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An analysis of people with disabilities in Australia by age, sex, disability type and severity – Implications for leveraging the 2032 Paralympic games to increase physical activity participation 对澳大利亚残疾人的年龄、性别、残疾类型和严重程度的分析——对利用2032年残奥会增加体育活动参与的影响
Pub Date : 2025-07-11 DOI: 10.1016/j.jsampl.2025.100110
Sean Tweedy , Kathryn Fortnum , George Thomas , Damien Cole , Bridget Demetriou , Iain Dutia , Jessica Hill , John Cairney , Emma Beckman

Objectives

Australia’s bid for the 2032 Paralympic Games included a commitment to increasing sport participation among people with disabilities by 500,000. Realising this legacy will require an accurate understanding of the composition of the Australian disability population – age, sex, disability type and disability severity – as well as current Para sport participation rates.

Design and methods

Collation and synthesis of publicly available data from the Australian Bureau of Statistics, the Australian Institute of Health and Welfare and Para sport master lists.

Results

Among 4.37M Australians with disability, 44.5 ​% were aged ≥65 ​yrs. Of those aged <65 ​yrs, the maximum population that could be eligible for Para sport comprise 529,800 with intellectual disability, 85,900 with sight loss, and 802,000 with physical disability. Many high-prevalence disability types are not eligible for Para sport (e.g., hearing loss ​= ​1.07M; psychosocial disability ​= ​1.14M) and sport may not be appropriate for other types (e.g., chronic pain/discomfort ​= ​1.46M). Compared with others with disability, those with severe/profound disabilities are least active (17.4 ​% meet physical activity guidelines) and underrepresented in sport (3.2 ​% of Para athletes with physical impairment have high support needs).

Conclusions

Increasing participation in any form of physical activity – including Para sports and other sports – by 500,000 would be a more achievable and inclusive legacy goal than increasing sports participation alone. Such an approach would cater for high-prevalence disability groups for whom commencement of competitive sport may not be suitable (e.g., >65 ​yrs, chronic pain). To permit safe, effective engagement in sport/physical activity for individuals with severe impairments and high support needs, investment in development and implementation of specialised, evidence-based programs is required.
澳大利亚申办2032年残奥会时,承诺将残疾人参与体育运动的人数增加50万。要实现这一遗产,需要准确了解澳大利亚残疾人口的构成——年龄、性别、残疾类型和残疾严重程度——以及目前残疾人运动的参与率。设计和方法整理和综合来自澳大利亚统计局、澳大利亚卫生和福利研究所和残疾人运动总名单的公开数据。结果437万澳大利亚残疾人中,年龄≥65岁的占44.5%。在65岁的老年人中,有资格参加残疾人运动的最大人数包括529,800名智障人士、85,900名视力丧失人士和80.2万名身体残疾人士。许多高患病率残疾类型不符合残疾人运动资格(例如,听力损失= 1.07M;心理残疾= 1.14M),运动可能不适合其他类型(例如,慢性疼痛/不适= 1.46M)。与其他残障人士相比,重度/重度残障人士活动最少(17.4%符合身体活动指南),在体育运动中的代表性不足(3.2%的残障残疾人运动员有很高的支持需求)。增加50万人参加任何形式的体育活动——包括残疾人运动和其他运动——比仅仅增加体育参与更容易实现,更具有包容性。这种方法将满足高患病率的残疾群体,他们可能不适合开始竞技体育(例如,65岁,慢性疼痛)。为了让严重残疾和高支持需求的个人安全、有效地参与体育/身体活动,需要投资开发和实施专门的、以证据为基础的项目。
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引用次数: 0
Developing disability inclusive coaching principles within community recreational sport programming for children 在社区儿童娱乐体育项目中制定包容残疾的指导原则
Pub Date : 2025-07-09 DOI: 10.1016/j.jsampl.2025.100109
Roxy H. O’Rourke , Tara Joy Knibbe , Amy C. McPherson , Guy E. Faulkner , F. Virginia Wright , Kelly P. Arbour-Nicitopoulos

Background

Positive sport experiences for children are essential to establish long-term sport engagement. Coaches play a key role in fostering quality sport experiences for all children. For children with disabilities, caregivers are often closely involved in their sport participation, particularly when additional support is needed, and their perspectives can offer valuable insight into sport program experiences. The purpose of this study was to understand the role coaches have in optimizing the participation experiences of children in recreation-level sport programs. Specifically, this study aimed to explore children’s, caregivers', and coaches' perceptions of the coaching role in recreational sport programs that involve children with and without disabilities.

