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Evaluating the Validity of Tests to Predict Sprint and Change of Direction Speed in Para-Athletes With Brain Impairments. 评估预测脑损伤残疾人运动员短跑和变向速度测试的有效性。
IF 1.7 3区 医学 Q2 REHABILITATION Pub Date : 2024-07-02 Print Date: 2024-10-01 DOI: 10.1123/apaq.2023-0197
Raul Reina, Emma M Beckman, Mark J Connick, Jemima G Spathis, Sean M Tweedy

Maximum running speed is a performance determinant in para-athletics and cerebral palsy football. Sixty international para-athletes with brain impairments completed five activity-limitation tests (standing broad jump, four bounds for distance, split jumps, 10-m speed skip, and running in place) and two criterion tests (40-m sprint and modified agility test). The same three tests (standing broad jump, four bounds for distance, and 10-m speed skip) that correlated with running performance in nondisabled runners (.67 < r < -.82; p < .05; 75% of variance) also correlated in para-athletes with brain impairments (.41 < r < -.62; p < .01; 55% of variance). Standing broad jump, four bounds for distance, split jumps, and running in place also correlated with change-of-direction speed (.43 < r < -.63; p < .01; 58% of variance). Results indicate that methods of classification for para-athletics with nondisabled runners are also valid with para-athletes with brain impairments, and new sport-specific relationships were found for assessing the performance of rapid and short sprints toward different directions, specific of a team para-sport like cerebral palsy football.

最大跑步速度是辅助运动和脑瘫足球运动成绩的决定因素。60 名国际脑损伤辅助运动员完成了五项活动限制测试(立定跳远、四次跨栏、劈叉跳、10 米速跳和原地跑)和两项标准测试(40 米短跑和改良敏捷性测试)。与非残疾人跑步成绩相关的三项测试(立定跳远、四级距跳远和 10 米速跳)(.67 < r < -.82;p < .05;75% 的方差)也与脑损伤辅助运动员的跑步成绩相关(.41 < r < -.62;p < .01;55% 的方差)。立定跳远、四级跳远、劈叉跳和原地跑也与变向速度相关(.43 < r < -.63; p < .01; 58% 的方差)。结果表明,针对非残疾运动员的辅助运动分类方法同样适用于有脑损伤的辅助运动员,而且在评估向不同方向快速和短距离冲刺的表现时,还发现了新的运动特异关系,这是脑瘫足球等团队辅助运动所特有的。
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引用次数: 0
Do Motor-Cognitive and Motor-Motor Dual-Task Training Differently Affect Dual-Task Interference in Individuals With Intellectual Disability? 运动-认知和运动-运动双重任务训练对智障人士双重任务干扰的影响不同吗?
IF 1.7 3区 医学 Q2 REHABILITATION Pub Date : 2024-07-02 Print Date: 2024-10-01 DOI: 10.1123/apaq.2024-0044
Rihab Borji, Rym Baccouch, Rabeb Laatar, Sirine Falhi, Sonia Sahli, Haithem Rebai

This study explored the effect of different dual-task (DT) training programs on DT interference in adults with intellectual disability. Center-of-pressure (CoP) mean velocity in single-task (ST) and cognitive-DT conditions and the Timed Up-and-Go Test (TUGT) during ST, cognitive-DT, and motor-DT conditions were assessed before and after intervention in a cognitive-motor training group, a motor-motor training group, and a control group. Before training, CoP mean velocity and TUGT time increased (p < .001) in DT compared with the ST condition. After training, the CoP mean velocity values remained unchanged (p = .07) in DT compared with the ST condition among the cognitive-motor training group. Furthermore, compared with the ST condition, no increase (p = 1) was reported in the TUGT time during the cognitive-DT condition for the cognitive-motor training group and during the motor-DT for the motor-motor training group (p = .12). The effect of DT training on DT interference depends on the training modality.

本研究探讨了不同的双任务(DT)训练计划对智障成人双任务干扰的影响。在认知-运动训练组、运动-运动训练组和对照组中,对单一任务(ST)和认知-DT条件下的压力中心(CoP)平均速度,以及ST、认知-DT和运动-DT条件下的定时上行测试(TUGT)进行了干预前后的评估。训练前,与 ST 条件相比,DT 条件下的 CoP 平均速度和 TUGT 时间增加了(p < .001)。训练后,在认知运动训练组中,与 ST 条件相比,DT 的 CoP 平均速度值保持不变(p = .07)。此外,与 ST 条件相比,认知-运动训练组在认知-DT 条件下的 TUGT 时间没有增加(p = 1),运动-运动训练组在运动-DT 条件下的 TUGT 时间也没有增加(p = .12)。DT训练对DT干扰的影响取决于训练方式。
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引用次数: 0
"I Found Comfort in Exercising": Exploring Experiences With Exercise for Adults With Attention-Deficit/Hyperactivity Disorder. "我在运动中找到了安慰":探索注意力缺陷/多动障碍成人的运动体验。
IF 1.7 3区 医学 Q2 REHABILITATION Pub Date : 2024-06-28 Print Date: 2025-01-01 DOI: 10.1123/apaq.2023-0175
Anusha V Ramji, Eleanor J Dommett, Oliver R Runswick

