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Sedgley MD, Hudson KB, Blauwet C, Madsen CM, Seales P, Troyanos C, Weinstein M, Cormier DD, O'Connor FG. Adaptive Athlete Considerations for Races and Other Mass Participation Sporting Events. Curr Sports Med Rep 2024; 23:162-167. [PMID: 38709940 DOI: 10.1249/jsr.0000000000001163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/08/2024]
Affiliation(s)
| | - Korin B Hudson
- Medstar Health, Georgetown University School of Medicine, Washington, DC
| | - Cheri Blauwet
- Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital/Harvard Medical School, Boston, MA
| | | | - Paul Seales
- Marine Corps Wounded Warrior Regiment, Quantico, VA
| | | | | | - David Dj Cormier
- Associate Director Health Services and Sports Medicine at Boston College, Chestnut Hills, MA
| | - Francis G O'Connor
- Consortium for Health and Military Performance (CHAMP) Uniformed Services, University of the Health Sciences, Bethesda, MD
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Farì G, Megna M, Ranieri M, Agostini F, Ricci V, Bianchi FP, Rizzo L, Farì E, Tognolo L, Bonavolontà V, Fiore P, Reis VM. Could the Improvement of Supraspinatus Muscle Activity Speed up Shoulder Pain Rehabilitation Outcomes in Wheelchair Basketball Players? INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 20:255. [PMID: 36612577 PMCID: PMC9819299 DOI: 10.3390/ijerph20010255] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/24/2022] [Revised: 12/18/2022] [Accepted: 12/20/2022] [Indexed: 06/17/2023]
Abstract
Shoulder pain (SP) is a common clinical complaint among wheelchair basketball (WB) players, since their shoulders are exposed to intense overload and overhead movements. The supraspinatus tendon is the most exposed to WB-related injuries and it is primarily responsible for SP in WB athletes. In these cases, SP rehabilitation remains the main treatment, but there is still a lack of specific protocols which should be customized to WB players' peculiarities and to the supraspinatus muscle activity monitor, and the improvement of rehabilitation outcomes is slow. Thus, the aim of this study was to verify if the improvement of supraspinatus muscle activity, monitored in real time with surface electromyography (sEMG) during the execution of therapeutic exercises, could speed up SP rehabilitation outcomes in WB players. Thirty-three athletes were enrolled. They were divided into two groups. Both groups underwent the same shoulder rehabilitation program, but only the Exercise Plus sEMG Biofeedback Group executed therapeutic exercises while the activity of the supraspinatus muscles was monitored using sEMG. Participants were evaluated at enrollment (T0), at the end of 4 weeks of the rehabilitation program (T1), and 8 weeks after T1 (T2), using the following outcome measures: supraspinatus muscle activity as root mean square (RMS), Wheelchair User's Shoulder Pain Index (WUSPI), shoulder abduction, and external rotation range of motion (ROM). The Exercise Plus sEMG Biofeedback Group improved more and faster for all the outcomes compared to the Exercise Group. The monitoring and improvement of supraspinatus muscle activity seems to be an effective way to speed up SP rehabilitation outcomes in WB players, since it makes the performance of therapeutic exercise more precise and finalized, obtaining better and faster results in terms of recovery of shoulder function.