Methods

Individual interviews were conducted with 14 children (seven with disabilities), 15 caregivers, and 12 recreational sport coaches. Interview transcripts were analyzed using inductive thematic analysis.

Results

Four themes were generated during the analysis: (a) creating avenues for connection (two subthemes), (b) an environment focused on child empowerment (two subthemes), (c) autonomy-supportive coaching practices (three subthemes), and (d) flexibility and adapting the program to suit everyone (two subthemes). A family-centered coaching approach that prioritizes developing rapport with caregivers to enhance the child’s participation needs is key, especially in sport settings that include children with diverse abilities.

Conclusions

Coaches should employ autonomy-supportive coaching, supporting child connections without forcing them, and provide each child with opportunities for challenge and success. Doing so can help to foster quality participation experiences for children during this formative time to contribute to lasting sport involvement.
儿童积极的体育体验对于建立长期的体育参与至关重要。教练在为所有儿童提供高质量的体育体验方面发挥着关键作用。对于残疾儿童,照顾者通常密切参与他们的体育活动,特别是在需要额外支持的情况下,他们的观点可以为体育项目经验提供有价值的见解。本研究的目的是了解教练在优化儿童在娱乐水平的体育项目参与体验中的作用。具体而言,本研究旨在探讨儿童、照顾者和教练在涉及残疾儿童和非残疾儿童的休闲体育项目中对教练角色的看法。方法对14名儿童(7名残疾儿童)、15名护理人员和12名休闲运动教练员进行单独访谈。访谈记录分析采用归纳主题分析。结果在分析过程中产生了四个主题:(a)创造联系途径(两个副主题),(b)专注于儿童赋权的环境(两个副主题),(c)自主支持的指导实践(三个副主题),以及(d)灵活性和调整计划以适应每个人(两个副主题)。以家庭为中心的教练方法,优先发展与照顾者的关系,以提高儿童的参与需求是关键,特别是在包括不同能力儿童的体育环境中。结论教师应采用自主支持的指导,支持孩子们建立联系,而不是强迫他们,并为每个孩子提供挑战和成功的机会。这样做有助于在这一形成时期为儿童培养高质量的参与经验,从而促进持久的体育参与。
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引用次数: 0
Effects of isometric vs. dynamic resistance training on muscle performance and body composition: Protocol for a pilot study 等长与动态阻力训练对肌肉性能和身体成分的影响:初步研究方案
Pub Date : 2025-06-20 DOI: 10.1016/j.jsampl.2025.100108
Morteza Ghayomzadeh , Alex Natera , Angelo Sabag , Brock Cooper , Glen M. Davis , Daniel A. Hackett

Background

Isometric resistance training (ISO-RT) has gained renewed attention for its potential to elicit muscular adaptations and enhance athletic performance. Unlike dynamic resistance training (DYN-RT), ISO-RT involves no joint movement or eccentric loading, making it particularly suitable for individuals with joint pathologies or those undergoing rehabilitation. Despite increasing interest, the comparative effectiveness of ISO-RT versus DYN-RT across various outcomes, including strength, hypertrophy, endurance, and recovery, remains inadequately explored.

Aims

This study aims to evaluate and compare the effects of multi-angle ISO-RT and traditional DYN-RT on muscle performance, body composition, and recovery-related indicators in healthy adults.

Methods

In this pilot randomised controlled trial, 20 healthy adults (≥18 years) will be randomly assigned to either the ISO-RT or DYN-RT group (n ​= ​10 per group). Both groups will complete a full-body resistance training program twice weekly for six weeks. The key distinction lies in the execution of the chest press and leg press exercises—performed isometrically in the ISO-RT group and dynamically in the DYN-RT group. All outcomes will be assessed at baseline and post-intervention.

Analysis

Primary outcomes include dynamic and isometric strength. Secondary outcomes encompass muscular power, dynamic and isometric endurance, body composition (via dual-energy X-ray absorptiometry), muscle oxygenation (via near-infrared spectroscopy), and subjective recovery indicators such as sleep quality and delayed onset muscle soreness. Between-group comparisons will be conducted using appropriate inferential statistical tests to determine effect estimates and feasibility metrics.

