A new outlook on the evaluation of health state and physical capacity of skiers with disabilities as exemplified by a female Paralympic Champion

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Introduction: Initially, sport for the disabled (including skiing) was only considered to be a follow-up to rehabilitation. Modifications concerning the rules and classifications of athletes (reducing the number of classes) led to increased competition and to the fact that winning started to be determined more by physical performance features than by a type of dysfunction. This required more regular training and greater training loads as well as observing health state and training effectiveness more carefully. The aim of the work is to present the methodology of assessing health state of the athletes and the level of their physical capacity and to discuss the results of the research conducted on a female skier during the period of her greatest achievements. Materials and methods: The research group consisted of cross-country skiers with motor disabilities who were preparing for Paralympic Games in the years 2002-2010. A regular complex model of assessing health was implemented. It consisted of medical examinations and a physical capacity test (to failure) during which selected physiological and metabolic indices as well as the amount of work and mean power were marked. Results: Health assessment consisted of the report confirming that the athlete is capable of taking part in training sessions and competitions. The results of a physical capacity test, i.e. duration of work, peak power and power at the anaerobic threshold as well as heart reactions show the moment when the subject demonstrated the highest level of physical capacity in the course of the observation. Conclusions: A regular observation makes it possible to prevent negative health consequences of increased training loads and to monitor the reactions of the subjects’ bodies to the tasks in particular periods of the preparation cycle. Sports achievements of the female athlete confirm the effectiveness of the training and observation, while her features may serve as an example of morpho-functional posture which enabled her to compete for the title of the Paralympic Champion in cross-country skiing.

1. McCann C. Sports for the disabled: the evolution from rehabilitation to competitive sport. Br J Sports Med 1996;30:279-80.

2. Ferrara MS, Buchley WE. The injury experience and training history of the competitive skier a disability. Am J Sports Med 1992;20(1):55-60.

3. Sobiecka J. Winter sports practice and its influence on the frame of mind and lifestyle of disabled persons as exemplified by polish paralympic competitors. Pol J Environ Stud 2004;13 (Supl II) 512-6.

4. Natvig H. Classification system - development features. Functional and medical classification. Second Paralympic Congress in Lillehammer 1994. Session 2 - Classification: 85-92.

5. Sherrill C. Disability sport and classification theory: A new era. Adapt Phys Activ Q 1999;16:206-15.

6. Kroken AR, Lannem AM. Development of classification system in Nordic skiing for disabled . Conference proceedings of the Paralympic Congress VISTA; 2003; Bolnas, Sweden. Electronic version.

7. Jahnke B., Schule K. 30th Anniversary Paralympic Winter Games 1976-2006. IPC, RLC. Paris, France - IPC, Bonn, Germany; 2006.

8. Bompa TO. Periodization. Theory and Methodology of Training. Human Kinetics;1999.

9. Chojnacki K, Krasicki S, Rogowiec K. Śnieżne sporty wytrzymałościowe w Igrzyskach Paraolimpijskich. Studia i monografie AWF Kraków 2007;48:50-94.

10. Orava S, Jaroma H, Hulkko A. Overuse injuries in cross-country skiing. Br J Sports Med 1985;19:158-160.

11. Shephard RJ. Benefits of sport and physical activity for the disabled: implications for the individual and for society. Scand J Rehabil Med 1991;23(2):51-9.

12. Zarządzenie Ministra Zdrowia i Opieki Społecznej z dnia 9 października 1985 r. w sprawie zasad i trybu prowadzenia badań lekarskich oraz zasad opieki medycznej nad osobami uprawiającymi sport i rekreację ruchową w ramach stowarzyszeń kultury fizycznej. Monitor Polski1 985:35 poz. 235.

13. Wnorowski J. Kompleksowa diagnostyka wydolności fizycznej. Med Sport 2002;6 (Supl 1): 113-22.

14. Gawroński W. Podstawowe cele i zadania medycyny sportowej w sporcie osób niepełnosprawnych. Medicina Sportiva Suplement 2007;2:7-12.

15. Mitten MJ. Amateur athletes with handicaps or physical abnormalities: who makes the participation decision? Neb Law Rev 1992;71:987-1032.

16. Webborn NE, Willick SE, Reeser JC. Injuries among disabled athletes during the 2002 Winter Paralympic Games. Med Sci Sport Exerc 2006;38 (5):811-5.

17. Webborn N, Willick SE, Emery CA. The injury experience at the 2010 winter paralympic games. Clin J Sport Med 2012;22(1):3-9.

18. Bhambhani Y, Forbes S, Forbes J, Craven B, Matsuura C, Rodgers C. Physiologic responses of competitive Canadian crosscountry skiers with disabilities. Clin J Sport Med 2012; 22(1):31-8.

19. Bernardi M, Guerra E, Di Giacinto B, Di Cesare A, Castellano V, Bhambhani Y. Field evaluation of paralympic athletes in selected sports: Implications for training. Med Sci Sport Exerc 2010; 42(6):1200-08.

