Performing movement sequences with knowledge of results under different visual conditions in adults with Down syndrome

The purpose of this study was to examine the learning of movement sequences in individuals with Down syndrome under different visual information conditions. 10 adults with Down syndrome and 14 neurologically typical adults performed a sequence of movements under two different visual information conditions: full visual feedback of the limb and environment and no visual feedback of the limb. Participants were given knowledge of results of their total movement time after each trial. The entire task was presented as a game and movement time information was given as a "score" after each trial. Participants were also given verbal encouragement throughout the task. As expected, individuals with Down syndrome had significantly slower reaction and movement times than neurologically typical participants. Interestingly, however, mean reaction and movement time was not affected by the visual condition, in either group. Participants with Down syndrome improved their performance over the presented trials, in both visual information conditions. These findings indicate that providing knowledge of results of movement performance can facilitate the performance and coordination of movement sequences even under conditions where visual information of the moving limb is restricted.