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1.
Scand J Med Sci Sports ; 31(4): 925-935, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33345411

RESUMEN

This study is the first to provide information on the age-related trajectories of performance in Para swimmers with physical, vision and intellectual impairment. Race times from long-course swim meets between 2009 and 2019 were obtained for Para swimmers with an eligible impairment. A subset of 10 661 times from 411 Para swimmers were included in linear mixed effects modelling to establish the relationship between age and performance expressed relative to personal best time and world record time. The main findings were: (a) age has the most noticeable influence on performance between the ages of 12-20 years before performances stabilize and peak in the early to late twenties, (b) women have faster times relative to personal best and world record time than men during early adolescence and their performances stabilize, peak and decline at younger ages, and (c) Para swimmers from different sport classes show varying age-related trajectories in performance after maturation and when training-related factors are more likely to explain competitive swim performance. The results of this study can guide talent identification and development of Para swimmers at various stages of their career and help to inform decision-making on the allocation of sport class and sport class status in Para swimming classification.


Asunto(s)
Rendimiento Atlético , Conducta Competitiva , Deportes para Personas con Discapacidad , Natación , Adolescente , Adulto , Factores de Edad , Niño , Humanos , Estudios Retrospectivos , Adulto Joven
2.
Scand J Med Sci Sports ; 31(10): 1932-1940, 2021 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-34189782

RESUMEN

The inherent hydrodynamic resistance force, or passive drag, of a swimmer directly influences how they move through the water. For swimmers with physical impairments, the strength of association between passive drag and swimming performance is unknown. Knowledge on this factor could improve the World Para Swimming classification process. This study established the relationship between passive drag and 100 m freestyle race performance in Para swimmers with physical impairments. Using a cross-sectional study design, an electrical-mechanical towing device was used to measure passive drag force in 132 international-level Para swimmers. There was a strong, negative correlation between normalized passive drag force and 100 m freestyle race speed in the combined participant cohort (ρ = -0.77, p < 0.001). Type of physical impairment was found to affect the relationship between passive drag and 100 m freestyle race speed when included in linear regression (R2  = 0.65, χ2  = 11.5, p = 0.025). These findings contribute to the body of evidence that passive drag can provide an objective assessment of activity limitation in Para swimmers with physical impairments. The effect of physical impairment type on the relationship between passive drag and swimming performance should be accounted for in Para swimming classification.


Asunto(s)
Rendimiento Atlético/fisiología , Deportes para Personas con Discapacidad/clasificación , Deportes para Personas con Discapacidad/fisiología , Natación/fisiología , Adolescente , Adulto , Niño , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Adulto Joven
3.
J Sports Sci ; 39(sup1): 62-72, 2021 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-34092196

RESUMEN

The current protocol for classifying Para swimmers with hypertonia, ataxia and athetosis involves a physical assessment where the individual's ability to coordinate their limbs is scored by subjective clinical judgment. The lack of objective measurement renders the current test unsuitable for evidence-based classification. This study evaluated a revised version of the Para swimming assessment for motor coordination, incorporating practical, objective measures of movement smoothness, rhythm error and accuracy. Nineteen Para athletes with hypertonia and 19 non-disabled participants performed 30 s trials of bilateral alternating shoulder flexion-extension at 30 bpm and 120 bpm. Accelerometry was used to quantify movement smoothness; rhythm error and accuracy were obtained from video. Para athletes presented significantly less smooth movement and higher rhythm error than the non-disabled participants (p < 0.05). Random forest algorithm successfully classified 89% of participants with hypertonia during out-of-bag predictions. The most important predictors in classifying participants were movement smoothness at both movement speeds, and rhythm error at 120 bpm. Our results suggest objective measures of movement smoothness and rhythm error included in the current motor coordination test protocols can be used to infer impairment in Para swimmers with hypertonia. Further research is merited to establish the relationship of these measures with swimming performance.


