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Effect of Multicomponent Dual-Task Training on Gait in People With Intellectual Disability.
IF 1.7 3区 医学 Q2 REHABILITATION Pub Date : 2025-02-13 DOI: 10.1123/apaq.2024-0167
Carmen Gutiérrez Cruz, Francisco Javier Ruiz Peralvarez, Pedro Ángel Latorre Román, Juan Antonio Párraga Montilla, Karina E Andrade-Lara, José Carlos Cabrera Linares

Purpose: Gait is a complex task that requires the interaction between motor and cognitive demand, being usually assessed using the dual-task (DT) paradigm. The aim of this study was to identify the effect of 21 weeks of application of multicomponent DT training on the spatiotemporal gait parameters, coefficients of variation, and DT cost in people with intellectual disability.

Methods: A controlled longitudinal pre-post design with random assignment to two groups (experimental and control) was used. Fifty-seven participants with intellectual disability joined in this study (age: 39 ± 9 years). The OptoGait system was used to register spatiotemporal gait parameters in two different conditions: single task and DT.

Results: The main findings revealed that in both conditions, the multicomponent DT training significantly reduced the coefficients of variation of spatiotemporal gait parameters (p < .001), whereas there was no effect on DT cost.

Conclusions: These findings suggest that the multicomponent DT training elicited a more stable and confident gait pattern.

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引用次数: 0
A Tai Chi Program Improves Physical Performance Measures in Adolescents With Down Syndrome and Enhances Their Parents' Psychological Well-Being: A Randomized Controlled Trial.
IF 1.7 3区 医学 Q2 REHABILITATION Pub Date : 2025-02-12 DOI: 10.1123/apaq.2024-0035
Ala Cherni, Nejmeddine Ouerghi, Nidhal Jebabli, Hatem Ghouili, Houda Bougrine, Nicola Luigi Bragazzi, Anissa Bouassida

To investigate the effect of a 6-week tai chi (TC) training program on physical performance in adolescents with Down syndrome and its influence on the psychological well-being of their parents, in a randomized controlled design, 25 male adolescents with Down syndrome (age 14.4 ± 1.30 years) were randomly assigned to a control group (n = 10) or a training group (n = 15). Before and after the training period, lower limb explosive strength, upper limb strength, flexibility, and balance were assessed in all participants, as well as their parents' psychological well-being. Using 2 × 2 repeated-measures analysis of variance, significant Group × Time interactions (p < .05; .33<ηp2<.87) were found for physical measures and parents' depression, anxiety, and stress symptoms. A 6-week TC program significantly improved lower limb explosive strength (p < .001; d = 1.21), upper limb strength (p < .001; d = 1.49), flexibility (p < .001; d = 1.11), and static balance (p < .001; d = 1.99) and reduced depression (p < .001; d = 1.89), anxiety (p < .001; d = 1.74), and stress scores (p < .001; d = 1.88) in parents in the training group compared with those in the control group. TC programs improve physical measures in adolescents with Down syndrome and psychological well-being of their parents. Establishing TC programs in sport associations could positively impact this population's physical performance.

为了研究为期 6 周的太极拳(TC)训练对唐氏综合征青少年身体表现的影响及其对其父母心理健康的影响,我们采用随机对照设计,将 25 名患有唐氏综合征的男性青少年(年龄为 14.4 ± 1.30 岁)随机分配到对照组(10 人)或训练组(15 人)。在训练前和训练后,对所有参与者的下肢爆发力、上肢力量、柔韧性和平衡能力以及他们父母的心理健康状况进行了评估。通过 2 × 2 重复测量方差分析,发现组别 × 时间存在显著的交互作用(P < .05; .33
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引用次数: 0
A Characterization of Physical Activity in People Living With Advanced Multiple Sclerosis.
IF 1.7 3区 医学 Q2 REHABILITATION Pub Date : 2025-01-24 DOI: 10.1123/apaq.2024-0109
Julia Ludgate, Thomas Edwards, Katherine Cardwell, Afolasade Fakolade, Lara A Pilutti

Little is known about physical activity (PA) participation in people with advanced multiple sclerosis (MS). The purpose of this study was to (a) characterize self-reported PA levels and (b) explore how PA levels might differ based on sociodemographic (e.g., gender) and clinical (e.g., MS clinical course) characteristics in people with advanced MS. We used a cross-sectional online survey design with 101 participants. PA was measured using the Physical Activity Scale for Individuals With Physical Disabilities. The mean score on the scale was 4.5 (SD = 5.9) metabolic equivalent hours per day. There was a significant difference in scores based on employment, population density, living situation, disability, and assistive-device type (all p < .05). PA levels were higher in those who were employed, lived alone, required bilateral support for mobility, and were manual wheelchair users (all p < .05). This study highlights low PA levels in people with advanced MS and potential variables that might impact PA in this MS subgroup.

