Search Results (106)

Background: Dietary advice for Paralympic athletes (PAs) with a spinal cord injury (PAs-SCI) requires particular attention and has been widely studied. However, currently, no particular attention has been addressed to nutritional guidelines for athletes with an amputation (PAs-AMP). This study aimed at filling up this gap, at least partially, and compared veteran PAs-SCI with PAs-AMP. Methods: A sample of 25 male PAs (12 with SCI and 13 with AMP), recruited during two training camps, was submitted to the following questionnaires: allergy questionnaire for athletes (AQUA), Nordic Musculoskeletal Questionnaire (NMQ), Starvation Symptom Inventory (SSI), neurogenic bowel dysfunction (NBD), orthorexia (ORTO-15/ORTO-7), alcohol use disorders identification test (AUDIT), and Mediterranean diet adherence (MDS). The PAs were also submitted to the following measurements: dietary Oxygen Radical Absorbance Capacity (ORAC) and intakes, body composition, handgrip strength (HGS), basal energy expenditure (BEE), peak oxygen uptake (VO_2peak), peak power, peak heart rate (HR), post-exercise ketosis, and antioxidant response after a cardiopulmonary exercise test (CPET) to voluntary fatigue. Results: Compared to PAs-AMP, PAs-SCI had higher NBD and lower VO_2peak (p < 0.05), peak power, peak HR, peak lactate, phase angle (PhA) of the dominant leg (p < 0.05), and ORTO15 (p < 0.05). The latter was related to NBD (r = −0.453), MDS (r = −0.638), and ORAC (r = −0.529), whereas ORTO7 correlated with PhA of the dominant leg (r = 0.485). Significant differences between PAs-AMP and PAs-SCI were not found in the antioxidant response, glucose, and ketone levels after CPET, nor in dietary intake, AUDIT, AQUA, NMQ, SSI, BEE, HGS, and FM%. Conclusions: The present study showed that PAs-SCI and PAs-AMP display similar characteristics in relation to lifestyle, energy intake, basal energy expenditure, and metabolic response to CPET. Based on both the similarities with PAs-SCI and the consequences of the limb deficiency impairment, PAs-AMP and PAs-SCI require personalized nutritional advice. Full article

Background/Objectives: In powerlifting, velocity indicators and skin temperature have been utilized to control training loads for both conventional athletes and athletes with disabilities. Therefore, the present study evaluated maximum velocity (Vmax), mean propulsive velocity (MPV), power (POWER) output, and skin temperature (ST) following a 5 × 5 training session at 80% of one-repetition maximum (1RM) in conventional powerlifters (CP) and paralympic powerlifters (PP). Methods: A total of 24 male athletes (12 CP and 12 PP) underwent a 5 × 5 training session at 80% 1RM. Post-session, velocity indicators, power output, and ST were assessed at 45% 1RM. Results: Only the CP group exhibited significant differences in Vmax (p < 0.015), MPV (p < 0.007), and power output (p < 0.022) between time points. Regarding ST, only the PP group showed differences (p < 0.004) in the sternal portion of the pectoral major. For the long head of the triceps brachii, differences were observed between groups in the post-session measurement (p > 0.024) and for the PP group only in the post-session measurement (p < 0.002). Conclusion: This study demonstrated that in following a traditional training session (80% 1RM), assessments at 45% 1RM revealed different effects in velocity, power output, and ST measures between CP and PP groups. These findings suggest that within the same sport discipline, training variables may have distinct impacts across different categories of athletes, and further research is needed to evaluate these different responses. Full article

Background: Sports scientists have increasingly used point-of-care methods for training load management, and blood gas analysis has shown promise in this area. However, the reproducibility of this method in high-performance athletes remains unproven. Objective: The aim of this study was to verify the reliability of acid-base variables at rest in high-performance Paralympic sprinters. Methods: Seven athletes participated, including four with visual impairments (class T12 and T13) and three with physical impairments. Approximately 500 µL of capillary blood was obtained from the fingertip and analyzed in triplicate (Samples 1, 2, and 3) using the Epoc System^® (Ottawa, ON, Canada) to measure pH, carbonic dioxide partial pressure (pCO₂), bicarbonate ion (HCO₃⁻), base excess (BE), hematocrit (Hct), hemoglobin concentration (Hb), creatinine (CRE), and urea concentration (URE). Results: No differences were found for any parameter (p > 0.05). The imprecision of the method ranged from 0.1% for blood pH to 6.1% for BE. Pearson’s analysis showed strong and significant relationships between all variables analyzed (p < 0.05). The degree of consistency among samples also indicated excellent reliability of measurements, ranging from 0.88 for Hb to 1.00 for URE. Conclusions: These results indicate that acid-base status measurements using point-of-care demonstrated excellent reliability in high-level athletes, supporting sports scientists and coaches for athlete training and management. Full article

