Resumen
This study aimed (1) to determine the appropriateness of using decision trees as a classification tool for determining the allocation of sport classes of para-footballers with “moderate vs. mild” cerebral palsy (CP) profiles of spastic diplegia/hemiplegia and ataxia/athetosis based on observational outcomes by international classifiers, and (2) to identify what key observational features were relevant to discriminating among different impairment levels. A sample of 16 experienced international classifiers from five world regions participated in this study, observing activity limitation of a final sample of 21 international CP footballers when performing 16 gross-motor and sports-specific tests for balance (n = 3), coordination (n = 5), running, accelerations and decelerations (n = 3), jumping (n = 4), and change of direction ability (n = 1). For the overall sample (336 observations), the model included eight decision nodes and 24 branches with 17 leaves, including side-step, side-stepping, and triple hop as the tests with the best sensitivity (precision = 67.0%). For those with spastic diplegia (64 observations: Two nodes, six branches with five leaves), the range of motion in the side-step test and the balance in the tandem walk tests correctly classified 89.1% of the observations. In those with athetosis and ataxia (96 observations), the model included five nodes, 15 branches, and 11 leaves (176 observations, precision = 86.5%). For those with spastic hemiplegia, a model containing two nodes, six branches, and five leaves had 90.9% accuracy, including observational features of balance in the side-step test and symmetry in the side-stepping test. The observational tool used in this study, based on the impact of specific impairment measurements of hypertonia, athetosis, and ataxia, can be used to determine which assessments are more appropriate for discriminating between functional profiles in para-footballers with CP.
Idioma original | Inglés |
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Número de artículo | 4320 |
Publicación | International Journal of Environmental Research and Public Health |
Volumen | 18 |
N.º | 8 |
DOI | |
Estado | Publicada - 2021 |
Publicado de forma externa | Sí |
Nota bibliográfica
Funding Information:Funding: This research was funded by the AGITOS Foundation (International Paralympic Committee) and the Cerebral Palsy International Sports and Recreation Association (CPISRA). Project ID: GSP14-CPISRA01-IF. Title: Improving the reliability and validity of current classification methods for athletes in classes FT5–FT8 and T35–T38.
Funding Information:
This research was funded by the AGITOS Foundation (International Paralympic Commit-tee) and the Cerebral Palsy International Sports and Recreation Association (CPISRA). Project ID: GSP14-CPISRA01-IF. Title: Improving the reliability and validity of current classification methods for athletes in classes FT5?FT8 and T35?T38.
Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.
Áreas temáticas de ASJC Scopus
- Contaminación
- Salud pública, medioambiental y laboral
- Salud, toxicología y mutagénesis