Recovery Strategies for Athletes with Disabilities
DOI:
https://doi.org/10.29105/rce-fod.v21i1.158Palabras clave:
Adapted sport, Recovery, Fatigue, Athlete, disabilityResumen
SUMMARY
Recovery is a determining factor for performance and health in adapted sports, owing to the interaction among the functional, physiological, and psychological demands inherent to various disabilities. This narrative review synthesized scientific evidence on recovery methods used in athletes with disabilities, considering fatigue, muscle damage, sleep, nutrition, hydration, supplementation, training load, and psychological regulation. The results reveal heterogeneous data and evident limitations in characterizing athletic populations, as well as challenges associated with biomechanical constraints, chronic pain, and the emotional demands athletes face. The need for individualized, multidisciplinary interventions supported by scientific evidence is highlighted to optimize athletes' recovery in adapted sports. Finally, the review proposes the development and evaluation of new research lines and strategies to enhance the performance, safety, and overall well-being of athletes with disabilities.
Keywords: Disability, adapted sport, recovery, fatigue, athlete.
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Almonroeder, T. G., Tighe, S. M., Miller, T. M., & Lanning, C. R. (2020). The influence of fatigue on decision-making in athletes: a systematic review. Sports biomechanics, 19(1), 76–89. https://doi.org/10.1080/14763141.2018.1472798 DOI: https://doi.org/10.1080/14763141.2018.1472798
Asken, M. J. (1991). The challenge of the physically challenged: Delivering sport psychology services to physically disabled athletes. The Sport Psychologist, 5(4), 370–381. https://doi.org/10.1123/tsp.5.4.370 DOI: https://doi.org/10.1123/tsp.5.4.370
Assumpção, C. de O., Lima, L. C., Oliveira, F. B., Greco, C. C., & Denadai, B. S. (2013). Exercise-induced muscle damage and running economy in humans. TheScientificWorldJournal, 2013, 189149. https://doi.org/10.1155/2013/189149 DOI: https://doi.org/10.1155/2013/189149
Bantjes, J., & Swartz, L. (2018). Social Inclusion Through Para sport: A Critical Reflection on the Current State of Play. Physical medicine and rehabilitation clinics of North America, 29(2), 409–416. https://doi.org/10.1016/j.pmr.2018.01.006 DOI: https://doi.org/10.1016/j.pmr.2018.01.006
Bernardi, M., Castellano, V., Ferrara, M. S., Sbriccoli, P., Sera, F., & Marchetti, M. (2003). Muscle pain in athletes with locomotor disability. Medicine and science in sports and exercise, 35(2), 199–206. https://doi.org/10.1249/01.MSS.0000048635.83126.D4 DOI: https://doi.org/10.1249/01.MSS.0000048635.83126.D4
Broad, E. (2001). Sports nutrition for athletes with disabilities. International SportMed Journal, 2(1), 1–4. https://doi.org/10.10520/EJC48454
Calleja-González, J., Bird, S. P., Huyghe, T., Jukic, I., Cuzzolin, F., Cos, F., Marqués-Jiménez, D., Milanovic, L., Sampaio, J., López-Laval, I., Ostojic, S. M., Jones, M. T., Alcaraz, P. E., Schelling, X., Delextrat, A., Singh, M., Charest, J., Freitas, T. T., Torres Ronda, L., Petway, A., … McLellan, C. (2021). The Recovery Umbrella in the World of Elite Sport: Do Not Forget the Coaching and Performance Staff. Sports, 9(12), 169. https://doi.org/10.3390/sports9120169 DOI: https://doi.org/10.3390/sports9120169