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Affiliation(s)
- Giacomo Farì
- Department of Translational Biomedicine and Neuroscience (DiBraiN), Aldo Moro University, 70121 Bari, Italy
- Department of Biological and Environmental Science and Technologies (Di.S.Te.B.A.), University of Salento, 73100 Lecce, Italy
| | - Marisa Megna
- Department of Translational Biomedicine and Neuroscience (DiBraiN), Aldo Moro University, 70121 Bari, Italy
| | - Maurizio Ranieri
- Department of Translational Biomedicine and Neuroscience (DiBraiN), Aldo Moro University, 70121 Bari, Italy
| | - Francesco Agostini
- Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University, 00185 Rome, Italy
| | - Vincenzo Ricci
- Physical and Rehabilitation Medicine Unit, Luigi Sacco University Hospital, ASST Fatebenefratelli-Sacco, 20157 Milan, Italy
| | | | - Ludovica Rizzo
- Department of Biological and Environmental Science and Technologies (Di.S.Te.B.A.), University of Salento, 73100 Lecce, Italy
| | - Eleonora Farì
- Complex Unit of Territorial Psychology, Department of Mental Health and Pathological Addictions, 40123 Bologna, Italy
| | - Lucrezia Tognolo
- Physical Medicine and Rehabilitation Unit, Department of Neuroscience, Padua University, 35128 Padua, Italy
| | - Valerio Bonavolontà
- Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila Vetoio, 67100 L’Aquila, Italy
| | - Pietro Fiore
- Istituti Clinici Scientifici Maugeri, IRCCS Institute of Bari, 70121 Bari, Italy
| | - Victor Machado Reis
- Research Centre in Sport Sciences, Health Sciences and Human Development, 5001-801 Vila Real, Portugal
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Sacks H, Wu M, Carter C, Karamitopoulos M. Parasport: Effects on Musculoskeletal Function and Injury Patterns. J Bone Joint Surg Am 2022; 104:1760-1768. [PMID: 35975928 DOI: 10.2106/jbjs.21.01504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
➤ Sports participation can improve gait, muscle strength, and functional abilities in patients with a wide variety of disabilities. Para athletes are also at substantial risk for injury during sports participation. ➤ Ambulant athletes with cerebral palsy are at risk for soft-tissue injuries about the knee as well as foot and ankle injuries. Wheelchair athletes are at risk for osteoporotic fractures and shoulder girdle injuries. Limb-deficient athletes are prone to low back pain and overuse injuries of the contralateral extremity. ➤ Para athletes are vulnerable to abuse during sports participation, and physicians should promptly report any possible abuse or mistreatment. ➤ Orthopaedic surgeons should understand disability and sport-specific risk factors for injury in para athletes in order to initiate early management and injury prevention protocols.
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Affiliation(s)
- Hayley Sacks
- Department of Orthopedic Surgery, NYU Langone Health, New York, NY
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Liu T, Wassell N, Liu J, Zhang M. Mapping Research Trends of Adapted Sport from 2001 to 2020: A Bibliometric Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:12644. [PMID: 36231944 PMCID: PMC9564994 DOI: 10.3390/ijerph191912644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/23/2022] [Revised: 09/23/2022] [Accepted: 09/26/2022] [Indexed: 06/16/2023]
Abstract
OBJECTIVES To identify the research landscape in terms of keywords, annual outputs, journals, countries, and institutions and explore the hot topics and prospects regarding adapted sport research. MATERIALS AND METHODS Publications designated as "article" on adapted sport retrieved from the Web of Science Core Collection. VOSviewer 1.6.11, Citespace, and Bibliometrix in R Studio were applied for the bibliometric analyses. RESULTS A total of 1887 articles were identified. Over the past two decades, athletic performance, sociology/psychology, and rehabilitation were extensively investigated. Basketball, soccer, and swimming were the three most focused adapted sports. Researchers showed a growing interest in submitting their studies to sport science, rehabilitation, and sociological journals. Adapted sport research was more common in developed countries and regions. The UK contributed most publications accounting for about 20% of the total publications. CONCLUSIONS With the growth of publications concerning adapted sport, the bibliometric analysis presented an overview of collaboration, trends, and hotspots in the field.