Discussion/implications

This trial will offer preliminary insights into the physiological and perceptual adaptations elicited by ISO-RT versus DYN-RT. The findings will inform the design of larger-scale trials and contribute to developing tailored, evidence-based resistance training guidelines for both clinical and athletic populations.
disometric resistance training (ISO-RT)因其诱导肌肉适应和提高运动成绩的潜力而重新受到关注。与动态阻力训练(DYN-RT)不同,ISO-RT不涉及关节运动或偏心负荷,使其特别适合有关节病变或正在进行康复的个体。尽管越来越多的人对ISO-RT和DYN-RT在各种结果(包括力量、肥大、耐力和恢复)上的比较效果感兴趣,但仍未充分探讨。本研究旨在评估和比较多角度ISO-RT和传统DYN-RT对健康成人肌肉性能、身体成分和恢复相关指标的影响。方法在本随机对照试验中,20名健康成人(≥18岁)将被随机分配到ISO-RT组或DYN-RT组(每组n = 10)。两组都将完成为期六周的全身阻力训练项目,每周两次。关键的区别在于胸部按压和腿部按压练习的执行——ISO-RT组是等距按压,DYN-RT组是动态按压。所有结果将在基线和干预后进行评估。主要结果包括动态和等距强度。次要结果包括肌肉力量、动态和等长耐力、身体成分(通过双能x线吸收仪)、肌肉氧合(通过近红外光谱)和主观恢复指标,如睡眠质量和延迟性肌肉酸痛。组间比较将使用适当的推论统计检验来确定效果估计和可行性指标。讨论/意义本试验将提供ISO-RT与DYN-RT引起的生理和知觉适应的初步见解。这些发现将为更大规模试验的设计提供信息,并有助于为临床和运动人群制定量身定制的、基于证据的阻力训练指南。
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引用次数: 0
Ultrasound-guided intra-muscular botulinum toxin A in athletes with chronic adductor-related groin-pain: A retrospective observational study 超声引导下肌内肉毒杆菌毒素A治疗慢性内收肌相关腹股沟疼痛运动员:一项回顾性观察研究
Pub Date : 2025-06-01 DOI: 10.1016/j.jsampl.2025.100105
Julien Orhan , Romain Garofoli , Émilie Alperin , Fabien Ladauge , Jennifer Zauderer , Guillaume Paris , François Rannou , Christelle Nguyen , Marie-Martine Lefèvre-Colau

Introduction

Chronic adductor-related groin pain (AP) is a frequent and disabling sport condition. Intra-muscular injection of botulinum toxin A may have positive effects on pain in some chronic tendinitis. We aimed to describe the short-term evolution of pain, activity limitations and quality of life, after an injection of the adductor longus with botulinum toxin A, as an add-on therapy to standard of care in patients with chronic AP.

Method

We conducted a retrospective observational single-centered study. We included individuals with clinical and MRI chronic AP, for whom medical and/or surgical treatments have failed and who were treated with an intra-muscular injection of botulinum toxin A (100 units of botulinum toxin A in the adductor longus) under ultrasound guidance. Participants were assessed 50 days after injection for pain using a numerical rating scale (NRS) and for activity limitations and quality of life using the Copenhagen Hip and Groin Outcome Score (HAGOS). Participants were also asked to self-report adverse events.

Results

We included 20 participants. Mean age was 34.3 (11.7) years and mean symptom duration was 48.9 (61.6) months. Mean pain decreased from 55.3 (SD [22.4] before injection to 38.3 [21.7], 50 days after injection (p ​= ​0.027). Each of the 6 HAGOS subscales improved before and after injection. No serious adverse events were self-reported by the patients included in the main analysis.

