Daniel Daly | Katholieke Universiteit Leuven (original) (raw)

Papers by Daniel Daly

Research paper thumbnail of Quantification of Aquatic Interventions in Children With Disabilities: A Systematic Literature Review

The objective of the current study was to quantify and summarize the various aquatic intervention... more The objective of the current study was to quantify and summarize the various aquatic interventions in children with disabilities, including studies of all levels of evidence. Forty-five intervention studies were included and were described within nine disability groups. The largest number of articles was found in the groups of “diseases and disabilities of the nervous system” (N = 15) and “mental and behavioral disorders” (N = 15). Swimming or aquatic interventions in children with sensory system and integration deficits, circulatory system problems, congenital malformations, and chromosomal abnormalities did not reveal any published literature. The categorization of aquatic interventions was difficult due to several concerns: the lack of common definitions, the absence of intervention details, individualized therapy or training plans without a decision-making model, different types of pools (temperature and depth), and an undefined mix of several intervention types. Training intens...

Research paper thumbnail of Benefits and Enjoyment of a Swimming Intervention for Youth With Cerebral Palsy: An RCT Study

Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association, Jan 11, 2016

To investigate enjoyment and specific benefits of a swimming intervention for youth with cerebral... more To investigate enjoyment and specific benefits of a swimming intervention for youth with cerebral palsy (CP). Fourteen youth with CP (aged 7 to 17 years, Gross Motor Function Classification System levels I to III) were randomly assigned to control and swimming groups. Walking ability, swimming skills, fatigue, and pain were assessed at baseline, after a 10-week swimming intervention (2/week, 40-50 minutes) or control period, after a 5-week follow-up and, for the intervention group, after a 20-week follow-up period. The level of enjoyment of each swim-session was assessed. Levels of enjoyment were high. Walking and swimming skills improved significantly more in the swimming than in the control group (P = .043; P = .002, respectively), whereas fatigue and pain did not increase. After 20 weeks, gains in walking and swimming skills were retained (P = .017; P = .016, respectively). We recommend a swimming program for youth with CP to complement a physical therapy program.

Research paper thumbnail of Effect of Therapeutic Aquatic Exercise on Symptoms and Function Associated With Lower Limb Osteoarthritis: Systematic Review With Meta-Analysis

Physical Therapy, 2014

Waller B, Ogonowska-Slodownik A, Vitor M, et al. Effect of therapeutic aquatic exercise on sympto... more Waller B, Ogonowska-Slodownik A, Vitor M, et al. Effect of therapeutic aquatic exercise on symptoms and function associated with lower limb osteoarthritis: a systematic review with meta-analysis. Phys Ther. 2014;94:xxx-xxx.] Abstract Background: Current management of osteoarthritis (OA) focuses on pain control and maintaining physical function through pharmacological, non-pharmacological and surgical treatments. Exercise, including therapeutic aquatic exercise (TAE), is considered one of the most important management options. Nevertheless, there is no up-to-date systematic review describing the effect of TAE on symptoms and function associated with lower limb OA. Purpose: To conduct a systematic review with meta-analysis determining the effect of TAE on symptoms and function associated with lower limb OA. Data Sources: Medline, Pubmed, Embase, Cinahl, PEDro, SPORTDiscus Study selection: All randomised controlled trials with an aquatic exercise group and a nontreatment control group. In total 11 studies fulfilled the inclusion criteria and were included in the synthesis and meta-analysis. Data Extraction: Data was extracted and checked for accuracy by 3 independent reviewers. Data synthesis: Data was adjusted for baseline values and standardised mean difference (SMD), with 95% confidence intervals, was calculated for all outcomes. The meta-analysis showed significant TAE effect on pain with a SMD of 0.26 [95% CI 0.11 to 0.41], selfreported function 0.30 [0.18 to 0.43] and physical functioning 0.22 [0.07 to 0.38]. Additionally, a significant effect was seen on stiffness 0.20 [0.03 to 0.36] and quality of life 0.24 [0.04 to 0.45]. Limitations: Heterogeneity of outcome measures and small sample sizes for many of the included trials implies that conclusions based on these results should be made with caution. Conclusions: The results indicate that TAE is effective in managing symptoms associated with lower limb OA. Rehabil. 2010;91(6):833-839. 46. Juhl C, Christensen R, Roos EM, Zhang W, Lund H. Impact of exercise type and dose on pain and disability in knee osteoarthritis: A systematic review and meta-regression analysis of randomized controlled trials. Arthritis Rheumatol. 2014;66(3):622-636. 47. Kelley GA, Kelley KS, Hootman JM, Jones DL. Exercise and health-related quality of life in older community-dwelling adults: A meta-analysis of randomized controlled trials.