Little is known about how adults with attention-deficit/hyperactivity disorder (ADHD) experience exercise, resulting in a lack of recommendations for supporting this population. We aimed to explore how adults with ADHD experience exercise as a management tool before and after diagnosis and how and why individuals experience issues related to exercise dependence. Fifteen active adults with a diagnosis of ADHD participated in semistructured interviews. Three overarching themes were identified: (a) exercise as a necessity for ADHD, reflecting the need to exercise before a formal ADHD diagnosis, and use of exercise as a management tool postdiagnosis; (b) goals and achievements to live by, reflecting how exercise patterns revolved around a need to make progress toward targets; and (c) activity or exercise: a roller coaster journey, covering the ups and downs of exercise journeys. This article highlights the importance of exercise for adults to manage ADHD and how this can be encouraged and supported.

人们对患有注意力缺陷/多动障碍(ADHD)的成年人如何体验运动知之甚少,因此缺乏为这一人群提供支持的建议。我们旨在探索患有多动症的成年人在确诊前后是如何将运动作为一种管理工具的,以及他们是如何和为什么会出现与运动依赖相关的问题。15 名被诊断为多动症的活跃成人参加了半结构化访谈。访谈确定了三大主题(a) 运动是多动症的必需品,反映了在正式诊断为多动症之前进行运动的必要性,以及在诊断之后将运动作为一种管理工具;(b) 生活的目标和成就,反映了运动模式是如何围绕着实现目标的需要而发展的;以及 (c) 活动或运动:过山车之旅,涵盖了运动之旅的起伏。本文强调了运动对成年人控制多动症的重要性,以及如何鼓励和支持运动。
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引用次数: 0
Relegated to the Sidelines: A Qualitative Inquiry of Gatekeepers' Perspectives and Values of Physical Education for Disabled Children. 退居幕后:对把关人对残疾儿童体育教育的看法和价值观的定性调查》。
IF 1.7 3区 医学 Q2 REHABILITATION Pub Date : 2024-05-23 Print Date: 2024-10-01 DOI: 10.1123/apaq.2023-0174
Scott W T McNamara, Patrica Craig, Megan Henly, Jill Gravink

Several institutional aspects within the U.S. public school system impede the delivery of adapted physical education (APE) services to disabled children, including a lack of understanding and prioritization of these services by the special education team and a lack of qualified APE professionals to deliver these services. Thus, we conducted a qualitative inquiry grounded in a critical-ableism perspective to explore special education gatekeepers' experiences and perspectives of APE. Gatekeepers included parents, physical educators, and school administrators. Using a reflexive thematic analysis, we developed four interrelated themes: (a) disregard, negative, and charity mindsets toward disability; (b) systemic challenges in valuing and prioritizing APE; (c) presence as inclusion: (un)intentional marginalization in physical education; and (d) physical education for my child was a nightmare. These findings illustrate the complexities around the provision of physical education and APE to disabled children.

美国公立学校系统中的一些制度性问题阻碍了为残疾儿童提供适应性体育教育(APE)服务,包括特殊教育团队对这些服务缺乏理解和优先考虑,以及缺乏合格的适应性体育教育专业人员来提供这些服务。因此,我们从批判能动主义的角度出发,开展了一项定性调查,以探讨特殊教育把关人对 APE 的经验和看法。把关人包括家长、体育教育工作者和学校管理人员。利用反思性主题分析,我们提出了四个相互关联的主题:(a) 对残疾的漠视、消极和施舍心态;(b) 重视和优先考虑 APE 的系统性挑战;(c) 存在即包容:体育教育中(非)有意的边缘化;以及 (d) 我孩子的体育教育是一场噩梦。这些研究结果表明了为残疾儿童提供体育教育和 APE 的复杂性。
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引用次数: 0
Swim, Strength, or Combined Programs: Effect on Health-Related Physical Fitness in Adolescents With Down Syndrome. 游泳、力量或综合项目:对唐氏综合症青少年健康相关体能的影响。
IF 1.7 3区 医学 Q2 REHABILITATION Pub Date : 2024-05-16 Print Date: 2024-10-01 DOI: 10.1123/apaq.2023-0170
Borja Suarez-Villadat, Kabir Sadarangani, Rui Manuel Corredeira, Mario Veiga, Ariel Villagra

