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Sports and recreation for persons with limb deficiency.

UNLABELLED: Opportunities for persons with limb deficiency to participate in sport and recreational activities have increased dramatically over the past 20 years. Various factors have contributed to this phenomenon, including an increased public interest in sports and fitness as well as improvements in disability awareness. An even more essential element has been a consumer-driven demand for advances in prosthetic technology and design. Whether the activity is a music performance, a friendly round of golf, or a high-level track-and-field competition, the benefits of participation in sports and recreation are numerous both at the individual and at the societal level. This article provides an overview of the development and scope of sport and recreational opportunities available to persons with limb deficiency. In addition, specific prosthetic considerations for several common sport and recreational activities are presented in a case-discussion format. OVERALL ARTICLE OBJECTIVE: To review the development and scope of sport and recreational opportunities available to persons with limb deficiency.

Adolescent↗

Long-term recreational physical activity and breast cancer in the National Health and Nutrition Examination Survey I epidemiologic follow-up study.

Our purpose was to study the association between long-term recreational physical activity and breast cancer in the Epidemiological Follow-up Study (NHEFS) of the first National Health and Nutrition Examination Survey (NHANES I, 1971-1975). The analytic cohort included 6160 women who were free of breast cancer at the first NHEFS follow-up in 1982-1984 and had interview data on recreational physical activity (low, moderate, and high) in 1982-1984 and 10 years earlier, in 1971-1975. We created categories of long-term (1982-1984 + 1971-1975) recreational physical activity: (a) consistently low; (b) moderate/inconsistent; and (c) consistently high. Data were analyzed using Cox proportional hazard regression models. A total of 138 women developed breast cancer between 1982-1984 and 1992. In women > or =50 years of age in 1982-1984, consistently high (versus consistently low) recreational physical activity was associated with a 67% reduction in breast cancer risk (n = 96 cases; relative risk, 0.33; 95% confidence interval, 0.14-0.82; P for trend = 0.03); in women <50 years of age (n = 42 cases), there was no association. Associations were not modified by body mass index or by weight gain as an adult. High recreational physical activity over the long-term may reduce breast cancer risk in women > or =50 years of age; in this sample, it did so regardless of weight history.

Adult↗

[Hygienic evaluation of the effectiveness of short-term suburban recreation from the viewpoint of natural climatic and demographic factors].

The importance of recreation grew considerably with the increase of leisure time and cultural level of the workers. In our country, on the other hand, there are no complete hygienic studies on the problems of organization and necessary equipment for recreation. In that connection, hygienic-urbanization, hygienic-sociological, microclimatic and physiological studies, as well as investigations on ultraviolet radiation, level of noise and extent of air pollution in some typical recreation places (Sofia and Varna) were carried out. Better conditions were established in nature - town ourskirts environment (as regard ultraviolet radiation, noise level, degree of air pollution, temperature-humidity and radiation microclimate) and their favourable effect on the physiological functions of organism (particularly as regards thermoregulation and cardiovascular system). A dependence was also established between the population recreation needs and social-demographic and nature - climatic factors. Tangible recommendations for the improvement of the state of short-term town outskirts recreation in Sofia and Varna are proposed on the base of the results.

Bulgaria↗

Recreational activities of lower extremity amputees: a survey.

This study summarizes a detailed questionnaire evaluation of recreational activities participated in by 100 persons with lower extremity amputations. Additional information was obtained from prosthetists and physical therapists. Approximately 60% of the respondents are active in sports. Younger persons of either sex, who have had amputations for congenital deformities or trauma, are most active. Level of amputation does not appear to be a determining factor as to whether amputees participated or not. The most common recreational activities are fishing and swimming. Sports causing the amputee most discomfort are hunting and jogging. The ability to run and jump is the most difficult to achieve. Reasons for non-participation are pain, embarrassment, insufficient training and lack of organized sports programs for the disabled. Fear of further injury or an overprotective family are not inhibiting factors, nor is cost of the prosthesis. Only a few people wear specifically designed recreational prostheses, and only one-third of the amputees believe that their prosthetist is knowledgeable about recreational prostheses, while 40% feel the prosthetist discouraged their own ideas about prosthetic innovations. Therapists also proved inadequate in their knowledge and efforts at preparing the amputee for recreation. The amputees indicate a need for improved prosthetic design, and believe that insufficient information, both verbal and written, was given to them.

Adult↗

Recreational ecstasy/MDMA and other drug users from the UK and Italy: psychiatric symptoms and psychobiological problems.

