Gymnastik- och idrottshögskolan, GIH

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Project type/Form of grant
Grant to research environment
Title [sv]
Svenska Parasport Akademin - En utvecklingsmiljö för samverkan kring fysisk aktivitet och idrott
Title [en]
The Swedish Parasport Academy - A developmental environment for collaboration on physical activity and sports
Abstract [sv]
Synergiprojektets kärnfråga är "Hur påverkar neuromuskuloskeletal funktionsnedsättning (NMSI) aktiviteter i dagligalivet, fysisk aktivitet på fritiden och idrott". NMSI omfattar nedsättning av styrka, rörelseomfång, koordination ochamputation. Funktionsnedsättningen påverkar möjligheten till aktivitet och deltagande på olika sätt och omfattning, vilket inte är väl utforskat.

Kärnfrågan "Hur påverkar NMSI fysisk aktivitet?" är komplex. Denna komplexitet kommer från mångfalden i studiepopulation, de ortopediska hjälpmedel och idrottsutrustningar som används och vilken typ av fysisk aktivitet som involveras. Dessa komponenter är tätt sammankopplade, varvid en förändring i en av faktorerna påverkar övriga faktorer eller deras relation mellan varandra. För att förstå "Hur NMSI påverkar fysisk aktivitet", bör funktionsnedsättning, utrustning och utrustning-användaren och fysisk aktivitet kontrolleras i studiepopulationen.

Det är just detta holistiska tillvägagångssätt vi tillämpar i detta Synergi-projekt. Vi konkretiserar detta genom
(i) att mäta hur funktionsnedsättningen yttrar sig utan kompenserande hjälpmedel (delprojekt 1);
(ii) att kontrollera interaktionen mellan individ och ortopediskt hjälpmedel (delprojekt 2); och
(iii) att väga resultaten från delprojekt 1 och 2 mot verkliga förhållanden i aktiviteter i dagliga livet (ADL) och idrott (delprojekt 3).

Delprojekten involverar olika delstudier (WP) för att nå respektive delprojekts mål. Kombinationer av resultat inom och mellan WP genererar information om hur man optimerar den komplexa interaktionen mellan individen och hens ortopediska hjälpmedel vid utförandet av specifika uppgifter i en given miljö. Målet är att finna den optimala nivån mellan prestation, säker och hälsosam träning, samt optimal teknik samtidigt som risken för skador och sjukdomar minimeras.

Synergi-projektet genererar svar på följande frågor: Hur påverkar NMSI förmågan att köra rullstol i ADL och under dynamiska former som rullstolsidrott? Hur optimerar man interaktionen utrustning-användare, minimerar axelbelastningen och riskerna för upprepade belastningsskador? Hur optimerar man interaktionen utrustning-användare, minimerar belastningen under säte för att minska risken för trycksår?

Detta tillvägagångssätt kommer generera i ny ergonomisk kunskap som gör det möjligt för tillverkare, terapeuter, ortopedingenjörer/tekniker, tränare med flera att optimera interaktionen mellan rullstol-användare ur ett ADL- och idrottsprestationsperspektiv.

Det kortsiktiga målet för Synergi-projektet (fyra år) är att integrera ny grundläggande kunskap i GIH:s utbildningsprogram och att lägga grunden för ett forskningsramverk för anpassad fysisk aktivitet i ett (inter-)nationellt samarbete. Det långsiktiga målet för Synergi-projektet är att säkerställa att GIH:s utbildningar har ett inkluderande innehåll samt starta ADL- och idrottsspecifika forskningslinjer ledd av GIH:s akademiska personal i ett (inter-)nationellt samarbete.
Abstract [en]
The Synergy core research question is how neuromusculoskeletal impairment (NMSI) affects activities in daily life, leisure time physical activity and sport. NMSI's encompass impairment in strength, range of motion, coordination, or limb deficiency. Health disorders undeniably lead to impairments affecting activities and participation in a variety of ways and degrees that are not well understood.

The question at hand "How does NMSI affect physical activity?" is complex. This complexity stems from the diversity of the population at study, the orthopedic aids and sport equipment that is used, and the kind of physical activity involved in. These components are inextricably linked, wherein a change in one of the elements affects the other elements or their relationship to one another. Therefore, to understand "How NMSI affects physical activity", impairment, equipment and equipment-user interface, and physical activity should be controlled in the population at study.

This is exactly the holistic approach we apply in this Synergy project. We concretize this overarching holistic approach
(i) measuring how the impairment manifests itself without compensating aids (subproject 1);
(ii) controlling the interaction between individuals and orthopedic aids (subproject 2); and
(iii) weighing the outcomes of subprojects 1 and 2 against real life conditions (ADL: Activities of Daily Life) and sport (subproject 3).

Subprojects have different work packages (WP's) to reach the subprojects' aim. Combinations of outcomes of WP's within and between subprojects, generate information on how to optimize the complex interaction between the individual and his/her orthopedic aids, performing specific tasks in a given environment. The objective is to compromise between performance and health outcomes, maximizing proficiency while minimizing the risk for injuries and illnesses.

The Synergy project generates answers to the following questions: How does NMSI affect wheeled mobility in ADL and in dynamic wheelchair court sports? How to optimize the wheelchair-user interface, minimizing shoulder load and risks for repetitive strain injuries? How to optimize the wheelchair-user interface, minimizing interface pressure and risks for pressure ulcers?

This approach will, amongst other, generate ergonomic knowledge allowing manufacturers, therapists, orthotists, instructors, coaches, to optimize the wheelchair-user interface from an ADL- and sport-performance perspective.