The adolescent population with Down syndrome (DS) appears to show higher levels of body fat and lower levels of cardiorespiratory fitness or muscle strength than their peers without disabilities. There is a need to create physical activity programs to improve these data. The aim of this research was to determine the effects of a 16-week swimming program, strength program, and combined program (swimming and strength training) on body composition and health-related physical fitness on adolescents with DS and to assess whether there are differences in the results of the different training programs. Forty-five adolescents (17 female and 28 male; average age 15.5 [1.53] years) with DS were recruited and randomized to three groups (swim [n = 15], strength [n = 15], and combined [n = 15]). Results showed that the swim group had significant improvements in all health-related physical fitness variables and there was an improvement in some body-composition variables (p < .05). The strength and combined groups obtained minor improvements in the variables analyzed. In summary, a 16-week swim program consisting of three sessions of 60 min is able to improve levels of body composition and health-related physical fitness in adolescents with DS. The swim training program seems to be more effective in improving body composition and health-related physical fitness than the strength or combined program. These findings could be useful in different special-education centers due to the predisposition shown by the population with DS to this sport modality.

与没有残疾的同龄人相比,患有唐氏综合症(DS)的青少年似乎身体脂肪含量更高,心肺功能或肌肉力量水平更低。有必要制定体育锻炼计划来改善这些数据。本研究旨在确定为期16周的游泳项目、力量项目和综合项目(游泳和力量训练)对残疾青少年身体成分和健康相关体能的影响,并评估不同训练项目的结果是否存在差异。研究人员招募了45名患有DS的青少年(17名女性和28名男性;平均年龄15.5 [1.53]岁),并将他们随机分为三组(游泳组[n = 15]、力量组[n = 15]和综合组[n = 15])。结果显示,游泳组在所有与健康相关的体能变量方面都有明显改善,在一些身体构成变量方面也有改善(P < .05)。力量组和综合组在所分析的变量中均有轻微改善。总之,为期 16 周、每次 60 分钟、每次 3 节课的游泳训练能够改善 DS 青少年的身体成分和与健康相关的体能水平。在改善身体成分和与健康相关的体能方面,游泳训练计划似乎比力量训练计划或综合训练计划更有效。这些研究结果对不同的特殊教育中心很有帮助,因为肢体瘫痪症患者对这种运动方式很感兴趣。
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引用次数: 0
"Now We Can Speak": Wheelchair Sport Participation in Areas of Armed Conflict. "现在我们可以说话了":轮椅运动在武装冲突地区的参与。
IF 1.7 3区 医学 Q2 REHABILITATION Pub Date : 2024-05-11 Print Date: 2024-10-01 DOI: 10.1123/apaq.2023-0144
T N Kirk, Cathy McKay, Katherine Holland

This study sought to understand the lived experiences of wheelchair basketball athletes from low- and middle-income countries of recent or current armed conflict and the meaning that they ascribed to their participation. Wheelchair basketball athletes (N = 108) from eight national teams participated in semistructured focus-group interviews. Study data were analyzed thematically using an interpretive descriptive approach. Three themes were developed: "I can do anything I want; not only basketball," self-concept changes through sport participation; "Now they see me as a respectable person," societal belonging through sport; and "I have motivated other disabled people," influence on nonparticipating disabled persons. The findings indicated that participation in wheelchair sports may help disabled persons see themselves as capable individuals on the court and in aspects of daily living, perhaps even peer role models for other disabled persons in their communities and countries.

本研究旨在了解来自近期或当前武装冲突的中低收入国家的轮椅篮球运动员的生活经历,以及他们认为参与武装冲突的意义。来自八个国家队的轮椅篮球运动员(108 人)参加了半结构化焦点小组访谈。采用解释性描述方法对研究数据进行了专题分析。形成了三个主题:"我可以做任何我想做的事情,不仅仅是篮球,"通过参与体育运动改变了自我概念;"现在他们把我看作是一个值得尊敬的人,"通过体育运动增强了社会归属感;以及 "我激励了其他残疾人,"对未参与体育运动的残疾人产生了影响。研究结果表明,参加轮椅运动可以帮助残疾人将自己视为球场上和日常生活中的能人,甚至可能成为社区和国家中其他残疾人的榜样。
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引用次数: 0
Combined Virtual-Reality- and Gym-Based Physical Activity Intervention for Children With a Developmental Disability: Effects on Physical Activity Levels, Motor Skills, and Social Skills. 针对发育障碍儿童的虚拟现实与健身房相结合的体育活动干预:对体育活动水平、运动技能和社交技能的影响》。
IF 1.7 3区 医学 Q2 REHABILITATION Pub Date : 2024-05-11 Print Date: 2024-10-01 DOI: 10.1123/apaq.2023-0098
Hoo Kyung Lee, Jooyeon Jin

