Reliability of measurement of active trunk movement in wheelchair basketball players

Marszałek, Jolanta; Molik, Bartosz

doi:10.1371/journal.pone.0225515

Cited by 9 publications

(10 citation statements)

References 36 publications

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“…Straps are the most used aid for athletes. Thighs and chest straps provide more static and dynamic trunk stability, preventing many falls from the wheelchair 13,14 . Although straps are useful in preventing possible traumatic injuries, it seems that these systems would limit the athletic performance.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of Injuries in Wheelchair Basketball: Trauma Versus Overuse Mechanism and Prevention Rehabilitative Strategies

et al. 2023

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IntroductionWheelchair basketball (WB) is one of the most practiced sports among people with disabilities worldwide. There is a lack of data in scientific literature about injuries in sports for disabled people compared with able-bodied sports. The aim of this study is to investigate the epidemiology of injuries in professional WB athletes in an Italian cohort, distinguishing between trauma and overuse lesions and discussing the role of rehabilitation to prevent them.Materials and MethodsThe design is that of a cross-sectional study. An online survey was distributed to a group of Italian WB athletes competing in the first and second division of FIPIC (Wheelchair Basketball Italian Federation). The survey included demographic data, medical diagnoses, and athletes’ injuries history. The sample size consisted of 104 players.ResultsForty-six injuries were reported. Of these, 32/46 (69.6%) were traumatic injuries and 14/46 (30.4%) were overuse injuries. The incidence of tendinopathies and fractures was significantly higher than for other injuries (P < 0.0001). Right shoulder (P < 0.0001), right hand (P = 0.002), and left hand (P = 0.041) injuries incidence was higher than any other injury in a statistically significant manner. The traumatic injuries group had a statistically significant difference in terms of days of suspension from sport activities compared with overuse injuries group (traumatic: median, 30; interquartile range [IQR], 14.5–40.0; range, 1–730 vs. overuse: median, 20.5; IQR, 10–21; range, 1–30; P = 0.006).ConclusionsTrauma injuries are more common than overuse injuries. Injury prevention strategies should be based on rethinking protection devices technologies and integrating sport activities into a tailored rehabilitation global project that considers each athlete’s functional impairment and needs.Clinical RelevanceImplementing the knowledge on WB injuries can really help to reinterpret rehabilitation in a new way, aimed at both the treatment and the prevention of these injuries. This will make this sport safer and more effective in improving the physical skills of people with disabilities.

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Section: Discussionmentioning

confidence: 99%

Epidemiology of Injuries in Wheelchair Basketball: Trauma Versus Overuse Mechanism and Prevention Rehabilitative Strategies

et al. 2023

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“…MDC is useful to characterize the effectiveness of a device to detect changes in the measured variable and can be calculated using the SEM. When computed at the 90% confidence level ( Kolber et al, 2011 ; Marszałek & Molik, 2019 ; Laird, Kent & Keating, 2016 ), MDC is given by: …”

Section: Methodsmentioning

confidence: 99%

A novel virtual reality application for autonomous assessment of cervical range of motion: development and reliability study

Santos-Paz

Sánchez-Picot

Rojo

et al. 2022

PeerJ

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Background Neck pain, one of the most common musculoskeletal diseases, affects 222 million people worldwide. The cervical range of motion (CROM) is a tool used to assess the neck’s state across three movement axes: flexo-extension, rotation, and lateral flexion. People with neck pain often have a reduced CROM, and they feel pain at the end-range and/or accompany neck movements with compensatory trunk movements. Virtual reality (VR) setups can track the movement of the head and other body parts in order to create the sensation of immersion in the virtual environment. Using this tracking position information, a CROM assessment can be performed using a VR setup that may be carried out autonomously from the user’s home. The objectives of this study were to develop a VR experience that could be used to perform a CROM assessment, and to evaluate the intra-rater and inter-rater reliability of the CROM measures guided by this VR experience. To the best of our knowledge, a study of this type has not been carried out before. Materials & Methods A total of 30 asymptomatic adults were assessed using a VR device (HTC Vive Pro Eye™). Two raters provided support with the VR setup, and the participants were guided by the VR experience as they performed the movements. Each rater tested each subject twice, in random order. In addition to a head-mounted display (HMD), a tracker located on the subject’s back was used to measure trunk compensatory movements. The CROM was estimated using only the HMD position and this measurement was corrected using the tracker data. The mean and standard deviation were calculated to characterize the CROM. To evaluate the reliability, the interclass correlation coefficients (ICC) were calculated for intra-rater and inter-rater analysis. The standard error of measurement and minimum detectable change were also calculated. The usability of the VR system was measured using the Spanish version of the System Usability Scale. Results The mean CROM values in each axis of movement were compatible with those described in the literature. ICC values ranged between 0.86 and 0.96 in the intra-rater analysis and between 0.83 and 0.97 in the inter-rater analysis; these values were between good and excellent. When applying the correction of the trunk movements, both the intra-rater and inter-rater ICC values slightly worsened except in the case of the lateral flexion movement, where they slightly improved. The usability score of the CROM assessment/VR system was 86 points, which is an excellent usability score. Conclusion The reliability of the measurements and the usability of the system indicate that a VR setup can be used to assess CROM. The reliability of the VR setup can be affected by slippage of the HMD or tracker. Both slippage errors are additive, i.e., only when the sum of these two errors is less than the compensatory movement do the measurements improve when considering the tracker data.

