Brazilian Journal of Physical Therapy最新文献_第6页

Reliability and construct validity of the Craniocervical Flexion Test in patients with migraine 偏头痛患者颅颈屈曲测试的可靠性和结构有效性

IF 3.1 3区医学 Q1 ORTHOPEDICS

Brazilian Journal of Physical Therapy

Pub Date : 2024-07-01 DOI: 10.1016/j.bjpt.2024.101085

Amanda Rodrigues , Gabriela Ferreira Carvalho , Lidiane Lima Florencio , Jaqueline Martins , Carina Ferreira Pinheiro-Araújo , Milena Dietrich Deitos Rosa , Fabíola Dach , Débora Bevilaqua-Grossi

Background

Migraine may be accompanied by several cervical musculoskeletal dysfunctions, for example an altered performance on the Craniocervical Flexion Test (CCFT). However, CCFT measurement properties are still unclear in patients with migraine.

Objectives

To determine intra- and inter-examiner reliability, construct validity, standard measurement error (SEM), and minimal detectable change (MDC) of the CCFT in patients with migraine.

Methods

Women diagnosed with migraine were considered eligible for this study. Participants were assessed by two examiners for the inter-examiner reliability, and with 7–10 days interval for the intra-examiner reliability. Construct validity was assessed considering headache and neck pain frequency and intensity, and self-reported questionnaires, including the Headache Impact Test – 6 items (HIT-6), the 12-item Allodynia Symptom Checklist/Brazil (ASC-12), and the Neck Disability Index (NDI). In addition, participants performed cervical endurance and maximal voluntary isometric contraction of the cervical flexors.

Results

A total of 103 women with migraine were recruited. The intra-examiner reliability was rated as good (ICC= 0.81, 95% CI: 0.73, 0.87), while the inter-examiner reliability was rated as moderate (ICC= 0.55, 95% CI: 0.40, 0.67). The intra and inter-examiner SEM were 1.31 and 1.36 mmHg respectively, and MDC were 3.63 and 3.77 mmHg. The HIT-6 and the cervical endurance flexion test were associated with the CCFT in a multiple linear regression model (p = 0.004, R = 0.35).

Conclusion

The CCFT presents adequate intra- and inter-examiner reliability. Better performance on the CCFT test was associated with better HIT-6 scores and greater cervical endurance time, which was not influenced by the presence of neck pain.

背景偏头痛可能伴有多种颈椎肌肉骨骼功能障碍，例如颅颈屈曲测试（CCFT）的表现会发生改变。目的测定偏头痛患者颅颈屈曲测试（CCFT）在检查者内部和检查者之间的可靠性、结构效度、标准测量误差（SEM）和最小可检测变化（MDC）。由两名检查员对参与者进行评估，以确定检查员之间的信度；间隔 7-10 天对参与者进行评估，以确定检查员内部的信度。结构效度的评估考虑了头痛和颈部疼痛的频率和强度，以及自我报告问卷，包括头痛影响测试 - 6 个项目（HIT-6）、12 个项目的巴西过敏症状检查表（ASC-12）和颈部残疾指数（NDI）。此外，参与者还进行了颈椎耐力和颈屈肌最大自主等长收缩。检查者内部的可靠性被评为良好（ICC= 0.81，95% CI：0.73，0.87），而检查者之间的可靠性被评为中等（ICC= 0.55，95% CI：0.40，0.67）。检查者内部和检查者之间的 SEM 分别为 1.31 和 1.36 mmHg，MDC 分别为 3.63 和 3.77 mmHg。在多元线性回归模型中，HIT-6 和颈椎耐力屈曲测试与 CCFT 相关（p = 0.004，R = 0.35）。CCFT测试成绩越好，HIT-6评分越高，颈椎耐力时间越长，这与是否存在颈部疼痛无关。

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引用次数: 0

Embedded motivational interviewing combined with a smartphone application to increase physical activity in people with sub-acute low back pain: a cluster randomised controlled trial 嵌入式动机访谈与智能手机应用相结合，增加亚急性腰背痛患者的体育锻炼：分组随机对照试验

IF 3.1 3区医学 Q1 ORTHOPEDICS

Brazilian Journal of Physical Therapy

Pub Date : 2024-07-01 DOI: 10.1016/j.bjpt.2024.101091

Jason Holden , Paul O'Halloran , Megan Davidson , Jeff Breckon , Wenny Rahayu , Melissa Monfries , Nicholas F. Taylor

Background

Moderately vigorous physical activity (PA) may be beneficial for people with sub-acute low back pain (LBP), but may initially be painful for patients and challenging for physical therapists to facilitate.