Calleja-González, J., Mielgo-Ayuso, J., Sampaio, J., Delextrat, A., Ostojic, S. M., Marques-Jiménez, D., Arratibel, I., Sánchez-Ureña, B., Dupont, G., Schelling, X., & Terrados, N. (2018). Brief ideas about evidence-based recovery in team sports. Journal of exercise rehabilitation, 14(4), 545–550. https://doi.org/10.12965/jer.1836244.122 DOI: https://doi.org/10.12965/jer.1836244.122
Cavedon, V., Sandri, M., Peluso, I., Zancanaro, C., & Milanese, C. (2021). Body composition and bone mineral density in athletes with a physical impairment. PeerJ, 9, e11296. https://doi.org/10.7717/peerj.11296 DOI: https://doi.org/10.7717/peerj.11296
Crowther, F., Sealey, R., Crowe, M., Edwards, A., & Halson, S. (2017). Team sport athletes' perceptions and use of recovery strategies: a mixed-methods survey study. BMC sports science, medicine & rehabilitation, 9, 6. https://doi.org/10.1186/s13102-017-0071-3 DOI: https://doi.org/10.1186/s13102-017-0071-3
Das, A., Bagchi, D., & Sen, C.K. (2019). Chapter 17—Nutrition in Paralympics. In D. Bagchi, S. Nair, & CK Sen (Eds.), Nutrition and Enhanced Sports Performance (Second Edition) (pp. 203–210). Academic Press. https://doi.org/10.1016/B978-0-12-813922-6.00017-5 DOI: https://doi.org/10.1016/B978-0-12-813922-6.00017-5
Day, M.C., & Wadey, R. (2016). Narratives of trauma, recovery, and growth: The complex role of sport following permanent acquired disability. Psychology of Sport and Exercise, 22, 131–138. https://doi.org/10.1016/j.psychsport.2015.07.004 DOI: https://doi.org/10.1016/j.psychsport.2015.07.004
Deguchi, M., Yokoyama, H., Hongu, N., Watanabe, H., Ogita, A., Imai, D., Suzuki, Y., & Okazaki, K. (2021). Eating Perception, Nutrition Knowledge and Body Image among Para-Athletes: Practical Challenges in Nutritional Support. Nutrients, 13(9), 3120. https://doi.org/10.3390/nu13093120 DOI: https://doi.org/10.3390/nu13093120
Durán Agüero, S., Arroyo Jofre, P., Varas Standen, C., Herrera-Valenzuela, T., Moya Cantillana, C., Pereira Robledo, R., & Valdés-Badilla, P. (2015). Calidad del sueño, somnolencia e insomnio en deportistas paralímpicos de elite chilenos [Sleep quality, excessive daytime sleepiness and insomnia in chilean paralympic athletes]. Nutricion hospitalaria, 32(6), 2832–2837. https://doi.org/10.3305/nh.2015.32.6.9893
Fagher, K., Forsberg, A., Jacobsson, J., Timpka, T., Dahlström, Ö., & Lexell, J. (2016). Paralympic athletes' perceptions of their experiences of sports-related injuries, risk factors and preventive possibilities. European journal of sport science, 16(8), 1240–1249. https://doi.org/10.1080/17461391.2016.1192689 DOI: https://doi.org/10.1080/17461391.2016.1192689
Fagher, K., & Lexell, J. (2014). Sports-related injuries in athletes with disabilities. Scandinavian journal of medicine & science in sports, 24(5), e320–e331. https://doi.org/10.1111/sms.12175 DOI: https://doi.org/10.1111/sms.12175
Ferrara, M. S., & Peterson, C. L. (2000). Injuries to athletes with disabilities: identifying injury patterns. Sports medicine, 30(2), 137–143. https://doi.org/10.2165/00007256-200030020-00006 DOI: https://doi.org/10.2165/00007256-200030020-00006
Fiorilli, G., Buonsenso, A., Davola, N., Di Martino, G., Baralla, F., Boutious, S., Centorbi, M., Calcagno, G., & di Cagno, A. (2021). Stress Impact of COVID-19 Sports Restrictions on Disabled Athletes. International journal of environmental research and public health, 18(22), 12040. https://doi.org/10.3390/ijerph182212040 DOI: https://doi.org/10.3390/ijerph182212040
Fischer, G., Figueiredo, P., & Ardigò, L. P. (2020). Bioenergetics and Biomechanics of Handcycling at Submaximal Speeds in Athletes with a Spinal Cord Injury. Sports, 8(2), 16. https://doi.org/10.3390/sports8020016 DOI: https://doi.org/10.3390/sports8020016