Conclusion

In this retrospective uncontrolled trial, we observed a numerical decrease in pain intensity in individuals with chronic AP 50 days after intra-muscular botulinum toxin A injection in the adductor longus.
慢性内收肌相关腹股沟疼痛(AP)是一种常见的致残性运动疾病。肌内注射肉毒毒素A对某些慢性肌腱炎的疼痛有积极作用。我们的目的是描述慢性ap患者在标准护理的辅助治疗下,注射肉毒杆菌毒素A后,疼痛、活动限制和生活质量的短期演变。我们纳入了临床和MRI慢性AP患者,他们的药物和/或手术治疗失败,并在超声引导下肌肉内注射肉毒毒素A(在长内收肌注射100单位肉毒毒素A)。注射后50天,参与者使用数值评定量表(NRS)评估疼痛,使用哥本哈根髋关节和腹股沟结局评分(HAGOS)评估活动限制和生活质量。参与者还被要求自我报告不良事件。结果共纳入20例受试者。平均年龄为34.3(11.7)岁,平均症状持续时间为48.9(61.6)个月。平均疼痛从注射前的55.3 (SD[22.4])降至注射后50 d的38.3 (21.7)(p = 0.027)。注射前后HAGOS 6个子量表均有改善。纳入主分析的患者未自述严重不良事件。在这项回顾性无对照试验中,我们观察到慢性AP患者在长内收肌内注射肉毒杆菌毒素50天后疼痛强度的数值下降。
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引用次数: 0
The player salary costs of match-loss injury and illness at an Australian Football League Club: A six-season retrospective cohort study 澳大利亚足球联赛俱乐部比赛失利伤病的球员工资成本:一项六个赛季的回顾性队列研究
Pub Date : 2025-06-01 DOI: 10.1016/j.jsampl.2025.100104
Matthew R. Turnbull , Tania F. Gallo , Hannah E. Carter , Michael Drew , Liam A. Toohey , Jocelyn Mara , Gordon Waddington

Background

The objective of this study was to quantify the salary costs of match-loss injuries and illnesses at a single professional AFL club.

Methods

A retrospective cohort study involving male professional AFL players across a six-season period (2016–2021). Analysis of player injury and illness data, and corresponding salary data, was performed with costs calculated using the human capital method.

Results

There were 95 individual players across the six-seasons, with 79 unique diagnoses, 267 match-loss injuries or illnesses and 1130 matches missed. The total salary cost of match-loss injury and illness was AU$13.0 million across the period. Hamstring biceps femoris grade 1–2 strains had the highest proportion of these costs according to diagnosis (AU$1.3 million, 30 incidences, 10.0 ​% of total salary costs), followed by soleus strains (AU$1.1 million, 20 incidences, 8.7 ​%) and concussions (AU$1.1 million, 25 incidences, 8.4 ​%). Of the most frequent injuries, hamstring semimembranosus strains had the highest mean (SD) cost per injury occurrence at AU$139,988 (126,023), followed by knee anterior cruciate ligament injuries at AU$99,264 (105,086). Injury or illness costs as a proportion of the total salary spend across six seasons was 17 ​% (range 10 ​%–22 ​%).

Conclusion

Match-loss injuries and illnesses incur a considerable financial cost relative to the player salary expenditure. This study may provide a costing model for sports businesses to utilise as an approach to inform resource allocation decisions, particularly in relation to injury management and prevention.
本研究的目的是量化一个AFL职业俱乐部的比赛失利伤病的工资成本。方法回顾性队列研究,涉及6个赛季(2016-2021年)的男性职业AFL球员。对球员伤病数据和相应的工资数据进行分析,并使用人力资本法计算成本。结果6个赛季共有95名个体球员,79例特殊诊断,267场比赛失利伤病,1130场比赛缺席。在整个期间,比赛失利受伤和疾病的薪金费用总额为1 300万澳元。根据诊断,腿筋股二头肌1-2级劳损所占的成本比例最高(130万澳元,30例,占总工资成本的10.0%),其次是比目鱼劳损(110万澳元,20例,8.7%)和脑震荡(110万澳元,25例,8.4%)。在最常见的损伤中,腿筋半膜损伤株每次损伤的平均(SD)成本最高,为139,988澳元(126,023),其次是膝关节前交叉韧带损伤,为99,264澳元(105,086)。伤病费用在六个赛季的总工资支出中所占的比例为17%(范围为10% - 22%)。结论与球员工资支出相比,比赛失利伤病造成了相当大的经济损失。这项研究可能为体育企业提供一个成本模型,作为一种方法,为资源分配决策提供信息,特别是在伤害管理和预防方面。
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引用次数: 0
A systematic review of sample representativeness and homogeneity in exercise trials using group designs for people with cerebral palsy 脑性麻痹患者组设计运动试验中样本代表性和同质性的系统评价
Pub Date : 2025-05-20 DOI: 10.1016/j.jsampl.2025.100103
S.M. Tweedy , I.M. Dutia , L. Caughey , B. Demetriou , E.M. Beckman , J. Cairney

Background

Evidence quality from exercise trials which use group designs is partly dependent on whether study samples represent the population and acceptable sample homogeneity is achieved. This study aimed to review studies evaluating exercise training for people with cerebral palsy (CP) and appraise to what extent i) participants were representative of people with CP; and ii) internal validity was threatened by sample heterogeneity.

