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Wheelchair sport

W Pepke, M Brunner, R Abel, H Almansour, H J Gerner, A Hug, F Zeifang, Y Kentar, T Bruckner, M Akbar
QUESTION: Shoulder pain and rotator cuff tears are highly prevalent among wheelchair dependent individuals with paraplegia. The purpose of this study was to identify potential risk factors associated with the development of rotator cuff tears in this population. METHODS: A total of 217 wheelchair dependent individuals with paraplegia were included in this cross-sectional study (level of evidence III). The mean age of this population was 47.9 years and the mean duration of wheelchair dependence was 24...
February 27, 2018: Der Orthopäde
Julia Kathrin Baumgart, Berit Brurok, Øyvind Sandbakk
BACKGROUND: Peak oxygen uptake (VO2peak) in Paralympic sitting sports athletes represents their maximal ability to deliver energy aerobically in an upper-body mode, with values being influenced by sex, disability-related physiological limitations, sport-specific demands, training status and how they are tested. OBJECTIVES: To identify VO2peak values in Paralympic sitting sports, examine between-sports differences and within-sports variations in VO2peak and determine the influence of sex, age, body-mass, disability and test-mode on VO2peak...
2018: PloS One
Rienk M A van der Slikke, Annemarie M H de Witte, Monique A M Berger, Daan J J Bregman, Dirk Jan H E J Veeger
PURPOSE: The purpose of this study was to provide insight in the effect of wheelchair settings on wheelchair mobility performance. METHODS: Twenty elite wheelchair basketball athletes of low (n=10) and high classification (n=10), were tested in a wheelchair basketball directed field test. Athletes performed the test in their own wheelchair, which was modified for five additional conditions regarding seat height (high - low), mass (central - distributed) and grip...
February 12, 2018: International Journal of Sports Physiology and Performance
Martin B Warner, David Wilson, Markus O Heller, Dan Wood, Peter Worsley, Sarah Mottram, Nick Webborn, DirkJan Veeger, Mark Batt
BACKGROUND: Participating in wheelchair tennis increases the demands placed on the shoulder and could increase the risk of developing shoulder pain and injury that might be associated with differences in scapular kinematics. The aim of the study was to examine the presence of shoulder pain and scapular kinematics in professional wheelchair tennis players. METHOD: Scapular kinematics were obtained in 11 professional wheelchair tennis players, 16 people with shoulder impingement and 16 people without shoulder impingement during humeral elevation and lowering...
January 29, 2018: Clinical Biomechanics
Jessica R Fairbairn, Kellie C Huxel Bliven
Clinical Scenario: Until recently, injury epidemiology data on elite Paralympic athletes was limited. Current data suggests high rates of shoulder injury in wheelchair athletes. Differences in shoulder injury rates between sports have not been reported in this population. CLINICAL QUESTION: Is the incidence of shoulder injury in elite wheelchair athletes different between sports? Summary of Key Findings: Shoulder injury rates are high in elite wheelchair athletes, particularly in sports such as field events and fencing that require a stable base (eg, trunk, core control) from which to perform...
February 6, 2018: Journal of Sport Rehabilitation
Morteza Sadeghi, Gholamali Ghasemi, Mohammadtaghi Karimi
BACKGROUND: In order to resolve the impairments associated with SCI such as decreased balance, patients have been recommended to undergo various therapeutic strategies, including the use of different physical exercise methods. The aim of this study was to evaluate the efficiency of using rebound therapy (exercise on a trampoline) on SCI individuals' static stability. METHODS: Sixteen SCI people (ASIA classification: A=6, B=6, C=2, D=2) were randomly assigned to an experimental (rebound exercise) group or a control group...
February 6, 2018: Journal of Sport Rehabilitation
Victoria L Goosey-Tolfrey, Riemer J K Vegter, Barry S Mason, Thomas A W Paulson, John P Lenton, Jan W van der Scheer, Lucas H V van der Woude
The purpose of this study was to examine the propulsion asymmetries of wheelchair athletes whilst sprinting on an instrumented, dual-roller ergometer system. Eighteen experienced wheelchair rugby players (8 low-point (LP) (class ≤1.5) and 10 high-point (HP) (class ≥2.0)) performed a 15s sprint in their sports wheelchair on the instrumented ergometer. Asymmetry was defined as the difference in distance and power output (PO) between left and right sides when the best side reached 28m. Propulsion techniques were quantified based on torque and velocity data...
