Tecnologia Assistiva e paraesporte: revisão da literatura / Assistive Technology and handisport: literature review

Ana Cristina de Jesus Alves, Marianne Pinheiro Marques

Resumo


Introdução: O aumento de pessoas com deficiência nos esportes organizados acontece paralelamente ao avanço das políticas e Tecnologia Assistiva (TA), gerando benefícios sociais e qualidade de vida para os atletas. Entretanto, pouco se tem relatado na literatura sobre as tecnologias e suas peculiaridades na prática do paraesporte. Assim, este estudo teve como objetivo caracterizar e analisar a produção científica referente ao tema de TA no paraesporte e esporte adaptado. Método: Foi realizada a revisão de literatura nas bases de dados nacionais e internacionais, Pubmed, Cochrane, Bireme e Scielo, de 2000 a 2017, nos idiomas inglês e português, utilizando-se os descritores: traumatismos em atletas, pessoas com deficiência, equipamento de autoajuda, reabilitação. Resultados/Discussão: Foram encontrados 26 artigos científicos, sendo estes analisados quantitativa e qualitativamente, categorizados em estudos de TA relacionados: à lesão e ao desempenho, estudos de revisão de literatura e de validação de instrumentos. As tecnologias encontradas foram: muleta, órtese, protocolo para sistema de vigilância, questionário e cadeira de rodas. Os temas encontrados foram: a eficácia da tecnologia assistiva no esporte adaptado, a incidência de lesões no paraesporte e o desempenho no esporte adaptado, sem associar diretamente a tecnologia utilizada. A cadeira de rodas foi o dispositivo de TA predominante nos estudos, estando presente em 22 dos artigos. Conclusão: Os resultados apontaram uma lacuna nos relatos de uso de TA em esportes adaptados, comprovando a necessidade de estudos sobre o tema, principalmente no paraesporte como ocupação e o uso de TA, para propor melhorias nos dispositivos e seu uso em diversos esportes.


Abstract

Introduction: The increase in the amount of people with disability in the adapted organized sports occurs side by side with the advance of new politics and Assistive Technologies (AT). However, there are few studies about these technologies and their particularities in parasports. Thus, this study aimed to characterize and analyze the scientific production related to the theme AT in parasport and in adapted sport. Method: was done a literature review in the national and international databases, such as: Pubmed, Cochrane, Bireme and Scielo, into 2000 and 2017, in the English and Portuguese languages, using the descriptors: athletic injuries, people with disabilities, assistive technology and rehabilitation. Results/Discussion: In total, 26 articles were analyzed in quality and quantity and we found the technologies in the following categories: injuries related to ATs, performance, literature review and instrument’s validation. The technologies mentioned were: crutch, bracing, protocol for surveillance system, questionnaire and wheelchair. They were discussed in the context of adapted sports, number of injuries and performance with no mention to the technology used. The wheelchair was the predominant AT, with mention in 22 articles. Conclusion: Therefore, this review indicates the need of more studies about the theme and, mainly in parasport as occupation and the use of a AT, to understand how to improve the existing technologies.

Keywords: Persons with disabilities. Self-help devices. Sports for persons with disabilities. Occupational therapy. Social Participation.


Resumen

El aumento de las personas con discapacidad en los deportes organizados ocurre paralelamente al avance de las políticas y Tecnologías Asistivas (TA), generando beneficios sociales y calidad de vida para los atletas. Sin embargo, poco se ha relatado en la literatura sobre las tecnologías y sus peculiaridades en la práctica del paradeporte. Así, este estudio tenía como objetivo caracterizar y analizar la producción científica relacionada con el tema de la TA en el deporte paraportado y adaptado. Para ello, se llevó a cabo una revisión de la literatura en bases de datos nacionales e internacionales, PubMed, Cochrane, Scielo Bireme y, de 2000 a 2017, en Inglés y portugués, usando las palabras clave: traumatismos en atletas, las personas con discapacidad, la tecnología de asistencia y rehabilitación. Se encontraron 26 artículos científicos, siendo estos analizados cuantitativa y cualitativamente, categorizados en estudios de TA relacionados: a la lesión y al desempeño, estudios de revisión de literatura y de validación de instrumentos. Las tecnologías encontradas fueron: muleta, órtesis, protocolo para sistema de vigilancia, cuestionario y silla de ruedas. Los temas encontrados fueron: la eficacia de la tecnología asistiva en el deporte adaptado, la incidencia de lesiones en el paraporte y el desempeño en el deporte adaptado, sin asociar directamente la tecnología utilizada. La silla de ruedas fue la TA predominante en los estudios, estando presente en 22 de los artículos. Los resultados apuntaron una laguna en los relatos de uso de TA en deportes adaptados, comprobando la necesidad de estúdios en el tema, principalmente en paraesprote como ocupación y el uso de AT, para proponer mejoras en los dispositivos y su uso en diversos deportes