RATIONALE: Recreational drug use is increasingly widespread amongst young people, but there are concerns that psychoactive drugs may be associated with psychiatric symptoms or psychobiological problems. OBJECTIVES: To assess the psychiatric health status of a large, non-clinical sample of young adults from Italy and the UK, and relate it to their use of ecstasy/MDMA and other recreational drugs. METHODS: The UEL Recreational Drug Use Questionnaire was completed by 768 young people (mean age 21.7 years) from four European cities. The subjects comprised 150 non-drug users, 185 alcohol/tobacco users, 97 cannabis and alcohol/tobacco users, 102 illicit polydrug but not ecstasy users, 115 light (<20 times) ecstasy polydrug users, and 119 heavy (>20 times) ecstasy polydrug users. The unpaid volunteers completed the SCL-90 self-rating inventory for psychiatric symptoms when off drug, with 30 additional questions covering positive moods and life experiences. RESULTS: Heavy ecstasy polydrug users reported significantly higher scores than non-drug users on several SCL-90 factors, including phobic anxiety, obsessive-compulsive behaviour, anxiety, psychoticism, somatisation, and significantly higher rates of 'loss of sex interest or pleasure'. Self-rated symptom scores increased in line with greater drug use, so that polydrug users who had never taken ecstasy also reported a variety of psychobiological impairments. In contrast, positive moods and life experiences were broadly similar across subgroups. CONCLUSIONS: The recreational use of ecstasy/MDMA is associated with a range of psychiatric symptoms and psychobiological problems. However, these problems are not specific to ecstasy users but are also evident in other recreational polydrug users.

Adolescent↗

Managing Recreational Trail Environments for Mountain Bike User Preferences.

/ The carrying capacity model is an effective tool for the management of a wildland recreation resource. Within the model are four primary subcapacities, namely, physical capacity, biological capacity, social capacity, and facility capacity; combined, they are essential to the appropriate management of wildland recreation resource environments. This study focuses on environmental factors of recreational environments that are primarily used by mountain bikers. Little research has been conducted on the social carrying capacity of mountain biking environments, relative to the amount of physical and biological capacity research that has been conducted. The objective of this study was to further resource management knowledge of the mountain bike user in order to better incorporate social carrying capacity into the management of bike use environments. An email survey was used to identify such issues as mountain biker preference of soil erosion management techniques and to measure the effect on experience of resultant factors of soil erosion and trail design. Other issues, such as environmental concern, biker perception of other users, and biker commitment, were also measured. A 58% response rate was achieved. Data gathered from bikers in the United States, United Kingdom, Australia, and New Zealand (N = 406), highlight some important issues concerning the design and management of wildland recreation environments that are primarily used for mountain biking. For example, bikers were found to significantly prefer water bars above all other tested soil erosion management techniques; trail erosion factors, including the presence of rocks, roots, and gullies, all added to biking experiences on average; trail design factors, such as the presence of turns, bumps, jumps, and obstacles, all added to biking experiences in general. These findings were used to address questions that resource managers should consider when striving to effectively manage wildland recreation areas primarily used for mountain biking.

Journal Article↗

Maternal use of recreational drugs and neuroblastoma in offspring: a report from the Children's Oncology Group (United States).

OBJECTIVE: To evaluate whether maternal use of recreational drugs around conception and pregnancy influences the risk of childhood neuroblastoma. METHODS: Self-reported use of recreational drugs from one month prior to pregnancy until diagnosis was assessed among mothers of 538 children with neuroblastoma (diagnosed 1992-1994 and identified through the Children's Cancer Group and Pediatric Oncology Group) and 504 age-matched controls (identified by random-digit dialing). Odds ratios (OR) and 95% confidence intervals (CI) were estimated using unconditional logistic regression, adjusting for age at diagnosis and household income. RESULTS: Maternal use of any illicit or recreational drug around pregnancy was associated with an increased risk of neuroblastoma in offspring (OR = 1.82, 95% CI: 1.13, 3.00), particularly use of marijuana in the first trimester of pregnancy (OR = 4.75, 95% CI: 1.55, 16.48). Marijuana use in the month before pregnancy did not increase risk. The effect of gestational marijuana exposure was strongest in subjects diagnosed before age one. Evaluation of recreational drugs other than marijuana was limited by infrequent use, and analyses of drug use by fathers were not carried out due to missing data. CONCLUSIONS: Maternal recreational drug use and marijuana use during pregnancy were associated with increased risk of neuroblastoma in offspring. Further examination of these drugs and the risk of childhood cancer is warranted.