January 19, 2018: Scandinavian Journal of Medicine & Science in Sports
Bartosz Molik, Andrzej Kosmol, Natalia Morgulec-Adamowicz, Judit Lencse-Mucha, Anna Mróz, Karol Gryko, Jolanta Marszałek
In wheelchair sports, aerobic performance is commonly assessed with the use of an arm crank ergometer (ACE), a wheelchair ergometer (WCE) or a wheelchair treadmill (WCT). There are different protocols to identify peak oxygen uptake in wheelchair sports; however, only a few protocols have been applied to evaluate these conditions in wheelchair basketball players. The purpose of this study was to compare physiological responses during maximal exercise testing with the use of ACE and WCT in wheelchair basketball players...
December 2017: Journal of Human Kinetics
Darryl Wilson, Girish Ramchandani
Purpose: There is a paucity of home advantage research set in the context of para-sport events. It is this gap in the knowledge that this paper addresses by investigating the prevalence and size of home advantage in the Summer Paralympic Games. Methods: Using a standardised measure of success, we compared the performances of nations when competing at home with their own performances away from home in the competition between 1960 and 2016. Both country-level and individual sport-level analyses were conducted for this time frame...
2017: Sport Sciences for Health
Robert Diaz, Allison H Stoll, Monica E Rho, Cheri A Blauwet
Shoulder pain in wheelchair users that participate in competitive adaptive sports can be a troublesome condition. Shoulder pain not only affects athletic performance, but also functional activities such as wheelchair propulsion and weight bearing during transfers. Managing pain in these athletes thus presents a unique challenge due to the difficulty in achieving relative rest and the need to modify athletic shoulder-focused rehabilitation strategies. In all athletes, it is vital to establish an early, accurate diagnosis and optimize conservative treatment prior to considering surgical interventions in order to avoid excessive shoulder-related morbidity, loss of function, and worse - loss of independence...
November 29, 2017: American Journal of Physical Medicine & Rehabilitation
Mark J Connick, Emma Beckman, Yves Vanlandewijck, Laurie A Malone, Sven Blomqvist, Sean M Tweedy
BACKGROUND: The Para athletics wheelchair-racing classification system employs best practice to ensure that classes comprise athletes whose impairments cause a comparable degree of activity limitation. However, decision-making is largely subjective and scientific evidence which reduces this subjectivity is required. AIM: To evaluate whether isometric strength tests were valid for the purposes of classifying wheelchair racers and whether cluster analysis of the strength measures produced a valid classification structure...
November 25, 2017: British Journal of Sports Medicine
Omar W Heyward, Riemer J K Vegter, Sonja de Groot, Lucas H V van der Woude
BACKGROUND: In recent years the popularity of disabled sports and competition among disabled athletes has grown considerably. With this rise in exposure of, and participation in wheelchair sports comes an increase in related stressors, including musculoskeletal load. External mechanical loading may increase the risk of shoulder complaints. The objective of this literature review was to 1) identify and describe the prevalence and/or incidence of shoulder complaints in wheelchair athletes in the literature, to 2) examine the factors and underlying mechanisms that could be potentially involved, and 3) provide some insights into the development of preventative measures...
2017: PloS One
Jereme Wilroy, Elizabeth Hibberd
CONTEXT: Previous literature has theorized that alterations in shoulder physical characteristics are present in wheelchair athletes and contribute to shoulder pain and injury. Limited empirical evidence is present that evaluates the effectiveness of a shoulder injury prevention program focusing on improving these altered characteristics. OBJECTIVE: To evaluate the effectiveness of a 6-week intervention program at improving characteristics that increases the risk of developing pain or shoulder injury...
November 15, 2017: Journal of Sport Rehabilitation
R M A van der Slikke, B S Mason, M A M Berger, V L Goosey-Tolfrey
Wheelchair mobility performance is an important aspect in most wheelchair court sports, commonly measured with an indoor tracking system or wheelchair bound inertial sensors. Both methods provide key wheelchair mobility performance outcomes regarding speed. In this study, we compared speed profiles of both methods to gain insight into the level of agreement, for recommendations regarding future performance measurement. Data were obtained from 5 male highly trained wheelchair basketball players during match play...
