Presentation on theme: "Adaptive Sports & Recreation: History Current Trends Case Studies"— Presentation transcript:
1 Adaptive Sports & Recreation: History Current Trends Case Studies
2 PRESENTERS:Kathleen Salas, PT, MHAClinical Specialist- SalemSpaulding Adaptive Sports Centers – North Shore CoordinatorAli Stoll, PT, DPTPhysical Therapist –BostonSpaulding Adaptive Sports Centers- Boston Coordinator
3 Objectives:Appreciate the underpinnings of adaptive sports & recreationUnderstand numerous benefits of adaptive & inclusive recreationBe familiar with current trends in adaptive sportsUnderstand & brainstorm adaptations for sports and activitiesIncrease awareness of adaptive resources
4 Brief History of Inclusion 1800s Perkin’s School for the Blind-1st P.E. program1930s public schools created separate gym classes1950s Kennedy Foundation attention on cognitive disabilities1972 IDEA Individuals with Disabilities Education Act=equal educational opportunities1990 Americans with Disabilities Act: mobility-related mandates: equal access to gyms, parks & recreation (trail width, picnic table height, pools, golf)
5 Brief History of Adaptive Sports 1924 – DeaflympicsVeterans post WW2 led to risein wheelchair basketball1948 International ParalympicCommittee -> first Summer GamesReturning Vietnam Vets & new amputees founded National Handicapped Sports and Recreation Association in 1968; skiingSpecial Olympics also founded 19682013 US Dep’t of Education: Equal access to school sports for the disabled!.
6 Importance of Adaptive Recreation Multiple factors affect life satisfaction: family, community, work.When individuals do not feel satisfied, motivation to participate and contribute in each area also decreases.Individuals with disabilities felt 27% less satisfied with life than individuals without disabilities.Survey conducted by the National Organization on Disability (2004),Shank, Coyle, Boyd and Kinney (1996) believe recreation, leisure and play improve quality of life and “improve and maintain physical and psychological health and well-being” (p. 190).
7 Importance of Adaptive Recreation One in four Americans ages five and older have at least one disability.Only 12% of adults with a disability meet the minimum physical activity recommendations30 minutes of moderate physical activity >5/week or 20 minutes of rigorous activity >3/weekPhysical inactivity among people who have a disability has been linked to an increase in the severity of the disability and a decrease in involvement in the community”Centers for Disease Control 2010
8 Over the past 14 years, the Spaulding Rehabilitation Network has enabled individuals of all abilities to lead active, healthy lifestyles, through participation in sports and recreational pursuits.Children and adults participate in Spaulding Adaptive Sports Center (SASC) programs under the supervision of adaptive sports professionals & Spaulding therapists, providing the perfect environment to try a new sport or get back to one you always loved.
10 Adaptive Sport Research Emotional gains more powerful/statistically significant than physical gains
11 Adaptive Sports: Physical Gains Improvements in strength and endurance were greater in those who participated >5 days than 3-5 days
12 Adaptive Sports: Emotional Benefits Improved confidence and self-esteem not related to frequency of participationEven a single session with SASC Boston may have a positive emotional impact on an individualIntangibles: Independence & Empowerment
13 Potential Lifestyle Changes Did participation in the SASC Boston Program motivate you to exercise more regularly?88% answered YES!We need to take a closer look at the words “regular exercise” and how that term is defined but what we do know is that even if these individuals are motivated to exercise even 1-2 times/week more than they used to, that is a positive step in the direction of achieving emotional, physical and health related benefits.Our research suggests once an individual participates in adaptive recreation, they may perceive fewer barriers to an active lifestyle.
15 What’s NewSpaulding National Running Center, Cambridge Prosthetic ResearchGlobal advances in prosthetic technology
16 Consider integrated sports like w/c basketball & seated volleyball? Inclusion for recreation & sportsHistorically: separate sports only for thosewith disabilities & special needs.Current choices: Disabled students/athletes can play on existing teams (track & field, swimming)OR Disabled athletes play on their own leagues (power wheelchair soccer, sled hockey)Consider integrated sports like w/c basketball & seated volleyball?
17 How to build Adaptive Sports? Certifications: some separate vs some adaptive training in addition to sport certifications.Paraympic Sport Movement
18 What makes activities adaptive? Not just the special gear…Equipment modifications+Environment considerationsIndividualized teaching forstudent’s learning style & paceBrainstorming with clientsto focus on abilities=Empowerment
19 Who Can Participate? Minimal Eligibility Requirements Transfer with assistSitting tolerance > minutesStable cognition (alert & oriented)Communication establishedSport specifics+ CourageOpen mindTransport & $Our role is to remove as many barriers as possible
20 All ages & people with…. Neuromuscular: Cognitive: amputations strokeTraumatic brain injurySCICerebral palsyBehavioral:Mental healthPTSDCognitive:Developmental delaysAutismSensory dysfunction:Visual or hearing impairmentsOrthopedics: OA, RA
21 How do we adapt equipment? 1. BikesLE recumbent trikesPedal, breaking, andshifting modificationsTandem capabilityFoot platesAb/adduction bars
22 How do we adapt equipment? Arm BikesHandcycle typesSeating modificationsPedal grip modificationsBrake/shifter location
23 How do we adapt equipment? 2. KayakingSeating modificationsPaddle grip modifications
24 How do we adapt equipment? 3. GolfSolo rider golf cartSeated SwingBalance assistanceOne arm swing modificationsErgonomicsClubs
25 How do we adapt equipment? 4. Rock Wall ClimbingAscending devices: single or double handedHarnesses: Hoyer like, Chair, ThoracicMin to Max pulley assist
26 How do we adapt equipment? 5. SkiingMono-SkiBi-Ski & Tethered sit-skisStand up skiers with outriggers: 3 & 4 TrackersSnowboardingNordic
27 How do we adapt equipment? 6. Court SportsWheelchairs – cambered wheels, wider base, quicker turning radius
28 How do we adapt equipment? 77. Adaptive SkatingSkates + “walkers”Yak track treadsSled Hockey: sit sleds + sticks= Paralympic level
29 How do we adapt equipment? 8. Therapeutic RidingSaddle optionsRein adaptationsStirrups or notTransfer lift +Wheelchair ramp1 Lead +2 side walkers
30 How do we adapt equipment? ArcheryGrip supportBow support/mountMouth tabTarget distance
31 Case Studies: considerations & safety Accessibility: environment, terrain, restrooms, parkingClothing (dressing for New England weather!)Heat and hydration preventionSkin: seating & positioning for high contact areasSport specific pre-activity screens (water safety)Equipment (helmets, braking, steering)
32 Group activity - problem solving You will be given a participant with challenges and/or special requirementsAdapt the activity, address the following:barriersequipment choices and modificationsprecautions before & during activityspecific benefits for your participantPresent your participant and how you have adapted the activity.
34 National Organizations: Adaptive Sport Equipment Grants: ResourcesLocal SASC Partners:Acces Sport AmericaCAPEable AdventuresNortheast PassageNew England Disabled SportsCommunity RowingCommunity BoatingPiers Park SailingMA DCR Universal AccessNational Organizations:Disabled Sports USA (DSUSA)US Paralympics & Regional ChaptersWounded WarriorsAdaptive Sport Equipment Grants:Challenged Athlete FoundationKelly Brush FoundationTravis Roy FoundationCommunity Options: Consider COA, Sr. Centers, Park & Rec, YMCA, B & G