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Steven Stanhope

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Oscar Pistorius: Unfair Advantage or Healthy Debate?

Posted: 08/08/2012 6:31 pm

Earlier this month, Oscar Pistorius, known as "Blade Runner" and "the fastest man on no legs," was selected to run in both the individual 400 meters and the 4x400 relay at the London Olympics, opening the door for him to become the first amputee track athlete to compete at any games.

His participation has stirred tremendous debate, with many claiming that his J-shaped, carbon-fiber prosthetic lower legs give him an unfair advantage over able-bodied runners.

This is a healthy debate, but I'm not going to jump into the fray by taking one side or another about the South African athlete's alleged advantage.

Instead, I hope to add to the debate by arguing that I hope he does have an advantage.

If he doesn't, then we in the world of orthopedic rehabilitation aren't doing our job. If he doesn't, how can we offer hope of high-level function to the millions of other amputees throughout the world?

If Pistorius is barred from competition, we all lose. Society as a whole benefits from a broad range of technologies that were initially developed for special populations. Text readers, touch screens and voice and gesture recognition were all created to help improve function and enable people with disabilities to participate in daily life. We now take for granted these advances that improve the ability of everyone to communicate through devices like computers, tablets, and smart phones.

Part of the reason the debate about Pistorius is so heated is that it's intricately tied to the "purity" of Olympic competition. But when we bar an athlete like Oscar Pistorius from the Olympics or limit the technologies in his legs, we lose an opportunity to showcase his tremendous abilities to the world.

I also think it's time to reconsider the ideal about the purity of Olympic competition and ask some probing questions about what constitutes advantage.

Sport is really all about advantage -- all elite athletes use genetic, environmental, nutritional, and technical factors to their advantage. Certain body types are better suited for some sports than for others. Training at altitude and taking nutritional supplements that promote recovery can provide advantages on race day. Designers of sports gear, shoes, and clothing continuously strive to improve their products in ways that will enhance athletes' performance.

As soon as we ask what's permitted -- and what's not -- in the world of prosthetics, however, we begin to stand in the way of people reaching their full potential. This type of controlling environment conflicts with the goals for rehabilitation devices, which is to confer the highest possible level of functioning for each individual. Many amputees have artificial limbs that don't fit perfectly or function optimally, even though function customizable prostheses are feasible and should be made widely accessible.

Does Pistorius have an unfair advantage due to his high-tech prosthetic limbs? The debate will go on because we don't yet have the technology to prove or disprove this allegation. As director of the BADER Consortium, which focuses on evidence-based orthopedic rehabilitation care to optimize function ability in soldiers with musculoskeletal injuries, I welcome that kind of debate because it draws attention to important issues associated with inclusion and optimizing performance for all amputees and people with limb difference -- not just elite athletes and wounded warriors but also ordinary people for whom increased activity will translate into better health, enhanced quality of life, and cost savings.

At this point, I think it's unlikely that Pistorius's prosthetic limbs are providing him with an "unfair" advantage. He's probably not going to set any Olympic records, but his participation will recharge the rehabilitation community. Pistorius can show all of us the importance of focusing on abilities rather than disabilities. Too often, when someone loses a limb, their first thoughts are about what they can't do anymore. Pistorius is proof that even with limb loss, you can dream and say "I can."

Let's refrain from putting arbitrary limits on that dream.

 
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Earlier this month, Oscar Pistorius, known as "Blade Runner" and "the fastest man on no legs," was selected to run in both the individual 400 meters and the 4x400 relay at the London Olympics, opening...
Earlier this month, Oscar Pistorius, known as "Blade Runner" and "the fastest man on no legs," was selected to run in both the individual 400 meters and the 4x400 relay at the London Olympics, opening...
 
