Performance Assessement for Paralympic Athletes

Study Overview
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Brief Summary
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The primary objective of the study: improvement of sportive performances by quantification and performances monitoring of paralympic athletes. The secondary objectives of the study: quantification and performances monitoring of mechanical performances during the filed tests, the laboratory analysis and the sportive competitions; quantification and performances monitoring of physiological performances during the filed tests, the laboratory analysis and the sportive competitions; quantification and risk monitoring of discipline-relative musculo-squeletic troubles, caused by training or using of sportive equipment; quantification and mechanical monitoring by the made-to-measure or usual sportive material.

Detailed Description
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The sportive performance results from a range of determinations such as: physiological, biomechanical, morphological, psychological, social and environmental factors. The interactions between athletes, equipment, training and environment influences the development of athletes' performance. In the context of the coming Paris 2024 Paralympic Games, the performance construction for the exploration, the quantification and the management of all factors is an commun objective between sportive team, medical team and researchers.

Official Title
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Evaluation of Performance in Paralympic Athletes: Performance Outcomes in Sports

Conditions
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Paralympic Athletes, Sportive Performance

Intervention / Treatment
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* Other: Standardization of evaluation and follow-up


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: High-lever paralympic athletes registered on the ministerial list or selected by Parasport Federation of France or Shooting Federation of France; Aged >= 14 years; Informed consent signed by adult athlete or by holder of parental authority or guardian for minor athlete; Covered by social security system. Exclusion Criteria: Temporary or definitive contraindication to the practice of the affected sport activity; Undergoing anti-coagulated treatments; Cognitive disabilities conducting impossibility to participating to clinical trial, such as serious cognitive troubles, behaviors troubles, psychic troubles or upgraded curatorship needing; Under guardianship or judicial decision; Ongoing pregnancy.

Ages Eligible for Study
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Minimum Age: 14 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Parasportives of various disciplines<br> | Other: Standardization of evaluation and follow-up<br>* Standardization of evaluation and clinical and sportive follow-up of athletes. Made-to-measure technical supports will be tested regarding the Paralympic regulations.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Dynamic sportive activity | Dynamic sportive activity: Sprint Capacity Test will be used to have maximal speed. | through study completion, an average of 1 year | 
| Dynamic sportive activity | Dynamic sportive activity: Sprint Capacity Test will be used to have maximal speed. | at 42 months | 
| Static sportive activity | Static sportive activity: maximal speed of movement of pression center. | through study completion, an average of 1 year | 
| Static sportive activity | Static sportive activity: maximal speed of movement of pression center. | at 42 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Biomechanical indices of performance: isometric power measurement | Isometric power will be measured by MicroFet & handgrip of 26 measures, advice for healthcare professionals to measure handgrip strength forces to test and document grip deficits and to evaluate consistency of effort. | through study completion, an average of 1 year | 
| Biomechanical indices of performance: arms and shoulder's Strength | Arms and shoulder's Strength will be measured by force platform. | through study completion, an average of 1 year | 
| Physiological indices of performance: maximal aerobic speed (MAS) | Maximal aerobic speed (MAS) will be measured by Repetition Per Minute on a Arm ergometer. | Twice through study completion, an average of 42 months | 
| Physiological indices of performance: maximal aerobic power | Maximal aerobic power will be measured by following Watts fluctuation during the incremental hand-biking test. | Twice through study completion, an average of 42 months | 
| Fatigue assessment | Fatigue assessment will be measured by Fatigue Index (Power max ratio). | Twice through study completion, an average of 42 months | 
| Blood lactate concentration | Blood lactatemia level will be measured by lactometer. | immediately after the intervention | 
| VO2 peak oxygen uptake | VO2 peak oxygen uptake | through study completion, an average of 1 year | 
| Peak breath expiration volume assessment | VE peak: peak breath expiration volume | through study completion, an average of 1 year | 
| Peak cardiac frequence | CF: peak cardiac frequence | through study completion, an average of 1 year | 
| Musculo-squeletic troubles risks measurement | Musculo-squeletic troubles risks will be measured by medical following and clinical method of functional assessment of the shoulder (i.e. Constant scale). | through study completion, an average of 1 year | 
| Time and distance of deceleration of wheelchair during riding test | Time and distance of deceleration of wheelchair during riding test: measured by signal analysis of instrumented wheelchair (inertial control units). | through study completion, an average of 1 year | 
| Mechanical indices of wheelchair propulsion - applied forces on handrim during the propulsion | Applied forces on handrim during the propulsion: measured by force platform. | through study completion, an average of 1 year | 
| Acceleration profil during the propulsion |  | through study completion, an average of 1 year | 
| Speed profil during the propulsion |  | through study completion, an average of 1 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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paralympic athletes, performance