Search Results (66)

This case report documents the multi-season development of a 38-year-old elite F12 shot putter with macular degeneration (<10% functional vision) who improved from 13.00 m to a personal best of 14.41 m between 2021 and 2023. Athletes classified as F11–F13 compete with significant visual impairment that limits spatial feedback during rotational tasks, yet longitudinal evidence describing integrated training frameworks remains scarce. A 12-month macrocycle integrated phase-dependent velocity-based resistance training using mean concentric velocity targets (0.70–1.00 m·s⁻¹) monitored via linear position transducers with a 10% velocity loss threshold, combined with structured auditory and tactile cueing, including metronome pacing and environmental anchors. High-volume warm-ups and prehabilitation addressed a prior L4–L5 disk herniation. The athlete achieved 14.41 m at the 2023 U.S. Para Athletics Trials, with TrackMan^®-verified release velocity of 11.3 m·s⁻¹. Bench throw velocity improved by 35.4% (0.65 to 0.88 m·s⁻¹) and squat jump velocity improved by 22.9% (1.18 to 1.45 m·s⁻¹), while post-session RPE remained manageable, indicating improved neuromuscular readiness and training tolerance. No lumbar symptom recurrence occurred. This case illustrates that integrating velocity autoregulation, multisensory stabilization, and injury-informed preparation can support meaningful performance gains in visually impaired throwers and offers an applied framework for coaches working with F11–F13 athletes. Full article

Optimizing neuromuscular strength and balance is essential for performance and injury prevention in elite Paralympic sport. However, limited evidence describes how these parameters change over time during specific phases of the training season in athletes with lower limb deficiencies. This retrospective case series aimed to describe longitudinal changes in neuromuscular and balance performance during the fundamental preparation period in elite athletes using prosthetic devices. Routinely collected performance data from five international-level Paralympic athletes (Para-swimming and Para-athletics) were retrospectively analyzed across two preparatory observation windows conducted in consecutive competitive seasons. Neuromuscular performance was assessed using countermovement jump variables, while static balance was evaluated through Inertial Measurement Unit-derived sway metrics. Within-athlete changes were examined using descriptive and exploratory analyses. At the group level, changes were observed in selected neuromuscular and balance outcomes over time, including jump height and path length. Individual analyses revealed substantial inter-athlete variability in the magnitude and direction of changes across all outcomes. Overall, the findings indicate that neuromuscular and postural performance may fluctuate meaningfully during preparatory phases in elite athletes with lower limb deficiencies. This study provides exploratory insights derived from real-world training settings and highlights the value of longitudinal monitoring to support individualized performance management in Paralympic sport. Full article

Background: Monitoring health-related variables across a competitive season is essential to understand factors associated with performance in Paralympic athletes. However, evidence on the interplay between sleep, mood states, nutritional factors, injuries, and performance remains limited. Objective: To examine the associations between injuries, sleep parameters, nutritional factors, mood states, and performance in Para powerlifting athletes during a competitive cycle. Methods: Twenty-four athletes from the Brazilian National Para powerlifting team were assessed at three time points: baseline (~3 months pre-competition), pre-competition (upon arrival), and post-competition (day after the event). Data were collected using standardized instruments and analyzed in R. Descriptive statistics, Mann–Whitney U tests, Spearman’s correlations, Friedman tests, and individual delta values (Δ) were applied. Results: No significant between-group differences were observed in pre-competition cross-sectional analyses. Longitudinally, sleep duration was the only variable consistently differing between performance groups. Athletes who matched or improved performance showed greater sleep stability, whereas those who did not improve exhibited larger post-competition increases in sleep duration. Negative mood states decreased over time, and baseline vigor was higher in the higher-performing group. Sleep duration changes were negatively correlated with performance variation (ρ = −0.575, p = 0.003). Conclusions: Sleep duration was the variable most consistently associated with performance variation. Mood changes reflected reduced negative affect over time. Findings support longitudinal monitoring in Para powerlifting, although caution is warranted due to the observational design and small sample. Full article