Research paper thumbnail of The effects of conservative treatments on burn scars: A systematic review

Burns, 2016

A variety of conservative treatments for burn scars are available, but there is no clear consensu... more A variety of conservative treatments for burn scars are available, but there is no clear consensus on the evidence. The purpose of this study was to summarize the available literature on the effects of conservative treatments of burn scars in adults. RCTs and CCTs were sought in three databases, reference lists of retrieved articles and relevant reviews. The Scottish Intercollegiate Guidelines Network scoring system was used to assess the quality of the selected studies. Information on the study characteristics, results and interventions was extracted. Twenty-two articles were included into the review and categorized in six topics: 5 on massage therapy, 4 on pressure therapy, 6 on silicone gel application, 3 on combined therapy of pressure and silicone, 3 on hydration and 1 on ultrasound. Pressure and silicone therapy are evidence-based conservative treatments of hypertrophic scar formation after a burn producing clinically relevant improvement of scar thickness, redness and pliability. Massage therapy could have a positive result on scar pliability, pain and pruritus, but with less supporting evidence. The use of moisturizers and lotions could have an effect on itching, but the findings are contradictory. Of all other non-invasive treatments such as splinting, casting, physical activity, exercise and mobilizations no RCTs or CCTs were found.

Research paper thumbnail of Benefits of swimming for children with cerebral palsy: a pilot study

The aim of this study was to investigate the effects of a swimming program on body function, acti... more The aim of this study was to investigate the effects of a swimming program on body function, activity and Quality of Life (QOL), in children diagnosed with Cerebral Palsy. Seven children (female/male: 4/3; Median 10.2 years old; Gross Motor Function Classification Scale I to III) participated in a 6-week swimming intervention using a case series design. Outcome measures were, for body function level: handgrip strength; for activity level: unimanual speed performance, walking capacity, gross motor function and adjustment and function in the water; and QOL. There was no drop-out during the intervention. Mental adjustment in the water and swimming skills improved by 29% (p < 0.05) after the intervention. This effect remained at follow-up (p < 0.05). Subdimension D (standing) of the Gross Motor Function Measurement-88 improved significantly (3%). All other activity measurements showed trends toward improvement. QOL improved in five out of seven subdimensions of one questionnaire. To conclude, this pilot study including a small number of participants showed improvements in adjustment and function in the water and positive trends for activity level and QOL after a 6week swimming program. Future research on a larger population could be worthwhile.

Research paper thumbnail of The effects of speed and load changes on bilateral asymmetry of work output during bicycle ergometer pedalling

Research paper thumbnail of New Trends in Adapted Swimming

En este texto se han recopilado las aportaciones presentadas por expertos nacionales y extranjero... more En este texto se han recopilado las aportaciones presentadas por expertos nacionales y extranjeros en el ámbito de la investigación en el deporte de la natación y las actividades acuáticas en actividades científicas relacionadas con el proyecto citado.

Research paper thumbnail of Freestyle Race Success in Swimmers with Intellectual Disability

Athletes with intellectual disability (ID) competing at international level show lower levels of ... more Athletes with intellectual disability (ID) competing at international level show lower levels of explosive strength and cardiovascular fitness when compared to age matched trained persons. Behavioural characteristics such as motivation, and ability to deal with stress are more difficult to examine. In the 100-m freestyle race Paralympic competitors with loco-motor disability all use similar race speed and stroking strategies. But do trained and experienced swimmers with ID also generally adapt these patterns? Video race analysis data was collected on 81 elite male swimmers including ID athletes, loco-motor disabled, visually impaired as well as able bodied. In long course races there is a typical race pattern used by all swimmers with sufficient race experience regardless of absolute performance level. Individual race tactics do not generally determine the outcome.

Research paper thumbnail of Effects of deep water running in older adults. A Systematic review

Healthmed

The aim of this study was to determine the effects of deep water running in older adults accordin... more The aim of this study was to determine the effects of deep water running in older adults according to the collected and analyzed research papers published in the period from 1990 to 2011.

Research paper thumbnail of Baert I, Feys H, Daly D, Troosters T, Vanlandewijck Y. Are patients 1 year post-stroke active enough to improve their physical health? Disabil Rehabil 2012;34:574-80

Disability and Rehabilitation

PURPOSE: This study aimed to quantify physical activity one year post-stroke--by means of a multi... more PURPOSE: This study aimed to quantify physical activity one year post-stroke--by means of a multifaceted approach combining absolute, relative, and self-reported measures of physical activity (PA)--and to investigate their mutual associations. The determinants of PA were explored. METHOD: Daily PA was measured in 16 mildly disabled stroke patients (median RMA-GF score of 12 (IQR = 10-12.5)) using a heart rate monitor, a pedometer, the Baecke Physical Activity Questionnaire and the Physical Activity Scale for individuals with physical disabilities. Potential determinants were age, gender, functional mobility, peak exercise capacity, mood, participation and hours of daylight. RESULTS: On average, stroke participants had a good baseline level of activity (44 +/- 39 min/day spent moderate active, 6428 +/- 4117 steps/day), but only three (19%) performed more than 10,000 steps/day, required for health benefits. Functional mobility, cardiorespiratory fitness, mood and participation were re...

