Wheelchair tennis, from health to competitive analysis: A narrative review
DOI:
https://doi.org/10.14198/jhse.2021.162.05Keywords:
Adapted sport, Tennis, Benefits, PerformanceAbstract
Objective: The purpose of this article is to analyse benefits of the playing wheelchair tennis in people with disabilities and to know some aspects that affect a player´s performance. Methods: Keyword search of Medline, SPORT Discus and Scholar Google databases was conducted to find relevant studies pertaining to: wheelchair tennis and adapted sports. The search was carried out from 1988 to February 2018. Also reference lists of articles obtained were manually searched for relevant literature. Narrative review methods were used to synthesise the data. Results: The psychology literature was limited, although wheelchair tennis seems to provide a reduction in depression and trait anxiety and an increase in vigour. Playing wheelchair tennis is sufficient to prevent the development of cardiovascular diseases, due the energy expenditure is comparable to the recommendations of the American College of Sports Medicine. Wheelchair mobility seems to be an important factor of success in WT, and the chair configuration affects the moving speed. Conclusions: Following the studies presented in this paper, we recommend that people with disabilities playing sport to improve their health condition. Also, coaches and fitness trainers can use the information provided within this study to adapt and improve the specific training programs for players.Downloads
References
Abel, T., Kröner, M., Rojas Vega, S., Peters, C., Klose, C., & Platen, P. (2003). Energy expenditure in wheelchair racing and handbiking - a basis for prevention of cardiovascular diseases in those with disabilities. European Journal of Cardiovascular Prevention and Rehabilitation, 10(5), 371–376. https://doi.org/10.1097/01.hjr.0000096542.30533.59
Abel, T., Platen, P., Rojas Vega, S., Schneider, S., & Strüder, H. K. (2008). Energy expenditure in ball games for wheelchair users. Spinal Cord, 46(12), 785–790. https://doi.org/10.1038/sc.2008.54
Barfield J. P., Laurie A. Malone & Tristica A. Coleman (2009) Comparison of Heart Rate Response to Tennis Activity Between Persons With and Without Spinal Cord Injuries, Research Quarterly for Exercise and Sport, 80:1, 71-77. https://doi.org/10.1080/02701367.2009.10599531
Bascou, J., Sauret, C., Pillet, H., Bonnefoy, a., Thoreux, P., & Lavaste, F. (2012). Evolutions of the wheelchair user’s centre of mass and centre of pressure according to the seat fore-aft position during sprinting: a case study of an elite wheelchair tennis player. Computer Methods in Biomechanics and Biomedical Engineering, 15(September), 210–211. https://doi.org/10.1080/10255842.2012.713702
Bernard, P. L., Codine, P., & Minier, J. (2004). Isokinetic shoulder rotator muscles in wheelchair athletes. Spinal Cord, 42(4), 222–229. https://doi.org/10.1038/sj.sc.3101556
Bernardi, M., Guerra, E., Di Giacinto, B., Di Cesare, A., Castellano, V., & Bhambhani, Y. (2010). Field evaluation of paralympic athletes in selected sports: Implications for training. Medicine and Science in Sports and Exercise, 42(6), 1200–1208. https://doi.org/10.1249/MSS.0b013e3181c67d82
Bullock, M., & Pluim, B. (2003). Wheelchair tennis and physical conditioning. ITF Wheelchair Tennis Coaches Review, 3(9), 2–10.
Bullock, M., & Sanz, D. (2010). Wheelchair tennis in 2010. ITF Coaching and Sport Science Review, 50, 30–31.
Cardinal, B. J., Kosma, M., & McCubbin, J. A. (2004). Factors influencing the exercise behavior of adults with physical disabilities. Medicine & Science in Sports & Exercise, 36(5), 868–875. https://doi.org/10.1249/01.MSS.0000126568.63402.22
Caspall, J. J., Seligsohn, E., Dao, P. V., & Sprigle, S. (2013). Changes in inertia and effect on turning effort across different wheelchair configurations. Journal of Rehabilitation Research and Development, 50(10), 1353–1362. https://doi.org/10.1682/jrrd.2012.12.0219
Cavedon, V., Zancanaro, C., & Milanese, C. (2014). Kinematic analysis of the wheelchair tennis serve: Implications for classification. Scandinavian Journal of Medicine and Science in Sports, 24(5), 381–388. https://doi.org/10.1111/sms.12182
Côté-Leclerc, F., Boileau Duchesne, G., Bolduc, P., Gélinas-Lafrenière, A., Santerre, C., Desrosiers, J., & Levasseur, M. (2017). How does playing adapted sports affect quality of life of people with mobility limitations? Results from a mixed-method sequential explanatory study. Health and Quality of Life Outcomes, 15(1), 22. https://doi.org/10.1186/s12955-017-0597-9
Coutts, K. D. (1988). Heart rates of participants in wheelchair sports. Paraplegia, 26(1), 43–49. https://doi.org/10.1038/sc.1988.9
Coutts, K. D. (1990). Kinematics of sport wheelchair propulsion. Journal of Rehabilitation Research and Development, 27(1), 21–26.
