Evaluation of methods for calculating maximum allowable standing height in amputees competing in Paralympic athletics.

Abstract:

:The International Paralympic Committee has a maximum allowable standing height (MASH) rule that limits stature to a pre-trauma estimation. The MASH rule reduces the probability that bilateral lower limb amputees use disproportionately long prostheses in competition. Although there are several methods for estimating stature, the validity of these methods has not been compared. To identify the most appropriate method for the MASH rule, this study aimed to compare the criterion validity of estimations resulting from the current method, the Contini method, and four Canda methods (Canda-1, Canda-2, Canda-3, and Canda-4). Stature, ulna length, demispan, sitting height, thigh length, upper arm length, and forearm length measurements in 31 males and 30 females were used to calculate the respective estimation for each method. Results showed that Canda-1 (based on four anthropometric variables) produced the smallest error and best fitted the data in males and females. The current method was associated with the largest error of those tests because it increasingly overestimated height in people with smaller stature. The results suggest that the set of Canda equations provide a more valid MASH estimation in people with a range of upper limb and bilateral lower limb amputations compared with the current method.

journal_name

Scand J Med Sci Sports

authors

Connick MJ,Beckman E,Ibusuki T,Malone L,Tweedy SM

doi

10.1111/sms.12586

subject

Has Abstract

pub_date

2016-11-01 00:00:00

pages

1353-1359

issue

11

eissn

0905-7188

issn

1600-0838

journal_volume

26

pub_type

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