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Amsterdam, 5 September 2019 EVALUATING THE ANAEROBIC RESPONSES TO PHYSICAL EXERCISE IN TRAINED MALE PARALYMPIC ATHLETES WITH LOCOMOTOR IMPAIRMENT V. Cavedon 1 , F. Alviti 2 ; C. Milanese 1 ; M. Bernardi 3,4 1 Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy. 2 Physical Medicine and Rehabilitation, University of Rome “Sapienza”, Rome, Italy. 3 Department of Physiology of Pharmacology, University of Rome “Sapienza”, Rome, Italy. 4 Italian Paralympic Committee, Rome, Italy.

EVALUATING THE ANAEROBIC RESPONSES TO PHYSICAL … · Assessment of anaerobic components of physical fitness is of great importance in Paralympic sports in terms of health-related

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Page 1: EVALUATING THE ANAEROBIC RESPONSES TO PHYSICAL … · Assessment of anaerobic components of physical fitness is of great importance in Paralympic sports in terms of health-related

Amsterdam, 5 September 2019

EVALUATING THE ANAEROBIC RESPONSES TO PHYSICAL EXERCISE IN TRAINED MALE PARALYMPIC ATHLETES WITH LOCOMOTOR IMPAIRMENT

V. Cavedon1, F. Alviti2; C. Milanese1; M. Bernardi3,4

1 Department of Neurosciences, Biomedicine and

Movement Sciences, University of Verona, Verona, Italy.2 Physical Medicine and Rehabilitation, University of

Rome “Sapienza”, Rome, Italy.3 Department of Physiology of Pharmacology, University

of Rome “Sapienza”, Rome, Italy.4 Italian Paralympic Committee, Rome, Italy.

Page 2: EVALUATING THE ANAEROBIC RESPONSES TO PHYSICAL … · Assessment of anaerobic components of physical fitness is of great importance in Paralympic sports in terms of health-related

➢ Assessment of anaerobic components of physical fitness is of great importance in Paralympic sports in terms of health-related

reasons, competitive success and functional classifications (Hutzler et al., 2011; Bernardi et al., 2012).

➢ However, the anaerobic responses to physical exercise have been poorly investigated in Paralympic athletes (PA) with various

types and severity of physical impairments.

➢ There are many laboratory procedures for evaluating anaerobic power or capacity. Yet the Wingate cycloergometer test seems

to be most popular because of its high reliability. The Wingate test has many versions, of which the 30-second test is applied

most often.

➢ Shorter versions of the test (e.g. the 10-second test) should be applied to those athletes requiring short bursts of explosive

power as required in many Paralympic sports. The reliability of the 10-seconds test has never been investigated in Paralympic

athletes yet.

SCIENTIFIC BACKGROUND AND EXPERIMENTAL APPROACH TO THE PROBLEM

Page 3: EVALUATING THE ANAEROBIC RESPONSES TO PHYSICAL … · Assessment of anaerobic components of physical fitness is of great importance in Paralympic sports in terms of health-related

Metabolic Analisys of an Anaeobic Test

Page 4: EVALUATING THE ANAEROBIC RESPONSES TO PHYSICAL … · Assessment of anaerobic components of physical fitness is of great importance in Paralympic sports in terms of health-related

AIMS

1. To evaluate the relationship between a functional classification

and the anaerobic power evaluated through a 30-second-long

(30-s) Wingate anaerobic test (WAnT) in Paralympic Athletes

with a locomotor impairment.

2. To explore whether an abbreviate (10-second long, 10-s) WAnT

protocol could be used in Paralympic Athletes with a locomotor

impairment to accurately predict the anaerobic power of a

traditional WAntT.

3. To propose a new test to assess the anaerobic glycolytic

capacity. Amsterdam, 5 September 2019

Page 5: EVALUATING THE ANAEROBIC RESPONSES TO PHYSICAL … · Assessment of anaerobic components of physical fitness is of great importance in Paralympic sports in terms of health-related

➢ Thirty-two trained male Paralympic athletes were tested before their participation in Summer Paralympic Games.

➢ In order to group athletes with a similar functional limitation, each Paralympic Athlete was assigned a functional classification class ranging from 1

to 10 on an ordinal scale according to the classification system adopted in Para swimming.

PARTICIPANTS

MATERIAS AND METHODS

Athletics n = 5Handbike n = 1Swimming n = 5Shooting n = 3

Table tennis n = 3Archery n = 3Sailing n = 2

Wheelchair basketball n = 5Wheelchair tennis n = 5

Para swimming class3 n = 14 n = 75 n = 36 n = 87 n = 18 n = 79 n = 3

10 n = 2

Group 1

Group 2

Group 3

Page 6: EVALUATING THE ANAEROBIC RESPONSES TO PHYSICAL … · Assessment of anaerobic components of physical fitness is of great importance in Paralympic sports in terms of health-related

PROCEDURES

MATERIAS AND METHODS

➢ All Paralympic Athletes completed a 30-s WAnT and a 10-s WAnT with

an electronically braked arm cycle-ergometer (Lode Excalibur, Holland).

➢ Data were collected during the institutional health and fitness

screenings carried out in the Institute of Sports Medicine and Science

of the Italian National Olympic Committee before the Paralympic

Games.

➢ Prior to testing, athletes received the same pre-test instructions, i.e. to

void their bladder.