Objectives

This study investigated motivational interviewing (MI) delivered by physical therapists and a smartphone app for increasing PA in people with LBP.

Methods

A mixed methods cluster randomised controlled trial involving 46 adults with LBP in Melbourne, Australia. Participants attended weekly 30-min physical therapy consultations for 6 weeks. Experimental group physical therapists were taught to embed MI into consultations and patients were provided with a self-directed app. The primary outcome was accelerometer-derived moderately vigorous PA. Secondary outcomes were LBP disability (Oswestry Disability Index), functional capacity (Patient Specific Functional Scale), and self-efficacy (Pain Self-Efficacy Questionnaire). Between-group differences were analysed by ANCOVA post-intervention.

Results

There was no statistically significant difference between the experimental group and control group for PA. Between-group differences in LBP disability (MD= 19.4 units, 95% CI: 8.5, 30.3), functional capacity (primary MD= −4.1 units, 95% CI: −6.9, −1.3; average MD= −3.1, 95% CI: −4.9, −1.2) and self-efficacy (MD −11.3 units, 95%CI −20.2, −2.5) favoured the control group with small to moderate effect sizes. There were low levels of overall engagement with the app.

Conclusion

The embedded MI intervention was no more beneficial than physical therapy alone for PA and was associated with poorer LBP disability, function, and self-efficacy. The effectiveness of embedding MI and a smartphone app into usual care for LBP was not supported.

背景中等强度的体力活动（PA）可能对亚急性腰背痛（LBP）患者有益，但最初可能会给患者带来痛苦，而且对物理治疗师来说，促进体力活动也具有挑战性。目的本研究调查了物理治疗师提供的动机访谈（MI）和智能手机应用程序对增加腰背痛患者体力活动的作用。参与者每周接受 30 分钟的物理治疗咨询，为期 6 周。实验组物理治疗师接受了将多元智能融入咨询的教学，患者则获得了一款自我指导的应用程序。主要结果是加速度计得出的中度剧烈运动。次要结果为枸杞多糖症残疾（Oswestry 残疾指数）、功能能力（患者特定功能量表）和自我效能（疼痛自我效能问卷）。实验组与对照组在运动量方面的差异无统计学意义。实验组和对照组在腰背痛残疾（MD= 19.4 个单位，95% CI：8.5，30.3）、功能能力（主要 MD=-4.1 个单位，95% CI：-6.9，-1.3；平均 MD=-3.1，95% CI：-4.9，-1.2）和自我效能感（MD-11.3 个单位，95%CI -20.2，-2.5）方面的组间差异偏向于对照组，影响大小为小到中等。结论：嵌入式多元智能干预并不比单纯的物理治疗对腰椎间盘突出症更有益，而且与较差的腰椎间盘突出症残疾、功能和自我效能相关。将多元智能和智能手机应用程序嵌入枸杞痛的常规护理中的有效性未得到支持。

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引用次数: 0

Does Transcranial Direct Current Stimulation reduce central and peripheral muscle fatigue in recreational runners? A triple-blind, sham-controlled, randomized, crossover clinical study 经颅直流电刺激能否减轻休闲跑步者的中枢和外周肌肉疲劳？一项三盲、假对照、随机、交叉临床研究。

IF 3.1 3区医学 Q1 ORTHOPEDICS

Brazilian Journal of Physical Therapy

Pub Date : 2024-07-01 DOI: 10.1016/j.bjpt.2024.101088

Laura Uehara , Daniel Boari Coelho , Abrahão Fontes Baptista , Lucas Santana , Rafael Jardim Duarte Moreira , Yossi Zana , Luciana Malosá , Taiane Lima , Gabriela Valentim , Alejandra Cardenas-Rojas , Felipe Fregni , João Carlos Ferrari Corrêa , Fernanda Ishida Corrêa

Background

Runners seek health benefits and performance improvement. However, fatigue might be considered a limiting factor. Transcranial Direct Current Stimulation (tDCS) has been investigated to improve performance and reduce fatigue in athletes. While some studies showing that tDCS may improve a variety of physical measures, other studies failed to show any benefit.

Objective

To evaluate the acute effects of tDCS on central and peripheral fatigue compared to a sham intervention in recreational runners.

