sarah smith, amanda joyce, j.p. barfield, laura newsome

How People With Cerebral Palsy Respond to Power Wheelchair SoccerSarah Smith, Amanda Joyce, J.P. Barfield, Laura Newsome

Department of Health and Human Performance Radford University

Abstract Literary Review Literary Review

Printing Supported by the RU Office of Undergraduate Research & Scholarship

Methods Discussion References

Results Results Results

Purpose:Cerebralpalsyisadiseasethatiscontractedduringdevelopmentorinfancy.Itcanmakemovementsdifficultthroughweakness,musclespasticity,andpoorselectivemotorcontrolmakingitdifficultforachildtodevelopcardiorespiratoryfitness.Physicalactivityisveryimportantforindividualswithaphysicaldisabilityandhasbeenshowntoreducetheriskofsecondarydiseasesthatareassociatedwithmanydisabilitiesanddiseases.Powerwheelchairsoccerhasmanypositiveoutcomesandbenefitsforthosewithadisability,butit’sclassificationasphysicalactivityisunknownbecauseplayersuseanelectricwheelchairforparticipation.Thepurposeofthisstudywastoexaminethephysicalresponsetopowerwheelchairsocceramongpersonswithcerebralpalsy.Methods:VO2RERandMETswereassessedon14athletesusingobjectivemeasurementsusingaportablegasanalyzerduring20minutesofcontinuousplay.Results:TheaveragerestVO2 fortheplayerswithcerebralpalsywas5.69whileingameitwas5.62.TheaveragerestRERwas.84whileingamewas.89.TheaveragerestMETswere1.63whileingameMETswere1.6.Conclusion:Comparedtospinalmuscularatrophy,musculardystrophy,andarthrogryposis,theplayerswithcerebralpalsydidnotrespondasnotablywhenlookingatVO2, RER,andMETs.

• Power wheelchair soccer has many positive outcomes and benefits for those with a disability.

• Many individuals who take part report that it helped increase their personal relationships and social interactions with others.

• Physical activity is very important for individuals with a physical disability and has been shown to reduce the risk of secondary diseases that are associated with many disabilities and diseases.

• Cerebral palsy is a disease that is contracted during development or infancy with many different sub categories.

• Cerebral palsy can make movements difficult through weakness, muscle spasticity, and poor selective motor control making it difficult for a child to develop cardiorespiratory fitness.

• Adults with Cerebral Palsy report problems with chronic pain and fatigue making exercise difficult.

• The benefits of aerobic exercise for persons with Cerebral palsy can include increased cardiovascular capacity and endurance, weight managements, and maintenance of function.

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• The cerebral palsy players did not respond in any of following categories.

• VO2• RER• METs

• It did not appear that any of the athletes responded in RER.• RER is the ratio between carbon dioxide production

and oxygen consumption and shows what type of fuel the body is using during exercise.

• The athletes with spinal muscular atrophy, muscular dystrophy, and arthrogyposis demonstrated increased VO2 and METs.

Morris, P.J. (2008). Physical Activity Recommendations for Children and Adolescent with Chronic Disease. American College of Sports Medicine. 7(6), 353-358.

Azuero, A., Malone, L.A., & Vogtle, L.K. (2104) Outcome of an Exercise Program for Pain and Fatigue Management in Adults with Cerebral Palsy. Journal of Disability and Rehabilitation. 26(10), 818-825. DOI: 10.3109/09638288.821181

Brinks, S., Darrah, J., Furler B.L., & Rogers A. (2008). A Systematic Review of the Effectiveness of Aerobic Exercise Interventions for Children with Cerebral Palsy: An AACPDM Evidence Report. Developmental Medicine and Child Neurology. 808-814. DOI: 10.1111/j.1469-8749.2008.03134.x

Barfield, J.P., Malone, L.A., Collins, J.M., & Ruble. (2005) Disability Type Influences, Heart Rate Response during Power Wheelchair Sports. Medicine and Science is Sport and Exercise. 37(5), 718-723. DOI: 10.1249/01.MSS.0000161807.77552.8B

Barfield, J.P., & Malone, L.A. (2013). Perceived Exercise Benefits and Barriers among Power Wheelchair Soccer Players. Journal of Rehabilitation Research & Development. 50(2), 231-238.

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• Objectivemeasurementsweretakenusingaportablegasanalyzer

• 14athleteswererecruitedfromthemidwest andnortheast.

sarah smith, amanda joyce, j.p. barfield, laura newsome

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