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Paralympic Medicine: The Road to Rio
Aaron A Phillips1, Jordan W Squair1,2, Andrei V Krassioukov1,3,4
11 International Collaboration on Repair Discoveries, University of British Columbia , Vancouver, British Columbia, Canada .
Journal of Neurotrauma
|December 22, 2016
Summary
Preserved autonomic function is critical for elite athletes with spinal cord injury (SCI). This study examines its impact on performance, health risks, and fair sport classification in Paralympic sports.
Area of Science:
- Sports Medicine
- Neuroscience
- Physiology
Background:
- Elite athletes with spinal cord injury (SCI) present complex medical challenges.
- Extensive data has been collected over 10 years from Paralympic and IPC-sanctioned events.
- Understanding autonomic function's role is crucial for health and performance.
Purpose of the Study:
- To investigate the influence of autonomic function on athletic performance in SCI athletes.
- To assess the adequacy of current sport classification systems.
- To explore methods for preventing performance-enhancing doping like "boosting".
Main Methods:
- Analysis of the largest dataset to date from elite SCI athletes.
- Narrative review addressing key research questions.
- Evaluation of potential predictive tests for autonomic dysfunction.
Main Results:
- Preserved autonomic function is critical for elite performance in SCI athletes.
- Current sport classification may not adequately account for autonomic dysfunction.
- New screening guidelines are being implemented to detect "boosting".
Conclusions:
- Autonomic function significantly impacts SCI athlete performance and health.
- Revising sport classification may be necessary for a level playing field.
- Preventing doping practices like "boosting" is an ongoing concern.
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