O'Connor, SR, Fagher, K, Williamson, S, Pluim, BM, Ardern, CL, Janse van Rensburg, DC and Heron, N (2022) Assessment of muscle strength in para-athletes: A systematic review of observational studies. Sports Medicine and Health Science, 4 (4). 225 - 238.

[thumbnail of Assessment of muscle strength in para-athletes A systematic review of observational studies.pdf]
Assessment of muscle strength in para-athletes A systematic review of observational studies.pdf - Published Version
Available under License Creative Commons Attribution Non-commercial No Derivatives.

Download (580kB) | Preview


Accurate and reliable evaluation of muscle strength in para-athletes is essential for monitoring the effectiveness of strength training and/or rehabilitation programmes, and sport classification. Our aim is to synthesise evidence related to assessing muscle strength in para-athletes. Four databases were searched from January 1990 to July 2021 for observational studies focusing on strength assessment. Independent screening, data extraction, and quality assessment were performed in duplicate. A total of 1764 potential studies were identified. Thirty met the inclusion criteria and were included in the review. The mean age of participants was 30.7 years (standard deviation [SD]: 2.4). The majority were men (88%) participating in wheelchair sports, including basketball, rugby, and tennis (23/30: 76%). Overall quality varied, with more than half of the studies failing to identify strategies for dealing with confounding variables. Despite manual muscle testing being a standard component of para-sport classification systems, evidence examining strength characteristics in para-athletes is derived primarily from isometric and isokinetic testing. In studies that included comparative strength data, findings were mixed. Some studies found strength values were similar to or lower than able-bodied athletic controls. However, an important observation was that others reported higher shoulder strength in para-athletes taking part in wheelchair sports than both able-bodied and disabled non-athletes. Studies need to develop accessible, standardised strength testing methods that account for training influence and establish normative strength values in para-athletes. There is also a need for additional studies that include female para-athletes and para-athletes with greater functional impairments.

Item Type: Article
Additional Information: http://creativecommons.org/licenses/by-nc-nd/4.0/
Uncontrolled Keywords: Systematic review; Para-athletes; Disabled sport; Muscle strength; Assessment
Subjects: R Medicine > R Medicine (General)
R Medicine > RC Internal medicine > RC1200 Sports Medicine
Divisions: Faculty of Medicine and Health Sciences > School of Medicine
Related URLs:
Depositing User: Symplectic
Date Deposited: 02 Mar 2023 11:40
Last Modified: 02 Mar 2023 11:40
URI: https://eprints.keele.ac.uk/id/eprint/12002

Actions (login required)

View Item
View Item