Background: As Para-Powerlifting (PP) athletes need the maximum bench press concentric strength performance during competitions, the velocity of the eccentric phase could be critical to the sport’s success. Methods: Through eccentric tempo modification, normative, faster, and slower bench press eccentric velocities were tested on 16 experienced PP athletes. Mean propulsive velocity (MPV), maximum velocity (Vmax), and power were measured during a single bench press set at different loads (90% and 100% of 1RM) and tempos. After the bench press set, Maximal isometric force (MIF), rate of force development (RFD), impulse, variability, and maximal average force (MAF) were obtained through an isometric bench press test. Results: Slower and faster tempos were not different in concentric performance than a normative tempo at the 90% 1RM load. A faster tempo generated higher MPV and Vmax than a normative one at the 100% 1RM load. A normative tempo produced higher MIF than a slower tempo, and higher impulse than a faster tempo after a 90% 1RM bench press set. Conclusions: PP athletes seem to have an optimized technique in submaximal loads; however, they may need faster eccentric velocities in the 100% 1RM load to improve their concentric performance. Full article

Paralympic athletes are challenged by unique systemic strain due to impairment-related physiological and psychological stressors. This study aims to synthesize the current evidence regarding post-exercise recovery modalities in Paralympic athletes, providing an overview of their physiological considerations and practical applications. A narrative review was conducted across PubMed/MEDLINE, Scopus, and Web of Science (inception to December 2025). Inclusion criteria prioritized original research on competitive para-athletes evaluated through physiological or performance-based markers. Evidence identifies four critical domains: (1) Thermoregulation: In spinal cord injury (SCI), upper-body cooling is significantly more effective than lower-body strategies for core temperature reduction; objective monitoring of playing time is essential, as subjective perception is unreliable. (2) Systemic recovery: Sleep quality is compromised by secondary complications (e.g., nocturia and spasticity), and heart rate variability (HRV) serves as a sensitive autonomic marker to validate readiness. (3) Neuromuscular restoration: The early-phase rate of force development (RFD ≤ 50 ms) is more sensitive than the peak strength for detecting neural fatigue, particularly in SCI. (4) Contextual modulators: Infrastructure accessibility and psychological resilience are primary determinants of intervention efficacy. Effective recovery in para-sports requires a shift toward “active-assisted” impairment-specific interventions. Future research must validate specialized monitoring tools and longitudinal impacts on long-term health. Full article

Background/Objectives: This study aimed to characterize macro- and micro-morphological properties of the supraspinatus tendon (SST) in para swimmers during the chronic stage of rotator cuff tendinopathy, integrating ultrasound assessments of tendon thickness, peak spatial frequency radius (PSFR) for collagen organization, acromiohumeral distance (AHD), and occupation ratio to evaluate subacromial impingement risk. Methods: In a cross-sectional design, 43 elite para swimmers (aged 18–30 years, S7–S10 classes with lower extremity impairments) from Para Swimming Team Poland were divided into rotator cuff tendinopathy (RC; n = 22) and asymptomatic control (CON; n = 21) groups. Measurements on the dominant shoulder utilized B-mode ultrasound (Alpinion X-CUBE 90) to assess SST thickness at 5, 10, and 15 mm proximal to the greater tuberosity, PSFR via MATLAB-analyzed spatial frequency spectra, AHD, and occupation ratio. Two-way and one-way ANOVAs assessed group and measurement effects (p < 0.05); Pearson correlations examined the relationships between thickness and PSFR. Results: Para swimmers with tendinopathy exhibited greater SST thickness across sites (p < 0.001, η² = 0.63), higher PSFR at all intervals (p ≤ 0.009, η² = 0.53) peaking at 10 mm, wider AHD (p = 0.002, η² = 0.21), and lower occupation ratio (p < 0.001, η² = 0.44) versus controls. Strong positive correlations linked thickness and PSFR proximally (r = 0.75–0.79, p < 0.001). Conclusions: Chronic tendinopathy in para swimmers manifests as thickened SST with collagen disarray, altered subacromial space, and impingement risk, distinguishing pathological from healthy tendons. Integrated ultrasound metrics aid diagnosis and inform interventions for overhead athletes with locomotor disorders. Full article

