The impact of trunk impairment on performance of wheelchair activities with a focus on wheelchair court sports: a systematic review

Viola C. Altmann, Anne L Hart, Yves C. Vanlandewijck, Jacques van Limbeek, Miranda L. van Hooff

Research output: Contribution to journalReview article

6 Citations (Scopus)

Abstract

Background: Trunk impairment seems to impact significantly on performance in wheelchair court sports, but evidence to support this impression has never been systematically assessed. The objective of this study is to systematically review, describe and synthesise the literature investigating the impact of trunk impairment on wheelchair activities in court sports. Methods: This systematic review was performed according to the consensus statement for the meta-analysis of observational studies in epidemiology (MOOSE). The search strategy for original articles comprised Medline (1950- November 2014), Cinahl (1981-November 2014), and Embase (1980- November 2014), using the search terms: trunk, trunk muscles, postural balance, posture and wheelchair. Eligibility criteria for further review were 1) participants included experienced wheelchair users, 2) comparisons were made between a) participants with different levels of trunk impairment or b) between able bodied participants and participants with trunk impairment, or c) between participants with trunk impairment with and without compensatory equipment, and 3) outcome measures were quantitative data on wheelchair activities. For methodological quality assessment, the STROBE (Strengthening the reporting of observational studies in epidemiology) checklist was used. Results: After assessment of 358 potentially relevant studies for the eligibility criteria, 25 studies were appropriate for methodological assessment. Twelve articles fulfilled the predetermined minimum of 15 reported items on the 22-item STROBE checklist. These studies were limited to observational studies with small populations. All but one study were restricted to patients with spinal cord injury (SCI). Conclusions: Limited evidence was found about the impact of trunk impairment on wheelchair activities. Reach to the front and multidirectional reach was further in able bodied persons than in persons with SCI. In a perturbation that equals deceleration in wheelchair court sports, able bodied persons maintain balance, whereas persons with SCI lose balance. No evidence was found to support a difference in acceleration between persons with partial trunk muscle strength and persons with full trunk muscle strength. For future research, there is a need for a test that includes all types of trunk impairment and identification of activities that determine performance in wheelchair court sports. Furthermore, populations of athletes with all trunk impairment types should be included.

Original languageEnglish (US)
Article number22
JournalSports Medicine - Open
Volume1
Issue number1
DOIs
StatePublished - Dec 1 2015

Fingerprint

Wheelchairs
Sports
Observational Studies
Spinal Cord Injuries
Epidemiology
Muscle Strength
Checklist
Postural Balance
Deceleration
Posture
Athletes
Population
Meta-Analysis
Outcome Assessment (Health Care)
Equipment and Supplies
Muscles

Keywords

  • Complete Spinal Cord Injury
  • Functional Electrical Stimulation
  • Spinal Cord Injury
  • Trunk Muscle
  • Trunk Muscle Strength

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

The impact of trunk impairment on performance of wheelchair activities with a focus on wheelchair court sports : a systematic review. / Altmann, Viola C.; Hart, Anne L; Vanlandewijck, Yves C.; van Limbeek, Jacques; van Hooff, Miranda L.

In: Sports Medicine - Open, Vol. 1, No. 1, 22, 01.12.2015.

Research output: Contribution to journalReview article

Altmann, Viola C. ; Hart, Anne L ; Vanlandewijck, Yves C. ; van Limbeek, Jacques ; van Hooff, Miranda L. / The impact of trunk impairment on performance of wheelchair activities with a focus on wheelchair court sports : a systematic review. In: Sports Medicine - Open. 2015 ; Vol. 1, No. 1.
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abstract = "Background: Trunk impairment seems to impact significantly on performance in wheelchair court sports, but evidence to support this impression has never been systematically assessed. The objective of this study is to systematically review, describe and synthesise the literature investigating the impact of trunk impairment on wheelchair activities in court sports. Methods: This systematic review was performed according to the consensus statement for the meta-analysis of observational studies in epidemiology (MOOSE). The search strategy for original articles comprised Medline (1950- November 2014), Cinahl (1981-November 2014), and Embase (1980- November 2014), using the search terms: trunk, trunk muscles, postural balance, posture and wheelchair. Eligibility criteria for further review were 1) participants included experienced wheelchair users, 2) comparisons were made between a) participants with different levels of trunk impairment or b) between able bodied participants and participants with trunk impairment, or c) between participants with trunk impairment with and without compensatory equipment, and 3) outcome measures were quantitative data on wheelchair activities. For methodological quality assessment, the STROBE (Strengthening the reporting of observational studies in epidemiology) checklist was used. Results: After assessment of 358 potentially relevant studies for the eligibility criteria, 25 studies were appropriate for methodological assessment. Twelve articles fulfilled the predetermined minimum of 15 reported items on the 22-item STROBE checklist. These studies were limited to observational studies with small populations. All but one study were restricted to patients with spinal cord injury (SCI). Conclusions: Limited evidence was found about the impact of trunk impairment on wheelchair activities. Reach to the front and multidirectional reach was further in able bodied persons than in persons with SCI. In a perturbation that equals deceleration in wheelchair court sports, able bodied persons maintain balance, whereas persons with SCI lose balance. No evidence was found to support a difference in acceleration between persons with partial trunk muscle strength and persons with full trunk muscle strength. For future research, there is a need for a test that includes all types of trunk impairment and identification of activities that determine performance in wheelchair court sports. Furthermore, populations of athletes with all trunk impairment types should be included.",
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KW - Functional Electrical Stimulation

KW - Spinal Cord Injury

KW - Trunk Muscle

KW - Trunk Muscle Strength

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