Objectives: Down syndrome is the most common chrosomal disorder in which the fine and gross motor skills due to lack of proper sensory experience are disturbed. The role of dexterity in activity of daily living, interaction with environment and independency is quiet crucial in Down syndrome. Therefore, the aim of this study was to investigate the effects of simultaneous application of superficial and proprioceptive stimuli on the dexterity of 6-7 year-old educable children with Down syndrome.

Methods: Thirty–three educable children with Down syndrome were assigned in three groups (i.e. superficial, proprioceptive and simultaneous application respectively) and voluntarily participated in the study. In the first group, children received only exteroceptive stimulation for 30 minutes, three times a week. Children in the second group received only proprioceptive stimulation in the same way. In the third group, children received both stimulations simultaneously. Dexterity was evaluated through Purdue Pegbourd Test after 5th, 10th, 15th, 20th, 25th, and 30th sessions.

Results: Dexterity changes were significantly differed in all three groups (P<0.05) using repeated measurement test. In order to assess the improvement process of Dexterity, every group was evaluated separately with Purdue Pegboard Test. The third group showed significant improving comparing to other groups (P<0.05). There was no significant improvement in dexterity in the first and second groups (P>0.05).

Discussion: The findings of current study suggest that simultaneous application of superficial and proprioceptive senses could be used for improvement the dexterity in children with Down syndrome.