Crawford, A., Hollingsworth, H. H., Morgan, K., & Gray, D. B. (2008). People with mobility impairments: Physical activity and quality of participation. Disability and Health Journal, 1(1), 7–13. https://doi.org/10.1016/j.dhjo.2007.11.004
Croft, L., Dybrus, S., Lenton, J., & Goosey-Tolfrey, V. L. (2010). A comparison of the physiological demands of wheelchair basketball and wheelchair tennis. International Journal of Sports Physiology and Performance, 5(3), 301–315. https://doi.org/10.1123/ijspp.5.3.301
Curtis, K. A., Drysdale, G. A., Lanza, R. D., Kolber, M., Vitolo, R. S., & West, R. (1999). Shoulder pain in wheelchair users with tetraplegia and paraplegia. Archives of Physical Medicine and Rehabilitation, 80(4), 453–457. https://doi.org/10.1016/S0003-9993(99)90285-X
de Groot, S., Bos, F., Koopman, J., Hoekstra, A. E., & Vegter, R. J. K. (2018). The effect of a novel square-profile hand rim on propulsion technique of wheelchair tennis players. Applied Ergonomics, 71, 38–44. https://doi.org/10.1016/j.apergo.2018.04.001
De Groot, S., Bos, F., Koopman, J., Hoekstra, A. E., & Vegter, R. J. K. (2017). Effect of holding a racket on propulsion technique of wheelchair tennis players. Scandinavian Journal of Medicine and Science in Sports, 27(9), 918–924. https://doi.org/10.1111/sms.12701
Derman, W., Runciman, P., Schwellnus, M., Jordaan, E., Blauwet, C., Webborn, N., … Stomphorst, J. (2017). High precompetition injury rate dominates the injury profile at the Rio 2016 Summer Paralympic Games: a prospective cohort study of 51 198 athlete days. British Journal of Sports Medicine, 52(1), 24–31. https://doi.org/10.1136/bjsports-2017-098039
Diaper, N. J., & Goosey-Tolfrey, V. L. (2009). A physiological case study of a paralympic wheelchair tennis player: Reflective practise. Journal of Sports Science and Medicine, 8(2), 300–307.
Filipčič, T., & Filipčič, A. (2009a). Analysis of movement velocity and distance covered in wheelchair tennis. Kinesiologia Slovenica, 32, 25–32.
Filipčič, T., & Filipčič, A. (2009b). Time characteristics in wheelchair tennis played on hard surfaces. Kinesiology, 41(1), 67–75.
Fullerton, H. D., Borckardt, J. J., & Alfano, A. P. (2003). Shoulder pain: a comparison of wheelchair athletes and nonathletic wheelchair users. Medicine and Science in Sports and Exercise, 35(12), 1958–1961. https://doi.org/10.1249/01.mss.0000099082.54522.55
Girard, O. (2015). Thermoregulation in wheelchair tennis-How to manage heat stress? Frontiers in Physiology, 6, 10–13. https://doi.org/10.3389/fphys.2015.00175
Goosey-Tolfrey, V. L., Castle, P., Webborn, N., & Abel, T. (2006). Aerobic capacity and peak power output of elite quadriplegic games players. British Journal of Sports Medicine, 40(8), 684–687. https://doi.org/10.1136/bjsm.2006.026815
Goosey-Tolfrey, V. L., & Moss, A. D. (2005). Wheelchair velocity of tennis players during propulsion with and without the use of racquets. Adapted Physical Activity Quarterly, 22, 291–301. https://doi.org/10.1123/apaq.22.3.291
Goosey-Tolfrey, V. L., Swainson, M., Boyd, C., Atkinson, G., & Tolfrey, K. (2008). The effectiveness of hand cooling at reducing exercise-induced hyperthermia and improving distance-race performance in wheelchair and able-bodied athletes. Journal of Applied Physiology, 105(1), 37–43. https://doi.org/10.1152/japplphysiol.01084.2007
Gorce, P., & Louis, N. (2012). Wheelchair propulsion kinematics in beginners and expert users: Influence of wheelchair settings. Clinical Biomechanics, 27(1), 7–15. https://doi.org/10.1016/j.clinbiomech.2011.07.011
Guttmann, L. (1976). Textbook of Sport for the Disabled. Aylesbury, England: HM+ M.
ITF. (2018). Wheelchair Tennis Regulations. ITF. London.
