Purpose: To evaluate the reliability and validity of vertical and horizontal jump tests in football players with cerebral palsy (FPCP) and to analyze the jump performance differences between current International Federation for Cerebral Palsy Football functional classes (ie, FT5–FT8). Methods: A total of 132 international parafootballers (25.8 [6.7] y; 70.0 [9.1] kg; 175.7 [7.3] cm; 22.8 [2.8] kg·m−2; and 10.7 [7.5] y training experience) participated in the study. The participants were classified according to the International Federation for Cerebral Palsy Football classification rules, and a group of 39 players without cerebral palsy was included in the study as a control group. Football players’ vertical and horizontal jump performance was assessed. Results: All the tests showed good to excellent relative intrasession reliability scores, both in FPCP and in the control group (intraclass correlation = .78–.97, SEM < 10.5%). Significant between-groups differences (P < .001) were obtained in the countermovement jump, standing broad jump, 4 bounds for distance, and triple hop for distance dominant leg and nondominant leg. The control group performed higher/farther jumps with regard to all the FPCP classes, obtaining significant differences and moderate to large effect sizes (ESs) (.85 < ES < 5.54, P < .01). Players in FT8 class (less severe impairments) had significantly higher scores in all the jump tests than players in the lower classes (ES = moderate to large, P < .01). Conclusions: The vertical and horizontal jump tests performed in this study could be applied to the classification procedures and protocols for FPCP.
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- Author: Raul Reina x
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Vertical and Horizontal Jump Capacity in International Cerebral Palsy Football Players
Raúl Reina, Aitor Iturricastillo, Rafael Sabido, Maria Campayo-Piernas, and Javier Yanci
External Match Loads of Footballers With Cerebral Palsy: A Comparison Among Sport Classes
Javier Yanci, Daniel Castillo, Aitor Iturricastillo, Tomás Urbán, and Raúl Reina
Purpose: To determine and compare the external match load, according to sport class (FT), of footballers with cerebral palsy (CP) during the International Federation of CP Football World Championships Qualification Tournament. Methods: Forty-two international male footballers with CP participated in the data collection. The footballers with CP were classified according to their FT into 3 groups (ie, FT5/6, FT7, and FT8). External match load (ie, total distance covered, distance covered at different speeds, accelerations, decelerations, player load, peak metabolic power, and changes of directions) was collected for both halves during official matches with global positioning system devices. Results: Players with lower impairment (FT8) covered more distance (effect size = 0.30–0.60) at high-intensity running (13.0–18.0 km·h−1) and sprinting (>18.0 km·h−1) and performed more (effect size = 0.29–1.08) accelerations, decelerations, and changes of direction at high intensity in matches than did other players (ie, FT5/6 and FT7 groups). Conclusion: Because high-intensity actions are relevant to football performance and there are differences caused by players’ impairments, the International Federation of CP Football classification protocols should include high-intensity actions during the technical assessment as part of the procedures for determining the sport class of football players with CP.
Change-of-Direction Ability of Para-Footballers With Cerebral Palsy Under a New Evidence-Based and Sport-Specific Classification System
Iván Peña-González, Alba Roldan, Carlos Toledo, Tomás Urbán, and Raúl Reina
Purpose: This study aimed (1) to explore the validity and reliability of a new and specific change-of-direction (COD) test that requires dribbling skills to classify international footballers with cerebral palsy (CP) and compare it with another valid and reliable COD test without ball dribbling and (2) to probe whether both tests can discriminate between the new CP football classes (ie, FT1, FT2, and FT3) established worldwide in 2018. Methods: This study involved 180 international para-footballers with CP from 23 national teams at the 3 regional competitions held in 2018. They performed 2 COD tests, the modified agility test (no dribbling skills) and the dribbling speed test (DST). Results: Reliability was excellent for both the modified agility test (intraclass correlation coefficient [ICC]2,1 = .91, SEM = 5.75%) and the DST (ICC2,1 = .92, SEM = 4.66%). The modified agility test and DST results were highly to very highly correlated to one another for the whole group and considering the sport classes (r = .60–.80; P < .001). A 1-way analysis of variance showed significant differences between sport classes in both tests (P < .001). However, among classes, there were significant differences between FT1 and FT2 and FT3 (P < .01, effect size = large) and low to moderate effect sizes between FT2 and FT3 for either test. Conclusion: The DST appears to be valid and reliable to classify CP football players within the new classification system. Regression analysis revealed that 18.2% of the variance in the new sport classes could be explained by the 2 examined tests.
Performance Analysis in Football-Specific Tests by Para-Footballers With Cerebral Palsy: Implications for Evidence-Based Classification
Javier Yanci, Daniel Castillo, Aitor Iturricastillo, Astrid Aracama, Alba Roldan, and Raúl Reina
Purpose: The objectives of this study were to analyze whether there were differences among para-footballers with different types and degrees of brain impairment (ie, bilateral spasticity, athetosis/ataxia, unilateral spasticity, minimum impairment criteria, or no impairment) in performing 3 football-specific tests requiring ball dribbling, to analyze whether there was an association among the results obtained in the 3 tests, and to determine whether the performance in the tests was associated with competitive level, level of training, or years’ experience in para-footballers with cerebral palsy (CP). Methods: A total of 123 footballers took part in the study, 87 of whom were footballers with CP and 36 who were without impairment. Both groups were assessed in 3 football-specific tests (Stop and Go, Turning and Dribbling, and the Illinois Agility Test). Results: The results showed that the footballers without impairment recorded a better performance in all tests (P < .01) in comparison with the CP players. No significant differences in test performance were observed among the CP players from different competitive levels. However, significant differences (P < .01) were observed between players with diplegia or athetosis/ataxia compared with players with hemiplegia or minimum impairment level. Performance in the tests did not correlate with years of football experience, weekly strength training sessions, or specific football training in the footballers with CP (P = .12–.95). Conclusions: These findings suggest the possible inclusion of these tests in the classification process for footballers with CP because they discriminate among functional classes and are resistant to training and competitive level.