This study examined the effects of a combined virtual-reality- and gym-based physical activity (PA) program on PA levels, motor skills, and social skills of children with a developmental disability (DD). Twenty-five children with DD were randomly assigned to experimental and control groups. The intervention was conducted for 60 min, two times a week, for 12 weeks. Pre- and postintervention assessments encompassing PA levels measured via Gravity Estimator of Normal Everyday Activity, motor skills evaluated using the Test of Gross Motor Development-Third Edition, and social skills gauged via the Social Skills Rating System-Parent were conducted. Additionally, a follow-up assessment was administered to the experimental group 12 weeks postintervention. The findings unequivocally demonstrate that the combined virtual-reality- and gym-based PA program yielded significant enhancements in PA levels, motor skills, and social skills among children with DD in the experimental group. Notably, these improvements were sustained 12 weeks after the intervention. These findings may help professionals develop and implement better PA programs for children with DD.

本研究考察了虚拟现实和健身房相结合的体育活动(PA)项目对发育障碍(DD)儿童的PA水平、运动技能和社交技能的影响。25 名发育障碍儿童被随机分配到实验组和对照组。干预为期 12 周,每周两次,每次 60 分钟。干预前和干预后的评估包括通过 "正常日常活动重力估算器 "测量的 PA 水平、通过 "粗大运动发展测试-第三版 "评估的运动技能,以及通过 "社交技能评级系统-家长 "测量的社交技能。此外,还对实验组进行了干预后 12 周的跟踪评估。研究结果清楚地表明,虚拟现实和健身房相结合的体育锻炼计划显著提高了实验组残疾儿童的体育锻炼水平、运动技能和社交技能。值得注意的是,这些改善在干预 12 周后得以持续。这些发现可帮助专业人员为残疾儿童制定和实施更好的体育锻炼计划。
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引用次数: 0
Brazilian Women in Paralympic Sports: Uncovering Historical Milestones in the Summer Paralympic Games. 残奥运动中的巴西女性:揭开夏季残奥会的历史里程碑。
IF 1.7 3区 医学 Q2 REHABILITATION Pub Date : 2024-04-22 Print Date: 2024-10-01 DOI: 10.1123/apaq.2023-0139
Luiz Gustavo T Fabricio Dos Santos, Isabella Dos Santos Alves, Náthali Fernanda Feliciano, Africa Alejandra Ortuño Torres, Luis Felipe Castelli Correia de Campos, Maria Luiza Tanure Alves

The journey of Brazilian female Paralympians transcends mere statistical increases in women's participation. Behind the modest athlete growth lies the reality of women who are doubly marginalized by the intersection of gender and disability in an arena tailored for able-bodied men. Our study aimed to catalyze critical discourses surrounding the historical trajectory of Paralympic women's sports. Through a comprehensive documentary analysis based on the Brazilian Paralympic Committee's official documents from 1976 to 2021, we sought to shed light on this complex scenario. Numerically, Brazil's representation comprised 229 women who, predominantly, had physical impairments and engaged in individual sports. In addition to a sporting legacy deeply entrenched in physical rehabilitation with limited opportunities for team-based sports, we observed negative influences stemming from ableist and sexist narratives. A thorough investigation into Paralympic milestones revealed a multitude of social barriers and highlighted the significant impact of societal changes in reshaping athletic opportunities and challenging traditional stereotypes.