Adolescent↗

A gender-based examination of past-year recreational gamblers.

BACKGROUND: Most adults gamble recreationally yet few studies have systematically investigated for gender-related differences in recreational gamblers. METHODS: Logistic regression analyses were performed on data from a nationally representative sample of respondents from the 1998 Gambling Impact and Behavior Study. RESULTS: Female gamblers versus non-gamblers were more likely to report use of alcohol and drugs. Male gamblers versus non-gamblers were more likely to report alcohol use and abuse/dependence, any substance abuse/dependence, and lifetime incarceration. An analysis of gambling by gender group interaction effects did not identify significant differences in health-related measures. Male as compared with female gamblers reported beginning gambling earlier, experiencing higher past-year maximal losses and wins, and finding favorite and engaging in different types of gambling. CONCLUSIONS: Despite heavier gambling in male as compared with female recreational gamblers, similar mental health functioning was observed in female and male past-year recreational gamblers. Types of gambling problematic for men and women are reflected in the gambling preferences of recreational gamblers.

Adult↗

Contributions of leisure studies and recreation and park management research to the active living agenda.

Although the fields of leisure studies and recreation and parks were founded on addressing health and wellness needs of people, only recently have these needs been addressed by major, systematic research efforts. This paper examines the origins of leisure studies and the study of recreation behavior and park use and their potential contribution to active living research. Over the past 2 decades, leisure studies research has generated a body of literature pertinent to understanding and increasing active living, including studies on time use, motivation for initiating and maintaining activity, influence of user fees, and urban park use. Environmental, transportation, and public recreation policy and management practices also are important considerations in recreation and parks research. This article concludes with a list of recommendations to integrate these and other considerations into transdisciplinary research on active living. Opportunities for leisure studies/recreation and park research on active living include studies of environmental, life span, and motivational influences; greater use of objective measures of physical activity; and forming partnerships with allied industries to study physical activity. Among suggestions for facilitating such studies are training seminars for leisure studies and recreation researchers in active living research methods, changes in point allocation on grant proposals, providing incentives for transdisciplinary collaboration, and special journal issues.

Bicycling↗

A case-control study of maternal recreational physical activity and risk of gestational diabetes mellitus.

Despite the maternal and infant morbidity associated with gestational diabetes mellitus (GDM), few modifiable risk factors have been identified. We explored the relation between recreational physical activity performed during the year before and during the first 20 weeks of pregnancy and the risk of GDM. 155 GDM cases and 386 normotensive, non-diabetic pregnant controls provided information about the type, intensity, frequency, and duration of physical activity performed during these time periods. Women who participated in any recreational physical activity during the first 20 weeks of pregnancy, as compared with inactive women, experienced a 48% reduction in risk of GDM (odds ratio [OR] = 0.52; 95% confidence interval [CI] 0.33-0.80). The number of hours spent performing recreational activities and the energy expended were related to a decrease in GDM risk. No clear patterns related to distance walked and pace of walking emerged. Daily stair climbing, when compared with no stair climbing, was associated with a 49-78% reduction in GDM risk (P for trend <0.011). Recreational physical activity performed during the year before the index pregnancy was also associated with statistically significant reductions in GDM risk, but women who engaged in physical activity during both time periods experienced the greatest reduction in risk (OR = 0.40; 95% CI 0.23-0.68). These data suggest that recreational physical activity performed before and/or during pregnancy is associated with a reduced risk of GDM.

Adult↗

Prevalence of adolescent injury from recreational exercise: an Australian perspective.

PURPOSE: To report the prevalence of recent adolescent recreational and sporting activities and associated injury. METHODS: Data were collected during three school terms in 1997 using a validated questionnaire administered once only to 3538 girls and boys aged 11-12 years and 15-16 years. These students comprised 97.5% of the students in these age ranges in randomly selected state and private schools in the Adelaide metropolitan area (South Australia). Participants identified up to three recreational and/or sporting activities in which they had participated in the previous week. Data were collected on the nature and extent of participation, and on associated injuries. Participation and injury reports were summarized descriptively in gender strata in the two adolescent age groups and stratum specific odds ratios were used to explore injury risk. RESULTS: Subjects reported participating in 8997 sporting and/or recreational activities in the preceding week (an average of 2.5 participations per student). Over 140 sports and recreational pursuits were represented, incorporating organized and nonorganized activities undertaken in teams, social groups, or alone. Approximately 25% of adolescents reported at least one recreational injury. Injuries were mostly minor, reflecting soft tissue trauma and skin abrasions. Organized group sport incurred the highest risk of injury. There were marked gender and year level differences in injury risk in a number of common activities. CONCLUSIONS: These findings support the need for ongoing education regarding injury prevention and management.