Research paper thumbnail of Relationships between the front crawl stroke parameters of competitive unilateral arm amputee swimmers, with selected anthropometric characteristics

Journal of applied biomechanics

The purpose of this study was to determine the relationships between swimming speed (SS), stroke ... more The purpose of this study was to determine the relationships between swimming speed (SS), stroke length (SL), and stroke frequency (SF) for competitive single-arm amputee front crawl swimmers and assess their relationships with anthropometric characteristics. Thirteen highly trained swimmers (3 male, 10 female) were filmed underwater from a lateral view during seven increasingly faster 25-m front crawl trials. Increases in SS (above 75% of maximum SS) were achieved by a 5% increase in SF, which coincided with a 2% decrease in SL. At SSmax, interswimmer correlations showed that SF was significantly related to SS (r = .72; p < .01) whereas SL was not. Moderate but nonsignificant correlations suggested that faster swimmers did not necessarily use longer and slower strokes to swim at a common submaximal speed when compared with their slower counterparts. No correlations existed between SL and any anthropometric characteristics. Biacromial breadth, shoulder girth, and upper-arm length...

Research paper thumbnail of Stroke parameters and arm coordination in competitive unilateral arm amputee front crawl swimmers

Paper presented at the 27th International Symposium on Biomechanics in Sport, held in Limerick, I... more Paper presented at the 27th International Symposium on Biomechanics in Sport, held in Limerick, Ireland, 17-21 August, 2009. Full text of the proceedings is available at http://isbs2009-com.access.secure-ssl-servers.biz/

Research paper thumbnail of Lambeck J, Gamper U, Pöyhönen T, Einarsson I , HallJ, Daly D. Aquatic research muscle recruitments patterns in the bad ragaz ring method: a preliminary study. Turkish Journal of Physiotherapy and Rehabilitation 2013;24(2):S98

Purpose: The Bad Ragaz Ring Method (BRRM) is an aquatic version of Proprioceptive Neuromuscular F... more Purpose: The Bad Ragaz Ring Method (BRRM) is an aquatic version of Proprioceptive Neuromuscular Facilitation, improving muscle function via patterns of movement, using operator resistance. The aims of this study are to examine muscle activation in a common leg/trunk pattern and to assess similarities and differences in EMG signals between two expert therapists operating the pattern. Methods: One healthy person, familiar with the pattern, with no previous history of leg or back injury and 2 experienced BRRM therapists participated. A BRRM pattern was used with the right leg performing a flexion-adduction-external rotation movement (isotonic) and the left leg a stabilizing isometric extension adduction- external rotation pattern. Two therapists performed 2 sets of 15 repetitions of the pattern with intervals of 1 hour between series. Wireless surface EMG (4 channel, Kine Pro) was used to examine agonist muscles in leg and trunk (right Tibialis Anterior (TA), right Adductor Magnus (AM)...

Research paper thumbnail of Trunk muscle activity during front crawl swimming

Research paper thumbnail of Quantification of Aquatic Interventions in Children With Disabilities: A Systematic Literature Review

The objective of the current study was to quantify and summarize the various aquatic intervention... more The objective of the current study was to quantify and summarize the various aquatic interventions in children with disabilities, including studies of all levels of evidence. Forty-five intervention studies were included and were described within nine disability groups. The largest number of articles was found in the groups of “diseases and disabilities of the nervous system” (N = 15) and “mental and behavioral disorders” (N = 15). Swimming or aquatic interventions in children with sensory system and integration deficits, circulatory system problems, congenital malformations, and chromosomal abnormalities did not reveal any published literature. The categorization of aquatic interventions was difficult due to several concerns: the lack of common definitions, the absence of intervention details, individualized therapy or training plans without a decision-making model, different types of pools (temperature and depth), and an undefined mix of several intervention types. Training intens...

Research paper thumbnail of Aerodynamic Effects of Road Topography and Meteorological Conditions on Time-Trialling Cycling Performance: A Commentary

International Journal of Sports Science and Coaching, 2008

Often, technical advances are necessary for scientific progress. The article by Marqués-Bruna and... more Often, technical advances are necessary for scientific progress. The article by Marqués-Bruna and Grimshaw models the interactive fluid dynamic effects originating from natural environment on time-trialing cycling performance. These advances are achieved by quantifying interactions between physical altitude and weather, expressed in terms of the associated air density, and its resultant drag force to take advantage of the rigorous theory that underlies aerodynamics and hydrodynamics.