Wheelchair tennis (WT) is a Paralympic sport designed for athletes with physical impairments. Assessing physical fitness characteristics using appropriate field-based tests and standardized protocols is essential for individualized training, injury prevention, and performance monitoring. However, there is currently limited information on which field-based tests are most suitable and how they should be applied in WT athletes, resulting in inconsistency across studies and practical use. Establishing a standard operating procedure (SOP) enables replicable, cost-effective testing routines that improve data consistency and comparability. We conducted a scoping review to synthesize the existing evidence on field-based physical fitness assessment in WT athletes and to propose a structured SOP for these tests. A comprehensive search was conducted in three electronic databases—NLM PubMed, Web of Science, and Scopus—using predefined keywords and Boolean operators. The inclusion criteria were limited to peer-reviewed, English-language original articles focusing exclusively on field tests in WT athletes. Studies with other populations, reviews, and abstracts were excluded. Eleven studies met the eligibility criteria. This scoping review identified various field tests assessing key fitness components, including cardiorespiratory endurance, muscle strength, agility, and body composition. The most frequently employed tests were the 20 m sprint test, isometric handgrip test, spider test, Illinois Agility Test, and skinfold thickness. These findings highlight the lack of standardized fitness assessments in WT. The proposed SOP offers a practical step toward consistent, replicable, and relevant evaluation in these athletes. Full article

Emotional processes and sleep quality have become fundamental aspects of performance in Paralympic sports among elite and youth athletes. The objective of this study was to compare levels of depression, stress, anxiety, and sleep quality among youth and adult athletes with cerebral palsy (CP) belonging to the national CP Football team in Chile. A total of 10 adult and 12 youth national team athletes participated, completing the DASS-21, Pittsburgh Sleep Quality Index, and Epworth Sleepiness Scale questionnaires. The athletes were competing in their respective categories at the 2024 Parapan American Games. A cross-sectional design was used to compare the parameters of depression, stress, anxiety, and sleep quality of youth and adult male athletes with CP of a national team selected to compete in a regional event. Significant differences were found where young athletes had lower levels of depression (χ² = 4.77, p = 0.02, OR = 11.0) and anxiety (χ² = 6.71, p = 0.01, OR = 16.5). Similar differences could be observed in favor of young athletes in sleep latency (p = 0.04; d = 0.34), bedtime (p = 0.02; d = 0.20), total hours of sleep (p = 0.04; d = 0.10), subjective sleep quality (p = 0.002; d = 0.56), and objective sleep quality (p < 0.001; d = 0.65). This study suggests that adult para-athletes from a national CP Football team exhibit higher levels of depression and anxiety compared to their youth counterparts. Additionally, objective and subjective measures show that adults experience poorer sleep quality. These findings highlight the need for targeted interventions by psychological support teams, aiming to enhance athlete performance by promoting healthy habits that address these mental health challenges. Full article

The aim of the study was to verify the relationship between musculoskeletal pain of elite Polish goalball players and selected physique and posture characteristics. We examined 12 players. The mean age was 21.8 ± 6.0 years, and a mean training experience of 6.3 ± 3.4 years. Physique (body mass, body height, waist circumference, fat tissue, fat-free soft tissue) and posture (thoracic kyphosis and lumbar lordosis) and range of motion (in the thoracic and lumbar regions) were assessed. The incidences and locations of musculoskeletal pain were identified using the Nordic Musculoskeletal Questionnaire, covering the period from the last seven days (NMQ-7) and six months (NMQ-6). Due to the small group size, non-parametric tests (Spearman’s rank correlation) were used. The significance level was set at p < 0.05. Players were more likely to report musculoskeletal pain in the last six months than in the previous week. Pain reported in both NMQ6 and NMQ7 was most common in the wrists/hands and lower back, and, in NMQ6, also in the shoulders and ankles/feet. There were significant negative correlations of total NMQ7 with lumbar lordosis angle in the habitual standing position (R = −0.6; p = 0.04), trunk flexion (R = −0.8, p = 0.002), and trunk extension (R = −0.6; p = 0.03), and a positive correlation with thoracic kyphosis angle in trunk flexion (R = 0.8, p = 0.005). There was a statistically significant, inversely proportional relationship of thoracic kyphosis angle values in the habitual position (R = −0.58; p = 0.049) and thoracic kyphosis angle THA in trunk flexion (R = −0.6; p = 0.038) with time of disability. Relationships between some body posture parameters and musculoskeletal pain in the studied athletes were also noted. Full article