Methods

A search of 5 major databases was conducted to identify exercise trials which use group designs for people with CP. Participant characteristics were extracted and used to divide participants into sub-populations. Indicative Participant Prevalence Ratio (iPPR) was calculated to assess representativeness. Sample homogeneity was appraised for each study.

Results

Fifty-one studies evaluating 836 participants were appraised. Adults comprise 60 ​% of the CP population but were grossly underrepresented (iPPR<0.4). Older adults, people with dyskinetic and ataxic CP and wheelchair users were also grossly underrepresented. The number of studies that accounted for key prognostic variables was: age - 26 studies (51 ​%); sex - 0 studies (0 ​%); neurological subtype - 21 studies (41 ​%); functional effects - 14 studies (27 ​%) and comorbidities - 1 study (2 ​%).

Conclusion

Adults with CP and people with high support needs are underrepresented, and future research should prioritise this subpopulation. Trials using group designs require researchers to reconcile two competing interests – adequate sample size and sample homogeneity and to date, sample homogeneity has received insufficient priority. This threatens internal validity and, consequently, the overall quality of evidence underpinning clinical exercise prescription is likely to be lower than previously thought.
使用组设计的运动试验的证据质量部分取决于研究样本是否代表总体,以及样本是否达到可接受的均匀性。本研究旨在回顾评估脑瘫患者运动训练的研究,并评估i)参与者在多大程度上代表脑瘫患者;ii)内部效度受到样本异质性的威胁。方法对5个主要数据库进行检索,找出采用分组设计的CP患者运动试验,提取参与者特征并将参与者划分为亚群。计算指示性参与者患病率(iPPR)以评估代表性。对每项研究进行样本均匀性评价。结果共对51项研究836名参与者进行了评价。成人占CP人群的60%,但代表性严重不足(iPPR<0.4)。老年人、运动障碍和共济失调CP患者以及轮椅使用者的比例也严重不足。考虑关键预后变量的研究数量为:年龄- 26项研究(51%);性别- 0项研究(0%);神经学亚型:21项研究(41%);功能效应:14项研究(27%),合并症:1项研究(2%)。结论成年CP患者和高支持需求人群的代表性不足,未来的研究应优先考虑这一人群。使用组设计的试验要求研究人员调和两个相互竞争的利益——足够的样本量和样本同质性,而到目前为止,样本同质性还没有得到足够的重视。这威胁到内部有效性,因此,支持临床运动处方的证据的整体质量可能比以前认为的要低。
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引用次数: 0
Sudden cardiac death in young First Nations Australians in the Northern Territory, Australia: Potential implications for pre-participation screening 在澳大利亚北部地区的年轻第一民族澳大利亚人的心源性猝死:参与前筛查的潜在影响
Pub Date : 2025-04-21 DOI: 10.1016/j.jsampl.2025.100100
Sonali Pande , Viran DeSilva , Elizabeth Paratz , Marianne Tiemensma , Nadarajah Kangaharan

Objective

To present data from coronial records on sudden cardiac death (SCD) cases seen in young, First Nations Australians in the Northern Territory of Australia, estimate its incidence, and propose potential pre-participation screening strategies.

Design

Retrospective observational study.

Methods

Coronial records of sudden cardiac death cases in First Nations Australians in the Northern Territory under 40 years of age occurring between 2019 and 2023 were reviewed to study the incidence, demographics, medical history, circumstances of death and causes of death with autopsy and toxicology analysis.