Flueck J. L. (2021). Nutritional Considerations for Para-Cycling Athletes: A Narrative Review. Sports, 9(11), 154. https://doi.org/10.3390/sports9110154 DOI: https://doi.org/10.3390/sports9110154
Fox, J. L., Scanlan, A. T., Stanton, R., & Sargent, C. (2020). Insufficient Sleep in Young Athletes? Causes, Consequences, and Potential Treatments. Sports medicine (Auckland, N.Z.), 50(3), 461–470. https://doi.org/10.1007/s40279-019-01220-8 DOI: https://doi.org/10.1007/s40279-019-01220-8
Goosey-Tolfrey, V. L., & Crosland, J. (2010). Nutritional practices of competitive British wheelchair games players. Adapted physical activity quarterly: APAQ, 27(1), 47–59. https://doi.org/10.1123/apaq.27.1.47 DOI: https://doi.org/10.1123/apaq.27.1.47
Grade, I., Andrade, H., Guerreiro, R., Stieler, E., da Silva, F. R., da Silva, H. G. V., Vital, R., Resende, R. A., Gonçalves, D. A. P., Andrade, A. G., de Mello, M. T., & Silva, A. (2023). The Sleep Parameters of Paralympic Athletes: Characteristics and Assessment Instruments. Journal of sport rehabilitation, 32(2), 203–214. https://doi.org/10.1123/jsr.2021-0407 DOI: https://doi.org/10.1123/jsr.2021-0407
Graham-Paulson, T. S., Perret, C., Smith, B., Crosland, J., & Goosey-Tolfrey, V. L. (2015). Nutritional Supplement Habits of Athletes With an Impairment and Their Sources of Information. International journal of sport nutrition and exercise metabolism, 25(4), 387–395. https://doi.org/10.1123/ijsnem.2014-0155 DOI: https://doi.org/10.1123/ijsnem.2014-0155
Hertig-Godeschalk, A., Ruettimann, B., Valido, E., Glisic, M., Stoyanov, J., & Flueck, J. L. (2023). Energy Availability and Nutritional Intake during Different Training Phases of Wheelchair Athletes. Nutrients, 15(11), 2578. https://doi.org/10.3390/nu15112578 DOI: https://doi.org/10.3390/nu15112578
Hosker, D. K., Elkins, R. M., & Potter, M. P. (2019). Promoting Mental Health and Wellness in Youth Through Physical Activity, Nutrition, and Sleep. Child and adolescent psychiatric clinics of North America, 28(2), 171–193. https://doi.org/10.1016/j.chc.2018.11.010 DOI: https://doi.org/10.1016/j.chc.2018.11.010
Islamoglu, A. H., & Kenger, E. B. (2019). Nutrition Considerations for Athletes with Physical Disabilities. Current sports medicine reports, 18(7), 270–274. https://doi.org/10.1249/JSR.0000000000000613 DOI: https://doi.org/10.1249/JSR.0000000000000613
Jeoung, B., & Kim, J. (2021). Analysis and Evaluation of Nutritional Intake and Nutrition Quotient of Korean Athletes with Disabilities in the Tokyo Paralympic Games. Nutrients, 13(10), 3631. https://doi.org/10.3390/nu13103631 DOI: https://doi.org/10.3390/nu13103631
Kawasaki, Y., Kasai, T., Koikawa, N., Hanazato, N., Suda, S., Murata, A., Ozaki, R., Nagai, S., Matsumura, Y., Kaneko, H., Kubo, M., Osawa, A., Nojiri, S., Ogasawara, E., Sakuraba, K., Daida, H., Kitade, M., & Itakura, A. (2020). Sex differences in factors associated with poor subjective sleep quality in athletes. The Journal of sports medicine and physical fitness, 60(1), 140–151. https://doi.org/10.23736/S0022-4707.19.09875-X DOI: https://doi.org/10.23736/S0022-4707.19.09875-X
Kellmann, M., Bertollo, M., Bosquet, L., Brink, M., Coutts, A. J., Duffield, R., Erlacher, D., Halson, S. L., Hecksteden, A., Heidari, J., Kallus, K. W., Meeusen, R., Mujika, I., Robazza, C., Skorski, S., Venter, R., & Beckmann, J. (2019). Recovery and Performance in Sport: Consensus Statement. International Journal of Sports Physiology and Performance, 13(2), 240-245. https://doi.org/10.1123/ijspp.2017-0759 DOI: https://doi.org/10.1123/ijspp.2017-0759