Introduction: Para-cycling is a competitive sport governed by the World Body for Cycling, Union Cycliste Internationale (UCI), encompassing various cycling disciplines tailored to athletes with physical or visual impairments. This study aimed to prospectively monitor the incidence of injury and illness in Para cyclists during the 2024 Paralympic season. Methods: This prospective, observational study included ten professional Para cyclists (five male, five female) with impairments ranging from spinal cord-related, neuromuscular, and musculoskeletal conditions to vision impairment. The definitions of an ‘athlete health problem’, ‘injury’, and ‘illnesses’ followed the Para sport translation of the IOC consensus. Injury and illness data were collected weekly using the Oslo Sports Trauma Research Centre Questionnaire on Health Problems V2 (OSTRC-H2), with the addition of subjective markers of well-being and training load, between February 2024 and October 2024. All medical contacts for any injury or illness were logged in line with consensus statement recommendations. Results: The OSTRC-H2 questionnaire had a response rate of 76.5% (±12.2%, range 55–88%) across the 35 weeks. Athletes reported 7.36 (95% CI: 5.41–9.46) health problems per 365 days, with a medical attention rate of 5.56 (95% CI: 3.91–7.36) per 365 days. The overall injury rate was 1.94 per 365 athlete days (95% CI: 1.23–2.93), with a higher incidence in males (2.44, 95% CI: 1.53–3.67) than in females (1.51, 95% CI: 0.68–2.95). Conversely, illness rates were higher in females (5.40, 95% CI: 3.00–8.11) than in males (1.80, 95% CI: 0.60–3.30), with an overall illness rate of 3.60 per 365 days (95% CI: 2.29–5.10). Conclusions: This is the first study to present prospective injury and illness epidemiology rates in Para cyclists in combination with subjective well-being markers. The findings underscore the importance and feasibility of longitudinal health monitoring in Para cyclists, ensuring that both physical and mental health concerns are systematically tracked and addressed. This enables a proactive, multidisciplinary support system to respond effectively to fluctuations in well-being, particularly during periods of injury or illness. Full article

Background: High-intensity interval training (HIIT) is an effective and efficient method for training Paralympic athletes with cerebral palsy, particularly in intermittent sports and those requiring aerobic and anaerobic capacity, speed, and strength to delay fatigue onset and optimize athletic performance. Objectives: This study aimed to analyze the effects of four weeks of HIIT on the estimated VO₂max, anaerobic power, and athletic performance in cyclists with cerebral palsy. Materials and Methods: This quasi-experimental study included three male athletes (Athletes A, B, and C) with cerebral palsy from the Paracycling Departmental Commission of Cauca, Colombia. The estimated VO₂max was assessed using an incremental test on a cycling ergometer. Anaerobic power was measured using the 30 s long Wingate Anaerobic Test (WAnT_30 s. Specific performance was evaluated with an individual time trial of 14 km for class T1 and 20 km for class T2. HIIT training was performed on a cycling ergometer over four weeks (two sessions per week). The training intensity was based on watts (W) measured in the incremental test for long HIIT sessions and in the WAnT_30 s test for short HIIT sessions. The training load was monitored through heart rate (HR) responses and the subjective perceived exertion (RPE) at the end of the training. Results: After the HIIT intervention, percentage changes in the estimated VO₂max were observed in Athlete A (+7%) and Athlete C (+9.4%). In the WAnT_30 s, there were increases in the maximal and mean power in Athlete A (>31%, 282.3 vs. 370.4 W), Athlete B (>15%, 272.5 vs. 312.6 W), and Athlete C (>9%, 473.7 vs. 516.2 W). Individual time trial performance improved, with reduced completion times for Athlete A (−6.7%, 2492 vs. 2325 s), Athlete B (−3.7%, 2486 vs. 2390 s), and Athlete C (−3.7%, 2775 vs. 2674 s). Conclusions: This study found that eight sessions of high-intensity interval training (HIIT) over a four-week period had a positive effect on the estimated VO₂max in Athletes A and C. Moreover, all three paracyclists demonstrated improvements in their maximal and average power output during the 30 s Wingate Anaerobic Test (WAnT_30 s), as well as enhanced performance in the time trial test. Full article

