Barak Sharon, Mendoza-Laiz Nuria, Fuentes Maria Teresa Gutierrez, Rubiera Maria, Huyzler Yeshayahu
The Edmond and Lily Safra Children's Hospital, Chaim Sheba Medical Center, Ramat Gan, Israel; Kaye Academic College of Education, Beer-Sheba, Israel.
Facultad de Ciencias del Deporte, Universidad de Castilla La Mancha-Toledo, Spain.
J Rehabil Res Dev. 2016;53(6):973-988. doi: 10.1682/JRRD.2015.08.0156.
People with severe physical disabilities may experience psychosocial problems. Boccia is one sport that athletes with severe disability can engage in, but no information on the effects of Boccia on psychosocial outcomes for participants with severe disability is available. Therefore, we analyzed the effects of Boccia on psychosocial outcomes in persons with severe disabilities. The study included two competitive Boccia groups: independent competitive (IC) (n = 9) and nonindependent competitive (NIC) (n = 7), as well as a recreational Boccia group (n = 14) and control subjects (n = 13) (mean age = 46.46 +/- 10.75). All participants underwent a rehabilitation program. Between-group differences in change scores were assessed using analysis of variance/multivariate analysis of variance. Within-group differences were compared using t-tests and effect sizes (ESs). Change in psychosocial parameters was not significantly influenced by study group (p > 0.05). All groups presented moderate-to-large ESs in physical and psychological quality of life (ES > 0.51). In comparison to the control group, who presented small-to-trivial ESs in General Health Questionnaire-28 (GHQ-28), State-Trait Anxiety Inventory, and Profile of Mood States-Tension, the IC and recreational group presented moderate ESs in GHQ-28, whereas the NIC group presented moderate ESs in anxiety and tension. In conclusion, the rehabilitation program had a general positive effect on the psychosocial status of individuals with severe physical disabilities. However, the competitive Boccia groups demonstrated a greater number of favorable changes, suggesting an added value of participation in Boccia.
重度身体残疾者可能会经历心理社会问题。 boccia球是重度残疾运动员可以参与的一项运动，但目前尚无关于boccia球对重度残疾参与者心理社会结果影响的信息。因此，我们分析了boccia球对重度残疾者心理社会结果的影响。该研究包括两个竞争性boccia球组：独立竞争组（IC）（n = 9）和非独立竞争组（NIC）（n = 7），以及一个娱乐性boccia球组（n = 14）和对照组（n = 13）（平均年龄 = 46.46 +/- 10.75）。所有参与者都接受了康复计划。使用方差分析/多变量方差分析评估组间变化分数的差异。使用t检验和效应大小（ESs）比较组内差异。心理社会参数的变化不受研究组的显著影响（p > 0.05）。所有组在身体和心理生活质量方面都呈现出中度至较大的效应大小（ES > 0.51）。与对照组相比，对照组在一般健康问卷-28（GHQ-28）、状态-特质焦虑量表和情绪状态剖面图-紧张方面呈现出小至微不足道的效应大小，IC组和娱乐组在GHQ-28方面呈现出中度效应大小，而NIC组在焦虑和紧张方面呈现出中度效应大小。总之，康复计划对重度身体残疾者的心理社会状况具有普遍的积极影响。然而，竞争性boccia球组表现出更多有利的变化，表明参与boccia球具有附加价值。
