Search Results (10)

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

This study aimed to compare in-match physical and technical requirements of cerebral palsy (CP) football players across different national and international competitive contexts. A total of 79 male outfield players participated in 62 official matches across 3 competitive phases of the Spanish National CP Football League (Regular Phase, Consolation Phase, and Playoffs) and the IFCPF World Cup. Inertial measurement units (IMUs) were used to record locomotor and technical variables during each match. A subset of 10 players was tracked across all phases. Physical demands were normalized per minute of play and analyzed using one-way and repeated-measures ANOVAs. Results revealed that physical requirements during the World Cup were up to three times higher than during national-level matches, with significantly greater maximum velocities, high-intensity distances, and frequencies of accelerations and decelerations (p < 0.001, ηp² > 0.40). Playoffs also imposed significantly greater physical requirements compared to Regular and Consolation Phases. International matches showed a markedly higher number of ball contacts, indicating increased technical involvement. These patterns were consistent in both the full sample and the longitudinal subsample, suggesting that competitive level—rather than player characteristics alone— strongly modulates physical output during the competition. These findings underscore the need for context-specific training and load management strategies to prepare athletes for the elevated demands of high-level CP football competition. 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: Classification of athletes in cerebral palsy (CP) football is a key action that aims to promote the participation of all players by minimizing the impact of their physical disabilities on the outcome of the competition by establishing sports classes. As such, a new research line has been included in the classification process at an international level; that is, the analysis of locomotor demands during competition helps classifiers to understand the para-footballers’ profile. Therefore, the main aim of this systematic review was to summarize the physical and physiological responses of players with CP in different sport classes during competition. Methods: A bibliographic search was conducted using PubMed, SCOPUS, and Web Of Science databases following Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines using the PICOS strategy. Results: Six studies meeting inclusion criteria analyzing physical (i.e., total distances, distances at different speeds, high-intensity and short-term actions, change of directions, etc.) and physiological (heart rate (HR), time spent at different zones of maximum HR, etc.) responses. Findings revealed that para-footballers with CP and minimal impairment impact covered greater total and distance above 23.04 km·h⁻¹ and achieved higher maximum speeds during match-play. Notably, no significant differences in physiological responses were observed based on classification. Conclusions: The research suggests that para-footballers with CP and lower physical impairment may exhibit enhanced performance in terms of distance covered and speed during gameplay, highlighting their potential competence in the sport. In addition, the limited number of studies examining the physiological response of para-footballers prevents conclusive results and differentiating between classification groups. Full article

Football for people with cerebral palsy is a para-sport involving ambulant athletes with impairments, such as hypertonia, ataxia, or athetosis. The objective of the present study was to describe the somatotype of a representative sample of international football players according to different functional profiles of cerebral palsy, including spastic diparesis, athetosis/ataxia, spastic hemiparesis, and minimum impairment criteria, and to compare it with non-disabled football players. A total of 144 international para-footballers and 39 non-disabled footballers participated in the study, and their somatotype was calculated using anthropometric measurements. A Kruskal–Wallis test was used to compare the groups to determine and assess the differences between the different functional profiles, and the analysis of anthropometric variables and body composition showed no differences. Regarding somatotype, a predominance of the mesomorphic component was observed in all subgroups, and differences in somatotype were also found between non-disabled footballers and para-footballers with spastic hemiparesis and minimum impairment criteria. This study suggests that there may be a degree of homogeneity in terms of somatotype among footballers with or without physical impairments, such as hypertonia, athetosis, or ataxia. Furthermore, it provides reference values of international-level para-football players for the different sport classes, which can help coaches and trainers monitor athletes’ physical conditions. Full article

This study aimed to determine the rated perceived exertion (RPE) and match load (RPE-ML) to compare pre-post-match vertical jump (VJ) capacity according to cerebral palsy (CP) players’ sport classes (i.e., FT1–FT3) and playing positions and to explore whether the neuromuscular performance variation is associated with the internal load of para-footballers with CP. Fifty-six male para-footballers performed two VJ tests before and immediately after a competitive CP football match, followed by measurements of the players’ RPE and RPE-ML. There were no significant differences (p > 0.05) in the pairwise comparisons for RPE and RPE-ML according to sport classes and playing position. A significant reduction in the VJ performance was found for each player sport class and playing position in squat jump (SJ) (p < 0.01; 0.24 < d_g < 0.58) and countermovement jump (CMJ) (p < 0.05; 0.22 < d_g < 0.45). Regarding the pairwise comparisons, players with the minimal impairment criteria (FT3) obtained higher deficit scores during SJ than those belonging to the FT1 and FT2 (p = 0.003; 1.00 < d_g < 1.56). Defenders experienced the lowest performance compared to midfielders and attackers in SJ performance (p = 0.027; 0.94 < d_g < 1.28). Significant correlations were obtained between ΔSJ or ΔCMJ and RPE or RPE-ML (r = −0.58 to −0.75; p < 0.001). These findings provide novel information supporting the notion that fatigue induced after a competitive match causes notable impairments in VJ performance differentiated according to sport class and playing position in para-footballers with CP. Full article