Asunto(s)
Parálisis Cerebral/fisiopatología , Hipertonía Muscular/fisiopatología , Desempeño Psicomotor/fisiología , Deportes para Personas con Discapacidad/fisiología , Natación/fisiología , Acelerometría , Adulto , Algoritmos , Ataxia/fisiopatología , Atetosis/fisiopatología , Rendimiento Atlético/fisiología , Fenómenos Biomecánicos/fisiología , Femenino , Humanos , Masculino , Movimiento/fisiología , Hipertonía Muscular/clasificación , Paratletas/clasificación , Rendimiento Físico Funcional , Rango del Movimiento Articular/fisiología , Hombro/fisiología , Deportes para Personas con Discapacidad/clasificación , Natación/clasificación , Grabación en Video , Adulto Joven
4.
J Sports Sci ; 38(8): 839-847, 2020 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-32138613

RESUMEN

Swimmers with limb deficiency are a core population within Para Swimming, accordingly this study examined the contribution of limb segments to race performance in these swimmers. Data were obtained for 174 male Para swimmers with limb deficiency. Ensemble partial least squares regression showed accurate predictions when using relative limb segment lengths to estimate Para swimmers' personal best race performances. The contribution of limb segments to performance in swim events was estimated using these regression models. The analysis found swim stroke and event distance to influence the contributions of limb segments to performance. For freestyle swim events, these changes were primarily due to the increased importance of the hand, and decreased importance of the foot and shank, as the distance of the event increased. When comparing swim strokes, higher importance of the thigh and shank in the 100 m breaststroke compared with other swim strokes confirms the separate SB class. Varied contributions of the hand, upper arm and foot suggest that freestyle could also be separated from backstroke and butterfly events to promote fairer classification. This study shows that swim stroke and event distance influence the activity limitation of Para swimmers with limb deficiency suggesting classification should account for these factors.


Asunto(s)
Rendimiento Atlético/fisiología , Extremidad Inferior/fisiopatología , Deportes para Personas con Discapacidad/fisiología , Natación/fisiología , Extremidad Superior/fisiopatología , Conducta Competitiva/fisiología , Humanos , Masculino , Deportes para Personas con Discapacidad/clasificación , Natación/clasificación
5.
J Sports Sci ; 37(4): 404-413, 2019 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-30058953

RESUMEN

This study examined the validity of isometric strength tests for evidence-based classification in Para swimming. Thirty non-disabled participants and forty-two Para swimmers with physical impairment completed an isometric strength test battery designed to explain activity limitation in the freestyle discipline. Measures pertaining to dominant and non-dominant limb strength and symmetry were derived from four strength tests that were found to be reliable in a cohort of non-disabled participants (ICC = 0.85-0.97; CV = 6.4-9.1%). Para swimmers had lower scores in strength tests compared with non-disabled participants (d = 0.14-1.00) and the strength test battery successfully classified 95% of Para swimmers with physical impairment using random forest algorithm. Most of the strength measures had low to moderate correlations (r = 0.32 to 0.53; p ≤ 0.05) with maximal freestyle swim speed in Para swimmers. Although, fewer correlations were found when Para swimmers with hypertonia or impaired muscle power were analysed independently, highlighting the impairment-specific nature of activity limitation in Para swimming. Collectively, the strength test battery has utility in Para swimming classification to infer loss of strength in Para swimmers, guide minimum eligibility criteria, and to define the impact that strength impairment has on Para swimming performance.


Asunto(s)
Rendimiento Atlético/fisiología , Evaluación de la Discapacidad , Prueba de Esfuerzo , Fuerza Muscular , Deportes para Personas con Discapacidad/fisiología , Natación/fisiología , Adulto , Atletas/clasificación , Femenino , Humanos , Masculino , Valor Predictivo de las Pruebas , Adulto Joven
6.
J Sports Sci ; 35(16): 1658-1665, 2017 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-27636684