 
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07:52 PM on 08/17/2012
I have no problem with him competing in the Olympics. My only concern is that he should be limited to either the Olympics or the Paralympics not both. If he is considered able enough to compete against the traditional Olympians than I'd say he has an unfair advantage over Paralympians. Can't have your cake and eat it too pick one or the other.
04:56 AM on 08/13/2012
If you had no lower legs there would be way less resistance. You could move your legs up and down like a piston. Now a runner has to lift his/her legs to take a step. I remember many times when I was running when I had reached a certain level of fatigue I my legs felt as if they weight like a ton of bricks. Think strong thighs and hips with the same ability to "pound" the pavement minus that added resistance of lifting the lower legs and you can see yes there is an advantage.
04:55 AM on 08/13/2012
The playing field is not level. What people are saying is that having a calf and achilles makes you faster as opposed to the springs. Maybe. But what about the advantages they provide? it has been said that he does not have to deal with the lactic acid and fatigue in the lower legs. This may be true but what has not been said is that he is lighter in weight overall because of his lack of lower legs and since he does not have lower legs at all he does not have to deal with the resistance that having them would cause. Lets say his thigh and hip muscles were just as strong as a "normal" athletes. Well he would still have that ample thigh and hip strength but less resistance when propelling his lower legs forward. He could just "snap" his lower legs out there so to speak because nothing is there but the light weight carbon prosthetics. He would still have the benefit of the support of lower legs but without the resistance that results not only from the mass of their existence but from the resistance of the tendons and joints. To illustrate this lay on your back and do leg lifts. The difficulty of the movement is a result of the length of your legs the longer the more resistance think about a lever. Now you can make it more difficult by keeping your legs straight now you're really fighting the resistance.
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HUFFPOST SUPER USER
raker
10:17 PM on 08/10/2012
Whether or not Pistorius has an advantage is a matter for the athletes to decide. But I suspect he's in the race for the benefit of NBC. That, I find objectionable.
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bassx101
UMAD!?
02:06 PM on 08/10/2012
this is going to sound completely insensitive but to run it takes two legs anything else is an prosthetic which from the looks of things and based an all the reading appears to be an enhancement how can one really argue the fatigue of muscles vs the strain of carefully engineered carbon fiber springs, its two different things, this is why they have the para olympics, I strongly believe that there is no place for Oscar in the olympics I admire his passion and drive but its man vs machine its like selling apples and oranges as just all apples,,, its an orange people,,, it is different
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ChDe
02:57 PM on 08/09/2012
We are not debating the effectiveness or prosthetics but the ability to compete using them. You're not in the fray, you are just being foolish
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erebus99
Violence is the last refuge of the incompetent
02:18 PM on 08/09/2012
Is it "rehabilitation" to replace legs that were never used to walk?
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01:30 PM on 08/09/2012
Oscar's spirit is an example to us all but I don't agree that he should be allowed to participate in both the Olympics and the Para Olympics.

Athletes without disabilities cannot participate in both.
HUFFPOST SUPER USER
NoWayMan
01:12 PM on 08/09/2012
today, the point is that we can't know if its an advantage or not.

but tomorrow, it will surely be an advantage.

in 12 years, pole vaulting will just be called vaulting since poles won't be needed and all the "athletes" will have spring-shock calf implants.
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sve
Behave yourselves!
12:10 PM on 08/09/2012
The Na'vi of Pandora have graphite reinforced bones and are 10 feet tall. Would they be allowed to compete in some future Olympics?
RTIII
Poster of over 0.0135% of all HufPost comments
11:54 AM on 08/09/2012
"with many claiming that his J-shaped, carbon-fiber prosthetic lower legs give him an unfair advantage over able-bodied runners."

It's not just a claim, it's truth. Even if you dispute that:

1) these "blades" are springs, and a spring can be VERY MUCH MORE efficient than the human leg - without regard to whether or not _a_specific_set_ is.

However, you cannot dispute that:

2) These blades do not fatigue or suffer injury the way human legs do, and;

3) These blades are replaceable between heats, while human legs are not.

Further, you cannot say that this man's exclusion from the Olympic Games would have failed him somehow or kept back from his potential; there are venues for him to compete in where he can (and does) excel.

If we permit artificial enhancement, we've failed the very purpose of the games; to see how far humans (not machines) can go. Cyborgs can have their own venues.
02:29 PM on 08/09/2012
You also cannot dispute that:

1) Prosthetics provide no fine motor control.