Jeon, I.-H., Kochhar, H., Lee, J.-M., Kyung, H.-S., Min, W.-K., Cho, H.-S., … Kim, P.-T. (2010). Ultrasonographic evaluation of the shoulder in elite wheelchair tennis players. Journal of Sport Rehabilitation, 19(2), 161–172. https://doi.org/10.1123/jsr.19.2.161
Kotajarvi, B. R., Sabick, M. B., An, K.-N., Zhao, K. D., Kaufman, K. R., & Basford, J. R. (2004). The effect of seat position on wheelchair propulsion biomechanics. Journal of Rehabilitation Research and Development, 41(3B), 403–414. https://doi.org/10.1682/jrrd.2003.01.0008
MacLeod, H., Morris, J., Nevill, A., & Sunderland, C. (2009). The validity of a non-differential global positioning system for assessing player movement patterns in field hockey. Journal of Sports Sciences, 27(2), 121–128. https://doi.org/10.1080/02640410802422181
Maquirriain, J. (2010). Epidemiological analysis of doping offences in the professional tennis circuit. Journal of Occupational Medicine and Toxicology, 5(30), 1–6. https://doi.org/10.1186/1745-6673-5-30
Mason, B. S., Porcellato, L., Van Der Woude, L. H. V, & Goosey-Tolfrey, V. L. (2010). A qualitative examination of wheelchair configuration for optimal mobility performance in wheelchair sports: A pilot study. Journal of Rehabilitation Medicine, 42(2), 141–149. https://doi.org/10.2340/16501977-0490
Mason, B. S., Van Der Woude, L. H. V, & Goosey-Tolfrey, V. L. (2013). The ergonomics of wheelchair configuration for optimal performance in the wheelchair court sports. Sports Medicine, 43, 23–38. https://doi.org/10.1007/s40279-012-0005-x
Moon, H.-B., Park, S.-J., Kim, A.-C., & Jang, J.-H. (2013). Characteristics of upper limb muscular strength in male wheelchair tennis players. Journal of Exercise Rehabilitation, 9(3), 375–380. https://doi.org/10.12965/jer.130051
Muraki, S., Tsunawake, N., Hiramatsu, S., & Yamasaki, M. (2000). The effect of frequency and mode of sports activity on the psychological status in tetraplegics and paraplegics. Spinal Cord, 38(5), 309–314. https://doi.org/10.1038/sj.sc.3101002
Ponzano, M., & Gollin, M. (2017). Physical demand of wheelchair tennis match-play on hard courts and clay courts. International Journal of Performance Analysis in Sport, 17(4), 656–665. https://doi.org/10.1080/24748668.2017.1384975
Price, M. J., & Campbell, I. G. (2003). Effects of spinal cord lesion level upon thermoregulation during exercise in the heat. Medicine and Science in Sports and Exercise, 35(7), 1100–1107. https://doi.org/10.1249/01.mss.0000074655.76321.d7
Reid, M., Elliott, B., & Alderson, J. (2007). Shoulder joint kinetics of the elite wheelchair tennis serve. British Journal of Sports Medicine, 41(11), 739–744. https://doi.org/10.1136/bjsm.2007.036145
Richardson, E. V, Papathomas, A., Smith, B., & Goosey-Tolfrey, V. L. (2015). The psychosocial impact of wheelchair tennis on participants from developing countries. Disability and Rehabilitation, 39(2), 193–200. https://doi.org/10.3109/09638288.2015.1073372
Roy, J. L. P., Menear, K. S., Schmid, M. M. a, Hunter, G. R., & Malone, L. a. (2006). Physiological responses of skilled players during a competitive wheelchair tennis match. Journal of Strength and Conditioning Research / National Strength & Conditioning Association, 20(3), 665–671. https://doi.org/10.1519/R-17845.1
Sánchez-Pay, A., Palao, J. M., Torres-Luque, G., & Sanz-Rivas, D. (2015). Differences in set statistics between wheelchair and conventional tennis on different types of surfaces and by gender. International Journal of Performance Analysis in Sport, 15(3), 1177–1188. https://doi.org/10.1080/24748668.2015.11868860
Sánchez-Pay, A., & Sanz-Rivas, D. (2019). Assessment of the physical condition of the high-level wheelchair tennis player according to competitive level and kind of injury. RICYDE. Revista Internacional de Ciencias Del Deporte, 15(57), 235–248. https://doi.org/10.5232/ricyde2019.05702
Sánchez-Pay, A., Sanz-Rivas, D., & Torres-Luque, G. (2014). Analysis of competitive wheelchair tennis. ITF Coaching and Sport Science Review, 63, 15–17.