RESUMEN

The purpose of this study was to compare arm-leg coordination and kinematics during 100 m breaststroke in 26 (8 female; 18 male) specialist breaststroke swimmers. Laps were recorded using three 50-Hz underwater cameras. Heart rate and blood lactate were measured pre- and post-swim. Arm-leg coordination was defined using coordination phases describing continuity between recovery and propulsive phases of upper and lower limbs: coordination phase 1 (time between end of leg kick and start of the arm pull phases); and coordination phase 2 (time between end of arm pull and start of leg kick phases). Duration of stroke phases, coordination phases, swim velocity, stroke length (SL), stroke rate (SR) and stroke index (SI) were analysed during the last three strokes of each lap that were unaffected by turning or finishing. Significant changes in velocity, SI and SL (P < 0.05) were found between laps. Both sexes showed significant increase (P < 0.05) in heart rate and blood lactate pre- to post-swim. Males had significantly (P < 0.01) faster swim velocities resulting from longer SLs (P = 0.016) with no difference in SR (P = 0.064). Sex differences in kinematic parameters can be explained by anthropometric differences providing males with increased propelling efficiency.


Asunto(s)
Brazo/fisiología , Pierna/fisiología , Destreza Motora/fisiología , Natación/fisiología , Adolescente , Antropometría , Fenómenos Biomecánicos , Femenino , Frecuencia Cardíaca/fisiología , Humanos , Ácido Láctico/sangre , Masculino , Factores Sexuales , Estudios de Tiempo y Movimiento , Adulto Joven
7.
J Sports Sci Med ; 16(4): 574-580, 2017 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-29238259

RESUMEN

The aims of this study were to investigate whether land-based and tethered swimming strength tests can explain swimming performance in 200-meter front crawl and, whether these tests were able to identify bilateral symmetry in force production. In the first session, eighteen swimmers completed a maximum effort 200 m front crawl swim (swimming performance) and 15 seconds maximal effort tethered front crawl swim. In the second session, participants performed the upper extremity isometric strength test. Peak force production of tethered swimming and isometric strength tests were significantly correlated for the strongest and weakest sides (r = 0.58 and r = 0.63, respectively; p < 0.05), but only peak force production during tethered swimming correlated with 200 m swimming performance time (r = -0.55, p < 0.05). Bilateral asymmetries in peak force and rate of force development were similar between the tethered swimming and isometric strength tests (peak force: 13%, p = 0.24; rate of force development: 15%, p = 0.88) However, both tests detected significant difference of peak force and rate of force development between body sides. The tethered swimming test can partially explain the 200 m front crawl swimming performance. In addition, the land-based and tethered swimming tests may be used to identify bilateral asymmetry of swimming.

8.
J Sports Sci ; 34(11): 1044-50, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-26375196

RESUMEN

The combined event is a crucial aspect of the modern pentathlon competition, but little is known about how shooting performance changes through the event. This study aimed to identify (i) how performance-related variables changed within each shooting series and (ii) how performance-related variables changed between each shooting series. Seventeen modern pentathletes completed combined event trials. An optoelectronic shooting system recorded score and pistol movement, and force platforms recorded centre of pressure movement 1 s prior to every shot. Heart rate and blood lactate values were recorded throughout the event. Whilst heart rate and blood lactate significantly increased between series (P < 0.05), there were no accompanying changes in the time period that participants spent aiming at the target, shot score, pistol movement or centre of pressure movement (P > 0.05). Thus, combined event shooting performance following each running phase appears similar to shooting performance following only 20 m of running. This finding has potential implications for the way in which modern pentathletes train for combined event shooting, and highlights the need for modern pentathletes to establish new methods with which to enhance shooting accuracy.


Asunto(s)
Rendimiento Atlético/fisiología , Armas de Fuego , Carrera/fisiología , Adolescente , Fenómenos Biomecánicos , Femenino , Frecuencia Cardíaca , Humanos , Ácido Láctico/sangre , Masculino , Equilibrio Postural , Análisis y Desempeño de Tareas , Factores de Tiempo , Adulto Joven
9.
J Sports Sci ; 33(14): 1523-31, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-25562689