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Affiliation(s)
- Tao Liu
- School of Kinesiology, Beijing Sport University, Beijing 100084, China
| | - Nicole Wassell
- Department of Physical Education and Health Education, Springfield College, Springfield, MA 01109, USA
| | - John Liu
- Department of Physical Education and Health Education, Springfield College, Springfield, MA 01109, USA
| | - Meiqi Zhang
- Department of Physical Education and Health Education, Springfield College, Springfield, MA 01109, USA
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García-Gómez S, Pérez-Tejero J, González-Aguado A, Barakat R. ¿CÓMO PREVENIR EL DOLOR DE HOMBRO EN BALONCESTO EN SILLA DE RUEDAS? REVISTA INTERNACIONAL DE MEDICINA Y CIENCIAS DE LA ACTIVIDAD FÍSICA Y DEL DEPORTE 2022. [DOI: 10.15366/rimcafd2022.87.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Las lesiones del hombro suponen un problema en el baloncesto en silla de ruedas (BSR). El objetivo de este estudio fue determinar la eficacia de un programa de ejercicio para el dolor del hombro en jugadoras de máximo nivel de BSR para tras 12 semanas de intervención a lo largo del proceso preparatorio de una competición internacional. Participaron 13 jugadoras de BSR de la Pre-Selección Española Femenina (edad 26.6 ±6.1 años), respondiendo a un cuestionario de DH antes y después del programa de ejercicio, evaluando también el rango de movimiento (RM) y aplicando pruebas funcionales. El DH se redujo significativamente después de la intervención (Z=-2.93, p?0.05, d=0.67), pero sin cambios significativos ni en las pruebas funcionales (p?0.05) ni en el RM (p?0.05). El programa de ejercicio resultó efectivo para la reducción del DH durante el proceso de preparación, lo que influyó de manera positiva en rendimiento deportivo de las jugadoras.
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Chénier F, Alberca I, Gagnon DH, Faupin A. Impact of Sprinting and Dribbling on Shoulder Joint and Pushrim Kinetics in Wheelchair Basketball Athletes. FRONTIERS IN REHABILITATION SCIENCES 2022; 3:863093. [PMID: 36189044 PMCID: PMC9397776 DOI: 10.3389/fresc.2022.863093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/26/2022] [Accepted: 05/10/2022] [Indexed: 11/18/2022]
Abstract
Background While wheelchair basketball is one of the most popular Paralympic sports, it eventually causes shoulder problems and pain in many athletes. However, shoulder kinetics has never been assessed during propulsion in wheelchair basketball. This study analyzes the impact of sprinting and dribbling on pushrim and shoulder kinetics in terms of external forces and net muscular moments. Methods A group of 10 experienced wheelchair basketball athletes with various classifications performed four, 9-m sprints on a basketball court using classic synchronous propulsion, and four sprints while dribbling forward. Pushrim and shoulder kinetics were calculated by inverse dynamics, using a motion capture device and instrumented wheels. Findings Sprinting was associated to peak shoulder load from 13 to 346% higher than in previous studies on standard wheelchair propulsion in most force/moment components. Compared to sprinting without a ball, dribbling reduced the speed, the peak external forces in the anterior and medial direction at the shoulder, and the peak net shoulder moment of internal rotation. Interpretation The high shoulder load calculated during both sprinting and dribbling should be considered during training sessions to avoid overloading the shoulder. Dribbling generally reduced the shoulder load, which suggests that propelling while dribbling does not put the shoulder at more risk of musculoskeletal disorders than sprinting.
