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The specificity of injuries in Paralympics sport

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EN
Introduction: The modern Paralympics Movement covers people with physical impairments, cerebral palsy, blind, visual impaired and people with intellectual disabilities with borderline intellectual functioning. Sports injuries are some of the risk of Paralympics sport. Injuries are integral part of sport for persons with and without disabilities. The role of experts is to eliminate all the risk associated with injuries in sport. The aim of this study was to characterize the injuries occurring in Paralympics sport. Material and methods: The polish and foreign literature were reviewed in terms of sports injuries in different Paralympics sport disciplines. Results: The review of literature shows that the prevalence of injuries in almost all Paralympics disciplines is very common. The results confirm that the Paralympics athletes similarly as Olympics athletes are exposed to sports injuries, but in the majority of sports injuries are not associated with long-term convalescence. In the Paralympics sport dominate minor injuries, which consequence is a break in training, not exceeding 7 days. The studies prove the trend of reducing the number of injuries in the wheelchair disciplines, which is probably related to a change in the rules of the game and technological progress. Conclusions: A critical view of problems of injuries in sport for persons with disabilities confirms the absence of implementation new testing methods. Most of the research have been carried out in 90s, and only few studies from the last decade generally confirm previous reports. It is also necessary to make clear the methods of prevention and to determine the mechanisms of sports injuries.
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2019
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vol. 33
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issue 3
35-46
EN
Introduction Basketball is characterized by high intensity play and a lot of physical contact. Players are required to be well-trained physically in order to be able to face the dynamics, speed and variability of the game and the training loads to which they are exposed. Basketball is a sport that predisposes the athletes to musculoskeletal injuries. The aim of this study was to characterize the injuries experienced by young adult male basketball players. Material and methods Young adult male Polish basketball players from various clubs (17±1.4 years; n = 28; 47%) and amateur basketball players (17±1.4 years; n =30; 53%) took part in this study. To assess the injuries of young basketball players, a survey consisting of 28 questions was used. Results The most common injuries were lower limb injuries (54%), of which ankle injuries prevailed (ankle injuries were the most common injuries of all). Upper limb injuries accounted for 36% of all injuries. Of these, subluxations in finger joints occurred most often. Most often, injuries occurred during physical contact with another player (40%). Despite an injury, the players either did not alter the length of their warm-up or they devoted more time to it. In terms of stretching before a training session or a match, differences between players training up to three times a week and players training four or more times per week were statistically significant (χ2 = 8.926, p = 0.012, V = 0.392). Conclusions Basketball is a sport that causes injuries. Basketball players mostly experience lower limb injuries.
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Purpose. The purpose of this study was to analyze scientific evidence on the effects that Nordic Walking (NW) has on the human body. Basic procedures. A comprehensive search of computer databases (MEDLINE/PubMed, CINAHL, and SPORTDiscus) was conducted to identify relevant English and Polish studies on NW that were published from 1995 to 2009 and based on scientific research. Main findings. A total of 26 studies met the inclusion criteria. The majority of studies (12) discussed physiological issues, eleven studies were dedicated to NW as a form of rehabilitation (including one case study), and three studies focused on biomechanical issues present in NW. Conclusions. Not all of the widely promoted benefits of NW were confirmed in the results of the found scientific studies. Often analyzed issues did not provide sufficient explanation. There is a large discrepancy in the results of physiological responses during NW in a variety of conditions (on a treadmill with/without grade; field - uphill/downhill/horizontal level terrain). The results of studies analyzing the effects of NW training as a form of rehabilitation particularly in the areas of cardiology confirmed the positive aspects of including NW towards a patient's rehabilitation after acute coronary syndrome, with intermittent claudication, and after coronary artery disease, or after myocardial infarction. Contrary to popular belief and previously done studies, recent research has shown that NW does not reduce the loading of the knee joint.
EN
Introduction: Persons with intellectual disabilities are faced with many obstacles in performing physical activity. The trigger may be coming from genetics, environmental factors (eg. financial), as well as psychological related, inter alia, the level of motivation. The aim of this study was to evaluate the anaerobic performance of the lower limbs of men with intellectual disabilities. Another aim of this study was to compare the anaerobic performance of physically active and inactive men with intellectual disabilities. Material and methods: The participants of the study were 22 physically active men and 9 physically inactive man with intellectual disability. All participants performed a 30-second Wingate test twice. The following parameters were evaluated the mean power (MP), the relative mean power (rMP), the maximum power (PP), the relative maximum power (rPP) and fatigue index (FI). We compared the results obtained in both tests 30-second to examine the reliability and the values obtained in the test between active and inactive persons . Results: The results showed significant correlations between all power parameters studied, except for the fatigue index. All parameters of physically active group with intellectual disabilities achieved significantly better results relative then inactive persons. Conclusions: The reliability of 30-second Wingate test for persons with intellectual disabilities were confirmed. Also confirmed a higher power level inactive men with intellectual disabilities in relation to the untrained men.