Research paper thumbnail of Is sight the main deterrent to race performance in visually impaired competitive swimmers?

Abstract A video race analysis was conducted at the Sydney 2000 Olympic and Paralympic Games in t... more Abstract A video race analysis was conducted at the Sydney 2000 Olympic and Paralympic Games in the 100-m freestyle event for three visually impaired classes (S11, S12, & S13) in both males and females. Supplementary information was available in small sub-samples for some physiological and biomechanical parameters. All visually impaired swimmers used race speed patterns similar to Olympic swimmers. These swimmers did not spend more race time starting or turning. The S11 class with greatest impairment swam slowest and was least competitive. Classes S12 and S13 did not differ in this respect. The race patterns of stroke rate and stroke length in visually impaired also matched those of Olympic swimmers although absolute stroke length values differed. Elite visually impaired swimmers achieve high post race lactate levels, and use arm coordination matching elite able-bodied swimmers. Aerobic capacity might, however, be low. Degree of visual impairment does not appear to be the main disti...

Research paper thumbnail of Lower trunk muscle activity in butterfly swimming

The activation patterns of propulsive swimming muscles such as latissimus dorsi or triceps are we... more The activation patterns of propulsive swimming muscles such as latissimus dorsi or triceps are well documented, especially in the crawl and breaststroke 1 , but the number of studies on the activity of lower trunk muscles in butterfly is limited. A clear rise in activity of the rectus abdominis "in the early stage of the stroke" was described 2 . A reciprocal activity in the rectus abdominis and erector spinae was noted and the cocontractions of these antagonistic muscles demonstrated their roles in trunk flexion and extension as well as in its stabilization 3 . The purpose of this study was to analyze lower trunk muscle activation in butterfly swimming and examine how this muscle activity is related to arm and leg synchronization. Method: Two national level male swimmers (PB on 100m butterfly: 56.80s and 59.89s) swam 2x12.5m butterfly at maximal speed without breathing in 3 conditions: full technique with a 2beat leg kick, arms action only and leg kick only. EMG was obtained with 4 wireless units (KINE, 1600Hz), with the electrodes placed on the left and right Obliquus Externus (OE) and on the left and right Erector Spinae (ES) following the guidelines of SENIAM. To prevent water from interfering with the EMG signal, the units were protected with a water resistant second skin and sport tape. KINE software was used for EMG analysis. Raw data was integrated and normalized to the dynamic maximum. Four 50Hz video cameras recorded the swims in synchronization with the EMG-signal. Dartfish Prosuite software was used to determine stroke phases and arm and leg synchronization. Results: shows the average activation (full line) of the 4 investigated muscles in the 3 butterfly conditions ± SD (dotted lines) expressed as a % of the dynamic (y-axis) and related to the arm and leg synchronization (x-axis).

Research paper thumbnail of Validity and reliability of the TGMD-2 in 7-10-year-old Flemish children with intellectual disability

Adapted physical activity quarterly : APAQ, 2008

The purpose of this study was to assess validity and reliability of the TGMD-2 on Flemish childre... more The purpose of this study was to assess validity and reliability of the TGMD-2 on Flemish children with intellectual disability. The total sample consisted of 99 children aged 7-10 years of which 67 were boys and 32 were girls. A factor analysis supported a two factor model of the TGMD-2. A low significant age effect was also found for the object control skill but not for locomotor ability. Furthermore, a significant difference was observed between the results of the children of the United States without intellectual disability and Flemish children with mild intellectual disability.

Research paper thumbnail of Field test evaluation of aerobic, anaerobic, and wheelchair basketball skill performances

International journal of sports medicine, 1999

Forty-six male wheelchair basketball players performed a set of field tests to evaluate aerobic c... more Forty-six male wheelchair basketball players performed a set of field tests to evaluate aerobic capacity (25 m shuttle run), anaerobic capacity (30s sprint), and six specific wheelchair basketball skills. Overall test-retest reliability (n = 20) ranged from r = 0.65 to r = 0.97. To study the validity (criterion related evidence) of the shuttle run test, heart rate (HR) was recorded for 15 subjects, who also performed a continuous, multistage arm cranking exercise until volitional fatigue. Moderate to high correlations were calculated between shuttle run distances covered (1375 243,6 m) and VO2max (2208+/-461.6 mL/min) and POmax (93.8+/-17.97 W), measured during maximal arm cranking (respectively r = 0.64 and r = 0.87). Maximal HR during shuttle run (174.9+/-16.6 B/min) and arm cranking (169+/-14.21 B/min) were correlated (r = 0.78). High correlations between shuttle run test and anaerobic field tests, however, indicate high implication of anaerobic and wheelchair maneuverability per...

