Physiological demands and court-movement patterns of wheelchair tennis

The wheelchair tennis evidence base has developed considerably in recent years. For those with a spinal cord injury (SCI), or severe physical impairment, tennis participation represents an opportunity for skill and motor development, and potential for disease risk reduction (Abel et al., 2008). However, as a complex series of technical, tactical and physical elements are implicated, participation for novice, developmental or low-skill players can be challenging. Hence, extension of the evidence base to consider the responses of such groups during play is of considerable value. Initial experimental studies in this thesis investigated the validity, reliability and applicability of instrumentation for the assessment of wheelchair tennis court-movement. Comparisons were made between a global positioning system (GPS) and the data logger (DL) device (Study 1). GPS underestimated criterion distance in tennis-specific drills and reported lower match-play values than the DL. In contrast, DL placed on the outside wheel offered an accurate representation of distance. However, underestimations for DL were revealed at speeds > 2.50 m·s-1 during treadmill testing. Consequently, Study 2 extended this work with consideration of DL applicability for wheelchair tennis match-play. Examination of speed profiles revealed that time spent below the threshold for accuracy was trivial, confirming DL applicability for court-movement assessment. Further between-group comparisons for rank [highly-ranked (HIGH), low-ranked (LOW)], sex (male, female) and format (singles, doubles) revealed that LOW were stationary for longer than HIGH and spent more time at low propulsion speeds. Time in higher speed zones was greatest for HIGH and doubles players. Between-group differences (rank) were further scrutinised in Study 3 with attention paid to describing the physiological response of competitive match-play aligned to court-movement. Set outcome (result) was also examined. Independent of result, HIGH covered greater overall, forwards, reverse and forwards-to-reverse distances than LOW. Interestingly, HIGH winners covered greater distances than HIGH losers and had a higher mean average and minimum heart rate (HR) than LOW winners. In contrast, LOW losers had a higher mean average and mean minimum HR than LOW winners. Collectively, these outcomes suggest an enhanced ability for HIGH to respond to ball movement and the physiological and skill challenges of match-play. While this thesis confirmed that the activity duration and playing intensity is sufficient to confer health-related effects (Study 3), differences identified for rank suggested that strategies to 4 enable performance improvements in LOW were merited. The International Tennis Federation (ITF) has suggested that all starter players should be able to serve, rally and score from their first lesson (ITF, 2007). The reality however, is that chair propulsion whilst holding a racket is complex, and therefore, tennis play is challenging for novice and developmental players. Hence, the remainder of experimental work focused on interventions to enable increased court-movement and development of wheelchair tennis-specific court-mobility for LOW. The ITF have endorsed the use of a low-compression ball (LCB) for novices. An LCB bounces lower and moves more slowly through the air than a standard-compression ball (SCB). Novel findings from Study 4 revealed that greater total and forwards distances, greater average speeds and less time stationary result from use of the LCB. Increased movement activity occurred without associated increases in physiological cost, but was considered advantageous, with players adopting stronger positions for shot-play. Further examination of the linkage between movement and physiological variables were explored in the final experimental investigation (Study 5). A short period of organised practice enabled higher overall and forwards distances, and peak and average speeds to be achieved during match-play, without associated increases in physiological cost. Changes were desirable and represented enhanced court-mobility and mechanical efficiency (ME). Wheelchair tennis players were also more self-confident in tennis-specific chair-mobility, post-practice. The racket was a constraint, with lower distances and speeds, and a lower peak physiological response, achieved during tennis practice completed with a racket. This thesis advocates the use of an LCB and a short period of pre-match court-mobility practice for the novice wheelchair tennis player. Collectively, these interventions are likely to prompt greater court-movement enabling better court-positioning, develop confidence in court-mobility and shot-play, develop competence in racket handling whilst pushing, and enhancing ME. These characteristics are likely to enable participation with the likely inference being that greater competence, skill and self-confidence promotes greater enjoyment and therefore enhances longer-term compliance. This is of considerable practical significance given that tennis typically attracts new players to the game, but is less successful at retaining them (ITF, 2007)

Does resistance training ameliorate cancer-related fatigue in cancer survivors? A systematic review with meta-analysis.