Palabras clave: Personas con discapacidad. Tecnología asistiva. Deporte para personas con discapacidad. Terapia ocupacional. Medicina de Rehabilitación. Participación social.


Texto completo:

PDF

Referências


Brasil, Lei Brasileira de Inclusão da Pessoa com Deficiência (Estatuto da Pessoa com Deficiência). Brasília, Distrito Federal, 2015 [acesso e 10 mar 2019]. Disponível em: http://www.planalto.gov.br/ccivil_03/_Ato2015-2018/2015/Lei/L13146.htm.

Fagher K, Lexell J. Sports‐related injuries in athletes with disabilities. Scandinavian journal of medicine & science in sports. 2014 Oct;24(5):e320-31.

Cooper RA, De Luigi AJ. Adaptive sports technology and biomechanics: wheelchairs. PM&R. 2014 Aug;6:S31-9.

Lai AM, Stanish WD, Stanish HI. The young athlete with physical challenges. Clinics in sports medicine. 2000 Oct 1;19(4):793-819.

Vanlandewijck Y, Theisen D, Daly D. Wheelchair propulsion biomechanics. Sports medicine. 2001 Apr 1;31(5):339-67.

Wu SK, Williams T. Factors influencing sport participation among athletes with spinal cord injury. Medicine and science in sports and exercise. 2001 Feb;33(2):177-82.

Bhambhani Y. Physiology of wheelchair racing in athletes with spinal cord injury. Sports Medicine. 2002 Jan 1;32(1):23-51.

Fullerton HD, Borckardt JJ, Alfano AP. Shoulder pain: a comparison of wheelchair athletes and nonathletic wheelchair users. Medicine & Science in Sports & Exercise. 2003 Dec 1;35(12):1958-61.

Knechtle B, Hardegger K, Müller G, Odermatt P, Eser P, Knecht H. Evaluation of sprint exercise testing protocols in wheelchair athletes. Spinal cord. 2003 Mar;41(3):182.

Wang YT, Chen S, Limroongreungrat W, Change LS. Contributions of selected fundamental factors to wheelchair basketball performance. Medicine & Science in Sports & Exercise. 2005 Jan 1;37(1):130-7.

Reid M, Elliott B, Alderson J. Shoulder joint kinetics of the elite wheelchair tennis serve. British journal of sports medicine. 2007 Nov 1;41(11):739-44.

Furmaniuk L, Cywińska-Wasilewska G, Kaczmarek D. Influence of long-term wheelchair Rugby training on the functional abilities of persons with tetraplegia over a two-year period post-spinal cord injury. Journal of rehabilitation medicine. 2010 Jul 5;42(7):688-90.

Shiba S, Okawa H, Uenishi H, Koike Y, Yamauchi K, Asayama K, Nakamura T, Tajima F. Longitudinal changes in physical capacity over 20 years in athletes with spinal cord injury. Archives of physical medicine and rehabilitation. 2010 Aug 1;91(8):1262-6.

Bhambhani Y, Mactavish J, Warren S, Thompson WR, Webborn A, Bressan E, De Mello MT, Tweedy S, Malone L, Frojd K, Van De Vliet P. Boosting in athletes with high-level spinal cord injury: knowledge, incidence and attitudes of athletes in paralympic sport. Disability and rehabilitation. 2010 Jan 1;32(26):2172-90.

Jeon IH, Kochhar H, Lee JM, Kyung HS, Min WK, Cho HS, Wee HW, Shin DJ, Kim PT. Ultrasonographic evaluation of the shoulder in elite wheelchair tennis players. Journal of sport rehabilitation. 2010 May;19(2):161-72.

