The Development of Evidence-Based Classification of Vision Impairment in Judo: A Delphi Study
The Development of Evidence-Based Classification of Vision Impairment in Judo: A Delphi Study
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DOI：
10.3389/fpsyg.2019.00098
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发表时间：
2019-02-15
影响因子：
3.8
通讯作者：
Mann, David L.
中科院分区：
文献类型：
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作者：
Krabben, Kai J.;Ravensbergen, Rianne H. J. C.;Mann, David L.
目的：大多数残疾人运动团体运动员进入“班级”与其他具有类似活动限制的人竞争。视力受损（VI）的柔道运动员，不管他们的视力受损程度如何，都参加同一个级别的比赛。有相当大的争议，这种方法是否代表一个合法的方式来组织柔道比赛。本研究的目的是建立一个以证据为基础的VI柔道分类系统的要求专家意见。方法：由18名运动员、教练员和管理人员组成的小组参与了三轮德尔菲评估过程。就与柔道分类有关的一系列问题征求了专家的意见。在轮次之间，对结果进行总结，并就专家未达成共识的主题提出进一步的问题。结果：专家组认为：(1)盲人运动员和弱视运动员不应在同一个班级中相互竞争；（ii）可能需要额外的视觉功能测量来准确评估运动员的损伤；（iii）最低损害标准（MIC）应代表更严重的损害水平，以确保所有包括的人都具有确实降低柔道表现的VI水平；（四）一些运动员故意在分类测试中表现不佳，可能会破坏合法的比赛。专家组确定了目前尚未测量但可能影响柔道表现的六项视觉功能的额外测量，以及最有可能受到VI影响的柔道表现的六个方面。结论：VI柔道领域的专家表示需要改变VI柔道运动员分类的方式。本研究提出了一种建立损伤-成绩关系的模型，并指导了VI柔道循证分类的发展。
Objective: Most para-sports group athletes into "classes" to compete against others with similar activity limitations. Judokas with vision impairment (VI) instead all compete in the same class irrespective of their level of impairment. There is considerable controversy whether this approach represents a legitimate way to structure judo competition. The aim of this study was to establish expert opinion on the requirements for an evidence-based classification system for VI judo.Methods: A panel of 18 athletes, coaches, and administrators participated in a three-round Delphi review process. Expert opinions were canvased for a large range of issues related to classification in judo. Between rounds, results were summarized and further questions were asked on topics where consensus was not reached across experts.Results: The panel expressed that: (i) blind and partially sighted athletes should not compete against each other in the same class; (ii) additional measures of visual function might be needed to accurately evaluate an athlete's impairment; (iii) the minimum impairment criteria (MIC) should represent a more severe level of impairment to ensure that all those included possess a level of VI that indeed decreases performance in judo; and (iv) legitimate competition could be undermined by some athletes intentionally underperforming on classification tests. The panel identified six additional measures of visual function which are not currently measured but are likely to impact judo performance, and six aspects of judo performance which are most likely impacted by VI.Conclusion: Experts in the field of VI judo expressed a need to change the manner in which VI judokas are classified. This study outlines a model for establishing the impairment-performance relationship and guides the development of evidence-based classification for VI judo.