This study aimed (1) to determine the appropriateness of using decision trees as a classification tool for determining the allocation of sport classes of para-footballers with “moderate vs. mild” cerebral palsy (CP) profiles of spastic diplegia/hemiplegia and ataxia/athetosis based on observational outcomes by international classifiers, and (2) to identify what key observational features were relevant to discriminating among different impairment levels. A sample of 16 experienced international classifiers from five world regions participated in this study, observing activity limitation of a final sample of 21 international CP footballers when performing 16 gross-motor and sports-specific tests for balance (n = 3), coordination (n = 5), running, accelerations and decelerations (n = 3), jumping (n = 4), and change of direction ability (n = 1). For the overall sample (336 observations), the model included eight decision nodes and 24 branches with 17 leaves, including side-step, side-stepping, and triple hop as the tests with the best sensitivity (precision = 67.0%). For those with spastic diplegia (64 observations: Two nodes, six branches with five leaves), the range of motion in the side-step test and the balance in the tandem walk tests correctly classified 89.1% of the observations. In those with athetosis and ataxia (96 observations), the model included five nodes, 15 branches, and 11 leaves (176 observations, precision = 86.5%). For those with spastic hemiplegia, a model containing two nodes, six branches, and five leaves had 90.9% accuracy, including observational features of balance in the side-step test and symmetry in the side-stepping test. The observational tool used in this study, based on the impact of specific impairment measurements of hypertonia, athetosis, and ataxia, can be used to determine which assessments are more appropriate for discriminating between functional profiles in para-footballers with CP. Full article

Cerebral palsy (CP) football is a team para-sport practiced by para-athletes with eligible impairments of hypertonia, athetosis, and ataxia. This study aimed: (1) to describe the anthropometrical and body composition profiles of international CP para-footballers with different CP profiles (i.e., spastic diplegia, athetosis/ataxia, spastic hemiplegia, and minimum impairment); (2) to analyze the differences between both affected/nondominant and nonaffected/dominant sides; and (3) to compare the sample of international-level CP para-footballers (n = 141) with a sample of highly trained able-bodied footballers (n = 39). Anthropometric measures included four breadths, nine girths, and six skinfolds, while body composition was measured through fat mass (including Carter’s, Faulkner’s, and Withers’ equations), muscle mass (Lee’s equation), and bone mass (Rocha’s and Martin’s equations). This study found differences between the able-bodied footballers and the following impairment profiles: spastic diplegia (skinfolds); ataxia/athetosis (corrected calf of the nondominant side, and calf skinfolds for both sides); and spastic hemiplegia (all measurements excepting femur breadth, and thigh and ankle girths). No differences were found between para-athletes with minimum impairment and the able-bodied footballers. This study demonstrates that football players with or without physical impairments of hypertonia athetosis or ataxia may be considered homogeneous in shape when dominant size is compared. Besides, the study provides reference scores on anthropometric measures and body composition of international-level CP para-footballers that can help sports coaches and physical trainers to monitor physical fitness of their para-athletes. Full article

The purpose of this study was to evaluate the content and construct validity and between-sessions reliability of four agility tests requiring ball dribbling in football players with cerebral palsy (CP) with implications for classification and training. A sample of 35 football players with CP from three different countries took part in the study. They performed four tests in two sessions 72 h apart: i) 20 m in a straight line, ii) forward slalom with short changes of direction, iii) forward slalom with wide changes of direction and iv) square course. The Kappa coefficient was used to test content validity, obtaining moderate to almost perfect agreement results. Construct validity was also demonstrated with very large to almost perfect correlations between tests and sessions. Good reliability was found using intra-class coefficients (>0.86), standard error of measurement (<10.8%) and Cronbach´s alpha (>0.86). The comparisons between CP profiles (i.e. sport classes) demonstrated that those with mild impairment performed faster, and those with impairment of ataxia and dyskinesia performed worse. The four tests could have applications in classification, but may also be applied by the CP football coaches to improve athlete agility and football skills. Full article

Vertical jump is a relevant variable in the classification of football for individuals with cerebral palsy. In this regard, the literature is limited. There are no studies assessing vertical jumping ability through kinematic methods and in more specific football game situations, such as jumps with a header. The goals of the present study were to assess how the modification of jumping conditions (without and with a header) might affect the kinematic and kinetic parameters of counter movement jumping, and whether the functional profiles of the players constrain their ability to jump vertically, both with and without a header. Thirteen male football players with cerebral palsy (27.7 ± 5.7 years old) and different functional profiles participated in this study. All the players performed ten counter movement jumps with arms swing, five headed a ball and five did not. The kinematic parameters were recorded with a 3D motion analysis system, and the kinetic parameters using a force platform. Significantly smaller angles of the hips (d_g = 0.75–0.79; p < 0.01) and knees (d_g = 1.04–1.15; p < 0.05), as well as greater ankle extension (d_g = −0.71; p < 0.05), were observed during the eccentric phase of the jumps with a header. There were also asymmetries between legs in ankle extension during jumps with a header (d_g = −1.06; p < 0.05), which could be an adjustment element for the precision of the jumps (i.e., header action). It should be mentioned that the jumping pattern could be partially affected by the functional profile of football players with cerebral palsy. Full article