Methods

This is a triple-blind, controlled, crossover study of 30 recreational runners who were randomized to receive one of the two interventions, anodal or sham tDCS, after the fatigue protocol. The interventions were applied to the quadriceps muscle hotspot for 20 min. Peak torque, motor-evoked potential, and perceived exertion rate were assessed before and after the interventions, and blood lactate level was assessed before, during, and after the interventions. A generalized estimated equation was used to analyze the peak torque, motor-evoked potential, and blood lactate data, and the Wilcoxon test was used for perceived exertion rate data.

Results

Our findings showed no difference between anodal tDCS and sham tDCS on peak torque, motor-evoked potential, blood lactate, and perceived exertion rate.

Conclusion

The tDCS protocol was not effective in improving performance and reducing fatigue compared to a sham control intervention.

Brazilian Clinical Trials Registry

RBR-8zpnxz.

背景：跑步者追求健康和提高成绩。然而，疲劳可能被认为是一个限制因素。经颅直流电刺激（transcranial Direct Current Stimulation，tDCS）已被研究用于提高运动员的成绩和减少疲劳。虽然一些研究显示经颅直流电刺激可改善各种体能指标，但其他研究却未显示出任何益处：与假干预相比，评估 tDCS 对休闲跑步者中枢和外周疲劳的急性影响：这是一项三盲、对照、交叉研究，研究对象是 30 名休闲跑步者，他们在疲劳协议后被随机分配接受阳极或假 tDCS 两种干预中的一种。干预措施作用于股四头肌热点 20 分钟。在干预前后对峰值扭矩、运动诱发电位和感知用力率进行了评估，在干预前、干预期间和干预后对血乳酸水平进行了评估。使用广义估计方程分析峰值扭矩、运动诱发电位和血乳酸数据，使用 Wilcoxon 检验分析感知用力率数据：我们的研究结果表明，阳极 tDCS 与假 tDCS 对峰值扭矩、运动诱发电位、血乳酸和感知用力率没有影响：巴西临床试验登记处：RBR-8zpnxz。

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引用次数: 0

Exercise therapy and physical activity in the paradigm shift from a tissue- and disease-based pain management approach towards multimodal lifestyle interventions for chronic pain 从以组织和疾病为基础的疼痛管理方法向多模式生活方式干预慢性疼痛的范式转变中的运动疗法和体育活动

IF 3.1 3区医学 Q1 ORTHOPEDICS

Brazilian Journal of Physical Therapy

Pub Date : 2024-07-01 DOI: 10.1016/j.bjpt.2024.101101

Jo Nijs , Kenza Mostaqim , Rob Oostendorp

引用次数: 0

What is the most appropriate handgrip strength testing protocol for sarcopenia screening in older adults with cognitive impairment? 在对有认知障碍的老年人进行肌肉疏松症筛查时，最合适的手握力测试方案是什么？

IF 3.1 3区医学 Q1 ORTHOPEDICS

Brazilian Journal of Physical Therapy

Pub Date : 2024-07-01 DOI: 10.1016/j.bjpt.2024.101104

Patrícia Azevedo Garcia , Raphaela Xavier Sampaio , Júlia Araújo de Moura , Phylipi Figuêiredo de Souza , Ludmille Bezerra da Costa , Felipe Augusto dos Santos Mendes

Background

Handgrip strength (HGS) testing is a highly recommended method for screening for sarcopenia in older adults. However, there is no consensus on the optimal protocol and number of trials for screening sarcopenia in older adults with cognitive impairment.

Objective

To investigate the use of the first trial (FT), the mean of three trials (MT), and the highest value (HT) from three trials of the HGS test to screen for sarcopenia in older adults with cognitive impairment. Additionally, to analyze the consistency, agreement, and measurement error in the diagnosis of muscle weakness.

Methods

176 older adults with cognitive impairment were evaluated. The HGS test was repeated three times. Analyses were performed using the Friedman repeated measures test with Wilcoxon post-hoc, intraclass correlation coefficient (ICC), Standard Error of Measurement (SEM), Minimal Detectable Change (MDC95), and Kappa index tests.

Results

There was no significant difference between the first trial (FT) and the mean of three trials (MT) (d = 0.17 [95 % CI: −0.08, 0.42]), but both differed significantly from the highest value (HT) (p < 0.001). The ICC indicated a reliability of 0.97 (95 % CI: 0.95, 0.98) across all participants, while the kappa index demonstrated over 80 % agreement. The SEM for the first measure of HGS ranged from 0.59 to 2.12 kgf. The MDC₉₅ ranged from 1.64 to 5.87 kgf.