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“…To find a consensus between using an easy and feasible method to assess trunk function in all directions (the volume of trunk action), not only in flexion and in extension, and giving some quantitative evidences, we found in the literature that video recording of active trunk movement may be more beneficial than isokinetic trunk measurement to evaluate trunk functions (the volume of action) (Curtis, Kindlin, Reich, & White, 1995;Marszalek & Molik, 2019). Curtis et al (1995) video recorded wheelchair users' trunk movements by two cameras (Curtis et al, 1995).…”

Section: Introductionmentioning

confidence: 99%

“…Curtis et al (1995) video recorded wheelchair users' trunk movements by two cameras (Curtis et al, 1995). Marszałek and Molik (2019) found that the Kinect for Windows V2 sensor can be an easy, valid and reliable device to assess the volume of action of wheelchair basketball players (Marszalek & Molik, 2019).…”

Section: Introductionmentioning

confidence: 99%

“…Based on Curtis' et al (1995) and Marszałek and Molik's (2019) suggestions to continue research on the volume of trunk action and its' quantitative description, we decided to use the Kinect for Windows V2 sensor in this study. The aim of this study was to create the map and reference values of the volume of trunk action of wheelchair basketball players and to check if there are differences in results of the volume of trunk action between players from different classes.…”

Section: Introductionmentioning

confidence: 99%

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Active Trunk Movement Assessment as a Key Factor in Wheelchair Basketball Classification – An Original Study

Marszałek

Molik

2021

Acta kinesiol.

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In wheelchair basketball the observation of active trunk movement during a game is done by a qualified panel of classifiers. Players are allocated into one out of eight class. In the past, the map of the volume of action for each class player was created based on classifiers’ experience and knowledge (in qualitative way, without the range of trunk movement). Based on Paralympics’ classification standards there is a need to provide quantitative data for the current classes. The aim of this study was to create the map and reference values of the volume of trunk action of wheelchair basketball players and to check if there are differences in results between players representing different functional classes. The second aim was to investigate if there are significant benefits of using additional equipment with the sport wheelchair like sports straps that help players to achieve the greater volume of trunk action. Sixty-eight players divided into functional classes were asked to perform the maximum active trunk range of movement in three planes, in a sport wheelchair with straps and without straps, that was measured by the Kinect for Windows V2 sensor. The differences in movement was assessed by the t-test or the Wilcoxon test, differences between classes were done by ANOVA and the post hoc Tukey test. The discriminant analysis was calculated. Significant greater volume of trunk action in each plane was noticed in a sport wheelchair with straps (p < .05). There were observed significant differences in trunk movement in three planes between neighboring classes (p < .05). 76.9% original grouped cases were correctly classified. The accuracy of the current classification system in wheelchair basketball was confirmed. The map and reference values of the volume of trunk action will be helpful for all wheelchair basketball stakeholders. Trunk flexion and rotation discriminate the most effectively players. All class players should use appropriately fitted straps around hips during wheelchair basketball game, for safeness and wider volume of action.

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Reliability of measurement of active trunk movement in wheelchair basketball players

Cited by 9 publications

References 36 publications

Epidemiology of Injuries in Wheelchair Basketball: Trauma Versus Overuse Mechanism and Prevention Rehabilitative Strategies

Epidemiology of Injuries in Wheelchair Basketball: Trauma Versus Overuse Mechanism and Prevention Rehabilitative Strategies

A novel virtual reality application for autonomous assessment of cervical range of motion: development and reliability study

Active Trunk Movement Assessment as a Key Factor in Wheelchair Basketball Classification – An Original Study

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