmaeil E, Hooman HA. Adaptation and Standardization of the Iran Key-Math Test of Mathematics. JOEC. 2003;2(4):323-332. Persian. ## 25. Jafari A. The Effectiveness of Cognitive- Behavioral Play Therapy on improve Mathematics Performance and Perception the Spatial Relationships among Students with Mathematics Learning Disability. Journal of Cognitive Psychology. 2019;7(3):74-89. Persian. ## 26. Jabbari S. Designing and constructing the written expression disorder test for the students of primary school. Academic Journal of Curriculum Research. 2017;6(2):65-87. doi: 10.22099/jcr.2017.3964. Persian. ## 27. Beitel P, Mead BJ. Bruininks-Oseretsky Test of Motor Proficiency: A Viable Measure for 3- to 5-Yr.-Old Children. Perceptual and Motor Skills. 1980;51(3):919-23. doi: 10.2466/PMS.1982.54.1.268. ## 28. Naderi H, Rostamian M, Momeni F. Perceptual- motor skills training on reading, writing and mathematics skills of students with specific learning disability disorder. MEJDS. 2018;8:107. Persian. ## 29. Ahmady A. Effect of perceptual-motor practices on motor and mathematical skills in autism, a single-subject design. Journal of Fundamentals of Mental Health. 2010;12(46):41-534. doi: 10.22038/jfmh.2010.1093. Persian. ##