Kennedy, A. B., Patil, N., & Trilk, J. L. (2018). 'Recover quicker, train harder, and increase flexibility': Massage therapy for elite paracyclists, a mixed-methods study. BMJ Open Sport—Exercise Medicine, 4(1), e000319. https://doi.org/10.1136/bmjsem-2017-000319 DOI: https://doi.org/10.1136/bmjsem-2017-000319
Kerksick, C. M., Wilborn, C. D., Roberts, M. D., Smith-Ryan, A., Kleiner, S. M., Jäger, R., Collins, R., Cooke, M., Davis, J. N., Galvan, E., Greenwood, M., Lowery, L. M., Wildman, R., Antonio, J., & Kreider, R. B. (2018). ISSN exercise & sports nutrition review update: research & recommendations. Journal of the International Society of Sports Nutrition, 15(1), 38. https://doi.org/10.1186/s12970-018-0242-y DOI: https://doi.org/10.1186/s12970-018-0242-y
Klenck, C., & Gebke, K. (2007). Practical management: common medical problems in disabled athletes. Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine, 17(1), 55–60. https://doi.org/10.1097/JSM.0b013e3180302587 DOI: https://doi.org/10.1097/JSM.0b013e3180302587
Macdougall, H., O’Halloran, P., Sherry, E., & Shields, N. (2016). Needs and Strengths of Australian Para-Athletes: Identifying Their Subjective Psychological, Social, and Physical Health and Well-Being. The Sport Psychologist, 30(1), 1-12. https://doi.org/10.1123/tsp.2015-0006 DOI: https://doi.org/10.1123/tsp.2015-0006
Macdougall, H., O'Halloran, P., Shields, N., & Sherry, E. (2015). Comparing the Well-Being of Para and Olympic Sport Athletes: A Systematic Review. Adapted physical activity quarterly: APAQ, 32(3), 256–276. https://doi.org/10.1123/APAQ.2014-0168 DOI: https://doi.org/10.1123/APAQ.2014-0168
Madden, R. F., Shearer, J., & Parnell, J. A. (2017). Evaluation of Dietary Intakes and Supplement Use in Paralympic Athletes. Nutrients, 9(11), 1266. https://doi.org/10.3390/nu9111266 DOI: https://doi.org/10.3390/nu9111266
Martínez-Guardado, I., Rojas-Valverde, D., Gutiérrez-Vargas, R., Ugalde Ramírez, A., Gutiérrez-Vargas, J. C., & Sánchez-Ureña, B. (2020). Intermittent Pneumatic Compression and Cold Water Immersion Effects on Physiological and Perceptual Recovery during Multi-Sports International Championship. Journal of functional morphology and kinesiology, 5(3), 45. https://doi.org/10.3390/jfmk5030045 DOI: https://doi.org/10.3390/jfmk5030045
Myrick, K. M. (2015). Overtraining and Overreaching Syndrome in Athletes. The Journal for Nurse Practitioners, 11(10), 1018–1022. https://doi.org/10.1016/j.nurpra.2015.08.038 DOI: https://doi.org/10.1016/j.nurpra.2015.08.038
Nowakowska, A., Kostrzewa-Nowak, D., Buryta, R., & Nowak, R. (2019). Blood Biomarkers of Recovery Efficiency in Soccer Players. International Journal of Environmental Research and Public Health, 16(18), 3279. https://doi.org/10.3390/ijerph16183279 DOI: https://doi.org/10.3390/ijerph16183279
Oliver, A., & Driller, M. (2021). The Use of Upper-Body Intermittent Sequential Pneumatic Compression Arm Sleeves on Recovery From Exercise in Wheelchair Athletes. American journal of physical medicine & rehabilitation, 100(1), 65–71. https://doi.org/10.1097/PHM.0000000000001521 DOI: https://doi.org/10.1097/PHM.0000000000001521
Peake, J. M. (2019). Recovery after exercise: What is the current state of play? Current Opinion in Physiology, 10, 17–26. https://doi.org/10.1016/j.cophys.2019.03.007 DOI: https://doi.org/10.1016/j.cophys.2019.03.007
Rastmanesh, R., Taleban, F. A., Kimiagar, M., Mehrabi, Y., & Salehi, M. (2007). Nutritional knowledge and attitudes in athletes with physical disabilities. Journal of athletic training, 42(1), 99–105.