RESUMEN

The aim of this study was to examine the effect of swimming speed on leg-to-arm coordination in competitive unilateral arm amputee front crawl swimmers. Thirteen well-trained swimmers were videotaped underwater during three 25-m front crawl trials (400 m, 100 m and 50 m pace). The number, duration and timing of leg kicks in relation to arm stroke phases were identified by video analysis. Within the group, a six-beat kick was predominantly used (n = 10) although some swimmers used a four-beat (n = 2) or eight-beat kick (n = 1). Swimming speed had no significant effect on the relative duration of arm stroke and leg kick phases. At all speeds, arm stroke phases were significantly different (P < 0.05) between the affected and unaffected sides. In contrast, the kicking phases of both legs were not different. Consequently, leg-to-arm coordination was asymmetrical. The instant when the leg kicks ended on the affected side corresponded with particular positions of the unaffected arm, but not with the same positions of the affected arm. In conclusion, the ability to dissociate the movements of the arms from the legs demonstrates that, because of their physical impairment, unilateral arm amputee swimmers functionally adapt their motor organisation to swim front crawl.


Asunto(s)
Amputados , Brazo/fisiología , Pierna/fisiología , Natación/fisiología , Adolescente , Fenómenos Biomecánicos , Conducta Competitiva/fisiología , Femenino , Humanos , Masculino , Destreza Motora/fisiología , Análisis y Desempeño de Tareas , Adulto Joven
10.
J Sports Sci Med ; 14(1): 215-24, 2015 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-25729310

RESUMEN

Due to the difficulty of measuring forces and torques acting on a swimmer during mid-pool swimming, an inverse dynamics approach is required. Personalised body segment parameter (BSP) data enabling calculation of net forces and torques can be obtained using the elliptical zone method. The purpose of this study was to establish the reliability of estimating BSP data of swimmers by the elliptical zone method with segment outlines being traced manually on a personal computer screen. Five assessors digitised the segment landmarks and traced the body segments from front and side view digital photographs of 11 single arm amputee swimmers. Each swimmer was assessed five times by each of the five assessors. The order was fully randomised. Within assessor variability was less than 5% for the segment centre of mass position of all segments, for segment length except the neck (5.2%), and for segment mass except neck (11.9%), hands (Left: 8.1%; Right: 5.8%) and feet (Left: 7.3%; Right: 7.3%). Analysis of mean variability within and between assessors indicated that between assessor variability was generally as large or larger than within assessor variability. Consequently it is recommended that when seeking personalised BSP data to maximise the accuracy of derived kinetics and sensitivity for longitudinal and bilateral within-subject comparisons the individual should be assessed by the same assessor with mean values obtained from five repeat digitisations. This study established that using the elliptical zone method using E-Zone software is a reliable and convenient way of obtaining personalised BSP data for use in analysis of swimming. Key pointsA unique (not been attempted previously) study of reliability of calculating personalised Body Segment Parameter (BSP) data using the elliptical zone methodEstablishes benchmark data regarding the reliability of BSP data for comparison with emerging technologies for obtaining personalised BSP data non-invasively.Provides a description and guidelines for good practice for maximising the accuracy of derived kinematics and kinetics in swimming.The method of body modelling described can also be applied to studies in other sports and in assessing change in health status related to body shape characteristics for sport and non-sport populations.

11.
J Sports Sci ; 32(18): 1704-11, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-24842469

RESUMEN

This study examined changes in the propulsive force and stroke parameters of arm-amputee and able-bodied swimmers during tethered swimming. Eighteen well-trained female swimmers (nine unilateral arm amputees and nine able-bodied) were videotaped performing maximal-effort 30 s front-crawl swims, while attached to a load cell mounted on a pool wall. Tether force, stroke rate, stroke phase durations and inter-arm angle were quantified. The able-bodied group produced significantly higher mean and maximum tether forces than the amputee group. The mean of the intra-cyclic force peaks was very similar for both groups. Mean and maximum tether force had significant negative associations with 100 m swim time, for both groups. Both groups exhibited a similar fatigue index (relative decrease in tether force) during the test, but the amputees had a significantly greater stroke rate decline. A significant positive association between stroke rate decline and fatigue index was obtained for the able-bodied group only. Inter-arm angle and relative phase durations did not change significantly during the test for either group, except the recovery phase duration of the arm amputees, which decreased significantly. This study's results can contribute to the development of a more evidence-based classification system for swimmers with a disability.