Research paper thumbnail of Quantification of Aquatic Interventions in Children With Disabilities: A Systematic Literature Review

The objective of the current study was to quantify and summarize the various aquatic intervention... more The objective of the current study was to quantify and summarize the various aquatic interventions in children with disabilities, including studies of all levels of evidence. Forty-five intervention studies were included and were described within nine disability groups. The largest number of articles was found in the groups of “diseases and disabilities of the nervous system” (N = 15) and “mental and behavioral disorders” (N = 15). Swimming or aquatic interventions in children with sensory system and integration deficits, circulatory system problems, congenital malformations, and chromosomal abnormalities did not reveal any published literature. The categorization of aquatic interventions was difficult due to several concerns: the lack of common definitions, the absence of intervention details, individualized therapy or training plans without a decision-making model, different types of pools (temperature and depth), and an undefined mix of several intervention types. Training intens...

Research paper thumbnail of Benefits and Enjoyment of a Swimming Intervention for Youth With Cerebral Palsy: An RCT Study

Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association, Jan 11, 2016

To investigate enjoyment and specific benefits of a swimming intervention for youth with cerebral... more To investigate enjoyment and specific benefits of a swimming intervention for youth with cerebral palsy (CP). Fourteen youth with CP (aged 7 to 17 years, Gross Motor Function Classification System levels I to III) were randomly assigned to control and swimming groups. Walking ability, swimming skills, fatigue, and pain were assessed at baseline, after a 10-week swimming intervention (2/week, 40-50 minutes) or control period, after a 5-week follow-up and, for the intervention group, after a 20-week follow-up period. The level of enjoyment of each swim-session was assessed. Levels of enjoyment were high. Walking and swimming skills improved significantly more in the swimming than in the control group (P = .043; P = .002, respectively), whereas fatigue and pain did not increase. After 20 weeks, gains in walking and swimming skills were retained (P = .017; P = .016, respectively). We recommend a swimming program for youth with CP to complement a physical therapy program.

Research paper thumbnail of Effect of Therapeutic Aquatic Exercise on Symptoms and Function Associated With Lower Limb Osteoarthritis: Systematic Review With Meta-Analysis

Physical Therapy, 2014

Waller B, Ogonowska-Slodownik A, Vitor M, et al. Effect of therapeutic aquatic exercise on sympto... more Waller B, Ogonowska-Slodownik A, Vitor M, et al. Effect of therapeutic aquatic exercise on symptoms and function associated with lower limb osteoarthritis: a systematic review with meta-analysis. Phys Ther. 2014;94:xxx-xxx.] Abstract Background: Current management of osteoarthritis (OA) focuses on pain control and maintaining physical function through pharmacological, non-pharmacological and surgical treatments. Exercise, including therapeutic aquatic exercise (TAE), is considered one of the most important management options. Nevertheless, there is no up-to-date systematic review describing the effect of TAE on symptoms and function associated with lower limb OA. Purpose: To conduct a systematic review with meta-analysis determining the effect of TAE on symptoms and function associated with lower limb OA. Data Sources: Medline, Pubmed, Embase, Cinahl, PEDro, SPORTDiscus Study selection: All randomised controlled trials with an aquatic exercise group and a nontreatment control group. In total 11 studies fulfilled the inclusion criteria and were included in the synthesis and meta-analysis. Data Extraction: Data was extracted and checked for accuracy by 3 independent reviewers. Data synthesis: Data was adjusted for baseline values and standardised mean difference (SMD), with 95% confidence intervals, was calculated for all outcomes. The meta-analysis showed significant TAE effect on pain with a SMD of 0.26 [95% CI 0.11 to 0.41], selfreported function 0.30 [0.18 to 0.43] and physical functioning 0.22 [0.07 to 0.38]. Additionally, a significant effect was seen on stiffness 0.20 [0.03 to 0.36] and quality of life 0.24 [0.04 to 0.45]. Limitations: Heterogeneity of outcome measures and small sample sizes for many of the included trials implies that conclusions based on these results should be made with caution. Conclusions: The results indicate that TAE is effective in managing symptoms associated with lower limb OA. Rehabil. 2010;91(6):833-839. 46. Juhl C, Christensen R, Roos EM, Zhang W, Lund H. Impact of exercise type and dose on pain and disability in knee osteoarthritis: A systematic review and meta-regression analysis of randomized controlled trials. Arthritis Rheumatol. 2014;66(3):622-636. 47. Kelley GA, Kelley KS, Hootman JM, Jones DL. Exercise and health-related quality of life in older community-dwelling adults: A meta-analysis of randomized controlled trials.