Adolescent↗

The epidemiology of medically attended sport and recreational injuries in Queensland.

The Queensland Sport and Recreation Injury Survey (QSRIS) is a retrospective study describing the annual incidence of injuries in the state of Queensland, Australia, resulting from sport and recreational activity involvement. Data were collected by means of a computer-assisted-telephone-interview (CATI) survey of a representative sample of Queenslanders in the spring of 2000. The sample produced a total of 1337 respondents aged 18 to 94 years. The survey asked information regarding medically attended, non-fatal injuries resulting from sport and recreational activities in the past 12 months. Of the 1337 individuals surveyed, 191 of the respondents reported one or more injuries that required medical attention resulting in a total of 222 Injuries. This represents an overall rate of 1,666 medically attended injuries per 10,000 people. Among those reporting a sport or recreational injury, the most common types of injuries were a strained/pulled muscle (30.9%), sprained/torn ligament (24.1%), and fracture (12.6%). The most common bodily locations of injuries were the shoulders (13.0%) and knees (12.5%). Results detail the nature and type of injury, medical professional attending to the injury and the nature of the sport or recreational activity that led to the reported injury, highlighting the number of injuries associated with general fitness activities achieved through high participation rates and low injury rates. This remains an area of much needed attention given the promotional push towards raising the levels of physical activity at a population level.

Adolescent↗

Functional outcome of anterior cruciate ligament reconstruction in recreational and competitive athletes.

The aim of this study was to compare the outcome after anterior cruciate ligament reconstruction in recreational and competitive athletes, with a minimum follow-up of two years. Forty-nine patients (24 males and 25 females) who, at the time of the index injury, were classified as recreational athletes (Tegner level 2-5) were compared with 226 patients (61 females and 165 males) who, at the time of the index injury, were classified as competitive athletes (Tegner level 9-10). At the follow-up, no significant differences were found between the study groups in terms of the Lysholm score, IKDC evaluation system, one-leg-hop test, KT-1000 laxity measurements, anterior knee pain and the patients' subjective evaluation of the results. However, the competitive athletes displayed a significantly higher reduction in Tegner activity level than the recreational athletes. The functional and objective results after anterior cruciate ligament reconstruction were comparable for the recreational and competitive athletes. We, therefore, conclude that anterior cruciate ligament reconstruction could be recommended for recreational athletes as well as competitive athletes.

Adolescent↗

Strength and speed characteristics of elite, subelite, and recreational young soccer players.

The purpose of the present study was to compare maximal isometric force, force-time curve characteristics, pedaling rate, vertical jump, and sprint performance among young soccer players from different competition levels. Fifty-four (54) young soccer players were divided into three groups according to competition level: the elite group (n=18) consisted of soccer players from the national youth soccer team of Greece, the subelite group (n=18) consisted of youth soccer players who participated in the local championship, and the recreational group (n=18) consisted of recreational soccer players. All groups were evaluated for maximal isometric force, explosive force at 100 msec, peak force relative to body mass, rate of force development, squat and drop jump heights, 10 m sprint time, and pedaling rate. The elite group presented significantly (p < 0.05) higher maximal isometric force, vertical jump height, and pedaling rate, and lower 10 m sprint time in comparison with the subelite and recreational groups. No significant differences were observed in strength and speed characteristics between the subelite and recreational young soccer players. The findings of the present study suggest that the elite young soccer players can be distinguished from subelite and recreational young soccer players in strength and speed characteristics. These strength and speed measures can be used for strength and speed diagnosis, and for designing and evaluating training programs.

Acceleration↗

The impact of United States recreational fisheries on marine fish populations.

We evaluated the commercial and recreational fishery landings over the past 22 years, first at the national level, then for populations of concern (those that are overfished or experiencing overfishing), and finally by region. Recreational landings in 2002 account for 4% of total marine fish landed in the United States. With large industrial fisheries excluded (e.g., menhaden and pollock), the recreational component rises to 10%. Among populations of concern, recreational landings in 2002 account for 23% of the total nationwide, rising to 38% in the South Atlantic and 64% in the Gulf of Mexico. Moreover, it affects many of the most-valued overfished species-including red drum, bocaccio, and red snapper-all of which are taken primarily in the recreational fishery.