Asunto(s)
Amputados , Brazo , Movimiento , Fatiga Muscular , Fuerza Muscular , Natación , Análisis y Desempeño de Tareas , Adolescente , Adulto , Brazo/fisiología , Fenómenos Biomecánicos , Estudios de Casos y Controles , Femenino , Humanos , Natación/fisiología , Extremidad Superior , Grabación en Video , Adulto Joven
12.
Br J Sports Med ; 47(13): 838-43, 2013 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-23935028

RESUMEN

BACKGROUND: The key difference between the Olympic and Paralympic Games is the use of classification systems within Paralympic sports to provide a fair competition for athletes with a range of physical disabilities. In 2009, the International Paralympic Committee mandated the development of new, evidence-based classification systems. This study aims to assess objectively the swimming classification system by determining the relationship between passive drag and level of swimming-specific impairment, as defined by the current swimming class. METHODS: Data were collected on participants at the London 2012 Paralympic Games. The passive drag force of 113 swimmers (classes 3-14) was measured using an electro-mechanical towing device and load cell. Swimmers were towed on the surface of a swimming pool at 1.5 m/s while holding their most streamlined position. RESULTS: Passive drag ranged from 24.9 to 82.8 N; the normalised drag (drag/mass) ranged from 0.45 to 1.86 N/kg. Significant negative associations were found between drag and the swimming class (τ = -0.41, p < 0.01) and normalised drag and the swimming class (τ = -0.60, p < 0.01). The mean difference in drag between adjacent classes was inconsistent, ranging from 0 N (6 vs 7) to 11.9 N (5 vs 6). Reciprocal Ponderal Index (a measure of slenderness) correlated moderately with normalised drag (r(P) = -0.40, p < 0.01). CONCLUSIONS: Although swimmers with the lowest swimming class experienced the highest passive drag and vice versa, the inconsistent difference in mean passive drag between adjacent classes indicates that the current classification system does not always differentiate clearly between swimming groups.


Asunto(s)
Medicina Deportiva/métodos , Deportes para Personas con Discapacidad/clasificación , Natación/clasificación , Adulto , Fenómenos Biomecánicos/fisiología , Composición Corporal/fisiología , Calibración , Recolección de Datos , Diseño de Equipo , Femenino , Humanos , Londres , Masculino , Medicina Deportiva/instrumentación , Deportes para Personas con Discapacidad/fisiología , Natación/fisiología , Adulto Joven
13.
J Sports Sci ; 31(12): 1294-301, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-23496339

RESUMEN

Despite the importance of the Combined Event to the modern pentathlon competition, little is known about performance in the event. This study aimed to (i) identify the key variables affecting Combined Event shooting performance, and the extent to which these corresponded with those identified for precision shooting and (ii) investigate the impact of changing shooting format, and whether more successful precision shooters were also more successful in the Combined Event. Seven modern pentathletes and three pistol shooters completed precision and Combined Event trials. An opto-electronic shooting system recorded score and pistol movements, whilst force platforms recorded centre of pressure movements 1 s prior to every shot. Intra-individual analysis revealed that the extent of associations between variables was participant-specific, highlighting the need for individual analysis of performance. No participants displayed matching associations between variables for precision and Combined Event shooting, emphasising the difference between performances in the two events. Both groups experienced significantly reduced scores, and increased pistol and body movements for Combined Event shooting (P < 0.05). Despite the pistol shooters' greater precision shooting ability, no significant differences were evident between the groups' Combined Event performances (P > 0.05). This implies that experience in one event does not guarantee success in the other, indicating the importance of event specific training.