Research paper thumbnail of The effects of conservative treatments on burn scars: A systematic review

Burns, 2016

A variety of conservative treatments for burn scars are available, but there is no clear consensu... more A variety of conservative treatments for burn scars are available, but there is no clear consensus on the evidence. The purpose of this study was to summarize the available literature on the effects of conservative treatments of burn scars in adults. RCTs and CCTs were sought in three databases, reference lists of retrieved articles and relevant reviews. The Scottish Intercollegiate Guidelines Network scoring system was used to assess the quality of the selected studies. Information on the study characteristics, results and interventions was extracted. Twenty-two articles were included into the review and categorized in six topics: 5 on massage therapy, 4 on pressure therapy, 6 on silicone gel application, 3 on combined therapy of pressure and silicone, 3 on hydration and 1 on ultrasound. Pressure and silicone therapy are evidence-based conservative treatments of hypertrophic scar formation after a burn producing clinically relevant improvement of scar thickness, redness and pliability. Massage therapy could have a positive result on scar pliability, pain and pruritus, but with less supporting evidence. The use of moisturizers and lotions could have an effect on itching, but the findings are contradictory. Of all other non-invasive treatments such as splinting, casting, physical activity, exercise and mobilizations no RCTs or CCTs were found.

Research paper thumbnail of Benefits of swimming for children with cerebral palsy: a pilot study

The aim of this study was to investigate the effects of a swimming program on body function, acti... more The aim of this study was to investigate the effects of a swimming program on body function, activity and Quality of Life (QOL), in children diagnosed with Cerebral Palsy. Seven children (female/male: 4/3; Median 10.2 years old; Gross Motor Function Classification Scale I to III) participated in a 6-week swimming intervention using a case series design. Outcome measures were, for body function level: handgrip strength; for activity level: unimanual speed performance, walking capacity, gross motor function and adjustment and function in the water; and QOL. There was no drop-out during the intervention. Mental adjustment in the water and swimming skills improved by 29% (p < 0.05) after the intervention. This effect remained at follow-up (p < 0.05). Subdimension D (standing) of the Gross Motor Function Measurement-88 improved significantly (3%). All other activity measurements showed trends toward improvement. QOL improved in five out of seven subdimensions of one questionnaire. To conclude, this pilot study including a small number of participants showed improvements in adjustment and function in the water and positive trends for activity level and QOL after a 6week swimming program. Future research on a larger population could be worthwhile.

Research paper thumbnail of The effects of speed and load changes on bilateral asymmetry of work output during bicycle ergometer pedalling

Research paper thumbnail of New Trends in Adapted Swimming

En este texto se han recopilado las aportaciones presentadas por expertos nacionales y extranjero... more En este texto se han recopilado las aportaciones presentadas por expertos nacionales y extranjeros en el ámbito de la investigación en el deporte de la natación y las actividades acuáticas en actividades científicas relacionadas con el proyecto citado.

Research paper thumbnail of Freestyle Race Success in Swimmers with Intellectual Disability

Athletes with intellectual disability (ID) competing at international level show lower levels of ... more Athletes with intellectual disability (ID) competing at international level show lower levels of explosive strength and cardiovascular fitness when compared to age matched trained persons. Behavioural characteristics such as motivation, and ability to deal with stress are more difficult to examine. In the 100-m freestyle race Paralympic competitors with loco-motor disability all use similar race speed and stroking strategies. But do trained and experienced swimmers with ID also generally adapt these patterns? Video race analysis data was collected on 81 elite male swimmers including ID athletes, loco-motor disabled, visually impaired as well as able bodied. In long course races there is a typical race pattern used by all swimmers with sufficient race experience regardless of absolute performance level. Individual race tactics do not generally determine the outcome.

Research paper thumbnail of Effects of deep water running in older adults. A Systematic review

Healthmed

The aim of this study was to determine the effects of deep water running in older adults accordin... more The aim of this study was to determine the effects of deep water running in older adults according to the collected and analyzed research papers published in the period from 1990 to 2011.

Research paper thumbnail of Baert I, Feys H, Daly D, Troosters T, Vanlandewijck Y. Are patients 1 year post-stroke active enough to improve their physical health? Disabil Rehabil 2012;34:574-80

Disability and Rehabilitation

PURPOSE: This study aimed to quantify physical activity one year post-stroke--by means of a multi... more PURPOSE: This study aimed to quantify physical activity one year post-stroke--by means of a multifaceted approach combining absolute, relative, and self-reported measures of physical activity (PA)--and to investigate their mutual associations. The determinants of PA were explored. METHOD: Daily PA was measured in 16 mildly disabled stroke patients (median RMA-GF score of 12 (IQR = 10-12.5)) using a heart rate monitor, a pedometer, the Baecke Physical Activity Questionnaire and the Physical Activity Scale for individuals with physical disabilities. Potential determinants were age, gender, functional mobility, peak exercise capacity, mood, participation and hours of daylight. RESULTS: On average, stroke participants had a good baseline level of activity (44 +/- 39 min/day spent moderate active, 6428 +/- 4117 steps/day), but only three (19%) performed more than 10,000 steps/day, required for health benefits. Functional mobility, cardiorespiratory fitness, mood and participation were re...