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引用次数: 0
Fostering the Physical-Literacy Development of Individuals Experiencing Disability Through the Use of PLayTubs: A Pilot Study. 通过使用playtub来促进残疾个体的身体素养发展:一项试点研究。
IF 1.7 3区 医学 Q2 REHABILITATION Pub Date : 2025-01-11 DOI: 10.1123/apaq.2024-0077
Kiana Stacey, Nicholas Gosse, Kyle Pushkarenko

Physical literacy (PL) is increasingly being implemented as a means for holistic development for children and youth. Despite this, children experiencing disabilities and their families continue to face barriers that impede participation in physical activities and subsequent PL development. To empower families to actively engage in their PL development, this study sought to provide an accessible, home- and play-based, parent-facilitated intervention, namely, PLayTubs. The purpose was to explore parents' subjective understanding, involvement, and attitudes toward facilitating physical activity opportunities contributing to PL development through this intervention. Four parents with a child (<12 years old) diagnosed with a developmental impairment participated in a 10-week PLayTub experience. Data were collected via semistructured interviews with parents and their children. Making use of an interpretive description methodology and an ecological-dynamics conceptual framework, this study resulted in three themes: (a) a catalyst for autonomy, (b) more than just movement, and (c) an accessible alternative. Parents found that PLayTubs fostered autonomous participation and individual agency, enhanced connections and togetherness, and allowed for the creation of meaningful experiences with physical activity. These positive insights demonstrate the benefit of home-based interventions for this population and highlight the need for larger studies in the future.

体育素养(PL)越来越多地被实施为儿童和青少年全面发展的一种手段。尽管如此,残疾儿童和他们的家庭仍然面临着阻碍参加体育活动和随后的智力发展的障碍。为了使家庭能够积极参与他们的幼儿发展,本研究试图提供一种可访问的、以家庭和游戏为基础的、父母促进的干预,即playtub。目的是探讨家长的主观理解,参与和态度,促进体育活动的机会,有助于通过这种干预发展。父母四人带一个孩子(
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引用次数: 0
Codesigning a Home-Based Exercise Program With and for People With Visual Impairments: A Needs Assessment. 与视力障碍者共同设计一个基于家庭的锻炼项目:需求评估。
IF 1.7 3区 医学 Q2 REHABILITATION Pub Date : 2025-01-08 DOI: 10.1123/apaq.2024-0045
Soyoung Choi, Junchi Chen, Emerson Sebastião, Susan Aguiñaga, Justin Haegele

This needs-assessment study evaluated the physical activity levels, needs, preferences, and requirements for exercise among individuals with visual impairments, aiming to establish evidence for the codesign of a subsequent home-based exercise program. The questionnaire, comprising 35 questions, was developed by a research team of disability and adapted physical activity experts. It was implemented for the online survey, collecting data from 145 adults with severe low vision and blindness between January 15 and January 29, 2024. Descriptive statistical analysis and content analysis were employed. Seventy-five participants (62.5%) were classified as overweight or obese, and only 15 participants reported engaging in the recommended levels of physical activity. Regarding the requirements for future home-based exercise programs, seven themes were identified: accessibility, nonvisual learning support, safety management, personalization, motivation, education, and technology. The results emphasized the urgent need for adapted home-based exercise programs that align with individuals' specific health conditions and abilities.