Conclusion

For HGS testing, there was excellent consistency between the FM and MT. All three testing methods demonstrated excellent agreement in diagnosing muscle weakness. The measurement errors confirm that FT can be reliably used to monitor changes during rehabilitation.

背景：手握力（HGS）测试是一种备受推崇的筛查老年人肌肉疏松症的方法。然而，对于筛查有认知障碍的老年人肌肉疏松症的最佳方案和试验次数，目前还没有达成共识：研究使用 HGS 测试的首次试验值（FT）、三次试验的平均值（MT）和三次试验的最高值（HT）来筛查有认知障碍的老年人的肌少症。此外，还要分析肌无力诊断中的一致性、一致性和测量误差。HGS 测试重复进行三次。采用弗里德曼重复测量检验、Wilcoxon事后检验、类内相关系数（ICC）、测量标准误差（SEM）、最小可检测变化（MDC95）和卡帕指数检验进行分析：第一次试验（FT）和三次试验的平均值（MT）之间没有明显差异（d = 0.17 [95 % CI：-0.08, 0.42]），但与最高值（HT）相比都有明显差异（p < 0.001）。所有参与者的 ICC 可信度均为 0.97 (95 % CI: 0.95, 0.98)，而 kappa 指数显示一致性超过 80%。第一次测量 HGS 的 SEM 范围为 0.59 至 2.12 kgf。结论：结论：在 HGS 测试中，FM 和 MT 的一致性非常好。所有三种测试方法在诊断肌无力方面都表现出极好的一致性。测量误差证实了 FT 可以可靠地用于监测康复过程中的变化。

{"title":"What is the most appropriate handgrip strength testing protocol for sarcopenia screening in older adults with cognitive impairment?","authors":"Patrícia Azevedo Garcia , Raphaela Xavier Sampaio , Júlia Araújo de Moura , Phylipi Figuêiredo de Souza , Ludmille Bezerra da Costa , Felipe Augusto dos Santos Mendes","doi":"10.1016/j.bjpt.2024.101104","DOIUrl":"10.1016/j.bjpt.2024.101104","url":null,"abstract":"<div><h3>Background</h3><p>Handgrip strength (HGS) testing is a highly recommended method for screening for sarcopenia in older adults. However, there is no consensus on the optimal protocol and number of trials for screening sarcopenia in older adults with cognitive impairment.</p></div><div><h3>Objective</h3><p>To investigate the use of the first trial (FT), the mean of three trials (MT), and the highest value (HT) from three trials of the HGS test to screen for sarcopenia in older adults with cognitive impairment. Additionally, to analyze the consistency, agreement, and measurement error in the diagnosis of muscle weakness.</p></div><div><h3>Methods</h3><p>176 older adults with cognitive impairment were evaluated. The HGS test was repeated three times. Analyses were performed using the Friedman repeated measures test with Wilcoxon post-hoc, intraclass correlation coefficient (ICC), Standard Error of Measurement (SEM), Minimal Detectable Change (MDC95), and Kappa index tests.</p></div><div><h3>Results</h3><p>There was no significant difference between the first trial (FT) and the mean of three trials (MT) (<em>d</em> = 0.17 [95 % CI: −0.08, 0.42]), but both differed significantly from the highest value (HT) (<em>p</em> < 0.001). The ICC indicated a reliability of 0.97 (95 % CI: 0.95, 0.98) across all participants, while the kappa index demonstrated over 80 % agreement. The SEM for the first measure of HGS ranged from 0.59 to 2.12 kgf. The MDC<sub>95</sub> ranged from 1.64 to 5.87 kgf.</p></div><div><h3>Conclusion</h3><p>For HGS testing, there was excellent consistency between the FM and MT. All three testing methods demonstrated excellent agreement in diagnosing muscle weakness. The measurement errors confirm that FT can be reliably used to monitor changes during rehabilitation.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 4","pages":"Article 101104"},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Democratizing access to physical therapy to address the challenge of chronic pain 使物理治疗民主化，以应对慢性疼痛的挑战

IF 3.4 3区医学 Q1 ORTHOPEDICS

Brazilian Journal of Physical Therapy

Pub Date : 2024-05-01 DOI: 10.1016/j.bjpt.2024.101084

Rodrigo Núñez-Cortés , Enrique Lluch , Carlos Cruz-Montecinos

引用次数: 0

What are participant beliefs regarding physical therapy led treatment? A qualitative study of people living with femoroacetabular impingement syndrome 参与者对物理治疗的看法是什么？一项针对股骨肩关节撞击综合征患者的定性研究