Reardon, C. L., Hainline, B., Aron, C. M., Baron, D., Baum, A. L., Bindra, A., Budgett, R., Campriani, N., Castaldelli-Maia, J. M., Currie, A., Derevensky, J. L., Glick, I. D., Gorczynski, P., Gouttebarge, V., Grandner, M. A., Han, D. H., McDuff, D., Mountjoy, M., Polat, A., Purcell, R., … Engebretsen, L. (2019). Mental health in elite athletes: International Olympic Committee consensus statement (2019). British journal of sports medicine, 53(11), 667–699. https://doi.org/10.1136/bjsports-2019-100715 DOI: https://doi.org/10.1136/bjsports-2019-100715
Reilly, T., & Ekblom, B. (2005). The use of recovery methods post-exercise. Journal of sports sciences, 23(6), 619–627. https://doi.org/10.1080/02640410400021302 DOI: https://doi.org/10.1080/02640410400021302
Roberts, I. E., Murphy, C. J., & Goosey-Tolfrey, V. L. (2021). Sleep disruption considerations for Paralympic athletes competing at Tokyo 2020. The Journal of sports medicine and physical fitness, 61(8), 1159–1172. https://doi.org/10.23736/S0022-4707.21.12741-0 DOI: https://doi.org/10.23736/S0022-4707.21.12741-0
Sasaki, C. A. L., & da Costa, T. H. M. (2021). Micronutrient deficiency in the diets of para-athletes participating in a sports scholarship program. Nutrition, 81, 110992. https://doi.org/10.1016/j.nut.2020.110992 DOI: https://doi.org/10.1016/j.nut.2020.110992
Scaramella, J., Kirihennedige, N., & Broad, E. (2018). Key Nutritional Strategies to Optimize Performance in Para Athletes. Physical medicine and rehabilitation clinics of North America, 29(2), 283–298. https://doi.org/10.1016/j.pmr.2018.01.005 DOI: https://doi.org/10.1016/j.pmr.2018.01.005
Sellami, M., Puce, L., & Bragazzi, N. L. (2023). Immunological Response to Exercise in Athletes with Disabilities: A Narrative Review of the Literature. Healthcare, 11(12), 1692. https://doi.org/10.3390/healthcare11121692 DOI: https://doi.org/10.3390/healthcare11121692
Sikorska, I., & Gerc, K. (2022). Athletes with disabilities in the light of positive psychology. Baltic Journal of Health and Physical Activity, 10 (1). https://doi.org/10.29359/BJHPA.10.1.07 DOI: https://doi.org/10.29359/BJHPA.10.1.07
Silva, A., Pinto Pinheiro, L. S., Silva, S., Andrade, H., Pereira, A. G., Rodrigues da Silva, F., Guerreiro, R., Barreto, B., Resende, R., & Túlio de Mello, M. (2022). Sleep in Paralympic athletes and its relationship with injuries and illnesses. Physical therapy in sport: official journal of the Association of Chartered Physiotherapists in Sports Medicine, 56, 24–31. https://doi.org/10.1016/j.ptsp.2022.06.001 DOI: https://doi.org/10.1016/j.ptsp.2022.06.001
Swartz, L., Hunt, X., Bantjes, J., Hainline, B., & Reardon, C. L. (2019). Mental health symptoms and disorders in Paralympic athletes: a narrative review. British journal of sports medicine, 53(12), 737–740. https://doi.org/10.1136/bjsports-2019-100731 DOI: https://doi.org/10.1136/bjsports-2019-100731
Szabo, S. W., & Kennedy, M. D. (2022). Practitioner perspectives of athlete recovery in paralympic sport. International Journal of Sports Science & Coaching, 17(2), 274–284. https://doi.org/10.1177/17479541211022706 DOI: https://doi.org/10.1177/17479541211022706
