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Labbé D, Tao G, Maas ET, Best K, Bundon A, Sauvé J, Miller WC. Predicting high quality of participation in adaptive snow-sports for individuals with disabilities: An exploratory study. PSYCHOLOGY OF SPORT AND EXERCISE 2023; 69:102501. [PMID: 37665936 DOI: 10.1016/j.psychsport.2023.102501] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Revised: 07/24/2023] [Accepted: 07/27/2023] [Indexed: 09/06/2023]
Abstract
OBJECTIVES This exploratory study aimed to examine the individual, program and environmental (social and physical) characteristics which predict high quality of participation in adaptive snowsports for each dimension of the Quality of Participation in Parasport Framework (QPPF): autonomy, belongingness, mastery, challenge, engagement and meaning. METHODS A survey was completed by 133 individuals with disabilities or their representatives on each dimension of the QPPF in adaptive snowsports and on the factors impacting the quality of participation. Descriptive statistics were used to describe the study participants, and a multivariate logistic regression model was constructed for each dimension of the QPPF to evaluate the relative contribution of individual, snowsport-related, program and environmental factors to each dimension. RESULTS Individuals with disabilities in this study reported high quality of participation on all dimensions of the QPPF. The individual characteristics only predicted the QPPF dimension of challenge. However, the program and environmental characteristics such as equipment, number of instructors and barriers were robust predictors of quality of participation. CONCLUSION Overall, participants experienced high quality participation. Supporting the adaptive snowsports programs while reducing the barriers faced by people with disabilities should be a continued effort to promote quality of participation.
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Affiliation(s)
- D Labbé
- Disability and Human Development Department, University of Illinois at Chicago, Chicago, IL, USA.
| | - G Tao
- Occupational Science and Occupational Therapy Department, UBC, Vancouver, BC, Canada; Rehabilitation Research Program, Vancouver, BC, Canada
| | - E T Maas
- Methodology and Applied Biostatistics, Faculty of Science, Vrije Universiteit Amsterdam, Netherlands
| | - K Best
- Rehabilitation, Centre interdisciplinaire de recherche en réadaptation et en intégration sociale (CIRRIS), Quebec City, QC, Canada; Rehabilitation Department, Faculty of Medicine, Université Laval, Quebec City, Quebec, Canada
| | - A Bundon
- School of Kinesiology, The University of British Columbia. (UBC), Vancouver, BC, Canada
| | - J Sauvé
- School of Kinesiology, The University of British Columbia. (UBC), Vancouver, BC, Canada; British Columbia Adaptive Snowsports, Vancouver, BC., Canada
| | - W C Miller
- Occupational Science and Occupational Therapy Department, UBC, Vancouver, BC, Canada; Rehabilitation Research Program, Vancouver, BC, Canada
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Conde-Pipó J, Valenzuela-Barranco I, López-Moro A, Román-Alconchel B, Mariscal-Arcas M, Zurita-Ortega F. Influence of Alpine Skiing on Health-Related Quality of Life and Physical Self-Concept in Physically Active Adults over 55 Years of Age. Sports (Basel) 2022; 10:sports10100153. [PMID: 36287766 PMCID: PMC9607613 DOI: 10.3390/sports10100153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2022] [Revised: 09/29/2022] [Accepted: 10/03/2022] [Indexed: 11/17/2022] Open
Abstract
Background: Older adults have the highest rates of a sedentary lifestyle. Alpine skiing could be considered a suitable activity to encourage continued sports practice and improve the health of this population in winter. The aim of this study was to analyse the relationship between the practice of alpine skiing and health-related quality of life (HRQoL), physical self-concept (PSC), and sport motivation. Methods: The study design was cross-sectional and descriptive, involving 280 Spanish adults aged over 55 years and physically active (75.35% skiers). To assess physical activity, PSC, HRQoL, and sport motivation, we used the Rapid Assessment of Physical Activity Questionnaire (RAPA-Q), the Physical Self-Perception Profile (PSPP 30), the Health-Related Quality of Life (SF-36), and the Sport Motivation Scale (SMS) questionnaires, respectively. Results: In the skier’s group, higher values were found for PSC (p < 0.001; d = 0.64), the physical component of HRQoL (p < 0.001, d = 0.48), physical function (p < 0.001, d = 61), and intrinsic motivation (p < 0.001; d = 0.85). The practice of alpine skiing was associated with higher levels of the physical health component (ORadj = 2.13, 95% CI 1.18−3.95, p = 0.013), PSC (ORadj = 2.92, 95% CI 1.58−5.52, p < 0.001), and intrinsic motivation (ORadj = 2.24, 95% CI 1.22−4.23, p = 0.010). Conclusions: The practice of alpine skiing is positively associated with higher values of HRQoL, PSC, and intrinsic motivation, and based on the above, it seems that alpine skiing can contribute to healthy ageing and improve the quality of life of older adults.