Cancer-related fatigue (CRF) is unrelenting. As neither rest nor sleep ameliorates cognitive, emotional, and physical symptoms, quality of life is diminished. This study examines resistance training (RT) effectiveness on CRF in cancer survivors. The secondary aims were to identify the dose-response relationship of RT frequency, intensity, and volume on CRF in different cancer survivor populations. Systematic searches via numerous databases for RCTs were performed in June 2022. Patient-reported outcome measures (PROM), were analysed, pre-to-post intervention, using a random-effects model. The Physiotherapy Evidence Database (PEDro) scale informed methodological quality assessment. Eight studies were included (cancer survivors: breast (BCS) = 5; endometrial (ECS) = 1; prostate (PCS) = 2). Overall, RT interventions ≥ 6 weeks elicited large significant reductions in CRF for FACIT-F (SMD = 0.932, = <0.001) and moderate significant reductions in CRF for PFS-R (SMD = -0.622,  = 0.004). Main findings indicate that RT ameliorates CRF, especially in BCS; however, individualised approaches should be advocated. Supervised training elicited the greatest positive outcomes, thus should be a pivotal part of the cancer rehabilitation pathway. Future studies should be adequately powered, undertake discrete analyses of different cancer types, and investigate chronic RT effects

Changes in Body Mass and Movement Strategy Maintain Jump Height Immediately after Soccer Match

A countermovement jump (CMJ) performed on a force plate is commonly applied in soccer to quantify acute neuromuscular fatigue (NMF), which may manifest immediately following soccer match play. Jump height (JH) is the main outcome variable reported for this purpose; however, it is sensitive to alterations in movement strategy, which may act to mask JH and, therefore, mask any presence of NMF. Acute reductions in body mass (BM) during match play could also lead to the maintenance of JH, but this is yet to be explored. This study sought to explore soccer-match-induced alterations to JH, movement strategy, and BM to inform future variable selection for the study of acute NMF. Fourteen male English National League soccer players performed three CMJs on a dual-force plate system immediately before and after a competitive soccer match. Differences in jump height were non-significant and trivial (p = 0.924, g = 0.03) before and after soccer match play, but there was a large post-match decrease in BM (g = 1.66). Furthermore, moderate decreases in jump momentum (g = 0.56) and countermovement depth (g = 0.72) were noted. As JH was determined by the take-off velocity, reduced BM could have augmented it (less mass to accelerate); however, reduced countermovement depth seemingly counteracted this (less distance to attain velocity). It may, therefore, be beneficial to report these variables when monitoring acute NMF via the CMJ

Changes in Body Mass and Movement Strategy Maintain Jump Height Immediately after Soccer Match

A countermovement jump (CMJ) performed on a force plate is commonly applied in soccer to quantify acute neuromuscular fatigue (NMF), which may manifest immediately following soccer match play. Jump height (JH) is the main outcome variable reported for this purpose; however, it is sensitive to alterations in movement strategy, which may act to mask JH and, therefore, mask any presence of NMF. Acute reductions in body mass (BM) during match play could also lead to the maintenance of JH, but this is yet to be explored. This study sought to explore soccer-match-induced alterations to JH, movement strategy, and BM to inform future variable selection for the study of acute NMF. Fourteen male English National League soccer players performed three CMJs on a dual-force plate system immediately before and after a competitive soccer match. Differences in jump height were non-significant and trivial (p = 0.924, g = 0.03) before and after soccer match play, but there was a large post-match decrease in BM (g = 1.66). Furthermore, moderate decreases in jump momentum (g = 0.56) and countermovement depth (g = 0.72) were noted. As JH was determined by the take-off velocity, reduced BM could have augmented it (less mass to accelerate); however, reduced countermovement depth seemingly counteracted this (less distance to attain velocity). It may, therefore, be beneficial to report these variables when monitoring acute NMF via the CMJ

Load and performance monitoring in wheelchair court sports: A narrative review of the use of technology and practical recommendations