20. Bernardi M, Carucci S, Faiola F, Egidi F, Marini C, Castellano V, Faina M. Physical fitness evaluation of paralympic winter sports sitting athletes. Clin J Sport Med 2012; 22(1):26-30.

21. Klimek AT, Chojnacki K. Poziom wydolności aerobowej zawodników niepełnosprawnych intelektualnie biegaczy narciarskich zakwalifikowanych do udziału w igrzyskach paraolimpijskich. Postępy Rehabilitacji 2003;17(4):67-76.

22. Chojnacki K, Tyka A, Tyka E, Klimek AT. Zmiany wydolności fizycznej niepełnosprawnych narciarzy zjazdowców przed Igrzyskami Paraolimpijskimi w Salt Lake City. Postępy Rehabilitacji 2004;18(4):19-25.

23. Chojnacki K, Klimek AT, Tyka A, Tchórzewski D. Zmiany wydolności fizycznej polskich narciarzy niepełnosprawnych w przygotowaniach do udziału w VIII Paraolimpijskich Igrzyskach Salt Lake 2002. Medycyna Sportowa 2004;20(5):254-58.

24. Gawroński W. Badania w zakresie medycyny sportowej niepełnosprawnych zawodników w narciarstwie klasycznym reprezentantek na Igrzyska Paraolimpijskie. Annales Universitatis Marie Curie-Skłodowska 2006; LX (supl 16):238-41.

25. Gawroński W. Badania w zakresie medycyny sportowej niepełnosprawnych zawodniczek w narciarstwie klasycznym reprezentantek na Igrzyska Paraolimpijskie. Annales Universitatis Marie Curie-Skłodowska 2006; LX (supl 16): 242-5.

26. Paralympic.org.[Internet]. Results, rankings & records. [cited 2016 Feb 02]. Available from: http://www.paralympic.org/results/historical

27. Percy DF, Warner DB. Evaluating relative performances in disabled sports competitions. IMA J Management Math 2009;(20):185-99.

28. DePauw KP, Gavron SJ. Coaching and training athletes with disabilities. In: DePauw KP, Gavron SJ. Disability Sport. Champaign IL: Human Kinetics Publishers; 2005.p. 161-80.

29. Kubica R, Wilk B, Karvonen J, Krasicki S, Kalli S. Oxygen uptake Turing cross-country skiing with skating and diagonal techniques on the gases of the HR-V02 relantionships. Biol Sport 1988;(5):3:157-69.

30. Astrand P-0, Rodahl K. Textbook of work physiology. New York: McGraw-Hill; 1977.

31. Saltin B, Astrand PO. Maximal oxygen uptake in athletes. J Appl Physiol 1967;23:353-8

32. Shephard RJ. Fitness in special population. Champaign, IL: Human Kinetics Publishers; 1990.

33. Willick S, Webborn N. Medicine. In: Vanlandejvijck YC., Thompson W. Handbook of Sports Medicine and Science. The paralympic athlete. Wiley-Blackwell 2011.

34. Dubiel J,. Rusin B. Wytyczne kwalifikacji do uprawiania sportu wyczynowego. In: Dziak A, Nazar K (editors). Medycyna Sportowa. Warszawa: PTMS; 1991.p.327-73.

35. Rozporządzenie Ministra Sportu z dnia 8 stycznia 2007 r. w sprawie zakresu opieki medycznej nad zawodnikami kadry narodowej osób niepełnosprawnych oraz kadry paraolimpijskiej. Dz. U. 17 stycznia 2007; Nr 7: poz. 56.

36. Ljungqvist A, Jenoure P, Engebretsen, et al. The International Olympic Committee (IOC) Consensus statement on periodic health evaluation of elite athletes. Br J Sports Med 2009;43:631-43.

37. Katharina Grimm. Safe sport: the pre-participation examination. 2nd NPC Team Physician Conference Sochi. 2014. [cited on 29.02.2016]. Available from: http://www.paralympic.org/sites/default/files/document/140312161055523_2014_03_10+KG.pdf

38. Oliveira F JA, Salvetti XM, Lira FE, et al. Athlete’s heart, oxygen uptake and morphologic findings in paralympic athletes. Int J Cardiol 2007;121:100-1.

39. Forman DE, Lavie CJ, Guazzi M i inni. Cardiopulmonary exercise testing: relevant but underuse. Postgrad Med 2010; 122 (6): 69-87.

40. DijkstraH P, N Pollock, R Chakraverty, J M Alonso. Managing the health of the elite athlete: a new integrated performance health management and coaching model. Br J Sports Med 2014;48:523-31.

41. Sobiecka J, Gawroński W, Plinta R, Kłodecka-Różalska J. Porównanie stanu opieki medycznej podczas przygotowań do Igrzysk Paraolimpijskich - Turyn 2006 oraz Vancouver 2010 - na podstawie opinii zawodników. Medicina Sportiva Practica 2009; 12(3):70-9.

Advances in Rehabilitation

The Journal of Academy of Physical Education, Warsaw

Journal Information

CiteScore 2016: 0.04

SCImago Journal Rank (SJR) 2016: 0.104
Source Normalized Impact per Paper (SNIP) 2016: 0.014


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