IF 3.4 3区医学 Q1 ORTHOPEDICS

Brazilian Journal of Physical Therapy

Pub Date : 2024-05-01 DOI: 10.1016/j.bjpt.2024.101077

Emily Bell , Andrea Mosler , Christian Barton , Denise Jones , Joshua Heerey , Richard Johnston , Sally Coburn , Joanne Kemp

Background

Physical therapist-led treatment programs are recommended for patients with femoroacetabular impingement (FAI) syndrome. Views of people with FAI syndrome regarding such interventions are currently unknown, including perceptions of potential barriers and facilitators to participation and adherence to exercise programs.

Objectives

To explore participant perceptions of physical therapist-led programs for FAI syndrome, including barriers and facilitators for accessing physical therapy, and adhering to a rehabilitation program.

Methods

Our qualitative study used semi-structured interviews to explore the perceptions of patients with FAI syndrome undertaking physical therapy-led treatment, where treatment was ceased due to Coronavirus Disease 2019 (COVID-19). The interview topic guide was informed by the Theoretical Domain Framework. Interviews were transcribed verbatim and data categories were developed using inductive thematic analysis. Themes were discussed between researchers until consensus was reached.

Results

Fourteen participants (mean age: 30 years) with a range of physical activity backgrounds undertook interviews. We identified four key themes, 1) Patients believed their hip pain was caused by structural damage worsened through exercise; 2) Barriers and facilitators on the feasibility of physical therapist-led programs; 3) Participants held beliefs regarding the importance of adjunct treatments to exercise; and 4) Impact of FAI syndrome on physical activity participation.

Conclusion

People with FAI syndrome believe they have structural damage which leads to their hip pain and are often afraid to exercise due to fear of causing more damage to their hip. Our findings suggest that people with FAI syndrome want clear education about exercise, imaging, and expectations of cost and duration of treatment.

背景建议股骨髋臼撞击综合征（FAI）患者接受理疗师指导的治疗计划。方法我们的定性研究采用半结构式访谈来探讨接受物理治疗的股骨髋臼撞击综合征患者对因冠状病毒病2019（COVID-19）而停止治疗的患者的看法。访谈主题指南参考了理论领域框架。对访谈内容进行逐字记录，并采用归纳式主题分析法对数据进行分类。研究人员对主题进行了讨论，直至达成共识。结果14 名参与者（平均年龄：30 岁）接受了访谈，他们具有不同的体育活动背景。我们确定了四个关键主题：1）患者认为他们的髋关节疼痛是由结构性损伤引起的，而结构性损伤会通过运动而恶化；2）物理治疗师主导的项目可行性的障碍和促进因素；3）参与者对运动辅助治疗重要性的看法；以及 4）FAI 综合征对参与体育活动的影响。我们的研究结果表明，FAI 综合征患者希望得到有关运动、影像学以及治疗费用和持续时间预期的明确教育。

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引用次数: 0

Corrigendum to Prevalence of disabling musculoskeletal pain in children and adolescents in Brazil: Across-sectional study [Brazilian Journal of Physical Therapy 28 (2024) 100593] 巴西儿童和青少年致残性肌肉骨骼疼痛患病率的更正：横断面研究 [巴西物理治疗杂志 28 (2024) 100593] 更正

IF 3.4 3区医学 Q1 ORTHOPEDICS

Brazilian Journal of Physical Therapy

Pub Date : 2024-05-01 DOI: 10.1016/j.bjpt.2024.101076

Bruna Alves Hatakeyama , Bárbara Isabel Aparecida Camargo , Verônica Souza Santos , Mariana Nascimento Leite , Caique de Melo do Espirito Santo , Tuyra Francisca Castro e Silva , Fabianna Resende de Jesus-Moraleida , Steven J Kamper , Chris G Maher , Leonardo Oliveira Pena Costa , Tiê P Yamato

引用次数: 0

DiTA: helping you search for evidence of diagnostic test accuracy in physical therapy DiTA：帮助您搜索物理治疗诊断测试准确性的证据

IF 3.4 3区医学 Q1 ORTHOPEDICS

Brazilian Journal of Physical Therapy

Pub Date : 2024-05-01 DOI: 10.1016/j.bjpt.2024.101082

Mark A. Kaizik , Mark J. Hancock , Robert D. Herbert

Background

Physical therapists use diagnostic tests in a variety of settings. Choosing the best diagnostic test to apply in a particular situation can be difficult. The choice of diagnostic test should be informed, at least in part, by evidence of test accuracy. Finding evidence of diagnostic test accuracy has, until recently, been challenging. Ideally, there would exist a database that comprehensively indexes evidence on diagnostic tests relevant to physical therapy practice, is free to access, and is easy to use.