本需求评估研究评估了视力障碍个体的身体活动水平、需求、偏好和运动要求,旨在为后续家庭运动项目的共同设计提供证据。这份问卷包括35个问题,是由残疾和适应性体育活动专家组成的研究小组编制的。这项在线调查在2024年1月15日至1月29日期间收集了145名严重低视力和失明的成年人的数据。采用描述性统计分析和内容分析。75名参与者(62.5%)被归类为超重或肥胖,只有15名参与者报告参加了推荐的体育活动水平。关于未来以家庭为基础的锻炼计划的要求,确定了七个主题:可达性、非视觉学习支持、安全管理、个性化、动机、教育和技术。研究结果强调,迫切需要适应个人具体健康状况和能力的家庭锻炼计划。
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引用次数: 0
Strengths-Based Media Coverage of Disability: Can Viewing the Paralympic Games Change Attitudes Toward Disability? 基于优势的残疾媒体报道:观看残奥会能改变人们对残疾的态度吗?
IF 1.7 3区 医学 Q2 REHABILITATION Pub Date : 2024-12-10 DOI: 10.1123/apaq.2024-0095
Kelly Carr-Kirby, Patricia Weir, Sean Horton

Strengths-based media coverage of people with disability challenges deficits-based perceptions of impairment that are elicited through a traditional, medical model. As an evaluation of strengths-based media coverage, we examined the impact of viewing Paralympic media coverage on explicit attitudes toward people with disability. University students (N = 135, Mage = 20.2 years) were assigned to a 12-day experimental condition of viewing either (a) Paralympic events (n = 47), (b) Olympic events (n = 48), or (c) no media coverage (n = 40). Attitudes toward disability were assessed pre- and postintervention using the Attitudes to Disability Scale. Repeated-measures profile analysis with a doubly multivariate design did not reveal improved attitudes toward disability after viewing Paralympic media coverage. Supporting previous work that questioned the ability of the Paralympic Games to alter perceptions of disability, these results suggest that the International Paralympic Committee is not achieving their intended legacy of inclusion.

基于优势的媒体对残疾人的报道挑战了通过传统医学模式得出的基于缺陷的残疾观念。作为基于优势的媒体报道的评估,我们研究了观看残奥会媒体报道对残疾人明确态度的影响。大学生(N = 135,年龄20.2岁)被分配到一个为期12天的实验条件下,观看(a)残奥会赛事(N = 47), (b)奥运会赛事(N = 48),或(c)没有媒体报道(N = 40)。使用残疾态度量表评估干预前后对残疾的态度。双多变量设计的重复测量分析并未显示在观看残奥会媒体报道后对残疾的态度有所改善。这些结果支持了先前质疑残奥会改变人们对残疾人看法的能力的工作,表明国际残奥委员会没有实现其预期的包容遗产。
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引用次数: 0
Introduction to Adaptive Sport and Recreation. 适应性运动和娱乐入门。
IF 1.7 3区 医学 Q2 REHABILITATION Pub Date : 2024-12-05 Print Date: 2025-01-01 DOI: 10.1123/apaq.2024-0187
J P Barfield
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引用次数: 0
Analysis of Jogai During Judo Matches for Athletes With Visual Impairments: Impact on Referee Decisions and Outcomes. 视障运动员柔道比赛中Jogai的分析:对裁判判罚和结果的影响。
IF 1.7 3区 医学 Q2 REHABILITATION Pub Date : 2024-11-28 DOI: 10.1123/apaq.2024-0121
Rafael Lima Kons, Kleydson Ferreira de Almeida, Yan Furtado Carpinelli, Daniele Detanico

This study investigated how jogai frequency influences referee decisions and match outcomes in judo athletes with visual impairment during official competitions. Video analysis of 268 matches revealed 1,395 instances of jogai, with 211 matches experiencing jogai and 57 without. Associations were carried out between jogai occurrences and match duration, sport classes, sexes, weight categories, and referee decisions post-jogai using chi-square tests (p < .05). Significant associations were found between jogai and match duration (χ2 = 39.08, p < .001) and competition phase (χ2 = 29.43, p = .043), particularly with frequent match stoppages (mate) within the first minute across all phases. These findings suggest a need for further research and potential adjustments in judo rules, informed by the new evidence-based classification, to enhance the equity and safety of matches for athletes with visual impairments.