Para cross-country (XC) skiing has become a prominent sport since its debut at the Örnsköldsvik Winter Olympic Games in 1976. Nevertheless, the lack of studies focusing on standing para XC skiing highlights the need to provide a comprehensive description of this sport, investigating how different prosthetic devices may influence the athletic outcome. In this exploratory case study, the biomechanics of an elite standing para-athlete, with a right-sided transfemoral amputation, was investigated. Tests were performed during diagonal XC skiing on a treadmill, at different speeds and inclinations. Specifically, two different prosthetic feet were compared: the athlete used an Ottobock Genium X3 prosthetic knee with either the Ottobock Taleo or the Ottobock Evanto prosthetic foot. Inertial Measurement Units (IMUs) were employed to estimate joint angles and detect pole hits and lifts. Additionally, data were collected using embedded sensors in the knee prosthesis. Diagonal stride spatiotemporal parameters were further calculated. Results revealed that the Evanto foot significantly increased swing phase duration and hip range of motion, while generating higher knee torque, ankle torque, and axial loading compared to the Taleo foot. This research represents the first application of the employed testing methodology to para standing XC skiing, and it therefore provides a framework for future studies on this discipline. Full article

This study investigated the kinematic characteristics of center of mass (CoM) movement in elite standing para table tennis players during a controlled 20-ball displacement speed test, focusing on displacement, velocity, acceleration, and jerk as indicators of movement coordination and control. Twenty-one national-level athletes (classes 6–11) performed alternating forehand and backhand strokes while three-dimensional motion analysis captured CoM trajectories. The primary aim was to characterize directional CoM kinematics, and the secondary aim was to examine associations with functional ability, stroke accuracy, and expert-rated technical performance. Results indicated that the range of CoM displacement was largest in the medio-lateral direction, reflecting the sport-specific demands of side-to-side repositioning, while mean displacement did not differ significantly between the medio-lateral and antero-posterior axes. Similarly, velocity, acceleration, and jerk ranges were greatest laterally, highlighting the dynamic requirements of lateral movement. Correlation analyses revealed no statistically significant associations between CoM metrics and functional ability, stroke accuracy, or expert-rated performance after Bonferroni correction, though exploratory trends suggested that higher-functioning athletes may exhibit greater lateral displacement. Jerk, as a measure of movement smoothness, did not systematically differentiate performance or functional class. These findings underscore the predominance of lateral CoM control in para table tennis and provide a biomechanical basis for training interventions aimed at improving lateral stability, coordination, and functional efficiency. Full article

Background: Seated shot put is a core Paralympic event in which lower-limb-impaired athletes generate throwing power primarily through the trunk and upper limbs. The configuration of the throwing frame may influence performance stability and biomechanics. This study aimed to evaluate the effect of two seated orientations on throwing performance, kinematics, and within-subject reliability in a Paralympic F55 athlete using markerless motion capture. Methods: A para-athlete F55-class (age: 37 years; body mass: 93 kg; height: 180 cm; training experience: 20 years) performed 20 throws (10 per seat position: perpendicular and 54.5° rotated). Kinematic data were recorded with an eight-camera, 250 Hz markerless motion capture system. Variables included throw distance, trial time, release angle, wrist acceleration and velocity, and torso angular velocities. Reliability was assessed using intraclass correlation coefficients (ICC), standard error of measurement (SEM), coefficient of variation (CV%), Bland–Altman analysis, and ROC curve discrimination. Results: Throw distance did not differ significantly between positions (p = 0.1086), but trial duration was significantly shorter in the rotated position (p = 0.0114). Most kinematic variables showed poor-to-moderate reliability (ICC = −0.51 to 0.40). Bland–Altman and ROC analyses indicated stable performance measures but higher variability in torso motion, with torso rotation (AUC = 0.72) showing the strongest discriminative ability. Conclusions: Seated orientation minimally affected performance but influenced trunk kinematics and reliability, emphasizing the need for individualized biomechanical assessment in Paralympic shot put training. Full article