Background/Objectives: In recent years, awareness has been growing regarding the needs of female athletes with physical impairments. Despite the importance from both health and performance perspectives of assessing body composition in this athletic population, there is limited literature focusing on this topic. This study explored whole-body and regional three-compartment body composition in female athletes with a physical impairment to assess the impact of impairment and sex on body composition parameters in this population. Methods: Twenty female athletes with a physical impairment were pair-matched by age with an able-bodied female athlete and a male athlete with a comparable physical impairment. All athletes underwent whole-body scanning with dual-energy X-ray absorptiometry. Results: Female athletes with physical impairments showed body composition changes including higher amounts of fat mass, particularly in the lower body regions. Among athletes with a physical impairment, sex showed an independent effect on whole-body composition, with females showing higher fat mass and lower lean mass and bone mineral content compared with males, especially in the legs. Conclusions: Female athletes with physical impairments had a distinct body composition profile, characterized by sex-specific distribution of body tissue at the regional level. Nutritional and training strategies aimed at optimizing body composition in female athletes with physical impairments should be specifically tailored to meet the needs of this athletic population. Full article

(1) Background: The recovery method is important and decisive in the training system. This study aimed to assess the effects of various post-training recovery methods on muscle damage and strength indicators in Paralympic powerlifting athletes. (2) Methods: A crossover study was conducted involving eleven male athletes (25.4 ± 3.3 years, 70.3 ± 12.1 kg). Muscle damage was assessed using blood biochemical markers (cytokines IL-6, IL-10, and TNF-α) and isometric force indicators, including the maximum isometric force (MIF), time to MIF, and Rate of Force Development. The following assessments were performed before, immediately after, and at 24 and 48 h after the recovery protocol: (a) passive recovery (RP) or (b) cold-water immersion (CWI). (3) Results: The main results indicated that maximum isometric force (MIF) significantly improved after 48 h of CWI application (p < 0.05; for all comparison). The analysis of biochemical markers did not yield significant differences between the recovery methods at different time points (p > 0.05). For IL-6, there were significant differences between CWI before (2.29 ± 1.08, 95% CI 1.57–3.01) and CWI 2 h later (2 h) (4.59 ± 2.96, 95% CI 2.60–6.57; p = 0.045), and between CWI 15 min later (15 min) (4.14 ± 2.24, 95% CI 2.63–5.64) and CWI 48 h later (48 h) (2.33 ± 1.25, 95% CI 1.49–3.17; p = 0.034). There were differences between CWI 2 h (4.14 ± 2.24, 95% CI 2.63–5.64) and CWI 48 h later (2.33 ± 1.25, 95% CI 1.49–3.17; p = 0.035; F = 9.202; η²p = 0.479; high effect). (4) Conclusions: CWI significantly improved the post-resistance training muscle damage and strength in Paralympic powerlifting athletes. Full article

The personality traits of top judo referees are crucial for fair decision-making in elite competitions, shaping the experience for athletes, coaches, and spectators. This study examines potential differences in personality traits among 63 referees from the World Judo Tour between 1 January 2018 and 31 December 2022. Factors analyzed include completing the IJF Academy course Level 1, elite athlete status, number of officiated events, performance ratings, and participation in the Olympic or Paralympic Games. Our research shows that older referees tend to exhibit greater extraversion, whereas less experienced officials show lower levels of this trait. Referees with limited experience generally demonstrate higher agreeableness than their more experienced counterparts. Female referees and those with top performance ratings display greater conscientiousness than male referees. Completing the IJF Academy course is associated with lower neuroticism, while lower performance ratings are linked to higher neuroticism. Openness tends to decrease with increased officiating experience, with less experienced referees showing higher levels of this trait. In conclusion, competitive experience, training completion, and officiating tenure are associated with specific personality traits among judo referees, highlighting the importance of continuous training for effective officiating. The analysis of personality traits revealed no statistically significant differences between male and female referees in the dimensions measured by the BFI (Big Five Inventory). This indicates that the levels of extraversion, agreeableness, conscientiousness, neuroticism, and openness were similar for both genders, with no significant variation in how these traits were expressed. Full article

Background/Objectives: The triple jump is included in the Paralympic Athletics competition. The aim of the research was to examine the relationship of the phase ratios and the inter-limb asymmetry in the spatiotemporal parameters of the approach run in Paralympic and international-level Class T46/T47 triple jumpers. Methods: Eleven Class T46/T47 male athletes were recorded during the examined competitions. Step length (SL), frequency (SF), and average velocity (ASV) for the late approach run as well as the length and the percentage distribution of each jumping phase (hop, step, jump) were measured using a panning video analysis method. The inter-limb asymmetry was estimated using the symmetry angle. Results: No significant inter-limb asymmetry was found (p > 0.05). In addition, SL, SF, and ASV were not different (p > 0.05) between the steps initiated from the ipsilateral and the contralateral leg regarding the impaired arm. However, the direction of asymmetry for SF was towards the ipsilateral leg to the impaired arm in the majority of the examined athletes. The maximum speed of the approach was correlated with the triple jump distance and the magnitude of asymmetry for AVS was correlated with the vertical take-off velocity and angle for the step. Conclusions: Since the distance of the triple jump related with the peak approach speed added the negative correlation of peak approach speed with the magnitude of the symmetry angle for SL, it is suggested to minimize the asymmetries in the step characteristics during the approach run to improve triple jump performance in Class T46/T47 jumpers. Full article