Shih YF, Wen YK, Chen WY. Application of wedged foot orthosis effectively reduces pain in runners with pronated foot: a randomized clinical study. Clinical rehabilitation. 2011 Oct;25(10):913-23.

Patatoukas D, Farmakides A, Aggeli V, Fotaki S, Tsibidakis H, Mavrogenis A, Papathanasiou J, Papagelopoulos P. Disability-related injuries in athletes with disabilities. Folia medica. 2011 Jan 1;53(1):40-6.

Wessels KK, Broglio SP, Sosnoff JJ. Concussions in wheelchair basketball. Archives of physical medicine and rehabilitation. 2012 Feb 1;93(2):275-8.

West CR, Romer LM, Krassioukov A. Autonomic function and exercise performance in elite athletes with cervical spinal cord injury. Medicine and science in sports and exercise. 2013 Feb;45(2):261-7.

Chung WM, Yeung S, Wong AY, Lam IF, Tse PT, Daswani D, Lee R. Musculoskeletal injuries in elite able-bodied and wheelchair foil fencers—a pilot study. Clinical journal of sport medicine. 2012 May 1;22(3):278-80.

Moreno MA, Zamunér AR, Paris JV, Teodori RM, Barros RM. Effects of wheelchair sports on respiratory muscle strength and thoracic mobility of individuals with spinal cord injury. American journal of physical medicine & rehabilitation. 2012 Jun 1;91(6):470-7.

Altmann VC, Groen BE, Van Limbeek J, Vanlandewijck YC, Keijsers NL. Reliability of the revised wheelchair rugby trunk impairment classification system. Spinal Cord. 2013 Dec;51(12):913.

Fliess-Douer O, Vanlandewijck YC, Van der Woude LH. Reliability and validity of perceived self-efficacy in wheeled mobility scale among elite wheelchair-dependent athletes with a spinal cord injury. disability and rehabilitation. 2013 May 1;35(10):851-9.

Goosey-Tolfrey VL, Leicht CA. Field-based physiological testing of wheelchair athletes. Sports medicine. 2013 Feb 1;43(2):77-91.

Fagher K, Jacobsson J, Timpka T, Dahlström Ö, Lexell J. The Sports-Related Injuries and Illnesses in Paralympic Sport Study (SRIIPSS): a study protocol for a prospective longitudinal study. BMC sports science, medicine and rehabilitation. 2016 Dec;8(1):28.

Aytar A, Zeybek A, Pekyavas NO, Tigli AA, Ergun N. Scapular resting position, shoulder pain and function in disabled athletes. Prosthetics and orthotics international. 2015 Oct;39(5):390-6.

Akbar M, Brunner M, Ewerbeck V, Wiedenhöfer B, Grieser T, Bruckner T, Loew M, Raiss P. Do overhead sports increase risk for rotator cuff tears in wheelchair users?. Archives of physical medicine and rehabilitation. 2015 Mar 1;96(3):484-8.

Fagher K, Jacobsson J, Timpka T, Dahlström Ö, Lexell J. The Sports-Related Injuries and Illnesses in Paralympic Sport Study (SRIIPSS): a study protocol for a prospective longitudinal study. BMC sports science, medicine and rehabilitation. 2016 Dec;8(1):28.

Gorla JI, e Silva AD, Borges M, Tanhoffer RA, Godoy PS, Calegari DR, Santos AD, Ramos CD, Junior WN, Junior AC. Impact of wheelchair rugby on body composition of subjects with tetraplegia: A pilot study. Archives of physical medicine and rehabilitation. 2016 Jan 1;97(1):92-6.

Engebretsen L, Soligard T, Steffen K, Alonso JM, Aubry M, Budgett R, Dvorak J, Jegathesan M, Meeuwisse WH, Mountjoy M, Palmer-Green D. Sports injuries and illnesses during the London Summer Olympic Games 2012. Br J Sports Med. 2013 May 1;47(7):407-14.




DOI: https://doi.org/10.47222/2526-3544.rbto37666

Apontamentos

  • Não há apontamentos.


Direitos autorais 2021 Revista Interinstitucional Brasileira de Terapia Ocupacional - REVISBRATO



Indexado em:

   

           

   Resultado de imagem para REDIB