Expert Consensus on Classification and Performance in Paralympic Powerlifting: A Delphi Study.

IF 2.2 4区 医学 Q1 REHABILITATION American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-08-01 Epub Date: 2024-03-25 DOI:10.1097/PHM.0000000000002478
Lorenzo Rum, Ruggero Romagnoli, Aldo Lazich, Tommaso Sciarra, Nicoletta Balletti, Maria Francesca Piacentini, Alessandro Boraschi, Elena Bergamini
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Abstract

Background: In Paralympic sports, classification ensures fair competition by grouping athletes based on their impairments. The International Paralympic Committee has provided scientific principles to guide evidence-based classification procedures. In Paralympic Powerlifting, athletes compete in one class, divided by sex and bodyweight categories, overlooking impairment impact on performance.

Objective: This study aimed to establish a consensus among international Paralympic powerlifting experts regarding classification and performance issues to guide future research.

Methods: A two-round Delphi study was conducted involving 26 experts. The study sought to identify the adequacy of the current classification and competition systems, explore the impact of various impairments, and lay the initial groundwork for a performance determinants model.

Results: Experts agreed that existing classification and competition systems in Paralympic powerlifting do not align with Paralympic standards. Impairments from neurological conditions and those causing anthropometric changes were suggested to have opposing performance impacts. Initial directions for a performance determinants model were outlined, focusing on arm and bar kinematics, anthropometry, and body composition.

Conclusions: This study underscores the need for comprehensive research in Paralympic powerlifting, revealing critical discrepancies between current classification system and Paralympic standards. Insights into the multifaceted relationship between impairments and performance are provided to shape the future of Paralympic powerlifting research.

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残奥会举重分类和成绩专家共识:德尔菲研究。
背景:在残奥运动中,根据运动员的损伤程度对其进行分类,以确保公平竞争。国际残奥委员会提供了科学原则,指导以证据为基础的分级程序。在残奥会举重项目(PPO)中,运动员按性别和体重类别分为一个级别进行比赛,忽略了损伤对成绩的影响:本研究旨在让国际残疾人举重专家就分级和成绩问题达成共识,以指导未来的研究:方法:26 位专家参与了两轮德尔菲研究。研究旨在确定现行分类和竞争制度的适当性,探讨各种损伤的影响,并为绩效决定因素模型奠定初步基础:专家们一致认为,《残疾人机会均等法》中的现行分级和竞赛制度不符合残奥会标准。专家认为,神经系统损伤和引起人体测量变化的损伤对成绩的影响截然相反。研究概述了成绩决定因素模型的初步方向,重点关注手臂和单杠运动学、人体测量和身体成分:本研究强调了对 PPO 进行全面研究的必要性,揭示了当前分类系统与残奥会标准之间的重大差异。本研究深入探讨了损伤与运动表现之间的多方面关系,为未来的 PPO 研究提供了参考。
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来源期刊
CiteScore
4.60
自引率
6.70%
发文量
423
审稿时长
1 months
期刊介绍: American Journal of Physical Medicine & Rehabilitation focuses on the practice, research and educational aspects of physical medicine and rehabilitation. Monthly issues keep physiatrists up-to-date on the optimal functional restoration of patients with disabilities, physical treatment of neuromuscular impairments, the development of new rehabilitative technologies, and the use of electrodiagnostic studies. The Journal publishes cutting-edge basic and clinical research, clinical case reports and in-depth topical reviews of interest to rehabilitation professionals. Topics include prevention, diagnosis, treatment, and rehabilitation of musculoskeletal conditions, brain injury, spinal cord injury, cardiopulmonary disease, trauma, acute and chronic pain, amputation, prosthetics and orthotics, mobility, gait, and pediatrics as well as areas related to education and administration. Other important areas of interest include cancer rehabilitation, aging, and exercise. The Journal has recently published a series of articles on the topic of outcomes research. This well-established journal is the official scholarly publication of the Association of Academic Physiatrists (AAP).
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