EN
Introduction Physical activity is defined as every movement performed by skeletal muscles above resting metabolic rate. It is important for children and youth as it contributes to appropriate emotional, social and somatic development. It may be limited by developmental disorders, diseases and disabilities. The aim of the work was to review the literature regarding physical activity of children and youth with motor disabilities. Material and methods The literature review was performed with the use of EBSCO and PubMed databases. The study inclusion criteria were as follows: publication in the English, Spanish or Polish language (1), abstract and/or title of the work included phrases “physical activity” and “children” and “disability” or “children with disabilities” and “fitness” and “activity” or “performance” and “children with disabilities” and “physical activity” (2), the work was published in the years 2011-2018 (3), it is available as a full-text article (4) and it comes from a scientific journal (5). Results As a result of the literature review, 516 articles were found, out of which 66 were found in EBSCO and 450 in PubMed. Ultimately, 35 papers which fulfilled the inclusion criteria (27 original articles and 8 reviews) were qualified for the study. Conclusions Persons with disabilities take up any forms of physical activity considerably less frequently than functionally fit individuals. Barriers which hinder taking up physical activity by children with disabilities are constituted mainly by environmental, psychological and physical factors. In order to assess physical activity of children and youth with disabilities, accelerometers, endurance tests, participation and quality of life questionnaires and interviews are applied most frequently.
EN
Introduction There are some studies concern special field-based tests for wheelchair basketball players however, there were not a lot of studies confirmed reliability and/or validity of wheelchair basketball field-based tests. The aim of the present study was to assess test-retest reliability of the newly developed field-based tests focused on short time efforts with maximal intensity for wheelchair basketball players. Material and methods Nine elite male wheelchair basketball players (mean age 29.7 ± 5.9 years) performed two times 11 field-based tests focused on short time efforts with the maximal intensity: 3 m sprint, 5 m sprint, 10 m sprint, 20 m sprint, pass basketball ball by both hands from the chest, pass medicine ball (3 kg) by both hands from the chest, bilateral handgrip, 3-6-9 m drill test, 30-seconds sprint test, agility drill test, and 10x5 m sprint test. All sprint tests’ time were measured by Microgate® photocells (Bolzano, Italy). Differences between field-based tests repetitions were compared by the t-test for dependent samples, relationship between repetitions was calculated by the Pearson correlation coefficient, and the ICCs were calculated (test-retest reliability). Results The ICCs were ‘very good’, correlations were strong for each field-based test (r > 0.7). Only for the agility drill test the first repetition is statistically different compare to the second repetition (p = .015). Conclusions The main application of our research is a confirmation of reliability of 10 field-based tests related to short time efforts with maximum intensity: 3 m sprint, 5 m sprint, 10 m sprint, 20 m sprint, pass basketball ball by both hands from the chest, pass medicine ball (3 kg) by both hands from the chest, bilateral handgrip, 3-6-9 m drill test, 30-seconds sprint test, and 10x5 m sprint test.
EN
Background The profession of a firefighter involves multiple factors that directly or indirectly impact on the person's health. The aim of this study was to establish the correlation between physical fitness of the selected group of firefighters with respect to anthropometric parameters, additional physical activity, and injury rate. Material and methods The study examined 77 men who worked for the State Fire Service (age: 28.87±9.84 years, body mass: 82.13±9.37 kg, body height: 180.12±6.39 cm). Of he study group, 53% of the fire-fighters had normal BMI, 42% were overweight and 5% had first degree obesity. The study used a survey questionnaire concerning the anthropometric data, previous injuries, physiotherapeutic procedures following the injury, and participants' involvement in additional physical activity. A physical fitness test battery was used to determine the correlation between physical fitness and: age, BMI and additional physical activity and injury rate. Results Musculoskeletal injuries accounted for 51% of all injuries. Of all injuries, 56% were occupational. The correlations between the results of the handgrip test were insignificant with respect to BMI and age, whereas in other tests, the correlations were statistically significant (p<0.05). No differences were observed in the results of handgrip test between the group of firefighters who were and those who were not involve in additional physical activity. Comparison of the results obtained by firefighters following the injury and without previous injuries revealed a statistically significant difference (p<0.05) in the 4 x 10 m shuttle run. Conclusions Age and higher values of BMI are the factors that reduce the level of physical fitness of firefighters. Involvement in additional physical activity is a factor in improving physical fitness of firefighters. Previous injuries the firefighters had suffered did not have an effect on their physical fitness.