Research paper thumbnail of Relationships between the front crawl stroke parameters of competitive unilateral arm amputee swimmers, with selected anthropometric characteristics

Journal of applied biomechanics

The purpose of this study was to determine the relationships between swimming speed (SS), stroke ... more The purpose of this study was to determine the relationships between swimming speed (SS), stroke length (SL), and stroke frequency (SF) for competitive single-arm amputee front crawl swimmers and assess their relationships with anthropometric characteristics. Thirteen highly trained swimmers (3 male, 10 female) were filmed underwater from a lateral view during seven increasingly faster 25-m front crawl trials. Increases in SS (above 75% of maximum SS) were achieved by a 5% increase in SF, which coincided with a 2% decrease in SL. At SSmax, interswimmer correlations showed that SF was significantly related to SS (r = .72; p < .01) whereas SL was not. Moderate but nonsignificant correlations suggested that faster swimmers did not necessarily use longer and slower strokes to swim at a common submaximal speed when compared with their slower counterparts. No correlations existed between SL and any anthropometric characteristics. Biacromial breadth, shoulder girth, and upper-arm length...

Research paper thumbnail of Stroke parameters and arm coordination in competitive unilateral arm amputee front crawl swimmers

Paper presented at the 27th International Symposium on Biomechanics in Sport, held in Limerick, I... more Paper presented at the 27th International Symposium on Biomechanics in Sport, held in Limerick, Ireland, 17-21 August, 2009. Full text of the proceedings is available at http://isbs2009-com.access.secure-ssl-servers.biz/

Research paper thumbnail of Lambeck J, Gamper U, Pöyhönen T, Einarsson I , HallJ, Daly D. Aquatic research muscle recruitments patterns in the bad ragaz ring method: a preliminary study. Turkish Journal of Physiotherapy and Rehabilitation 2013;24(2):S98

Purpose: The Bad Ragaz Ring Method (BRRM) is an aquatic version of Proprioceptive Neuromuscular F... more Purpose: The Bad Ragaz Ring Method (BRRM) is an aquatic version of Proprioceptive Neuromuscular Facilitation, improving muscle function via patterns of movement, using operator resistance. The aims of this study are to examine muscle activation in a common leg/trunk pattern and to assess similarities and differences in EMG signals between two expert therapists operating the pattern. Methods: One healthy person, familiar with the pattern, with no previous history of leg or back injury and 2 experienced BRRM therapists participated. A BRRM pattern was used with the right leg performing a flexion-adduction-external rotation movement (isotonic) and the left leg a stabilizing isometric extension adduction- external rotation pattern. Two therapists performed 2 sets of 15 repetitions of the pattern with intervals of 1 hour between series. Wireless surface EMG (4 channel, Kine Pro) was used to examine agonist muscles in leg and trunk (right Tibialis Anterior (TA), right Adductor Magnus (AM)...

Research paper thumbnail of Trunk muscle activity during front crawl swimming

Research paper thumbnail of Quantification of Aquatic Interventions in Children With Disabilities: A Systematic Literature Review

The objective of the current study was to quantify and summarize the various aquatic intervention... more The objective of the current study was to quantify and summarize the various aquatic interventions in children with disabilities, including studies of all levels of evidence. Forty-five intervention studies were included and were described within nine disability groups. The largest number of articles was found in the groups of “diseases and disabilities of the nervous system” (N = 15) and “mental and behavioral disorders” (N = 15). Swimming or aquatic interventions in children with sensory system and integration deficits, circulatory system problems, congenital malformations, and chromosomal abnormalities did not reveal any published literature. The categorization of aquatic interventions was difficult due to several concerns: the lack of common definitions, the absence of intervention details, individualized therapy or training plans without a decision-making model, different types of pools (temperature and depth), and an undefined mix of several intervention types. Training intens...

Research paper thumbnail of Aerodynamic Effects of Road Topography and Meteorological Conditions on Time-Trialling Cycling Performance: A Commentary

International Journal of Sports Science and Coaching, 2008

Often, technical advances are necessary for scientific progress. The article by Marqués-Bruna and... more Often, technical advances are necessary for scientific progress. The article by Marqués-Bruna and Grimshaw models the interactive fluid dynamic effects originating from natural environment on time-trialing cycling performance. These advances are achieved by quantifying interactions between physical altitude and weather, expressed in terms of the associated air density, and its resultant drag force to take advantage of the rigorous theory that underlies aerodynamics and hydrodynamics.