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Affiliation(s)
- Javier Conde-Pipó
- Department of Didactics of Musical, Plastic and Corporal, Faculty of Education Sciences, University of Granada, 18071 Granada, Spain
| | | | - Alejandro López-Moro
- Department Nutrition and Food Science, School of Pharmacy, University of Granada, Campus of Cartuja s/n, 18071 Granada, Spain
| | - Blanca Román-Alconchel
- Department Nutrition and Food Science, School of Pharmacy, University of Granada, Campus of Cartuja s/n, 18071 Granada, Spain
| | - Miguel Mariscal-Arcas
- Department Nutrition and Food Science, School of Pharmacy, University of Granada, Campus of Cartuja s/n, 18071 Granada, Spain
- Correspondence: ; Tel.: +34-600-72-62-60
| | - Félix Zurita-Ortega
- Department of Didactics of Musical, Plastic and Corporal, Faculty of Education Sciences, University of Granada, 18071 Granada, Spain
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Declerck L, Kaux JF, Vanderthommen M, Lejeune T, Stoquart G. The Effect of Adaptive Sports on Individuals with Acquired Neurological Disabilities and Its Role in Rehabilitation: A Systematic Review. Curr Sports Med Rep 2019; 18:458-473. [PMID: 31834178 DOI: 10.1249/jsr.0000000000000662] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
The aims of this systematic review were to report on the feasibility of adaptive sports for individuals with acquired central neurological lesion; to analyze the effects of this approach according to the domains of the International Classification of Functioning, Health and Disability (ICF); and to emit guiding points for future research. Two authors searched PubMed, Scopus, Cochrane, Pedro, and SPORTdiscus for eligible trials. Data concerning demographics, outcome measures, results, and conclusions were extracted, and a qualitative synthesis was performed. Adaptive sports seem to be a feasible, efficient, and cost-effective complement to conventional rehabilitation. Significant effects were found on all domains of the ICF, except "environmental factors." Key factors, such as intervention volume, intensity, and type, play a determining role. This review is the first to expose the beneficial effects of adaptive sports practice among individuals with neurological lesions by relying on prospective evidence.