Results

A total of 59 SCD cases in First Nations Australians under 40 years of age were recorded in the Northern Territory with an annual incidence of 19.8 cases per 100,000 persons. The mean ​± ​SD of age was 32.8 ​± ​6.14 years. There were 61 ​% male and 2/3 of SCD cases occurred in remote location. Coronary heart disease (n ​= ​36; 61 ​%) was the most common cause of death. In 3 cases, SCD was related to sports or exercise activity. Most common medical co-morbidities were cardiac (38.9 ​%), Diabetes mellitus (35.6 ​%), and rheumatic heart disease (20.3 ​%). Smoking (37.3 ​%) and alcohol abuse (32.2 ​%) were the most common risk factors.

Conclusions

SCD is more common and coronary heart disease and rheumatic heart disease are the most common causes in First Nations Australians in the Northern Territory under the age of 40 years. Medical co-morbidities and risk factors are prevalent in this population. There is a need for First Nation Australians specific local guidelines for a comprehensive pre-participation Heart-Health assessment.
目的介绍澳大利亚北部地区土著澳大利亚年轻人心脏性猝死(SCD)病例的冠状记录数据,估计其发病率,并提出潜在的参与前筛查策略。设计回顾性观察性研究。方法回顾2019年至2023年期间发生在北领地40岁以下土著澳大利亚人的心脏性猝死病例的记录,通过尸检和毒理学分析研究发病率、人口统计学、病史、死亡情况和死亡原因。结果北领地40岁以下土著澳大利亚人共记录了59例SCD病例,年发病率为每10万人19.8例。年龄的平均值±SD为32.8±6.14岁。61%为男性,2/3的SCD病例发生在偏远地区。冠心病(n = 36;(61%)是最常见的死亡原因。3例SCD与运动或运动活动有关。最常见的合并症是心脏病(38.9%)、糖尿病(35.6%)和风湿性心脏病(20.3%)。吸烟(37.3%)和酗酒(32.2%)是最常见的危险因素。结论在北领地40岁以下的澳大利亚原住民中,scd更为常见,冠心病和风湿性心脏病是最常见的病因。医疗合并症和危险因素在这一人群中普遍存在。有必要为参与前心脏健康全面评估制定澳大利亚第一民族具体的当地指导方针。
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引用次数: 0
A new urgency: addressing sudden cardiac death in young First Nations Australians through comprehensive screening 新的紧迫性:通过全面筛查解决年轻的澳大利亚第一民族的心源性猝死
Pub Date : 2025-04-21 DOI: 10.1016/j.jsampl.2025.100101
Jessica J. Orchard, Nathan Luies, Rajesh Puranik, John W. Orchard
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引用次数: 0
Physical performance characteristics and activity limitations of touch football players with disabilities: Preliminary study for classification framework development 残疾接触式足球运动员身体表现特征与活动限制:分类框架开发的初步研究
Pub Date : 2025-04-14 DOI: 10.1016/j.jsampl.2025.100098
Taylor M. Wileman, Daniel A. Hackett, Marnee J. McKay, Ché Fornusek

Background

All Abilities Touch Football provides individuals with disabilities the opportunity to participate in organised sport. However, the sport's rapid growth, coupled with the absence of a scientifically validated framework, has presented challenges in accommodating players with varying abilities while maintaining competitive balance. This study aimed to evaluate the performance of All Abilities Touch Football players through various physical fitness tests and assess player activity limitations based on the International Classification of Functioning, Disability and Health framework.

Methods

Twenty-four players participated in a battery of physical assessments, including measures of flexibility, balance, coordination, strength, power, speed, change of direction speed, and endurance. Intra-subject reliability was assessed using the coefficient of variation, and physical performance measures were standardised using z-scores.

Results

The results demonstrated considerable variation in performance, even among players with the same diagnosis. Tasks with increased motor demands such as the vertical jump and modified agility test, often required multiple attempts or assistance to complete (CV: 1.7–8.6 ​%).