Asunto(s)
Rendimiento Atlético , Armas de Fuego , Movimiento , Deportes , Análisis y Desempeño de Tareas , Adulto , Fenómenos Biomecánicos , Femenino , Humanos , Masculino , Presión , Adulto Joven
14.
Med Sci Sports Exerc ; 55(7): 1296-1306, 2023 07 01.
Artículo en Inglés | MEDLINE | ID: mdl-36893305

RESUMEN

PURPOSE: The impact of physical impairment on Froude efficiency and intracyclic velocity fluctuation in Para swimmers is not well documented. Identification of differences in these variables between disabled and nondisabled swimmers could help develop a more objective system for assigning Para swimmers to classes for competition. This study quantifies Froude efficiency and intracyclic velocity fluctuation in unilateral forearm-amputee front crawl swimmers and evaluates associations between these variables and performance. METHODS: Ten unilateral forearm-amputee swimmers completed front crawl trials at 50- and 400-m pace; three-dimensional video analysis provided mass center, and wrist and stump velocities. Intracyclic velocity fluctuation was calculated as follows: 1) maximum-minimum mass center velocity, expressed as percent of mean velocity, and 2) coefficient of variation in mass center velocity. Froude efficiency was the ratio between mean swimming velocity and wrist plus stump velocity during each segment's respective 1) underwater phase and 2) propulsive underwater phase. RESULTS: Forearm amputees' intracyclic velocity fluctuation (400 m: 22% ± 7%, 50 m: 18% ± 5%) was similar to published values for nondisabled swimmers, whereas Froude efficiencies were lower. Froude efficiency was higher at 400-m (0.37 ± 0.04) than 50-m pace (0.35 ± 0.05; P < 0.05) and higher for the unaffected limb (400 m: 0.52 ± 0.03, 50 m: 0.54 ± 0.04) than the residual limb (400 m: 0.38 ± 0.03, 50 m 0.38 ± 0.02; P < 0.05). Neither intracyclic velocity fluctuation nor Froude efficiency was associated with swimming performance. CONCLUSIONS: Froude efficiency may be a valuable measure of activity limitation in swimmers with an upper limb deficiency and a useful metric for comparing swimmers with different types and severity of physical impairment.


Asunto(s)
Amputados , Humanos , Antebrazo , Natación , Fenómenos Biomecánicos , Extremidad Superior
15.
Disabil Rehabil ; 44(20): 5950-5956, 2022 10.
Artículo en Inglés | MEDLINE | ID: mdl-34340613

RESUMEN

PURPOSE: Investigate the impact of 12-weeks' moderate-intensity resistance training on psychological parameters in ambulatory adults with Facioscapulohumeral, Becker, and Limb-girdle muscular dystrophy. METHODS: Seventeen adults with Facioscapulohumeral (n = 6), Limb-girdle (n = 6; types 2A, 2B, 2L, and 2I), or Becker (n = 5) muscular dystrophy took part. Participants were tested at baseline (PRE), after a 12-week control period (PRE2), and after a 12-week supervised resistance training programme (POST). Training included multi-joint and single-joint resistance exercises. Outcomes from self-report questionnaires were health-related quality of life, depressive symptoms, trait anxiety, self-esteem, and physical self-worth. RESULTS: No difference in outcome measures, except depressive symptoms, was found in the control period (PRE to PRE2). Symptoms of depression were reduced by 9% from PRE to PRE2 (p < 0.05) and by a further 19% from PRE2 to POST (p < 0.05). Other changes from PRE2 to POST were that trait anxiety reduced by 10%, self-esteem increased by 10%, physical self-worth increased by 20%, and quality of life improved in 8 domains (p < 0.05). CONCLUSION: These findings demonstrate the positive impact of moderate-intensity resistance training on psychological health and quality of life in adults with Facioscapulohumeral, Becker, and Limb-girdle muscular dystrophies.Implications for rehabilitationResistance training can have a positive impact on psychological health and quality of life in adults with Facioscapulohumeral, Becker, and Limb-girdle muscular dystrophy.Healthcare professionals should consider including moderate-intensity resistance training within the management and treatment programmes of adults with Facioscapulohumeral, Becker, and Limb-girdle muscular dystrophy.