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Purpose. The aim of this study was to evaluate the associations between anaerobic performance (AnP), applicable field tests, and the functional classification levels in female wheelchair basketball athletes. Methods. Female wheelchair basketball athletes (N = 23; Category A, n = 9; Category B, n = 14) from the Canadian national team were evaluated using field tests and the 30-second Wingate Anaerobic Test. Measures of peak power output (PP), time to achieve peak power (tPP), mean power output (MP), and a fatigue index (FI) were used to assess AnP. A test battery evaluating seven wheelchair basketball skills was applied. Student’s t test was used to identify differences between the two main functional categories (A and B). Spearman’s rank correlation coefficient and Pearson’s product-moment correlation coefficient were calculated to determine the significance of all relationships between the parameters of AnP, the results of the field tests, and the eight functional classification levels of the athletes (1.0-4.5 pts.). Results. In all analyzed parameters, except for the field test measuring shooting skills, the results of AnP were significantly higher for Category B players. Significant relationships were observed between athletes’ classification level and AnP and the field tests except for tPP, the 5 m sprint, and the shooting test. The strongest association was observed for MP and PP, MP and FI, PP and FI (p = 0.001). Conclusions. Strong associations were found between the functional classification level and AnP of the female wheelchair basketball athletes. The strongest correlation was confirmed between MP, PP, and the field test measuring the two-handed chest pass, suggesting that this test can be used to indirectly assess the anaerobic performance of female wheelchair basketball athletes.
EN
Introduction: The assessment of functional fitness of older people, who took part in different forms of activities e.g. in programs which are offered by UTW, together with the information about the fitness level, can have a great importance in optimization of motor activation of older people. The aim of this study is to evaluate the changes in the level of functional fitness and basic parameters of the anthropometric parameters of older women after 16-weeks activity program offered by University of the Third Age (UTW) at the Józef Piłsudski University of Physical Education in Warsaw. Material and methods: Ten women at the age of 72,0±5,40 who attended UTW 1,7±0,48 years took part in the study. Women participated in the activities 2-3 a week, and the major activities were Nordic Walking and gymnastics. Moreover they had a chance to attend Tai Chi, swimming and dancing classes. The Fullerton Functional Fitness Test was used to assess women’s functional fitness. Test was done twice - during the second week and at the end of first semester. Results were evaluated with the usage of norms described for particular test trials and age groups (Jones and Rikli 2002). Measurements and evaluation of basic anthropometric parameters were done as well as Body Mass Index was calculated. Results: At the end of the cycle of activities, it turned out that women achieved better results during the fitness tests than they had after the first test. During evaluation with the usage of norms of Fullerton Fitness Test good level of aerobic endurance, strength and coordination of tested women was noted, however the flexibility test results gave evidence of negligence in this area. It was also discovered that participation in the cycle of physical activities might have been one of the elements that caused positive, considering health, changes in anthropometric parameters of tested women. Reducing of the body mass and the percentage of the fat tissue and regular physical activity had an influence on lean body mass increase. onclusions: Physical activities done by UTW participants during the program, where the major activities were Nordic Walking and gymnastics, had the influence on improvement of their fitness and positive changes in their anthropometric parameters.
EN
The aim of this study was to review the literature dealing with the force-time characteristics of different forms of physical activity performed with upper limbs by the elderly and the disabled (Nordic Walking and using a wheelchair, respectively) and of manual techniques used by physiotherapists. Values of work and power were analysed as well. Based on the analysis of the literature concerning the substantive areas included in this article, we believe that objective measurements will expand the present knowledge about values of force developed by upper limbs during different forms of human activity. It seems to be of particular significance in the application of manual therapy techniques, because currently values of force exerted upon the patient while applying these techniques are selected by a physiotherapist intuitively and are neither objective nor systematically controlled. The identification of the values of force developed with upper limbs by the elderly, the disabled and physiotherapists during the aforementioned forms of activity will make an original contribution to the broadly defined physical culture, especially rehabilitation and health promotion.
PL
Niniejsze badania miały na celu przegląd literatury dotyczącej charakterystyki siła- czas kończyn górnych osób starszych i niepełnosprawnych podczas różnych form aktywności fizycznej (odpowiednio Nordic Walking oraz poruszanie się na wózku) oraz fizjoterapeutów podczas stosowania technik manualnych, jak również analizę wartości pracy i mocy. W oparciu o analizę literatury przedmiotu dotyczącej zagadnień merytorycznych uwzględnionych w niniejszym artykule uważamy, że obiektywne pomiary rozszerzą aktualny stan wiedzy na temat wartości sił rozwijanych przez kończyny górne podczas różnych form aktywności fizycznej. Wydaje się to mieć szczególne znaczenie w przypadku stosowania manualnych technik fizjoterapeutycznych, jako że aktualnie wartości siły wywieranej na pacjenta podczas stosowania tych technik są dobierane intuicyjnie przez fizjoterapeutę i nie są ani obiektywne, ani systematycznie kontrolowane. Identyfikacja wartości sił rozwijanych kończynami górnymi przez osoby starsze, niepełnosprawne oraz przez fizjoterapeutów podczas wyżej wymienionych form aktywności przyczyni się do rozwoju szeroko pojętej kultury fizycznej, w tym szczególnie rehabilitacji oraz promocji zdrowia.
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