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Adaptive Sports in Spinal Cord Injury: a Systematic Review. CURRENT PHYSICAL MEDICINE AND REHABILITATION REPORTS 2022; 10:145-153. [PMID: 35821797 PMCID: PMC9261885 DOI: 10.1007/s40141-022-00358-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/02/2022] [Indexed: 11/02/2022]
Abstract
Purpose of Review Recent Findings Summary
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Choi HJ, Kim GS, Chai JH, Ko CY. Effect of Gait Training Program with Mechanical Exoskeleton on Body Composition of Paraplegics. J Multidiscip Healthc 2020; 13:1879-1886. [PMID: 33299324 PMCID: PMC7721297 DOI: 10.2147/jmdh.s285682] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2020] [Accepted: 11/18/2020] [Indexed: 12/12/2022] Open
Abstract
Purpose To identify the effect of a 52-weeks gait training program with an exoskeletal body-powered gait orthosis on the body composition of paraplegics. Patients and Methods Ten subjects with spinal cord injury at the thoracolumbar spine level for more than 2 years participated and were divided into exercise (n=5) and nonexercise (n=5) groups. A gait training program comprising stages 1–6 with customized exoskeletal body-powered gait orthosis was conducted for 52-weeks. A six-stage gait training program was conducted to manage the body composition and prevent obesity, and the changes in the body composition before and after the program were determined through bioelectrical impedance analysis. Results No significant changes in weight, fat-free mass (kg), lean body mass (kg), and percent fat mass (%) are seen in the exercise group before and after the 52-weeks program. However, fat-free mass (pre = 47.3± 6.5, post = 44.3 ± 5.4, kg), lean body mass (pre = 45.2 ± 6.3, post = 42.3±5.2, kg), and percent fat mass (pre = 30.1 ± 12.1, post = 40.9 ± 9.1, kg) show significant changes (p < 0.05) in the nonexercise group. In the nonexercise group, among lean body mass changes over 52-weeks in the upper limbs (−31%), trunks (−9.7%), and lower limbs (−8.6%), upper limbs exhibit the most significant decrease (p < 0.05). Conclusion The gait training program with exoskeletal body-powered gait orthosis has a positive effect on fat management in the whole body and lean body mass loss in paraplegics. Furthermore, it is effective in preventing continuous muscle loss and in maintaining health by reducing body fat. Body composition measurements with bioelectrical impedance analysis for paraplegics can be applied in various clinical areas and can be combined with various arbitration methods such as rehabilitation program.
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Affiliation(s)
- Hyuk-Jae Choi
- Department of Rehabilitation Therapy Training Research, Rehabilitation Engineering Research Institute, Incheon, Republic of Korea
| | - Gyoo-Suk Kim
- Department of Rehabilitation Therapy Training Research, Rehabilitation Engineering Research Institute, Incheon, Republic of Korea
| | - Jung Hoon Chai
- Department of Sports Medicine, Soonchunhyang University, Asan, Chungcheongnam-do, Republic of Korea
| | - Chang-Yong Ko
- Department of Research & Development, Refind Inc., Wonju, Gangwon-do, Republic of Korea
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Kraaijenbrink C, Vegter R, de Groot S, Arnet U, Valent L, Verellen J, van Breukelen K, Hettinga F, Perret C, Abel T, Goosey-Tolfrey V, van der Woude L. Biophysical aspects of handcycling performance in rehabilitation, daily life and recreational sports; a narrative review. Disabil Rehabil 2020; 43:3461-3475. [DOI: 10.1080/09638288.2020.1815872] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Affiliation(s)
- Cassandra Kraaijenbrink
- Center for Human Movement Sciences Groningen, University Medical Center Groningen, Groningen, The Netherlands
- Department of Movement Science, Institute for Sport Science, University of Münster, Münster, Germany
| | - Riemer Vegter
- Center for Human Movement Sciences Groningen, University Medical Center Groningen, Groningen, The Netherlands
- European Research Group in Disability Sport (ERGiDS)
| | - Sonja de Groot
- Center for Human Movement Sciences Groningen, University Medical Center Groningen, Groningen, The Netherlands
- European Research Group in Disability Sport (ERGiDS)
- Amsterdam Rehabilitation Research Center, Reade, Amsterdam, The Netherlands
| | | | - Linda Valent
- Heliomare Rehabilitation Center, Wijk aan Zee, The Netherlands
| | | | - Kees van Breukelen
- Handcycling Ergonomic Advisor (Sport)Wheelchair and Handbike Shop RD Mobility, Rijswijk, The Netherlands
- International Classifier for Handcycling, Wheelchairrugby, Wheelchairbasketball, Wheelchairhandball and PowerChair Hockey
| | | | - Claudio Perret
- European Research Group in Disability Sport (ERGiDS)
- Swiss Paraplegic Centre, Institute of Sports Medicine, Nottwil, Switzerland
| | - Thomas Abel
- European Research Group in Disability Sport (ERGiDS)