Research paper thumbnail of Is sight the main deterrent to race performance in visually impaired competitive swimmers?

Abstract A video race analysis was conducted at the Sydney 2000 Olympic and Paralympic Games in t... more Abstract A video race analysis was conducted at the Sydney 2000 Olympic and Paralympic Games in the 100-m freestyle event for three visually impaired classes (S11, S12, & S13) in both males and females. Supplementary information was available in small sub-samples for some physiological and biomechanical parameters. All visually impaired swimmers used race speed patterns similar to Olympic swimmers. These swimmers did not spend more race time starting or turning. The S11 class with greatest impairment swam slowest and was least competitive. Classes S12 and S13 did not differ in this respect. The race patterns of stroke rate and stroke length in visually impaired also matched those of Olympic swimmers although absolute stroke length values differed. Elite visually impaired swimmers achieve high post race lactate levels, and use arm coordination matching elite able-bodied swimmers. Aerobic capacity might, however, be low. Degree of visual impairment does not appear to be the main disti...

Research paper thumbnail of Lower trunk muscle activity in butterfly swimming

The activation patterns of propulsive swimming muscles such as latissimus dorsi or triceps are we... more The activation patterns of propulsive swimming muscles such as latissimus dorsi or triceps are well documented, especially in the crawl and breaststroke 1 , but the number of studies on the activity of lower trunk muscles in butterfly is limited. A clear rise in activity of the rectus abdominis "in the early stage of the stroke" was described 2 . A reciprocal activity in the rectus abdominis and erector spinae was noted and the cocontractions of these antagonistic muscles demonstrated their roles in trunk flexion and extension as well as in its stabilization 3 . The purpose of this study was to analyze lower trunk muscle activation in butterfly swimming and examine how this muscle activity is related to arm and leg synchronization. Method: Two national level male swimmers (PB on 100m butterfly: 56.80s and 59.89s) swam 2x12.5m butterfly at maximal speed without breathing in 3 conditions: full technique with a 2beat leg kick, arms action only and leg kick only. EMG was obtained with 4 wireless units (KINE, 1600Hz), with the electrodes placed on the left and right Obliquus Externus (OE) and on the left and right Erector Spinae (ES) following the guidelines of SENIAM. To prevent water from interfering with the EMG signal, the units were protected with a water resistant second skin and sport tape. KINE software was used for EMG analysis. Raw data was integrated and normalized to the dynamic maximum. Four 50Hz video cameras recorded the swims in synchronization with the EMG-signal. Dartfish Prosuite software was used to determine stroke phases and arm and leg synchronization. Results: shows the average activation (full line) of the 4 investigated muscles in the 3 butterfly conditions ± SD (dotted lines) expressed as a % of the dynamic (y-axis) and related to the arm and leg synchronization (x-axis).

Research paper thumbnail of Validity and reliability of the TGMD-2 in 7-10-year-old Flemish children with intellectual disability

Adapted physical activity quarterly : APAQ, 2008

The purpose of this study was to assess validity and reliability of the TGMD-2 on Flemish childre... more The purpose of this study was to assess validity and reliability of the TGMD-2 on Flemish children with intellectual disability. The total sample consisted of 99 children aged 7-10 years of which 67 were boys and 32 were girls. A factor analysis supported a two factor model of the TGMD-2. A low significant age effect was also found for the object control skill but not for locomotor ability. Furthermore, a significant difference was observed between the results of the children of the United States without intellectual disability and Flemish children with mild intellectual disability.

Research paper thumbnail of Field test evaluation of aerobic, anaerobic, and wheelchair basketball skill performances

International journal of sports medicine, 1999

Forty-six male wheelchair basketball players performed a set of field tests to evaluate aerobic c... more Forty-six male wheelchair basketball players performed a set of field tests to evaluate aerobic capacity (25 m shuttle run), anaerobic capacity (30s sprint), and six specific wheelchair basketball skills. Overall test-retest reliability (n = 20) ranged from r = 0.65 to r = 0.97. To study the validity (criterion related evidence) of the shuttle run test, heart rate (HR) was recorded for 15 subjects, who also performed a continuous, multistage arm cranking exercise until volitional fatigue. Moderate to high correlations were calculated between shuttle run distances covered (1375 243,6 m) and VO2max (2208+/-461.6 mL/min) and POmax (93.8+/-17.97 W), measured during maximal arm cranking (respectively r = 0.64 and r = 0.87). Maximal HR during shuttle run (174.9+/-16.6 B/min) and arm cranking (169+/-14.21 B/min) were correlated (r = 0.78). High correlations between shuttle run test and anaerobic field tests, however, indicate high implication of anaerobic and wheelchair maneuverability per...