Asunto(s)
Distrofia Muscular de Cinturas , Distrofia Muscular de Duchenne , Entrenamiento de Fuerza , Adulto , Terapia por Ejercicio , Humanos , Calidad de Vida
16.
Motor Control ; 25(4): 575-586, 2021 Jul 16.
Artículo en Inglés | MEDLINE | ID: mdl-34271552

RESUMEN

This study described the kinematic variables of disabled swimmers' performance and correlated them with their functional classification. Twenty-one impaired swimmers (S5-S10) performed 50-m maximum front-crawl swimming while being recorded by four underwater cameras. Swimming velocity, stroke rate, stroke length, intracycle velocity variation, stroke dimensions, hand velocity, and coordination index were analyzed. Kendall rank was used to correlate stroke parameters and functional classification with p < .05. Swimming velocity, stroke length, and submerged phase were positively correlated with the para swimmers functional classification (.61, .50, and .41; p < .05, respectively), while stroke rate, velocity hand for each phase, coordination index, and intracyclic velocity variation were not (τ between -.11 and .45; p > .05). Thus, some objective kinematic variables of the impaired swimmers help to support current classification. Improving hand velocity seems to be a crucial point to be improved among disabled swimmers.


Asunto(s)
Fenómenos Biomecánicos , Personas con Discapacidad , Natación , Mano , Humanos , Deportes para Personas con Discapacidad , Natación/fisiología , Grabación en Video
17.
Neuromuscul Disord ; 31(4): 328-335, 2021 04.
Artículo en Inglés | MEDLINE | ID: mdl-33593658

RESUMEN

The impacts of potentially treatable psychological parameters on quality of life are relatively unreported in adults with Facioscapulohumeral, Becker and Limb-girdle muscular dystrophy. The purpose of this study was to compare quality of life, psychological parameters, and physical function between adults with muscular dystrophy and controls, and to examine relationships among these parameters in muscular dystrophy. Twenty-one adults with muscular dystrophy (n = 7 Becker, n = 8 Facioscapulohumeral, n = 6 Limb-girdle) and ten age-matched controls participated. Outcome measures were health-related quality of life, depressive symptoms, trait anxiety, self-esteem, physical self-worth and six-minute walk distance. Quality of life scores were lower in the muscular dystrophy groups than the control (p < .05). Depressive symptoms had the greatest association with quality of life in the Mental Health domain (r= -0.89, p < .001). Depressive symptoms also had the most associations with quality of life (7 of 10 domains), followed by trait anxiety (6 of 10 domains), physical self-worth (5 of 10 domains), self-esteem (4 of 10 domains) and six-minute walk distance (3 of 10 domains). Psychological parameters and, to a lesser extent, physical function impact quality of life in muscular dystrophy. This study provides a rationale to include psychological assessment and treatment within muscular dystrophy healthcare.


Asunto(s)
Distrofias Musculares/psicología , Calidad de Vida , Adulto , Anciano , Ansiedad/epidemiología , Depresión/epidemiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Distrofia Muscular de Cinturas/psicología , Distrofia Muscular de Duchenne/psicología , Rendimiento Físico Funcional , Autoimagen
18.
Int J Sports Physiol Perform ; 15(6): 816-824, 2020 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-32131047

RESUMEN

The assessment of swimming propulsion should be a cornerstone of Paralympic swimming classification. However, current methods do not objectively account for this component. PURPOSE: To evaluate the swimming propulsion of swimmers with and without physical impairment using a 30-second maximal fully tethered freestyle swim test. METHODS: Tethered forces were recorded during maximal fully tethered swimming in 80 competitive swimmers with (n = 70) and without (n = 10) physical impairment. The relationships between absolute and normalized tether forces and maximal freestyle swim speed were established using general additive models. RESULTS: Para swimmers with physical impairment had lower absolute and normalized tether forces than able-bodied swimmers, and there were moderate positive correlations found between tether forces and sport class (τ = .52-.55, P < .001). There was a nonlinear relationship between tether force and maximal freestyle swim speed in the participant cohort (adjusted R2 = .78-.80, P < .001). Para swimmers with limb deficiency showed stronger relationships between tether force and maximal freestyle swim speed (adjusted R2 = .78-.82, P < .001) than did Para swimmers with hypertonia (adjusted R2 = .54-.73, P < .001) and impaired muscle power (adjusted R2 = .61-.70, P < .001). CONCLUSIONS: Physical impairments affect Para swimmers' tether forces during maximal fully tethered freestyle swimming, explaining a significant proportion of their activity limitation. It is recommended that maximal fully tethered swimming be included in Paralympic swimming classification as an objective assessment of swimming propulsion.