Tam, R., Beck, K. L., Manore, M. M., Gifford, J., Flood, V. M., & O'Connor, H. (2019). Effectiveness of Education Interventions Designed to Improve Nutrition Knowledge in Athletes: A Systematic Review. Sports medicine, 49(11), 1769–1786. https://doi.org/10.1007/s40279-019-01157-y DOI: https://doi.org/10.1007/s40279-019-01157-y
Tierney, P. (2023, enero 2). Cost-Benefit Recovery Quadrant v4 What else would you add in going into 2023? Are there other things you can predict being included by the end of the year? Tweet. X. https://x.com/drpetertierney/status/1609598197223292928
Trecroci, A., Boccolini, G., Duca, M., Formenti, D., & Alberti, G. (2020). Mental fatigue impairs physical activity, technical and decision-making performance during small-sided games. PloS one, 15(9), e0238461. https://doi.org/10.1371/journal.pone.0238461 DOI: https://doi.org/10.1371/journal.pone.0238461
Tuakli-Wosornu, Y. A., Mashkovskiy, E., Ottesen, T., Gentry, M., Jensen, D., & Webborn, N. (2018). Acute and Chronic Musculoskeletal Injury in Para Sport: A Critical Review. Physical medicine and rehabilitation clinics of North America, 29(2), 205–243. https://doi.org/10.1016/j.pmr.2018.01.014 DOI: https://doi.org/10.1016/j.pmr.2018.01.014
Vertommen, T., Schipper-van Veldhoven, N. H. M. J., Hartill, M. J., & Van Den Eede, F. (2015). Sexual harassment and abuse in sport: The NOC*NSF helpline. International Review for the Sociology of Sport, 50(7), 822–839. https://doi.org/10.1177/1012690213498079 DOI: https://doi.org/10.1177/1012690213498079
Walter, M., & Krassioukov, A. V. (2018). Autonomic Nervous System in Paralympic Athletes with Spinal Cord Injury. Physical medicine and rehabilitation clinics of North America, 29(2), 245–266. https://doi.org/10.1016/j.pmr.2018.01.001 DOI: https://doi.org/10.1016/j.pmr.2018.01.001
Wareham, Y., Burkett, B., Innes, P., & Lovell, G. P. (2017). Coaching athletes with disabilities: Preconceptions and reality. Sport in Society, 20(9), 1185–1202. https://doi.org/10.1080/17430437.2016.1269084 DOI: https://doi.org/10.1080/17430437.2016.1269084
Webborn, N., & Emery, C. (2014). Descriptive epidemiology of Paralympic sports injuries. PM & R: the journal of injury, function, and rehabilitation, 6(8 Suppl), S18–S22. https://doi.org/10.1016/j.pmrj.2014.06.003 DOI: https://doi.org/10.1016/j.pmrj.2014.06.003
Weiler, R., Van Mechelen, W., Fuller, C., & Verhagen, E. (2016). Sport Injuries Sustained by Athletes with Disability: A Systematic Review. Sports medicine, 46(8), 1141–1153. https://doi.org/10.1007/s40279-016-0478-0 DOI: https://doi.org/10.1007/s40279-016-0478-0
Wilson, P. E., & Clayton, G. H. (2010). Sports and Disability. PM&R, 2(3), S46–S54. https://doi.org/10.1016/j.pmrj.2010.02.002 DOI: https://doi.org/10.1016/j.pmrj.2010.02.002
Yokoyama, H., Deguchi, M., & Hongu, N. (2022). The Role of Diets and Dietitians for Para-Athletes: A Pilot Study Based on Interviews. Nutrients, 14(18), 3720. https://doi.org/10.3390/nu14183720 DOI: https://doi.org/10.3390/nu14183720
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