November 10, 2017: Journal of Biomechanics
Sara Bragança, Ignacio Castellucci, Simeon Gill, Pascal Matthias, Miguel Carvalho, Pedro Arezes
Wheelchair rugby is a sport that has been gaining popularity with athletes with disabilities. However, as it is relatively new and not played by the masses, market specific sports-wear is not available for this sport, which impacts directly on performance and clothing satisfaction of the athletes. Therefore, the main objective of this research was to identify the problems that wheelchair rugby players face with the sports-wear they use for playing the game. The data was collected using a focus group and a questionnaire with 61 wheelchair rugby players in the United Kingdom...
February 2018: Applied Ergonomics
Rienk M A van der Slikke, Daan J J Bregman, Monique A M Berger, Annemarie M H de Witte, Dirk-Jan H E J Veeger
PURPOSE: Classification is a defining factor for competition in wheelchair sports, but it is a delicate and time-consuming process with often questionable validity.(1) New inertial sensor based measurement methods applied in match play and field tests, allow for more precise and objective estimates of the impairment effect on wheelchair mobility performance. It was evaluated if these measures could offer an alternative point of view for classification. METHODS: Six standard wheelchair mobility performance outcomes of different classification groups were measured in match play (n=29), as well as best possible performance in a field test (n=47)...
November 1, 2017: International Journal of Sports Physiology and Performance
Wayne Derman, Martin P Schwellnus, Esme Jordaan, Phoebe Runciman, Cheri Blauwet, Nick Webborn, Jan Lexell, Peter Van de Vliet, Yetsa Tuakli-Wosornu, James Kissick, Jaap Stomphorst
OBJECTIVE: To describe the epidemiology of illness at the Rio 2016 Summer Paralympic Games. METHODS: A total of 3657 athletes from 78 countries, representing 83.5% of all athletes at the Games, were monitored on the web-based injury and illness surveillance system (WEB-IISS) over 51 198 athlete days during the Rio 2016 Summer Paralympic Games. Illness data were obtained daily from teams with their own medical support through the WEB-IISS electronic data capturing systems...
January 2018: British Journal of Sports Medicine
Cosmos Yarfi, Evans Y K Ashigbi, Emmanuel K Nakua
BACKGROUND: Accessibility implies making public places accessible to every individual, irrespective of his or her disability or special need, ensuring the integration of the wheelchair user into the society and thereby granting them the capability of participating in activities of daily living and ensuring equality in daily life. OBJECTIVE: This study was carried out to assess the accessibility of the physical infrastructures (public buildings) in the Kumasi metropolis to wheelchairs after the passage of the Ghanaian Disability Law (Act 716, 2006)...
2017: African Journal of Disability
Martina Franz, Lea Richner, Markus Wirz, Anne von Reumont, Ulla Bergner, Tanja Herzog, Werner Popp, Kathrin Bach, Norbert Weidner, Armin Curt
STUDY DESIGN: Prospective observational multicenter study. OBJECTIVES: Investigation of content, duration and adjustment of physical therapy for the rehabilitation of ambulation in acute spinal cord injury (SCI). SETTING: European Multicenter Study of SCI (EMSCI). METHODS: Physical therapy interventions during acute in-patient rehabilitation of eighty incomplete SCI patients (AIS B, C, D all lesion levels) were recorded using the SCI - Intervention Classification System...
October 23, 2017: Spinal Cord
Mário A M Simim, Marco Túlio de Mello, Bruno V C Silva, Dayane F Rodrigues, João Paulo P Rosa, Bruno Pena Couto, Andressa da Silva
The aim of this review was to identify the main variables for load monitoring in training and competition situations in wheelchair sports. Studies were identified from a systematic search of three databases (PubMed, Web of Science, and SportDiscuss), with search phrases constructed from MeSH terms, alone or in combination, limited to English-language literature, and published up to January 2016. Our main findings were that variables related to external load (distance, speed, and duration) are used to monitor load in competition...
October 1, 2017: Adapted Physical Activity Quarterly: APAQ
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