Animals↗

Decompression sickness and recreational scuba divers.

OBJECTIVES: The aim of this study is to clear the status of recreational scuba divers in Japan for promoting safety in recreational diving. METHODS: A five year (from 1996 to 2001) questionnaire survey was performed of Japanese divers at the Osezaki area in Japan. The subjects of this survey included diving instructors as well as recreational divers. Based on the obtained data, the study investigated the theory predicted incidence of decompression sickness (DCS) among Japanese recreational divers. RESULTS: The average (SD) of the maximum depth for diving was 37.4 (13.1) metres, which was deeper than the recommended depth of recreational diving. The incident rate of nitrogen narcosis (12%) was the most frequent, followed by barotraumas of the ear (11%) and barotraumas of the paranasal sinus (5.6%). The rate of DCS was 1.9 % (60 divers) during investigated period, and that DCS occurred once per 19 011 dives in calculation. CONCLUSIONS: This investigation showed that the status of leisure diving in Japan is still serious, because DCS would be expected to occur once a weekend in Japan. It is speculated that many divers may develop DCS while moving through high altitudes after diving, particularly at the Osezaki diving spot in Japan. Based on the results of this study, it is emphasised that every Japanese leisure diver should take an increasing interest in the safety of diving activity.

Adult↗

A trauma systems assessment of boating safety: a comparison of commercial and recreational boating practices.

OBJECTIVE: With contemporary interest of Trauma Systems and injury prevention strategists focusing upon boating safety, a prospective study was designed to survey practices of commercial and recreational boaters' compliance with United States Coast Guard (USCG) regulations. Data were collected by interview survey. Information was obtained from 24 commercial and 57 recreational boaters. Prevalence rates were calculated for compliance with USCG regulations. An analysis for statistical difference was conducted using the Wilcoxon rank sum test. Data analysis revealed that commercial boaters statistically spend more days on the water per year and have more years of boating experience than do recreational boaters (P < 0.05). No statistical difference was demonstrated between commercial and recreational boaters for life jacket-to-crew member ratio, swimming competency, or compliance with USCG safety equipment, with exception to flotation suits. The prevalence of alcohol use by the operators of commercial and recreational boats was found to be 8 and 12 per cent (P < 0.60) respectively, and for crew members 8 and 35 per cent (P < 0.01), respectively. Boating practices in these sample populations conform to USCG regulations. Swimming competency exhibited by these boaters is complementary to safe boating behaviors. The consumption of alcohol while boating, although comparable to reported statistics, is still of concern to injury prevention strategists.

Accidents↗

Ground Reaction Forces Among Gymnasts and Recreational Athletes in Drop Landings.

OBJECTIVE: To compare vertical ground reaction forces among gymnasts and recreational athletes during drop landings from 30-, 60-, and 90-cm heights. DESIGN AND SETTING: Two subject groups, intercollegiate gymnasts and college-aged recreational athletes, participated in this study. Subjects completed 10 landing trials onto a force platform at each height. SUBJECTS: Ten female competitive gymnasts (height = 1.57 +/- 0.02 m, mass = 55.4 +/- 7.3 kg) and 10 female recreational athletes (height = 1.63 +/- 0.06 m, mass = 59.6 +/- 4.9 kg) volunteered for this study. MEASUREMENTS: Measurements of first peak-force magnitude (F1), time to F1 (T1), impulse to F1, second peak-force magnitude (F2), time to F2 (T2), and impulse to F2 were compiled to describe the ground reaction force profile for each trial at 30-, 60-, and 90-cm platform heights. A 2 x 3 (group x height) mixed-factors analysis of variance was calculated for each of the 6 variables. RESULTS: The group-by-height interaction was significant for F1, F2, and impulse to F2. Tukey post hoc analyses revealed significantly higher values for the gymnasts than for the recreational athletes at 60- and 90-cm heights for F1 and F2 magnitudes. Differences between groups for T1, T2, impulse to F1, and impulse to F2 were not statistically significant at any height. CONCLUSIONS: Drop landings performed by female gymnasts at 60- and 90-cm heights exhibited higher vertical ground reaction forces than drop landings performed by female recreational athletes. High ground reaction forces experienced by gymnasts during landings may contribute to the incidence of lower extremity injuries.

Journal Article↗