{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T14:37:30Z","timestamp":1781188650951,"version":"3.54.1"},"reference-count":50,"publisher":"Human Kinetics","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,7,1]]},"abstract":"<jats:p>The assessment of swimming propulsion should be a cornerstone of Paralympic swimming classification. However, current methods do not objectively account for this component. <jats:italic><jats:bold>Purpose<\/jats:bold>:<\/jats:italic> To evaluate the swimming propulsion of swimmers with and without physical impairment using a 30-second maximal fully tethered freestyle swim test. <jats:italic><jats:bold>Methods<\/jats:bold>:<\/jats:italic> Tethered forces were recorded during maximal fully tethered swimming in 80 competitive swimmers with (n\u2009=\u200970) and without (n\u2009=\u200910) physical impairment. The relationships between absolute and normalized tether forces and maximal freestyle swim speed were established using general additive models. <jats:italic><jats:bold>Results<\/jats:bold>:<\/jats:italic> Para swimmers with physical impairment had lower absolute and normalized tether forces than able-bodied swimmers, and there were moderate positive correlations found between tether forces and sport class (<jats:italic>\u03c4<\/jats:italic>\u2009=\u2009.52\u2013.55, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001). There was a nonlinear relationship between tether force and maximal freestyle swim speed in the participant cohort (adjusted <jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup>\u2009=\u2009.78\u2013.80, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001). Para swimmers with limb deficiency showed stronger relationships between tether force and maximal freestyle swim speed (adjusted <jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup>\u2009=\u2009.78\u2013.82, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001) than did Para swimmers with hypertonia (adjusted <jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup>\u2009=\u2009.54\u2013.73, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001) and impaired muscle power (adjusted <jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup>\u2009=\u2009.61\u2013.70, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001). <jats:italic><jats:bold>Conclusions<\/jats:bold>:<\/jats:italic> Physical impairments affect Para swimmers\u2019 tether forces during maximal fully tethered freestyle swimming, explaining a significant proportion of their activity limitation. It is recommended that maximal fully tethered swimming be included in Paralympic swimming classification as an objective assessment of swimming propulsion.<\/jats:p>","DOI":"10.1123\/ijspp.2019-0515","type":"journal-article","created":{"date-parts":[[2020,3,4]],"date-time":"2020-03-04T08:27:49Z","timestamp":1583310469000},"page":"816-824","source":"Crossref","is-referenced-by-count":14,"title":["Maximal Fully Tethered Swim Performance in Para Swimmers With Physical Impairment"],"prefix":"10.1123","volume":"15","author":[{"given":"Luke","family":"Hogarth","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brendan","family":"Burkett","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Van de Vliet","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carl","family":"Payton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"100","reference":[{"key":"ref91","doi-asserted-by":"crossref","first-page":"1346","DOI":"10.14198\/jhse.2017.124.20","article-title":"Biomechanical and bioenergetical evaluation of swimmers using fully-tethered swimming: a qualitative review","volume":"12","author":"Amaro","year":"2017","journal-title":"J Hum Sport Exerc"},{"key":"ref241","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1016\/j.ptsp.2018.04.021","article-title":"Establishing the reliability of a novel battery of range of motion tests to enable evidence-based classification in para swimming","volume":"32","author":"Nicholson","year":"2018","journal-title":"Phys Ther 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