2) The damage and wear on the attachment site is something people with flesh legs don't have to deal with. This is usually a source of pain for people that put natural stress on their prosthetics. I can only imagine what kind of stress and pain it cases for somebody that puts Olympic levels of support.

3) Prosthetics are expensive and custom fit. This could certainly hinder training as you would not want to change the shape of the attachment point.

As for artificial enhancement, that ship sailed long before this year's Olympics. Glasses, hearing aides, supplements, and many other things have already been used.

As for the "very purpose of the games", where do you get that from. The ancient games were basically a religious celebration and the modern games are to promote culture, education, and global understanding through sport. Never once have I seen the IOC say that they were to test the limits of human capability.

As a final thought, if they are so advantageous, why doesn't he win more races?
RTIII
Poster of over 0.0135% of all HufPost comments
08:50 PM on 08/09/2012
1) He has a hip that works, and knees - no finer motor control is necessary.

2) True, but first he has a large surface area for this and secondly, nothing's stopping the implantation of an attach point like the ole infamous Captain Hook, but on a leg. It's been done, and with modern technology, it could be done well, and thereby largely sidestep your argument 3.

3) As pointed out in 2 above, it could become an easily fitted device - it's only expensive because someone is out to make a buck. And besides, the latest "Speedo"s aren't cheap, either.

4) There's a huge difference between various "enhancements" - it's not a one-solution-fits-all-sports situation.

5) I was taught something different about the Olympics, but if you are correct, that's VERY, _profoundly_ sad.

6) He may not win more because maybe his advantage makes a mediocre racer competitive - remember, all Olympians are statistical outliers and the amputee community is dramatically smaller; your point proves _nothing._
10:56 AM on 08/09/2012
Hooray for Oscar Pistorius!

but let's get real . . . we all know how technology progresses, with 2 or 3 generations of advancement these "blades" will be faster that any unmodified human.

Maybe they will make the blades as shoes.
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10:50 AM on 08/09/2012
....Oscar's sincere, humble and appreciative response to being on the world's athletic stage this summer was a wonderful, refreshing juxtaposition to the NBA prima donnas tedious strutting. He is an inspiration to all athletes.
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shawshank
The unseen ones prop up the visible world...
09:39 AM on 08/09/2012
The deeper you go into sprint tournaments, the greater the stress on your Achilles tendon and calf, which can possible affect one's later races. Oscar doesn't have to be bothered about that. Is that an advantage for Oscar?

Then this:

"The Achilles tendon is short or absent in great apes, but long in arboreal gibbons and humans. It provides elastic energy storage in hopping, walking, and running. Computer models suggest this energy storage Achilles tendon increases top running speed by >80% reduces running costs by more than three-quarters."
http://en.wikipedia.org/wiki/Achilles_tendon

So do the other athletes have an advantage over Oscar because they possess the Achilles tendon?
09:33 AM on 08/09/2012
It's hard not to root for Oscar. He's terrific. Seems like a wonderful young man, and he's surely a fine athlete.

But it is completely appropriate for the athletic community to debate whether he has an advantage because of his prosthetics. To answer those who say he Deserves an advantage, I say, let's carry it to an extreme: If he had rocket-powered legs that allowed him to win every running and jumping event in the Olympics, setting world records in every event, would that be OK? Of course not, and neither should his current prosthetics give him an advantage. They appear simply to put him on a level playing field, but they should continue to investigate to make sure that that is the case. That's not any prejudice against him, or against amputees. That's just being fair to everyone.
RTIII
Poster of over 0.0135% of all HufPost comments
11:56 AM on 08/09/2012
The current research is VERY poorly done; no true peer review, no replication of results, and the researcher who did the research has a huge bias because he's the inventor, maker, marketer, and seller of these blades.
12:15 PM on 08/09/2012
That's why further research is appropriate, and necessary. One thing I'd check is the length of his stride. If each running step of Oscar is a lot longer than just about anyone else, that might be an indication that the amount of "spring" in his legs gives him an outsized --and perhaps unfair--advantage.