- Sports Sciences Center, University of Cologne, Cologne, Germany
| | - Victoria Goosey-Tolfrey
- European Research Group in Disability Sport (ERGiDS)
- School of Sports, Exercise and Health Sciences, Peter Harrison Center for Disability Sports, Loughborough University, Loughborough, UK
| | - Lucas van der Woude
- Center for Human Movement Sciences Groningen, University Medical Center Groningen, Groningen, The Netherlands
- European Research Group in Disability Sport (ERGiDS)
- Center for Rehabilitation, Groningen, The Netherlands
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van der Woude LHV, Houdijk HJP, Janssen TWJ, Seves B, Schelhaas R, Plaggenmarsch C, Mouton NLJ, Dekker R, van Keeken H, de Groot S, Vegter RJK. Rehabilitation: mobility, exercise & sports; a critical position stand on current and future research perspectives. Disabil Rehabil 2020; 43:3476-3491. [PMID: 32805152 DOI: 10.1080/09638288.2020.1806365] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
BACKGROUND Human movement, rehabilitation, and allied sciences have embraced their ambitions within the cycle of "RehabMove" congresses over the past 30 years. This combination of disciplines and collaborations in the Netherlands has tried to provide answers to questions in the fields of rehabilitation and adapted sports, while simultaneously generating new questions and challenges. These research questions help us to further deepen our understanding of (impaired) human movement and functioning, with and without supportive technologies, and stress the importance of continued multidisciplinary (inter)national collaboration. METHODS This position stand provides answers that were conceived by the authors in a creative process underlining the preparation of the 6th RehabMove Congress. RESULTS The take-home message of the RehabMove2018 Congress is a plea for continued multidisciplinary research in the fields of rehabilitation and adapted sports. This should be aimed at more individualized notions of human functioning, practice, and training, but also of performance, improved supportive technology, and appropriate "human and technology asset management" at both individual and organization levels and over the lifespan. CONCLUSIONS With this, we anticipate to support the development of rehabilitation sciences and technology and to stimulate the use of rehabilitation notions in general health care. We also hope to help ensure a stronger embodiment of preventive and lifestyle medicine in rehabilitation practice. Indeed, general health care and rehabilitation practice require a healthy and active lifestyle management and research agenda in the context of primary, secondary, and tertiary prevention.IMPLICATIONS FOR REHABILITATIONContinued multidisciplinary (international) collaboration will stimulate the development of rehabilitation and human movement sciences.Notions from "human and technology asset management and ergonomics" are fundamental to rehabilitation practice and research.The rehabilitation concept will further merge into general health care and the quality there-off.
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Affiliation(s)
- Lucas H V van der Woude
- Center for Human Movement Sciences, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.,Center for Rehabilitation, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
| | - Han J P Houdijk
- Center for Human Movement Sciences, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.,Department of Research & Development, Heliomare Rehabilitation Center, Wijk aan Zee, The Netherlands
| | - Thomas W J Janssen
- Amsterdam Rehabilitation Research Center, Amsterdam, The Netherlands.,Faculty of Behavioural and Movement Sciences, Department of Human Movement Sciences, Research Institute MOVE, VU University, Amsterdam, The Netherlands
| | - Bregje Seves
- Center for Human Movement Sciences, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
| | - Reslin Schelhaas
- Center for Human Movement Sciences, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
| | - Corien Plaggenmarsch
- Center for Human Movement Sciences, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
| | - Noor L J Mouton
- Center for Human Movement Sciences, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
| | - Rienk Dekker
- Center for Rehabilitation, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
| | - Helco van Keeken
- Center for Human Movement Sciences, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
| | - Sonja de Groot
- Amsterdam Rehabilitation Research Center, Amsterdam, The Netherlands.,Faculty of Behavioural and Movement Sciences, Department of Human Movement Sciences, Research Institute MOVE, VU University, Amsterdam, The Netherlands
| | - Riemer J K Vegter
- Center for Human Movement Sciences, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