This paper aims to investigate and analyze the correlation between diaphragmatic parameters through ultrasonography and sports performance in various sports disciplines. This systematic review followed the PRISMA methodology. The search strategy was applied in the Medline database through Ovid, EMBASE, LILACS, the Cochrane Central Register of Controlled Trials, and Open Gray. Clinical trials, cohort, case–control, and cross-sectional studies were included, and animal experiments were excluded. A total of 388 studies were identified. After removing duplicates and screening titles and abstracts, sixteen studies were selected for full review, and six were included in the qualitative analysis. The results demonstrated a positive correlation between diaphragm excursion and thickness during inspiration with the anaerobic power, highlighting their importance in high-intensity performance. Additionally, one study reported a positive correlation between diaphragm thickness and aerobic power, suggesting the need for further research. The impact of inspiratory muscle training in Paralympic athletes was also evaluated, providing valuable insights into diaphragmatic adaptation in disabled populations. Ultrasonography is a feasible tool for evaluating the structure and function of the diaphragm, the main element of the respiratory process during sports practice. Its use could contribute to the evaluation and planning of sports training and be a possible indicator of performance improvement. Full article

Variable resistance training has been widely used in athletic preparation. Objectives: To analyze the use of currents (VRT) and the traditional method (TRAD) on speed, power and temperature in a training session. Methods: Fourteen paralympic powerlifting (PP) athletes took part over three weeks. In week 1, familiarization and 1RM tests took place, and, in weeks 2 and 3, pre- and post-training took place, where the propulsive mean velocity and power and temperatures were assessed before and after, at 24 h and 48 h. Results: There was a difference in the sternal pectoral temperatures before and after VRT (p = 0.040) and at 48 h for TRAD and VRT (p = 0.018); in the clavicular pectoralis before and after VRT and TRAD (p = 0.003); in the anterior deltoid after and at 48 h for TRAD and VRT (p = 0.026 and p = 0.017); and in the triceps after and at 24 h and 48 h between TRAD and VRT (p = 0.005). In the training series, the MPV was significant in TRAD between Set1 and Set5 (p = 0.003), in training (VRT) between Set1 and Set5 (p = 0.001) and in Set5 between the methods (p = 0.047). For power, there was a difference between Set1 and 5 in TRAD (p = 0.016) and VRT (p = 0.002). Conclusion: We conclude that training with currents (VRT) promoted greater muscle fatigue when compared to traditional training. Full article

This study aimed to compare neuromuscular fatigability of the elbow flexors and extensors between athletes with amputation (AMP) and athletes with spinal cord injury (SCI) for maximum voluntary force (MVF) and rate of force development (RFD). We recruited 20 para-athletes among those participating at two training camps (2022) for Italian Paralympic veterans. Ten athletes with SCI (two with tetraplegia and eight with paraplegia) were compared to 10 athletes with amputation (above the knee, N = 3; below the knee, N = 6; forearm, N = 1). We quantified MVF, RFD at 50, 100, and 150 ms, and maximal RFD (RFDpeak) of elbow flexors and extensors before and after an incremental arm cranking to voluntary fatigue. We also measured the RFD scaling factor (RFD-SF), which is the linear relationship between peak force and peak RFD quantified in a series of ballistic contractions of submaximal amplitude. SCI showed lower levels of MVF and RFD in both muscle groups (all p values ≤ 0.045). Despite this, the decrease in MVF (Cohen’s d = 0.425, p < 0.001) and RFDpeak (d = 0.424, p = 0.003) after the incremental test did not show any difference between pathological conditions. Overall, RFD at 50 ms showed the greatest decrease (d = 0.741, p < 0.001), RFD at 100 ms showed a small decrease (d = 0.382, p = 0.020), and RFD at 150 ms did not decrease (p = 0.272). The RFD-SF decreased more in SCI than AMP (p < 0.0001). Muscle fatigability impacted not only maximal force expressions but also the quickness of ballistic contractions of submaximal amplitude, particularly in SCI. This may affect various sports and daily living activities of wheelchair users. Early RFD (i.e., ≤50 ms) was notably affected by muscle fatigability. Full article