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Affiliation(s)
- Félix Chénier
- Mobility and Adaptive Sports Research Lab, Department of Physical Activity Science, Université du Québec à Montréal (UQAM), Montreal, QC, Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, QC, Canada
- *Correspondence: Félix Chénier
| | - Ilona Alberca
- Université de Toulon, Impact de l'Activité Physique sur la Santé (UR IAPS n°201723207F), Campus de La Garde, Toulon, France
| | - Dany H. Gagnon
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, QC, Canada
- School of Rehabilitation, Université de Montréal, Faculty of Medicine, Montreal, QC, Canada
| | - Arnaud Faupin
- Université de Toulon, Impact de l'Activité Physique sur la Santé (UR IAPS n°201723207F), Campus de La Garde, Toulon, France
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Naeini BB, Tabatabai Ghomsheh F, Divani R, Danesh MK, Garosi E. Ergonomic design and evaluation of a novel laptop desk for wheelchair users. Work 2021; 70:1177-1185. [PMID: 34842204 DOI: 10.3233/wor-205123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Nowadays, although using laptops to perform many routine activities is inevitable, many wheelchair users are not able to efficiently use their laptops due to their movement limitations and inappropriate workstations. OBJECTIVE The purpose of this study was to design and evaluate a novel ergonomic laptop desk for wheelchair users by considering their movement limitations. METHODS In this experimental study, we ergonomically designed and assessed a novel laptop desk in two phases in a laboratory. In the first phase of the study, design specifications were identified by an expert panel; accordingly, a new laptop desk was designed and prototyped for the wheelchair users. In the second phase, in order to evaluate the laptop desk, 14 wheelchair users were asked to complete a typing task within 20 minutes, both with and without using the laptop desk. Postural risk level, perceived discomfort, and task performance were evaluated using the Rapid Upper Limb Assessment (RULA) technique, Local Perceived Discomfort (LPD) questionnaire, and the number of letters typed and typing errors, respectively. RESULTS The postures of the wrist, arm, and neck regions were corrected from RULA action level 3 to 2 when the designed laptop desk was used. In addition, the average perceived discomfort of the participants significantly decreased in the neck, shoulder, and wrist regions. Furthermore, typing accuracy was improved significantly when novel laptop desk was used. CONCLUSIONS Accommodating wheelchair user's workstation with the novel designed laptop desk could reduce musculoskeletal disorders risk factors and help wheelchair users to perform their work more efficiently.
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Affiliation(s)
- Bita B Naeini
- Department of Ergonomics, University of Social Welfare and Rehabilitation Sciences, Teheran, Iran
| | - Farhad Tabatabai Ghomsheh
- Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Razieh Divani
- Department of Occupational Health Engineering, School of Public Health, Tehran University of MedicalSciences, Teheran, Iran
| | - Mojtaba K Danesh
- Department of Occupational Health Engineering, School of Public Health, Tehran University of MedicalSciences, Teheran, Iran
| | - Ehsan Garosi
- Department of Ergonomics, School of Public Health, Iran University of Medical Sciences, Teheran, Iran
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Effect of a Home-based Exercise Program on Shoulder Pain and Range of Motion in Elite Wheelchair Basketball Players: A Non-Randomized Controlled Trial. Sports (Basel) 2019; 7:sports7080180. [PMID: 31344871 PMCID: PMC6723715 DOI: 10.3390/sports7080180] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2019] [Revised: 07/18/2019] [Accepted: 07/22/2019] [Indexed: 12/23/2022] Open
Abstract
The aim of the present study was to assess the effects of a 10 week shoulder home based exercise program (SHEP) on shoulder pain (SP) and range of motion (ROM) in a group of elite wheelchair basketball (WB) players. A convenience sample of elite WB players (n = 36, 15 males and 21 females), mean age of 26 years (SD 7.6, range 15–45)) were assigned to either an exercise or a control group, according to the use of the wheelchair during daily activities. The shoulder pain index for wheelchair basketball players (SPI-WB), functional tests and ROM were measured at baseline and after a 10 week intervention. In the analysis of the SPI-WB scores, for the exercise and control groups separately, there were no significant reductions of SPI-WB scores after intervention. Related to the analysis between groups after 10 weeks of intervention, there were no significant differences in changes between the exercise and control groups (Z = 0.840, p > 0.05, r = 0.743). In this regard, there was a significant change after the intervention for shoulder extension ROM (Z = 2.81, p ≤ 0.05, r = 0.249). Shoulder Pain did not increase along the 10 weeks of the SHEP development in WB players who reported SP before the intervention program. However, in those players who started the intervention without SP, as no increase in SP was observed and players were free of injury. An exercise program could be a tool to maintain shoulder health and prevent injuries in elite WB players.
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