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Sport participation after the HandbikeBattle: benefits, barriers, facilitators from the event-a follow-up survey. Spinal Cord Ser Cases 2020; 6:54. [PMID: 32601299 DOI: 10.1038/s41394-020-0301-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2020] [Revised: 06/13/2020] [Accepted: 06/15/2020] [Indexed: 11/08/2022] Open
Abstract
OBJECTIVES To investigate sports participation among individuals in the HandbikeBattle project 1.5-5.5 years after the event, the barriers and facilitators to sport participation and benefits of participating in the event. SETTING Former participants of the HandbikeBattle, a handcycling race on an Austrian mountain. METHODS Handcyclists who took part in one or more HandbikeBattle events in 2013-2017 were invited to complete a survey in December 2018. Questions were asked on benefits of participating in this event, current sport participation, and experienced barriers and facilitators regarding current sport participation. RESULTS Respondents (N = 96 (N = 59 with spinal cord injury (SCI) or Spina Bifida (SB)), response rate = 47%) reported benefits from this event regarding their fitness level (90%), personal development (81%), daily life activities (66%), and health (64%). Median current sport participation was 5 h/week (IQR: 3-8). Most frequently indicated personal barriers for sports participation were: lack of time (31%), disability (17%), and pain (15%). Most frequently mentioned environmental barriers were: transportation time to sport accommodation (19%), and lack of peers to do sports with (16%). Most important facilitators were motivation to improve health and/or fitness (92%), fun and/or relaxation (85%). The results for the subgroup with SCI were comparable with the results of the total group. CONCLUSIONS Results highlight the role sports challenges can have in establishing a sustainable active life lifestyle among people with disabilities.
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Declerck L, Kaux JF, Vanderthommen M, Lejeune T, Stoquart G. The Effect of Adaptive Sports on Individuals with Acquired Neurological Disabilities and Its Role in Rehabilitation: A Systematic Review. Curr Sports Med Rep 2019; 18:458-473. [PMID: 31834178 DOI: 10.1249/jsr.0000000000000662] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
The aims of this systematic review were to report on the feasibility of adaptive sports for individuals with acquired central neurological lesion; to analyze the effects of this approach according to the domains of the International Classification of Functioning, Health and Disability (ICF); and to emit guiding points for future research. Two authors searched PubMed, Scopus, Cochrane, Pedro, and SPORTdiscus for eligible trials. Data concerning demographics, outcome measures, results, and conclusions were extracted, and a qualitative synthesis was performed. Adaptive sports seem to be a feasible, efficient, and cost-effective complement to conventional rehabilitation. Significant effects were found on all domains of the ICF, except "environmental factors." Key factors, such as intervention volume, intensity, and type, play a determining role. This review is the first to expose the beneficial effects of adaptive sports practice among individuals with neurological lesions by relying on prospective evidence.
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Affiliation(s)
- Louise Declerck
- Neuromusculoskeletal Laboratory, Institute of Experimental and Clinical Research, Brussels, BELGIUM
| | - Jean-François Kaux
- Department of Sport and Rehabilitation Sciences, University of Liège, Liège, BELGIUMSportS, FIFA Medical Centre of Excellence, IOC Research Centre for Prevention of Injury and Protection of Athlete Health, FIMS Clinical Centre of Sports Medicine, University and University Hospital of Liège, Liège, BELGIUM.,SportS, FIFA Medical Centre of Excellence, IOC Research Centre for Prevention of Injury and Protection of Athlete Health, FIMS Clinical Centre of Sports Medicine, University and University Hospital of Liège, Liège, BELGIUM
| | - Marc Vanderthommen
- Department of Sport and Rehabilitation Sciences, University of Liège, Liège, BELGIUMSportS, FIFA Medical Centre of Excellence, IOC Research Centre for Prevention of Injury and Protection of Athlete Health, FIMS Clinical Centre of Sports Medicine, University and University Hospital of Liège, Liège, BELGIUM
| | - Thierry Lejeune
- Neuromusculoskeletal Laboratory, Institute of Experimental and Clinical Research, Brussels, BELGIUM.,Department of Physical Medicine and Rehabilitation, University Clinic of Saint-Luc, Brussels, BELGIUM.,Louvain Bionics, Catholic University of Louvain, Louvain-La-Neuve, BELGIUM
| | - Gaëtan Stoquart
- Neuromusculoskeletal Laboratory, Institute of Experimental and Clinical Research, Brussels, BELGIUM.,Department of Physical Medicine and Rehabilitation, University Clinic of Saint-Luc, Brussels, BELGIUM.,Louvain Bionics, Catholic University of Louvain, Louvain-La-Neuve, BELGIUM
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