Conclusion

These findings provide the first analysis of the physical performance characteristics of All Abilities Touch Football players, highlighting the broad range of abilities across the player cohort. The findings highlight the need for tailored strategies to enhance participation, while providing considerations for developing a classification framework that could support the growth and development of this sport.
触身足球为残障人士提供了参加有组织运动的机会。然而,这项运动的快速发展,加上缺乏科学验证的框架,在适应不同能力的球员同时保持竞争平衡方面提出了挑战。本研究旨在通过各种体能测试来评估全能触球运动员的表现,并基于国际功能、残疾和健康分类框架评估球员的活动限制。方法对24名运动员进行柔韧性、平衡性、协调性、力量、力量、速度、方向变化速度、耐力等指标的体能评估。使用变异系数评估受试者内部信度,使用z分数对身体表现测量进行标准化。结果结果表明,即使在诊断相同的球员之间,表现也存在相当大的差异。运动需求增加的任务,如垂直跳跃和修改敏捷性测试,通常需要多次尝试或协助才能完成(CV: 1.7 - 8.6%)。这些研究结果首次分析了全能力触控足球运动员的身体表现特征,突出了球员群体的广泛能力。研究结果强调,有必要制定量身定制的战略,以提高参与度,同时为制定分类框架提供考虑,以支持这项运动的增长和发展。
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引用次数: 0
‘Making Moves’: Protocol for a hybrid effectiveness-implementation pre-post trial of a co-designed online physical activity program for childhood cancer survivors “行动起来”:为儿童癌症幸存者共同设计的在线体育活动项目的混合效果-实施前-后试验方案
Pub Date : 2025-04-12 DOI: 10.1016/j.jsampl.2025.100099
Lauren Ha , Claire E. Wakefield , Jacqueline Jacovou , Karen Johnston , Donna Drew , Mark W. Donoghoe , David Mizrahi , Richard De Abreu Lourenco , Richard J. Cohn , Natalie Taylor , Christina Signorelli

Background

Childhood cancer survivors are at increased risk of developing chronic health conditions, including cardiovascular disease. Cardiovascular disease risk is further exacerbated by low physical activity levels and high levels of sedentary behaviour. Yet many survivors do not meet the physical activity guidelines, and those living in regional and remote areas have limited access to exercise interventions and cancer care programs. Therefore, it is critical that physical activity programs are accessible for childhood cancer survivors, no matter where they live. This protocol describes the development and planned evaluation of ‘Making Moves’, a co-designed online physical activity program for childhood cancer survivors aged 8–21 years.

Methods and analysis

This type I hybrid effectiveness-implementation pre-post trial will simultaneously (i) test the potential effectiveness of Making Moves on survivors' physical activity self-efficacy, and (ii) explore barriers and facilitators to implementation from multiple levels (individual, provider, organisational, and community) to inform future adaptations and implementation strategies. Making Moves includes an 8-week online program offering eight age-appropriate health behaviour educational modules with guided home-based physical activity videos, and up to five tailored telehealth sessions with an Accredited Exercise Physiologist. Assessment of the primary outcome (physical activity self-efficacy, i.e., perceived ability to engage in physical activity) and secondary outcomes (physical activity levels, aerobic fitness, muscular strength, symptoms of depression, readiness to exercise, perceived enjoyment of exercise, health-related quality of life) will occur at baseline (week 0), post-intervention (week 9), and follow-up (6 months). To assess the factors affecting the program’s implementation, we will conduct a process evaluation guided by the Consolidated Framework for Implementation Research 2.0 to interview survivors and parents, and future potential implementors. To judge the potential implementation success of Making Moves, we will collect implementation data (feasibility, acceptability, costs) for our process evaluation throughout the trial.

Ethics and dissemination

Ethical approval was obtained from the Sydney Children’s Hospital Network Human Research Ethics Committee (2023/ETH01614). We will publish our findings in peer-reviewed journals, present findings at relevant medical and scientific conferences, and disseminate research updates via newsletters to stakeholders and community networks.