Asunto(s)
Rendimiento Atlético/fisiología , Prueba de Esfuerzo/métodos , Deportes para Personas con Discapacidad/fisiología , Natación/fisiología , Adulto , Rendimiento Atlético/clasificación , Estudios Transversales , Femenino , Humanos , Masculino , Deportes para Personas con Discapacidad/clasificación , Natación/clasificación , Adulto Joven
19.
PLoS One ; 15(3): e0229918, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32191707

RESUMEN

Although swimming is recognized as a symmetrical sport, equivalence between each body side cannot be insured. Swimmers with physical and motor impairment may present asymmetries that are even more pronounced. Therefore, the objective of this study was to assess the symmetry of temporal coordination in the front crawl stroke phases and their dimensional characteristics among swimmers of different levels of skill and disabled swimmers. Forty-one swimmers (28 men and 13 women, 18,8 ± 3,3 years, divided 21 of them into groups of high and low level of skill and 20 in disabled swimmers group) performed a 50m maximum of front-crawl test while they were recorded by six synchronized cameras (four underwater and two above water) for analysis of the stroke phases, stroke dimensions (anteroposterior, mediolateral and vertical amplitude), index of coordination and hand speed. The symmetry index was calculated by the difference between the right and the left strokes. Comparisons were made using the Kruskal-Wallis test and multivariate comparisons were made using the Mann-Whitney test, with p <0.05. Asymmetry was noted in anteroposterior and mediolateral amplitudes of the stroke, index of coordination, duration of the recovery phase, each of the underwater phases and in the hand speed during the downseep phase, regardless of the level of skill or impairment. The disabled swimmers also showed asymmetry in the vertical amplitude of the stroke as well as in the insweep and upsweep speed. The reasons for these asymmetries may be the preference for unilateral breathing, force imbalance between pairs of homologous muscles and motor control deficit. The training with stereotypic movements may explain the similarity of asymmetries among the different groups of swimmers.


Asunto(s)
Brazo/fisiología , Fenómenos Biomecánicos , Personas con Discapacidad , Natación/fisiología , Adulto , Femenino , Humanos , Masculino , Fenómenos Mecánicos , Grabación en Video , Adulto Joven
20.
Res Q Exerc Sport ; 91(4): 574-582, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31976823

RESUMEN

Purpose: The aim of this study was to determine changes in swimming parameters, stroke coordination, and symmetry after repeated high-intensity swimming efforts in swimmers of different performance levels and para-swimmers. Method: Forty swimmers (20 able-bodied, allocated to higher and lower performance groups-G1 and G2, respectively-and 20 impaired swimmers-S5 to S10) were recorded by four underwater cameras while performing repeated 50 m maximum front-crawl swimming with a ten-second interval for each time endured by the swimmer. A cycle stroke was digitized using SIMI Reality Motion Systems in the first and last trials to analyze the kinematic parameters. The comparison among groups and conditions was performed by Mixed ANOVA Models with p < .05. Results: For all groups, swimming velocity, stroke rate, and stroke index showed reduction over time, while stroke length and intracyclic velocity variation did not show significant changes. Conclusions: Training to maintain stroke rate is necessary to support performance since it is the main cause of velocity decrease. Stroke dimensions and individual underwater phases were not sufficient to distinguish groups or conditions. Hand velocity decreased probably due to a decline in energy capacity, propulsive force and passive drag caused by the fatigue process.


Asunto(s)
Rendimiento Atlético/fisiología , Deportes para Personas con Discapacidad/fisiología , Natación/fisiología , Adolescente , Brazo/fisiología , Fenómenos Biomecánicos , Mano/fisiología , Humanos , Fatiga Muscular/fisiología , Acondicionamiento Físico Humano/fisiología , Estudios de Tiempo y Movimiento , Grabación en Video , Adulto Joven
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