Physical Activity and Sport for Acquired Brain Injury (PASABI): A Non-Randomized Controlled Trial.

Background and objectives: Acquired brain injury (ABI) is the first cause of disability and physical activity (PA) is a key element in functional recovery and health-related quality of life (HRQoL) during the subacute and chronic phases. However, it is necessary to develop PA programs that respond to the heterogeneity and needs of this population. The aim of this study was to assess the effectiveness of a PA program on the HRQoL in this population. Materials and Methods: With regard to recruitment, after baseline evaluations, participants were assigned to either the intervention group (IG, n = 38) or the control group (CG, n = 35). Functional capacity, mood, quality of life and depression were measured pre- and post-intervention. The IG underwent the "Physical Activity and Sport for Acquired Brain Injury" (PASABI) program, which was designed to improve HRQoL (1-h sessions, two to four sessions/week for 18 weeks). The CG underwent a standard rehabilitation program without PA. Results: Results for the IG indicated significant differences and large effect sizes for the physical and mental dimensions of quality of life, as well as mood and functional capacity, indicating an increase in HRQoL. No significant differences were found for the CG across any variables. Conclusions: The PASABI program was feasible and beneficial for improving physiological and functionality variables in the IG. The wide range of the activities of the PASABI program allow its application to a large number of people with ABI, promoting health through PA, especially in the chronic phase.

Effect of a Home-based Exercise Program on Shoulder Pain and Range of Motion in Elite Wheelchair Basketball Players: A Non-Randomized Controlled Trial.

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.

Shoulder pain assessment in elite wheelchair basketball players / Evaluación de dolor de hombro en jugadores de baloncesto en silla de ruedas de élite / Avaliação da dor no ombro em jogadores de elite de basquete em cadeira de rodas

Objective: The aim of this study was to evaluate shoulder pain in a sample of elite wheelchair basketball players during their preparation for a major competition. Method: Seventeen male wheelchair basketball players, between 16 and 43 years of age, were studied during their athletic preparation for a wheelchair basketball championship. The shoulder pain questionnaire, impingement tests and shoulder range of motion were evaluated during a training camp. Spearman's rank correlation coefficient was used to analyze the relationship between shoulder pain and range of motion indicating the value of the effect size. Results: Shoulder pain was evident in 52.9% of the sample and was significant and negatively correlated with range of motion, while 35.3% related to impingement tests player's reported pain. The correlation was moderate to high. Conclusions: In conclusion, the use of shoulder pain questionnaire, goniometric measurements and clinical test could be a useful approach for monitoring the shoulder injuries of wheelchair basketball players to explore the possible consequences of performing repetitive movements

Objetivo: El objetivo de este estudio fue evaluar el dolor de hombro en jugadores de baloncesto en silla de ruedas de élite durante su preparación para una competencia de alto nivel. Método: Diecisiete jugadores masculinos de baloncesto en silla de ruedas, entre 16 y 43 años, fueron evaluados con el cuestionario para el dolor de hombro en jugadores de baloncesto en silla de ruedas, las pruebas clínicas y el rango de movimiento del hombro durante la preparación para un campeonato. El coeficiente de correlación de Spearman se utilizó para analizar la correlación entre el dolor de hombro y el rango de movimiento, indicando el valor del tamaño del efecto. Resultados: El dolor de hombro fue evidente en el 52.9% de la muestra, siendo significativo. En tanto que, hubo una correlación negativa entre el dolor de hombro y el rango de movimiento, mientras que el 35.3% reportó dolor de acuerdo con las pruebas clínicas. La correlación fue de moderada a alta. Conclusiones: La utilización del cuestionario, las mediciones goniométricas y las pruebas clínicas podrían ser herramientas adecuadas para monitorear la condición del hombro en los jugadores de baloncesto en silla de ruedas, y así explorar las posibles consecuencias de los movimientos repetitivos

Objetivo: O objetivo deste estudo foi avaliar a dor no ombro em uma amostra de jogadores de elite de basquete em cadeira de rodas durante sua preparação para uma competição de alto nível. Método: Dezessete jogadores de basquete em cadeira de rodas do sexo masculino, entre 16 e 43 anos de idade, foram avaliados com o questionário de dor no ombro, testes clínicos de impacto e amplitude articular durante o treinamento para um campeonato. O coeficiente de correlação de Spearman foi utilizado para analisar a relação entre dor no ombro e amplitude de movimento que indica o valor do tamanho do efeito. Resultados: A dor no ombro foi evidente em 52,9% da amostra e foi significativa e negativamente correlacionada com a amplitude de movimento, enquanto 35,3% teve uma correlação de moderada a alta em relação à dor durante os testes de impacto. Conclusões: Em conclusão, o uso de questionário de dor no ombro, medições goniométricas e teste clínico poderia ser uma abordagem útil para monitorar as lesões no ombro de jogadores de basquete em cadeira de rodas para explorar as possíveis consequências da realização de movimentos repetitivos

Wheelchair basketball: influence of shoulder pain in sport skills / Baloncesto en silla de ruedas: influencia del dolor del hombro en gestos deportivos

Shoulder injuries are a common problem among wheelchair basketball players (WB). The purpose of this study was to detect the influence of shoulder pain (SP) in WB sport skills. Fifty-one WB players aged from 15 to 42 (21 females, 23, 86±1, 38 years and 30 males, 23, 90±1, 46 years) were evaluated. Shoulder Pain Index for Wheelchair Basketball (SPI-WB) was used to determine SP in relation to specific WB skills. Gender and age were compared using T-test and One Factor ANOVA, respectively. The level of significance was set at p≤0, 05. 27, 5% of the sample reported actual SP. Statistical analysis revealed a main effect for gender regarding SP during shooting skills, especially for females. There were no significant differences according to rebounding/one-handed long passes and other sport situations. In conclusion, SP could affect the specific activities of WB according to gender, especially during shooting in females, so ways to promote shoulder health must be develop (AU)

Las lesiones del hombro son un problema común entre los jugadores de baloncesto en silla de ruedas (BSR). El objetivo de este estudio fue detectar la influencia del dolor de hombro (DH) en las habilidades deportivas propias del BSR. 51 jugadores de BSR entre 15 y 42 (21 mujeres, 23, 86 ± 1, 38 años y 30 hombres, 23, 90 ± 1, 46 años) fueron evaluados. El Cuestionario del Dolor de Hombro en BSR se utilizó para determinar el DH en relación a las habilidades específicas del BSR. El género y la edad se compararon mediante la prueba t y ANOVA de un factor, respectivamente. El nivel de significación se estableció en p≤0, 05. 27, 5% de la muestra informó SP en el momento del estudio. Los resultados muestran diferencias significativas de acuerdo al género en relación con DH en habilidades como el tiro, especialmente para las mujeres. No hubo diferencias significativas en función de realizar acciones de rebote y pases largos/una sola mano y otras situaciones propias del BSR. En conclusión, SP podría afectar a las actividades específicas del BSR en función del género, especialmente en las mujeres, por lo que se debe promover la salud del hombro (AU)