The short-term objective of the Synergy project (four years) is to integrate the generated fundamental knowledge in GIH education programs and to lay the foundations for an Adapted Physical Activity research framework in an (inter-)national collaboration. The long-term objective of the Synergy project, is transforming the GIH education programs into inclusive programs and starting ADL- and sport-specific research lines orchestrated by GIH academic staff in an (inter-)national collaboration.
Publications (2 of 2) Show all publications
Christensen, J. D., Mcnamee, M., Vanlandewijck, Y. & Loland, S. (2025). An ethical framework for Paralympic classification. Sport, Ethics and Philosophy
Open this publication in new window or tab >>An ethical framework for Paralympic classification
2025 (English)In: Sport, Ethics and Philosophy, ISSN 1751-1321, E-ISSN 1751-133XArticle in journal (Refereed) Epub ahead of print
Abstract [en]

This article examines the normative foundation of Paralympic classification, focusing on three interconnected ideals articulated in the International Paralympic Committee's Classification Code: fairness, meaningful competition, and sporting excellence. We develop a specific fair equality of opportunity principle for Paralympic sport (FEOPps), providing a philosophically grounded ethical framework for evaluating classification systems. The principle requires that inequalities between competitors in sport-specific activity limitations resulting from an eligible impairment be eliminated where pragmatically possible and otherwise minimized. This applies when inequalities significantly and systematically impact performance and remain beyond competitors' influence and control. Building on Rawlsian contractualism and Loland's fair play theory, we argue that fairness takes lexical priority over other considerations, establishing deontological constraints within which meaningful competition and sporting excellence can be pursued. Meaningful competition occurs when athletes with evenly matched performance potential engage in fair contests with uncertainty of outcome, thereby enabling the display of authentic sporting excellence achieved through talent and effort. This neo-Aristotelian interpretation connects Paralympic sport to broader ideals of human flourishing through meritocratic practices that cultivate virtue and excellence. Applying our ethical framework to current procedures, we show how FEOPps provides both philosophical justification and practical guidance for Paralympic classification systems while highlighting the need for continued normative reflection on the fundamental nature and purposes of Paralympic sport.

Place, publisher, year, edition, pages
Taylor & Francis, 2025
Keywords
Paralympic classification, para sport, fair equality of opportunity, meaningful competition, sporting excellence
National Category
Sport and Fitness Sciences
Research subject
Medicine/Technology
Identifiers
urn:nbn:se:gih:diva-8908 (URN)10.1080/17511321.2025.2582552 (DOI)001613289900001 ()2-s2.0-105022442624 (Scopus ID)
Note

This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License(http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any med-ium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way. The terms on which this articlehas been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent.

Available from: 2025-12-12 Created: 2025-12-12 Last updated: 2025-12-17
Qvarfordt, A., Svedsäter, G., Fagher, K., Bjerkefors, A. & Blomqvist, S. (2025). International elite Para athletes’ perspectives on anti-doping: what works, what doesn’t and what’s next?. BMJ Open Sport & Exercise Medicine, 11(4), Article ID e002788.
Open this publication in new window or tab >>International elite Para athletes’ perspectives on anti-doping: what works, what doesn’t and what’s next?
Show others...
2025 (English)In: BMJ Open Sport & Exercise Medicine, E-ISSN 2055-7647, Vol. 11, no 4, article id e002788Article in journal (Refereed) Published
Abstract [en]

Objectives Para athletes may face unique challenges in the anti-doping system, including issues of privacy, implementation, comprehension and accessibility. While previous studies have examined non-disabled athletes’ views, little is known about how international elite Para athletes perceive anti-doping procedures. The aim of this study was to increase the understanding of elite Para athletes’ experiences and perceptions of anti-doping procedures.

Methods Using a cross-sectional observational study design, data were collected via an online questionnaire distributed during major international Para competitions. A total of 109 elite Para athletes from 25 countries, representing three impairment groups—physical, visual and intellectual impairments—participated in the study. Data were analysed using descriptive statistics and non-parametric analytical tests.

Results Among elite Para athletes, 27% had never received anti-doping education during their sports careers, while those who had received such education felt more confident in staying updated on the prohibited list. Over half had never undergone doping testing, and over 70% had never submitted whereabouts information. Most athletes who had been tested found the procedure respectful and adapted to their impairment. However, 25% could not provide a urine sample without assistance from a doping control officer or another person. Furthermore, 40% of those who had submitted whereabouts information said updating it reduced their enjoyment of being an elite athlete.

Conclusions This study shows that many Para athletes, even at the elite level, have limited experience with key anti-doping procedures, highlighting a need for more inclusive, prioritised and accessible anti-doping efforts tailored to the needs of Para athletes.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2025
National Category
Sport and Fitness Sciences
Research subject
Medicine/Technology
Identifiers
urn:nbn:se:gih:diva-8920 (URN)10.1136/bmjsem-2025-002788 (DOI)41409510 (PubMedID)2-s2.0-105024974695 (Scopus ID)
Funder
University of Gävle, Co-funding. Open access - Ringgold ID: 3485Swedish National Centre for Research in Sports
Note

Open access This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/

Available from: 2025-12-17 Created: 2025-12-17 Last updated: 2026-01-08
Principal InvestigatorVanlandewijck, Yves
Principal InvestigatorBjerkefors, Anna
Co-InvestigatorRosén, Johanna S
Co-InvestigatorOhlsson, Marie
Coordinating organisation
Swedish School of Sport and Health Sciences, GIH
Funder
Period
2022-10-31 - 2026-10-30
National Category
Sport and Fitness Sciences
Identifiers
DiVA, id: project:2941Project, id: KK 20220080-H-01

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