巴西残奥会女运动员的历程不仅仅是统计数字上女性参与人数的增长。在运动员小幅增长的背后,是在这个专为健全男性量身打造的竞技场上,女性因性别与残疾的交织而被双重边缘化的现实。我们的研究旨在围绕残奥会女子运动的历史轨迹展开批判性讨论。通过对巴西残奥委员会 1976 年至 2021 年的官方文件进行全面的文献分析,我们试图揭示这一复杂的情况。从数字上看,巴西的代表队由 229 名女性组成,她们主要有身体缺陷并从事个人运动。除了体育传统中根深蒂固的身体康复和有限的团队运动机会之外,我们还观察到来自能力主义和性别歧视言论的负面影响。对残奥会里程碑的深入调查揭示了众多社会障碍,并强调了社会变革在重塑运动机会和挑战传统定型观念方面的重大影响。
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引用次数: 0
Effect of Combined Training With Balance, Strength, and Plyometrics on Physical Performance in Male Sprint Athletes With Intellectual Disabilities. 平衡、力量和负重联合训练对智障男子短跑运动员体能表现的影响。
IF 1.7 3区 医学 Q2 REHABILITATION Pub Date : 2024-02-28 Print Date: 2024-07-01 DOI: 10.1123/apaq.2023-0105
Ghada Jouira, Haithem Rebai, Dan Iulian Alexe, Sonia Sahli

Individuals with intellectual disabilities often face unique challenges in physical capabilities, making traditional training methods less effective for their specific needs. This study aimed to investigate the effect of combining balance, plyometric, and strength (CBPS) training with sprint training on physical performance in male athletes with intellectual disabilities. Twenty-seven participants were randomly assigned to either a CBPS group or a control group that only maintained their regular sprint training. Participants underwent pre- and posttraining tests, including measures of balance, jumping, agility, and sprinting ability. The results showed that the CBPS group demonstrated significant improvements (p < .05) in one-leg stance, crossover-hop jump, squat jump, countermovement jump, and 10- and 30-m sprint at posttraining compared with pretraining. CBPS training combined with sprinting significantly improves physical performance in male athletes with intellectual disabilities, suggesting implications for tailored training programs to enhance their physical fitness and overall health.

智障人士往往在体能方面面临独特的挑战,因此传统的训练方法对他们的特殊需求不太有效。本研究旨在调查将平衡、负重和力量(CBPS)训练与短跑训练相结合对智障男性运动员身体表现的影响。27 名参与者被随机分配到 CBPS 组或只保持常规短跑训练的对照组。参与者接受了训练前和训练后的测试,包括平衡、跳跃、敏捷性和冲刺能力的测量。结果表明,与训练前相比,CBPS 组在训练后的单腿站立、交叉跳、蹲跳、反身跳以及 10 米和 30 米短跑方面均有显著提高(p < .05)。CBPS训练与短跑相结合,能显著提高智障男性运动员的体能表现,这对制定有针对性的训练计划以增强他们的体能和整体健康具有重要意义。
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引用次数: 0
Characteristics of Physical Activity Interventions for People With Visual Impairments: A Scoping Review. 针对视障人士的体育锻炼干预措施的特点:范围审查。
IF 1.7 3区 医学 Q2 REHABILITATION Pub Date : 2024-01-13 Print Date: 2024-07-01 DOI: 10.1123/apaq.2023-0113
Soyoung Choi, J J Pionke

This study evaluated physical activity interventions designed for individuals with visual impairments and sought to guide health intervention scientists aiming to promote physical activity in this demographic. We delved into the specifics of participants' visual impairments, intervention features, accommodation approaches, and replicability prospects. The search spanned four databases, namely PubMed, CINAHL, SportDiscus, and Scopus, providing a wide scope and diversity of potential studies. There were no restrictions on publication years. We reviewed 13 studies, totaling 15 interventions. A consensus on visual-impairment definitions remains elusive, and the intervention dosages displayed variability. Notably, 66.7% (n = 7) integrated behavior-change techniques to amplify physical activity levels. Multiple studies employed audio descriptions as an accommodation method. While most studies provided adequate information for potential replication, detailed study protocols were frequently absent. It is essential for developed interventions to be persistently evaluated and fine-tuned to optimize results.

本研究评估了为视力障碍人士设计的体育锻炼干预措施,旨在为旨在促进这一人群体育锻炼的健康干预科学家提供指导。我们深入研究了参与者视力障碍的具体情况、干预措施的特点、适应方法以及可复制性的前景。搜索范围涵盖了四个数据库,即 PubMed、CINAHL、SportDiscus 和 Scopus,从而为潜在研究提供了广泛的范围和多样性。对发表年份没有限制。我们审查了 13 项研究,共计 15 项干预措施。关于视力障碍的定义仍未达成共识,干预措施的剂量也存在差异。值得注意的是,66.7%(n = 7)的研究采用了改变行为的技术来提高体育锻炼水平。多项研究采用了语音描述作为辅助方法。虽然大多数研究为潜在的复制提供了足够的信息,但往往缺乏详细的研究方案。对已制定的干预措施进行持续评估和微调以优化结果至关重要。
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引用次数: 0
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Adapted Physical Activity Quarterly
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