Sánchez-Pay, A., Sanz-Rivas, D., & Torres-Luque, G. (2015). Match analysis in a wheelchair tennis tournament. International Journal of Performance Analysis in Sport, 15(3), 540–550. https://doi.org/10.1080/24748668.2015.11868812
Sánchez-Pay, A., Torres-Luque, G., Cabello Manrique, D., Sanz-Rivas, D., & Palao, J. M. (2015). Match analysis of women’s wheelchair tennis matches for the Paralympic Games. International Journal of Performance Analysis in Sport, 15(1), 69–79. https://doi.org/10.1080/24748668.2015.11868777
Sánchez-Pay, A., Torres-Luque, G., Fernandez-García, Á. I., & Sanz-Rivas, D. (2013). Análisis de la influencia de la superficie de juego en individual masculino en el tenis en silla de ruedas. CCD, 8(9), 217–222. https://doi.org/10.12800/ccd.v8i24.360
Sánchez-Pay, A., Torres-Luque, G., & Sanz-Rivas, D. (2015). Match activity and physiological load in wheelchair tennis players : a pilot study. Spinal Cord, (54), 229–233. https://doi.org/10.1038/sc.2015.107
Sanz, D. (2003). Wheelchair tennis. Barcelona: Paidotribo.
Sanz, D., & Reina, R. (2012). Actividades físicas y deportes adaptados para personas con discapacidad. Barcelona: Paidotribo.
Schuster, J., Howells, D., Robineau, J., Couderc, A., Natera, A., Lumley, N., … Winkelman, N. (2018). Physical-Preparation Recommendations for Elite Rugby Sevens Performance. International Journal of Sports Physiology and Performance, 13(3), 255–268. https://doi.org/10.1123/ijspp.2016-0728
Sindall, P., Lenton, J. P., Malone, L., Douglas, S., Cooper, R. a, Hiremath, S., … Goosey-Tolfrey, V. L. (2014). Effect of low-compression balls on wheelchair tennis match-play. International Journal of Sports Medicine, 35(5), 424–431. https://doi.org/10.1055/s-0033-1354384
Sindall, P., Lenton, J. P., Tolfrey, K., Cooper, R. a, Oyster, M., & Goosey-Tolfrey, V. L. (2013). Wheelchair tennis match-play demands: effect of player rank and result. International Journal of Sports Physiology and Performance, 8(1), 28–37. https://doi.org/10.1123/ijspp.8.1.28
Sindall, P., Lenton, J. P., Whytock, K., Tolfrey, K., Oyster, M. L., Cooper, R. a, & Goosey-Tolfrey, V. L. (2013). Criterion validity and accuracy of global positioning satellite and data logging devices for wheelchair tennis court movement. The Journal of Spinal Cord Medicine, 36(4), 383–393. https://doi.org/10.1179/2045772312Y.0000000068
Steadward, R. (1998). Musculoskeletal and neurological disabilities: Implications for fitness appraisal, programming, and counselling. Canadian Journal of Applied Physiology, 23(2), 131–165. https://doi.org/10.1139/h98-010
Tennis Canada. (2008). Wheelchair tennis instructor workshop. Participants manual.
Vanlandewijck, Y., Theisen, D., & Daly, D. (2001). Wheelchair propulsion biomechanics: implications for wheelchair sports. Sports Medicine, 31(5), 339–367. https://doi.org/10.2165/00007256-200131050-00005
Veltmeijer, M. T., Pluim, B., Thijssen, D. H., Hopman, M. T., & Eijsvogels, T. M. (2014). Thermoregulatory responses in wheelchair tennis players: a pilot study. Spinal Cord, 52(5), 373–377. https://doi.org/10.1038/sc.2014.27
Villaplana, J., & Fuentes, J. P. (2015). Review of sport science research specialised on wheelchair tennis. ITF Coaching and Sport Science Review, 65(23), 15–16.
Warner, M. B., Wilson, D., Heller, M. O., Wood, D., Worsley, P., Mottram, S., … Batt, M. (2018). Scapular kinematics in professional wheelchair tennis players. Clinical Biomechanics, 53, 7–13. https://doi.org/10.1016/j.clinbiomech.2018.01.022
Willick, S. E., Webborn, N., Emery, C., Blauwet, C. A., Pit-Grosheide, P., Stomphorst, J., … Schwellnus, M. (2013). The epidemiology of injuries at the London 2012 Paralympic Games. British Journal of Sports Medicine, 47(7), 426–432. https://doi.org/10.1136/bjsports-2013-092374
Wu, S. K., & Williams, T. (2001). Factors influencing sport participation among athletes with spinal cord injury. Medicine & Science in Sports & Exercise, 33(2), 177–182. https://doi.org/10.1097/00005768-200102000-00001
Yazicioglu, K., Yavuz, F., Goktepe, A. S., & Tan, A. K. (2012). Influence of adapted sports on quality of life and life satisfaction in sport participants and non-sport participants with physical disabilities. Disability and Health Journal, 5(4), 249–253. https://doi.org/10.1016/j.dhjo.2012.05.003
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