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Affiliation(s)
- Louise Declerck
- Neuromusculoskeletal Laboratory, Institute of Experimental and Clinical Research, Brussels, BELGIUM
| | - Jean-François Kaux
- Department of Sport and Rehabilitation Sciences, University of Liège, Liège, BELGIUMSportS, FIFA Medical Centre of Excellence, IOC Research Centre for Prevention of Injury and Protection of Athlete Health, FIMS Clinical Centre of Sports Medicine, University and University Hospital of Liège, Liège, BELGIUM.,SportS, FIFA Medical Centre of Excellence, IOC Research Centre for Prevention of Injury and Protection of Athlete Health, FIMS Clinical Centre of Sports Medicine, University and University Hospital of Liège, Liège, BELGIUM
| | - Marc Vanderthommen
- Department of Sport and Rehabilitation Sciences, University of Liège, Liège, BELGIUMSportS, FIFA Medical Centre of Excellence, IOC Research Centre for Prevention of Injury and Protection of Athlete Health, FIMS Clinical Centre of Sports Medicine, University and University Hospital of Liège, Liège, BELGIUM
| | - Thierry Lejeune
- Neuromusculoskeletal Laboratory, Institute of Experimental and Clinical Research, Brussels, BELGIUM.,Department of Physical Medicine and Rehabilitation, University Clinic of Saint-Luc, Brussels, BELGIUM.,Louvain Bionics, Catholic University of Louvain, Louvain-La-Neuve, BELGIUM
| | - Gaëtan Stoquart
- Neuromusculoskeletal Laboratory, Institute of Experimental and Clinical Research, Brussels, BELGIUM.,Department of Physical Medicine and Rehabilitation, University Clinic of Saint-Luc, Brussels, BELGIUM.,Louvain Bionics, Catholic University of Louvain, Louvain-La-Neuve, BELGIUM
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Mavritsakis O, Treschow M, Labbé D, Bethune A, Miller WC. Up on the hill: the experiences of adaptive snow sports. Disabil Rehabil 2019; 43:2219-2226. [PMID: 31778324 DOI: 10.1080/09638288.2019.1692379] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
INTRODUCTION Literature supports the benefits of involvement for people with disabilities in adaptive snow sports. However, the literature is lacking in understanding the experiences of those involved in these programs or understanding what facilitates participation in adaptive snow sports. OBJECTIVES This project aims to (1) explore the experiences of people with disabilities participating in adaptive snow sports; and (2) to explore the factors which impact participation in adaptive snow sports. MATERIALS AND METHODS We recruited 20 former and current participants from an adaptive snow sports program using a volunteer recruitment strategy. Data were collected through individual or dyadic semi-structured interviews and on-site observations. Data were transcribed verbatim and thematic data analyses were conducted. RESULTS Three main themes emerged from this study: (1) mountain top moments, which described the outcomes of successful participation in adaptive snow sports; (2) finding your line, which refers to the facilitators involved in adaptive snow sports participation; and (3) icy slopes and trailblazing, which includes the social, physical, and institutional environmental factors that impede quality participation. CONCLUSION Adaptive snow sports provide people with disabilities opportunities to develop community, engage in new and meaningful experiences, and to overcome challenges. The accounts given by people with disabilities of their experiences in adaptive snow sports suggest that key factors for participation are the involvement of student-centered instructors and the provision of adaptive equipment.Implications for rehabilitationAdaptive snow sports provide opportunities for people with disabilities to learn new and meaningful skills, develop meaningful relationships, and enjoy the outdoors.Knowledgeable instructors who are able to meet people with disabilities unique needs is an essential component to adaptive snow sport programs.Additionally, the provision of adaptive equipment is an important aspect of adaptive snow sport programs.
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Affiliation(s)
- Olga Mavritsakis
- Department of Occupational Sciences & Occupational Therapy, Faculty of Medicine, University of British Columbia, Vancouver, Canada
| | - Michelle Treschow
- Department of Occupational Sciences & Occupational Therapy, Faculty of Medicine, University of British Columbia, Vancouver, Canada
| | | | - Anne Bethune
- Vancouver Adaptive Snow Sports (VASS), North Vancouver, Canada
| | - William C Miller
- Department of Occupational Sciences & Occupational Therapy, Faculty of Medicine, University of British Columbia, Vancouver, Canada.,Rehabilitation Research Program, Vancouver, Canada
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Abstract
As the participation rate and popularity of winter adaptive sports increases, understanding injury patterns and equipment is crucial for athletes, coaches, athletic trainers, sports physicians, prosthetists/orthotists, and all the staff involved. While the inaugural Winter Paralympics in 1976 had 17 participating countries, the most recent paralympic games in Pyeongchang, South Korea had >500 athletes from 49 different countries competing in 6 disciplines: alpine skiing, nordic skiing, sledge hockey, wheelchair curling, biathlon, and snowboarding. In this paper, we review participation rates, injury trends and equipment, with a focus on the 3 most popular events: alpine skiing, nordic skiing, and sledge hockey. Despite injury risk within this athletic community, there are documented advantages to physical movement, and for each individual the risks of injury have to be weighted with the benefits of competing. Overall, there is a need for educational efforts regarding the development, access, and participation to injury prevention programs with an integrated and multidisciplinary approach.