本研究旨在探讨视障柔道运动员在正式比赛中,动作频率对裁判判罚及比赛结果的影响。对268场比赛的视频分析显示,有1395场比赛出现了棋棋,其中211场比赛出现了棋棋,57场没有。采用卡方检验(p < 0.05),研究了健步舞发生与比赛时间、运动类别、性别、体重类别和健步舞后裁判判罚之间的关系。在比赛持续时间(χ2 = 39.08, p < .001)和比赛阶段(χ2 = 29.43, p = .043)之间发现了显著的关联,特别是在所有阶段的第一分钟内频繁的比赛暂停(mate)。这些发现表明,需要进一步研究柔道规则,并根据新的基于证据的分类进行潜在的调整,以提高视力障碍运动员比赛的公平性和安全性。
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引用次数: 0
Examining Axiological and Ethical Assumptions in Physical Activity Intervention Research involving Individuals With Intellectual Impairments: A Review. 审查涉及智障人士的体育活动干预研究中的公理和伦理假设:综述。
IF 1.7 3区 医学 Q2 REHABILITATION Pub Date : 2024-11-20 Print Date: 2025-01-01 DOI: 10.1123/apaq.2023-0180
Dineo Tshosa, Nancy L I Spencer

Adapted physical activity has been critiqued for its lack of attention to assumptions underlying both research and practice. In response to these critiques, the purpose of this paper was to perform a secondary analysis of a recent systematic literature review to examine the axiological and ethical assumptions of physical activity intervention research involving adults with Down syndrome since 1990 in light of the possibilities of critical disability studies. Findings revealed the dominance of normative movement ideologies and a focus on physical activity performance. Participants were not afforded research roles beyond that of subjects, and there was no evidence of results being communicated to them. In future, we hope scholars will consider the use of emancipatory frameworks where power is situated within the community involved and more inquiry that expands our understanding of the benefits of physical activity for individuals with intellectual impairment that decenters the focus on normative ways of being.

人们批评适应性体育活动缺乏对研究和实践基础假设的关注。为了回应这些批评,本文旨在对最近的系统性文献综述进行二次分析,根据批判性残疾研究的可能性,检查自 1990 年以来涉及唐氏综合症成人的体育活动干预研究的公理和伦理假设。研究结果表明,规范性运动意识形态占主导地位,并以体育活动表现为重点。参与者并没有被赋予除被试之外的研究角色,也没有证据表明研究结果被告知了他们。今后,我们希望学者们能考虑使用解放性框架,将权力置于所涉及的社区中,并进行更多的调查,以扩大我们对体育锻炼给智障人士带来的益处的理解,从而减少对规范性存在方式的关注。
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引用次数: 0
Military Sports Recovery Athletes' Perspectives on Role of the Coach in Athletes' Well-Being: The Importance of Supporting Basic Psychological Needs. 军事体育恢复运动员对教练在运动员福祉中的作用的看法:支持基本心理需求的重要性。
IF 1.7 3区 医学 Q2 REHABILITATION Pub Date : 2024-11-07 Print Date: 2025-01-01 DOI: 10.1123/apaq.2023-0117
Nicola Jordan, Stephen Macdonald, Justine Allen

The purpose of this study was to investigate the experiences of athletes in a competitive military sports recovery program with a specific focus on the extent to which coaches supported, or frustrated, athletes' basic psychological needs. Eight military veteran athletes competing in parasport took part in semistructured interviews. The accounts of their experiences of working with coaches in this context and their influence on their psychological needs and well-being were thematically analyzed. Results demonstrated that coaches' behaviors that support basic psychological needs can have positive effects on athletes' well-being and support their wider rehabilitation. Furthermore, frustration of these needs through controlling behaviors contributed to psychological ill-being. Findings suggest practical implications to help inform coaching practice to support optimal recovery and an environment that promotes well-being.

本研究的目的是调查运动员在军事体育恢复竞技项目中的经历,特别关注教练员在多大程度上支持或阻碍了运动员的基本心理需求。八名参加伞兵运动的退伍军人运动员参加了半结构式访谈。他们讲述了在这种情况下与教练合作的经历以及教练对他们心理需求和幸福感的影响,并对这些经历进行了专题分析。结果表明,教练支持基本心理需求的行为会对运动员的幸福感产生积极影响,并支持他们更广泛的康复。此外,通过控制行为来满足这些需求也会导致心理不健康。研究结果提出了一些实际意义,有助于指导教练实践,以支持最佳康复和促进幸福的环境。
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引用次数: 0
期刊
Adapted Physical Activity Quarterly
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