The impact of trunk impairment on performance of wheelchair activities with a focus on wheelchair court sports: a systematic review

Altmann, Viola C.; Hart, Anne; Vanlandewijck, Yves; Limbeek, Jacques van; Hooff, Miranda L. van

doi:10.1186/s40798-015-0013-0

Cited by 18 publications

(18 citation statements)

References 45 publications

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“…There is no consensus when an article may be indicated as high or low; however, previous research has shown that observational studies published in high-quality journals contain an average of 69% of the STROBE items [12]. Consistent with this study and other studies who support this interpretation [13,14], a minimum of 15 (69%) reported items out of 22 indicated "high quality", and lower than 15 out of 22 indicated "moderate-to-low quality".…”

Section: Quality Assessmentsupporting

confidence: 80%

Association between morning symptoms and physical activity in COPD: a systematic review

et al. 2017

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Morning symptoms are common in chronic obstructive pulmonary disease (COPD). Many COPD patients consider the morning as the most troublesome part of the day, in which they experience more symptoms and physical activity limitations.To systematically report evidence of the association between morning symptoms and physical activity in COPD patients, a literature search was conducted using relevant MESH terms and text words in PubMed, Embase, Web of Science, COCHRANE, CINAHL and PsycINFO. Quality of the articles was assessed with validated checklists.Eight studies were included. Morning symptoms were present in 39.8-94.4%. In 37.0-90.6% of all COPD patients, there was an association between physical activity and morning symptoms. However, causality could not be proved. Morning symptoms were associated with a sedentary lifestyle (p<0.05). Treatment in line with the guidelines improved the degree of activity limitations due to morning symptoms (p<0.0001).Across all disease stages, COPD patients experience morning symptoms which are negatively associated with physical activity. Physicians should consider morning symptoms as a treatment goal. Pharmacotherapy may improve the degree of activity limitations due to morning symptoms. More objective research should focus on symptoms, activity limitations and physical inactivity of COPD patients, especially in the morning.

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Section: Quality Assessmentsupporting

confidence: 80%

Association between morning symptoms and physical activity in COPD: a systematic review

et al. 2017

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“…However in this research, we will focus on trunk impairment, measured by the newly developed TIC. The reliability of the TIC and the validity with regard to biomechanical trunk impairment have been established (Step 1 in evidence‐based classification) (Altmann et al., , ). The second and the third steps in research for evidence‐based classification need to be taken.…”

mentioning

confidence: 99%

The impact of trunk impairment on performance‐determining activities in wheelchair rugby

Altmann

Groen

Hart

et al. 2016

Scandinavian Med Sci Sports

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In Paralympic sport, classification of impairment is needed to prevent a one-sided and predictable outcome of competition, in which the least impaired athlete has the best chance to win. To develop evidence-based classification in wheelchair rugby, the impact of trunk impairment, measured by the Trunk Impairment Classification (TIC), on performance-determining activities was assessed. Arm impairment was analyzed as a covariant. Fifty-five athletes, 21 with TIC score 0, 13 with TIC score 0.5, 11 with TIC score 1.0, and 10 with TIC score 1.5 performed standardized sport-specific activities. A multiple step forward regression analysis was performed for all activities to assess the relative impact of trunk and arm impairment on performance. Trunk impairment was the most important factor for tilting the chair and acceleration in the first 2 m. The explained variance of the performance by trunk and arm impairment ranged from 23% for acceleration in the first meter, to 37% for sprint momentum, the tilt test left, and the time to cover 3 and 4 m. This study shows that athletes with limited trunk impairment are more proficient in wheelchair rugby than athletes with severe trunk impairment.

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“…For step 3, the direct relation between impairment and the performance of standardized activities in wheelchair rugby needs to be assessed, and the outcome measures need to be ratio scaled . After consulting athletes and stakeholders, the International Wheelchair Rugby Federation (IWRF) decided to modify the classification system to an EBC system using a step‐by‐step approach, starting with EBC of trunk impairment …”

Section: Introductionmentioning

confidence: 99%

Classifying trunk strength impairment according to the activity limitation caused in wheelchair rugby performance

Altmann

Groen

Hart

et al. 2017

Scandinavian Med Sci Sports

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International Federations in Paralympic sports should develop evidence-based classification, based on the relative strength of association between impairment and activities that determine sport-specific performance. The purpose of the current study was to assess the relationship between trunk strength impairment and three activities that determine performance in wheelchair rugby, and to determine whether this relationship supports the concept of "natural classes." Trunk muscle strength and three determinants of performance were assessed in 27 athletes. The correlations between lateral trunk muscle strength and the determinant tilting the chair, and between forward trunk muscle strength and the determinants 1 m acceleration and sprint momentum were calculated. To group athletes based on impairment, K-means cluster analysis was used to group athletes according to how much trunk muscle strength affected the activities. There were significant, moderate to strong correlations between left-right strength and chair tilting (r=.50), between forward strength and 1 m acceleration (r=.59), and between forward strength and sprint momentum (r=.79). Cluster analysis indicated at least one cut-point in performance with a decrease in impairment in all three wheelchair activities, supporting the concept of "natural classes."

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The impact of trunk impairment on performance of wheelchair activities with a focus on wheelchair court sports: a systematic review

Cited by 18 publications

References 45 publications

Association between morning symptoms and physical activity in COPD: a systematic review

Association between morning symptoms and physical activity in COPD: a systematic review

The impact of trunk impairment on performance‐determining activities in wheelchair rugby

Classifying trunk strength impairment according to the activity limitation caused in wheelchair rugby performance

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