ORIGINAL ARTICLE  EPIDEMIOLOGY AND CLINICAL MEDICINE 

The Journal of Sports Medicine and Physical Fitness 2020 January;60(1):132-9

DOI: 10.23736/S0022-4707.19.09883-9

Copyright © 2019 EDIZIONI MINERVA MEDICA

language: English

Anaerobic performance among children with spina bifida

Agnieszka M. NOWAK ✉, Bartosz MOLIK, Jolanta MARSZAŁEK

Department of Physiotherapy, Jozef Pilsudski University of Physical Education, Warsaw, Poland

BACKGROUND: Children and adolescents with spina bifida demonstrate less physical activity. Most of them are wheelchair users. It is important to control their physical fitness for instance their anaerobic performance. They need anaerobic performance to daily activities like transfers that require short and high intensity movements. The aim of this study was to assess anaerobic performance among children with spina bifida and to evaluate their results in relation to normative values from able-bodied peers, as well as to find appropriate, easy and feasible field-based tests measuring anaerobic performance of children with spina bifida in non-laboratory settings.
METHODS: Ninety-five children and adolescents with spina bifida were divided according to gender and age (four male and four female groups) and performed the 30-second Wingate Anaerobic Test (WAnT), the handgrip test and the chest pass test. The Kolmogorov-Smirnov test, the Kruskal-Wallis test, the Mann-Whitney U-test, the Pearson correlation (P<0.05) and Effect Size were applied in this study.
RESULTS: Differences in MP, PP, rMP and rPP between age groups were found. A significant and strong correlation of the 30-second WAnT results (MP, PP) with the handgrip test and the chest pass test was found (P<0.01; r>0.7).
CONCLUSIONS: In conclusion, anaerobic performance of children with spina bifida varies depending on the age group and is “very poor” compared to anaerobic performance of their able-bodied peers. The chest pass test may be a good non-laboratory test to be used to indirectly assess anaerobic performance of children with spina bifida.

KEY WORDS: Anaerobic threshold; Spinal dysraphism; Disabled children; Congenital lower extremities deformities