Objective

This Masterclass will describe the DiTA (Diagnostic Test Accuracy) database (dita.org.au) including its development and search interface, and provide advice on how to search and retrieve records.

Discussion

DiTA indexes more than 2400 primary studies and systematic reviews of diagnostic test accuracy relevant to physical therapy practice. Users can search DiTA using text fields and dropdown lists to find evidence of diagnostic test accuracy. The database is freely accessible on the internet. Since its launch, DiTA has been accessed from almost every country in the world, the largest number of searches having been conducted from Brazil.

背景物理治疗师在各种情况下都会使用诊断测试。在特定情况下选择最佳的诊断测试是很困难的。诊断测试的选择至少应部分参考测试准确性的证据。直到最近，寻找诊断测试准确性的证据仍是一项挑战。理想的情况是，有一个数据库能够全面收录与理疗实践相关的诊断测试证据，而且可以免费访问，使用方便。本大师班将介绍DiTA（诊断测试准确性）数据库（dita.org.au），包括其开发和搜索界面，并就如何搜索和检索记录提供建议。讨论DiTA收录了2400多项与理疗实践相关的诊断测试准确性的主要研究和系统综述。用户可以使用文本字段和下拉列表搜索 DiTA，查找诊断测试准确性的证据。该数据库可在互联网上免费访问。自 DiTA 推出以来，世界上几乎所有国家的用户都可以访问 DiTA，其中巴西的搜索次数最多。

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引用次数: 0

The SPORTS Participation Framework: illuminating the pathway for people with disability to enter into, participate in, and excel at sport 体育运动参与框架：阐明残疾人进入、参与和擅长体育运动的途径

IF 3.4 3区医学 Q1 ORTHOPEDICS

Brazilian Journal of Physical Therapy

Pub Date : 2024-05-01 DOI: 10.1016/j.bjpt.2024.101081

Georgina Leigh Clutterbuck , Ricardo Rodrigues de Sousa Junior , Hércules Ribeiro Leite , Leanne Marie Johnston

Background

Sports participation for people with disabilities exists at the intersection of health, sport, and education sectors. However, no common framework and language exist to describe the stages of sports participation.

Objective

To present the background to the SPORTS Participation Framework, and how it can be used to illuminate the path that people with disability may travel to enter into, participate in, and enjoy and excel at all levels of sport.

Method

The SPORTS Participation Framework includes six stages drawn from mainstream sports pathways and models used to classify barriers to sports participation for people with disabilities: (S) Screening, goal setting and individual preparation, (P) Practitioner led, peer-group sports interventions, (O) Organised junior entry-point sports programs, (R) Recreational sport (non-competitive), (T) Team competition (school/club representation), and (S) State, National, and International competition.

Results

For each stage, this paper describes the content of sports activities, the context in which they are performed, key stakeholders, barriers to participation, available evidence, and case studies.

Conclusions

The SPORTS Participation Framework presents a structure to navigate the stages of introducing and promoting lifelong sports participation for people with disabilities. It scaffolds clear communication, governance, and policy across health, sport, and education sectors, and supports clinicians and researchers to address barriers to participation at each stage to improve individual and population-wide participation in sport for people with disabilities.

背景残疾人参与体育运动是健康、体育和教育部门的交叉领域。目标介绍 "体育运动参与框架 "的背景，以及如何使用该框架来阐明残疾人进入、参与、享受和擅长各级体育运动的途径。方法 "体育运动参与框架 "包括六个阶段，这些阶段借鉴了主流体育途径和模式，用于对残疾人参与体育运动的障碍进行分类：（S）筛查、目标设定和个人准备；（P）从业人员领导的同伴团体体育干预；（O）有组织的初级入门体育项目；（R）休闲体育（非竞技）；（T）团队竞赛（学校/俱乐部代表）；以及（S）州、国家和国际竞赛。结论 "体育运动参与框架 "提供了一个结构，用于引导和促进残疾人终身参与体育运动的各个阶段。它为健康、体育和教育部门之间的明确沟通、管理和政策提供了支架，并支持临床医生和研究人员解决每个阶段的参与障碍，以提高残疾人个人和整个人群的体育参与度。

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引用次数: 0