➢ On the day of testing, all athletes were required to avoid strenuous

exercise for 24 hours and to abstain from caffeine for at least 12 hours

as well as from food and drink for at least 2 hours prior to testing.

Page 7: EVALUATING THE ANAEROBIC RESPONSES TO PHYSICAL … · Assessment of anaerobic components of physical fitness is of great importance in Paralympic sports in terms of health-related

PROCEDURES

MATERIAS AND METHODS

➢ Variables considered for analysis:

➢ The average power achieved throughout the

30-s and the 10-s WAnT (mean power [MP_30

and MP_10, respectively]);

➢ The maximum (peak) power power achieved

throughout the 30-s and the 10-s WAnT [PP_30

and PP_30, respectively].

Other Measurements taken during the 30-s WAnT:

Oxygen Uptake during and after the test and Blood

Lactate after the tests

Time (minutes)

0 1 2 3 4 5 6 7 8V

'O2 (

ml.

min

-1)

0

500

1000

1500

2000

2500

3000

HR

(b

. min

-1)

60

75

90

105

120

135

150

165

180

195

Po

wer

(watt

)

0

100

200

300

400

500

600

Oxygen consumption (VO2)

Heart rate (HR)

Power

Page 8: EVALUATING THE ANAEROBIC RESPONSES TO PHYSICAL … · Assessment of anaerobic components of physical fitness is of great importance in Paralympic sports in terms of health-related

STATISTICAL ANALYSIS

➢ Data were assessed for normality with the Kolmogorov-Smirnov test and transformed using the method described by Box and Cox

where necessary.

➢ The Pearson’s product-moment correlation coefficient (r) was used to assess the relationship between the functional classification

point score, the MP_30 and the PP_30.

➢ One-Way Analysis of Variance followed by Bonferroni’s post-hoc test was used to assess between-groups differences in MP_30

and PP_30.

➢ Paired-Samples T-tests were performed to assess differences between MP_30 and MP_10, as well as between PP_30 and PP_10.

➢ The Pearson’s product-moment correlation coefficient (r) and linear regression analyses were performed to determine the

accuracy with which MP_30 and PP_30 could be predicted from values of MP_10 and PP_10, respectively.

➢ Statistical significance was set at P<0.05.

Page 9: EVALUATING THE ANAEROBIC RESPONSES TO PHYSICAL … · Assessment of anaerobic components of physical fitness is of great importance in Paralympic sports in terms of health-related

RESULTS

0

2

4

6

8

10

12

0 100 200 300 400 500 600 700

Par

a sw

imm

ing

fun

ctio

nal

cla

ss (

n)

Mean Power WAnT_30s (W)

r = 0.570P = 0.001

0

2

4

6

8

10

12

0 100 200 300 400 500 600 700 800 900

Par

a sw

imm

ing

fun

ctio

nal

cla

ss (

n)

Peak power WAnT_30s (W)

r = 0.554P = 0.001

0

100

200

300

400

500

600

700

800

Group 1 Group 2 Group 3

W

Peak power_WAnT 30s

0

100

200

300

400

500

600

Group 1 Group 2 Group 3

W

Mean Power_ WAnT 30s

*

***

*

***

*

*, P<0.05; **, P<0.01; ***, P<0.001

Page 10: EVALUATING THE ANAEROBIC RESPONSES TO PHYSICAL … · Assessment of anaerobic components of physical fitness is of great importance in Paralympic sports in terms of health-related

R² = 0.9661

y = 0.9664x + 20.322

0

100

200

300

400

500

600

700

800

900

0 100 200 300 400 500 600 700 800 900

Pe

ak p

ow

er

WA

nT_

10

s (W

)

Peak power WAnT_30s (W)

R² = 0.9307

y = 0.8048x + 32.675

0

100

200

300

400

500

600

700

0 100 200 300 400 500 600 700M

ean

po

we

r W

An

T_1

0s

(W)

Mean power WAnT_30s (W)

Peak power WAnT_10s

402 watt

Peak power WAnT_30s

409 watt

Mean power WAnT_10s

307 watt

Mean power WAnT_30s

280 watt

P = 0.276

P = 0.002

RESULTS

Page 11: EVALUATING THE ANAEROBIC RESPONSES TO PHYSICAL … · Assessment of anaerobic components of physical fitness is of great importance in Paralympic sports in terms of health-related

DISCUSSION

➢ Results suggest that the severity of the impairment impact on the anaerobic power of Paralympic Athletes offering

important practical implications in Paralympic sports from the perspective of fitness evaluation (Bernardi et al., 2012)

and functional classification assessment (Hutzler et al., 1998).

Potenza media -10s- (Watt)0 100 200 300 400 500 600 700

Pote

nza

med

ia -

30

s- (

Wat

t)

0

100

200

300

400

500

600

700

➢ Furthermore, a 10-s WAnT seems to be accurate to

predict the anaerobic power as traditionally

evaluated through a 30-s WAnT in male PA with

locomoto impairment allowing for a decrease in the

mild to severe physical discomfort often associated

with this traditional protocol.

Page 12: EVALUATING THE ANAEROBIC RESPONSES TO PHYSICAL … · Assessment of anaerobic components of physical fitness is of great importance in Paralympic sports in terms of health-related

Thank you for your attention!

Mail to [email protected]