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Nas K, Yazmalar L, Şah V, Aydın A, Öneş K. Rehabilitation of spinal cord injuries. World J Orthop 2015; 6:8-16. [PMID: 25621206 PMCID: PMC4303793 DOI: 10.5312/wjo.v6.i1.8] [Citation(s) in RCA: 192] [Impact Index Per Article: 21.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/14/2014] [Revised: 05/24/2014] [Accepted: 06/16/2014] [Indexed: 02/06/2023] Open
Abstract
Spinal cord injury (SCI) is the injury of the spinal cord from the foramen magnum to the cauda equina which occurs as a result of compulsion, incision or contusion. The most common causes of SCI in the world are traffic accidents, gunshot injuries, knife injuries, falls and sports injuries. There is a strong relationship between functional status and whether the injury is complete or not complete, as well as the level of the injury. The results of SCI bring not only damage to independence and physical function, but also include many complications from the injury. Neurogenic bladder and bowel, urinary tract infections, pressure ulcers, orthostatic hypotension, fractures, deep vein thrombosis, spasticity, autonomic dysreflexia, pulmonary and cardiovascular problems, and depressive disorders are frequent complications after SCI. SCI leads to serious disability in the patient resulting in the loss of work, which brings psychosocial and economic problems. The treatment and rehabilitation period is long, expensive and exhausting in SCI. Whether complete or incomplete, SCI rehabilitation is a long process that requires patience and motivation of the patient and relatives. Early rehabilitation is important to prevent joint contractures and the loss of muscle strength, conservation of bone density, and to ensure normal functioning of the respiratory and digestive system. An interdisciplinary approach is essential in rehabilitation in SCI, as in the other types of rehabilitation. The team is led by a physiatrist and consists of the patients’ family, physiotherapist, occupational therapist, dietician, psychologist, speech therapist, social worker and other consultant specialists as necessary.
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Harper LA, Coleman JA, Perrin PB, Olivera SL, Perdomo JL, Arango JA, Arango-Lasprilla JC. Comparison of mental health between individuals with spinal cord injury and able-bodied controls in Neiva, Colombia. ACTA ACUST UNITED AC 2015; 51:127-36. [PMID: 24805899 DOI: 10.1682/jrrd.2013.04.0086] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2013] [Revised: 07/09/2013] [Indexed: 11/05/2022]
Abstract
Although research has investigated the mental health of individuals with spinal cord injury (SCI), an overwhelming majority of this research has been conducted in the United States, Western Europe, and other developed countries. The purpose of this study was to compare the mental health of individuals with SCI with able-bodied controls in Neiva, Colombia, South America. Subjects included 40 Colombians with SCI and 42 age- and sex-matched controls (N = 82). The groups did not differ based on age, sex, years of education, or socioeconomic status. However, controls were twice as likely to be married. Four measures assessed mental health, including satisfaction with life (Satisfaction with Life Scale), depressive symptoms (Patient Health Questionnaire-9), self-esteem (Rosenberg Self-Esteem Scale), and anxiety (State-Trait Anxiety Inventory). In comparison with able-bodied controls, individuals with SCI reported significantly lower mental health on both depressive symptoms and satisfaction with life. These effect sizes were medium and large, respectively. The groups did not differ significantly on measures of self-esteem or anxiety. Mental health of individuals with SCI should be considered a central part of SCI rehabilitation interventions, particularly in Latin America.
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Affiliation(s)
- Leia A Harper
- Department of Psychology, Virginia Commonwealth University, Richmond, VA
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The risks and benefits of snow sports for people with disabilities: a review of the literature. Int J Rehabil Res 2010; 33:193-8. [DOI: 10.1097/mrr.0b013e32833638a5] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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