Quantifying measures of physical loading has been an essential part of performance monitoring within elite able-bodied sport, facilitated through advancing innovative technology. In wheelchair court sports (WCS) the inter-individual variability of physical impairments in the athletes increases the necessity for accurate load and performance measurements, while at the same time standard load monitoring methods (e.g. heart-rate) often fail in this group and dedicated WCS performance measurement methods are scarce. The objective of this review was to provide practitioners and researchers with an overview and recommendations to underpin the selection of suitable technologies for a variety of load and performance monitoring purposes specific to WCS. This review explored the different technologies that have been used for load and performance monitoring in WCS. During structured field testing, magnetic switch-based devices, optical encoders and laser systems have all been used to monitor linear aspects of performance. However, movement in WCS is multidirectional, hence accelerations, decelerations and rotational performance and their impact on physiological responses and determination of skill level, is also of interest. Subsequently both for structured field testing as well as match-play and training, inertial measurement units mounted on wheels and frame have emerged as an accurate and practical option for quantifying linear and non-linear movements. In conclusion, each method has its place in load and performance measurement, yet inertial sensors seem most versatile and accurate. However, to add context to load and performance metrics, position-based acquisition devices such as automated image-based processing or local positioning systems are required.<br

Wheelchair tennis match-play demands: effect of player rank and result

PURPOSE. To examine the heart-rate (HR) response and court-movement variables during wheelchair tennis match play for high- (HIGH) and low- (LOW) performance-ranked players. Analysis of physiological and movement-based responses during match play offers an insight into the demands of tennis, allowing practical recommendations to be made. METHODS. Fourteen male open-class players were monitored during tournament match play. A data logger was used to record distance and speed. HR was recorded during match play. RESULTS. Significant rank-by-result interactions revealed that HIGH winners covered more forward distance than HIGH losers (P < .05) and had higher average (P < .05) and minimum (P < .01) HRs than LOW winners. LOW losers had higher average (P < .01) and minimum (P < .001) HRs than LOW winners. Independent of result, a significant main effect for rank was identified for maximum (P < .001) and average (P < .001) speed and total (P < .001), reverse (P < .001), and forward-to-reverse (P < .001) distance, with higher values for HIGH. Independent of rank, losing players experienced higher minimum HRs (P < .05). Main effects for maximum HR and actual playing time were not significant. Average playing time was 52.0 (9.1) min. CONCLUSIONS. These data suggest that independent of rank, tennis players were active for sufficient time to confer health-enhancing effects. While the relative playing intensity is similar, HIGH players push faster and farther than LOW players. HIGH players are therefore more capable of responding to ball movement and the challenges of competitive match play. Adjustments to the sport may be required to encourage skill developmental in LOW players, who move at significantly lower speeds and cover less distance

Practice improves court mobility and self-efficacy in tennis-specific wheelchair propulsion

Purpose: Wheelchair tennis (WT) chair propulsion is uniquely characterised by the requirement for racket-holding coupled with effective hand-rim contact. Thus, investigations involving strategies to enhance chair mobility skills are merited. The aim was to examine effects of organised practice on WT match-play responses and the impact of racket-holding during practice.Materials and methods: Following physiological profiling involving graded and peak exercise testing, sixteen able-bodied (AB) participants performed bouts of WT match-play interspersed with practice involving wheelchair mobility drills completed with (R) or without (NR) a tennis racket. A data logger recorded distance and speed. Self-efficacy was reported.Results and conclusions: Significant main effects for match revealed higher post-practice overall and forwards distances (P </div

Practice improves court mobility and self-efficacy in tennis-specific wheelchair propulsion

Purpose: Wheelchair tennis (WT) chair propulsion is uniquely characterised by the requirement for racket-holding coupled with effective hand-rim contact. Thus, investigations involving strategies to enhance chair mobility skills are merited. The aim was to examine effects of organised practice on WT match-play responses and the impact of racket-holding during practice.Materials and methods: Following physiological profiling involving graded and peak exercise testing, sixteen able-bodied (AB) participants performed bouts of WT match-play interspersed with practice involving wheelchair mobility drills completed with (R) or without (NR) a tennis racket. A data logger recorded distance and speed. Self-efficacy was reported.Results and conclusions: Significant main effects for match revealed higher post-practice overall and forwards distances (P </div