Trial registration number

ANZCTR12623000188639. Registered 22 Feb 2023.
儿童癌症幸存者患慢性疾病的风险增加,包括心血管疾病。低体力活动水平和高久坐行为会进一步加剧心血管疾病的风险。然而,许多幸存者没有达到体育锻炼指南的要求,而那些生活在地区和偏远地区的人获得锻炼干预和癌症护理计划的机会有限。因此,至关重要的是,无论儿童癌症幸存者住在哪里,他们都可以参加体育活动。本协议描述了“行动”的发展和计划评估,这是一项针对8-21岁儿童癌症幸存者的共同设计的在线体育活动计划。方法和分析这种I型混合有效性-实施前后试验将同时(I)测试Making Moves对幸存者身体活动自我效能的潜在有效性,(ii)从多个层面(个人、提供者、组织和社区)探索实施的障碍和促进因素,为未来的适应和实施策略提供信息。Making Moves包括一个为期8周的在线课程,提供8个适合年龄的健康行为教育模块,以及指导家庭体育活动的视频,以及由认证运动生理学家提供的多达5个量身定制的远程医疗课程。在基线(第0周)、干预后(第9周)和随访(6个月)时评估主要结局(体育活动自我效能,即参与体育活动的感知能力)和次要结局(体育活动水平、有氧健身、肌肉力量、抑郁症状、运动准备、感知运动享受、健康相关生活质量)。为了评估影响项目实施的因素,我们将在实施研究综合框架2.0的指导下进行过程评估,采访幸存者和父母以及未来的潜在实施者。为了判断Making Moves的实施成功与否,我们将在整个试验过程中收集实施数据(可行性、可接受性、成本)进行流程评估。伦理和传播获得了悉尼儿童医院网络人类研究伦理委员会(2023/ETH01614)的伦理批准。我们将在同行评议的期刊上发表我们的研究结果,在相关的医学和科学会议上介绍研究结果,并通过通讯向利益相关者和社区网络传播最新的研究成果。试验注册号anzctr12623000188639。2023年2月22日注册
{"title":"‘Making Moves’: Protocol for a hybrid effectiveness-implementation pre-post trial of a co-designed online physical activity program for childhood cancer survivors","authors":"Lauren Ha ,&nbsp;Claire E. Wakefield ,&nbsp;Jacqueline Jacovou ,&nbsp;Karen Johnston ,&nbsp;Donna Drew ,&nbsp;Mark W. Donoghoe ,&nbsp;David Mizrahi ,&nbsp;Richard De Abreu Lourenco ,&nbsp;Richard J. Cohn ,&nbsp;Natalie Taylor ,&nbsp;Christina Signorelli","doi":"10.1016/j.jsampl.2025.100099","DOIUrl":"10.1016/j.jsampl.2025.100099","url":null,"abstract":"<div><h3>Background</h3><div>Childhood cancer survivors are at increased risk of developing chronic health conditions, including cardiovascular disease. Cardiovascular disease risk is further exacerbated by low physical activity levels and high levels of sedentary behaviour. Yet many survivors do not meet the physical activity guidelines, and those living in regional and remote areas have limited access to exercise interventions and cancer care programs. Therefore, it is critical that physical activity programs are accessible for childhood cancer survivors, no matter where they live. This protocol describes the development and planned evaluation of ‘Making Moves’, a co-designed online physical activity program for childhood cancer survivors aged 8–21 years.</div></div><div><h3>Methods and analysis</h3><div>This type I hybrid effectiveness-implementation pre-post trial will simultaneously (i) test the potential effectiveness of Making Moves on survivors' physical activity self-efficacy, and (ii) explore barriers and facilitators to implementation from multiple levels (individual, provider, organisational, and community) to inform future adaptations and implementation strategies. Making Moves includes an 8-week online program offering eight age-appropriate health behaviour educational modules with guided home-based physical activity videos, and up to five tailored telehealth sessions with an Accredited Exercise Physiologist. Assessment of the primary outcome (physical activity self-efficacy, i.e., perceived ability to engage in physical activity) and secondary outcomes (physical activity levels, aerobic fitness, muscular strength, symptoms of depression, readiness to exercise, perceived enjoyment of exercise, health-related quality of life) will occur at baseline (week 0), post-intervention (week 9), and follow-up (6 months). To assess the factors affecting the program’s implementation, we will conduct a process evaluation guided by the Consolidated Framework for Implementation Research 2.0 to interview survivors and parents, and future potential implementors. To judge the potential implementation success of Making Moves, we will collect implementation data (feasibility, acceptability, costs) for our process evaluation throughout the trial.</div></div><div><h3>Ethics and dissemination</h3><div>Ethical approval was obtained from the Sydney Children’s Hospital Network Human Research Ethics Committee (2023/ETH01614). We will publish our findings in peer-reviewed journals, present findings at relevant medical and scientific conferences, and disseminate research updates via newsletters to stakeholders and community networks.</div></div><div><h3>Trial registration number</h3><div>ANZCTR12623000188639. Registered 22 Feb 2023.</div></div>","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"5 ","pages":"Article 100099"},"PeriodicalIF":0.0,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143820384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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