The purpose of this longitudinal case report was to assess physical fitness changes in world-class shot put para athletes during six months of training. One male (age: 34.8 years; mass: 96.9 kg; height: 1.79 m; sport class: F42), and one female (age: 45.3 years; mass: 60.1 kg; height: 1.64 m: F54) shot put para-thrower were assessed during a 24-week periodized training program, including strength and power training, throws, and plyometrics. Monthly assessments included competitive shot put throwing performance, the medicine ball throw test, and upper-body maximal strength, while body composition was measured before and after the training period. Shot put throwing performance improved by 10.1% and 1.6% for the male and female athletes, respectively. Similarly, performance in the medicine ball throw test increased by 15.2% and 8.4% for the male and female athletes, respectively. Maximal strength increased by 10.3% (male) and 3.3% (female). Body composition changes included an increased lean mass (2.5%) and reduced sum of six skinfolds (−9.8%) in the male athlete, while the female athlete experienced decreased body mass (−2.5%) and skinfolds (−11.7%). World-class shot put para athletes can improve strength and power through a structured periodized training plan. Monitoring strength and performance indicators monthly effectively tracked training adaptations in elite para 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

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: In para-sports, like Cerebral Palsy (CP) Football, athletes must meet a minimum impairment level to ensure fair competition. The classification process traditionally relies on subjective tools like the modified Ashworth Scale, but there is a need for more objective methods. Surface electromyography (EMG) offers quantifiable data on muscle activation, which could enhance the accuracy and fairness of classification in this sport. Objective: The aim of this study is to analyze muscle activation patterns in international CP football players compared to healthy controls, using surface electromyography (EMG). Methods: A cross-sectional, observational case–control study (following STROBE guidelines) was carried out. The final sample consisted of 40 subjects (20 subjects with CP from the Spanish National Team and 20 semi-professional able-bodied football players). The muscle activation of the soleus, adductor magnus, and biceps femoris was evaluated at baseline and in maximum isometric contraction in both dominant/unaffected and non-dominant/affected lower limbs. Results: The main result of this study was that the affected lower limbs of the experimental group showed higher muscle activation at baseline compared to those of the control group (p < 0.001). On the other hand, when a maximum isometric contraction was requested, muscle activation was greater in the control group in both lower limbs. There was greater asymmetry between both muscle groups in the experimental group. Conclusions: Surface electromyography could be a useful tool to be used in the assessment of muscle activity in subjects with CP with an applicability in para-sport, making it possible to obtain differences between both hemispheres when there is upper motor neuron involvement. 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

As the field of prosthetic engineering advances, questions around whether these new prosthetics hold the ability to outperform biological limbs become more relevant. To further clarify such a debate and discover gaps in our understanding, a narrative review of the present literature on this topic is needed. The purpose of the present review was to explore whether prosthetic legs grant amputee athletes an unfair advantage over traditional athletes by reviewing 11 articles pertaining to the running performance and potential among athletes with transtibial amputations. The findings of the included articles were categorized into three domains of running performance, chosen due to their precedence in the current literature: propulsion forward, limb repositioning, and physiological limitations. Our review indicated that the present literature alludes to transtibial amputee runners having a potential competitive advantage over able-bodied runners, with the caveat that some performance domains appear not to be differentiated. The present findings offer a unique perspective on understanding the impact of prosthetics on the running performance among para-athletes and suggest future research directions. As the depth of this area of literature increases, future systematic reviews and meta-analyses may be able to answer with greater certainty whether transtibial prosthetics allow for supra-biological running performances. Full article