Find Your Strength through Adaptive Sports & Recreation

Kathleen Salas, PT, MHA Program Coordinator, Spaulding Adaptive Sports Centers – North Shore 2010 Program goals? From rehab to recreation Erase hurdles: “just do it” Rethink “athletes” Access to a healthy lifestyle & social community

Sasc.spauldingrehab.org

Brief History of Inclusion 1800s Perkin’s School for the Blind-1st P.E. program 1930s public schools created separate gym classes 1950s Kennedy Foundation attention on cognitive disabilities 1972 IDEA Individuals with Disabilities Education Act=equal educational opportunities 1990 Americans with Disabilities Act: mobility-related mandates: equal access to gyms, parks & recreation (trail width, picnic table height, pools, golf) www.adachecklist.org

Brief History of Adaptive Sports 1924 – Deaflympics Veterans post WW2 led to rise in wheelchair basketball 1948 International Paralympic Committee -> 1960 first Summer Games Returning Vietnam Vets & new amputees founded National Handicapped Sports and Recreation Association in 1968; skiing Special Olympics also founded 1968 2013 US Dep’t of Education: Equal access to school sports for the disabled! .

Risk factors greater for those living with a disability “25% of Americans > age 5 have at least one disability. Only 12% of adults with a disability meet the minimum physical activity recommendations: -30 minutes of moderate physical activity 5 or more days/week OR -20 minutes rigorous activity at least 3x/ week. Physical inactivity among people with disability linked to an increase in its severity and a decrease in community involvement” Centers for Disease Control 2010

SURVEY RESULTS: Self reported physical benefits from participation (SASC - Boston) Physical Factors Mean Improvement Standard Deviation Flexibility 58.3% 2.6% Strength 68.0% 2.4% Endurance 68.4% 2.3% Balance 61.4% Bobbi Delaney BS, PT¹, Anthony Guarino PhD², Lynne Brady Wagner MA, CCC-SLP¹, Pamela Levangie DSc, DPT, FAPTA² ¹Spaulding Rehabilitation Network, Boston, MA and ²MGH Institute of Health Professions, Boston, MA

Self perceived emotional benefits from adaptive sports and recreation (SASC - Boston) Emotional Factors Mean Improvement Standard Deviation Confidence 83.8% 1.8% Self-Esteem Mood 85.0% 2.1% Bobbi Delaney BS, PT¹, Anthony Guarino PhD², Lynne Brady Wagner MA, CCC-SLP¹, Pamela Levangie DSc, DPT, FAPTA² ¹Spaulding Rehabilitation Network, Boston, MA and ²MGH Institute of Health Professions, Boston, MA

Who can participate? “Minimum Eligibility” Transfer with help Sit for > 30 min Communication/signals Precautions & risks: Skin, infections, oxygen use Contraindications? Post-operative specifics and water sports

What makes activities adaptive? Specialized gear Equipment modifications Environment considerations + Individualized teaching for student’s learning style & pace Brainstorming with clients Focus on abilities =Empowerment

What activities can be adapted and how? Example #1: Cycling Recumbent LE trikes Pedal, breaking, and shifting modifications Tandem capability

How do we adapt equipment? Handcycles Seat & posture adaptations Pedal grip modifications

How do we adapt equipment? #2: Kayaking Seat modifications Paddle grip adaptations

How do we adapt equipment? #4: Therapeutic Riding Saddle options Rein adaptations Lead + 2 side walkers Mondays in Boxford

How do we adapt equipment? #6: Rock Climbing Harnesses Hoyer-like chair chest or legs Grip support Ascending devices & pullbars LVO January Quincy Quarries April 16

How do we adapt equipment? #7: Golf Solo rider golf cart Grip support 1 arm & other clubs Ergonomics Indoor “BITS” Reading Outdoor “BITS” Marblehead Lynnfield Middleton

How do we adapt equipment? # 8: Court Sports Sport Wheelchairs: cambered wheels, wide base, quick turning radius USPTA Harvard Univ LVO March/April Tues 5:30 to 7:00 pm

How do we adapt equipment? # 9: Archery Grip support Bow support/mount Mouth bite Target distance Danvers

http://sasc.spauldingrehab.org North Shore Wednesdays, June through September! Thursdays Golf Opportunities to be active Challenges + benefits Multi-disciplinary team Rec. Therapy + OT + PT Remove barriers ($, transport) Kathleen Comfort Salas, Coordinator Spaulding Adaptive Sports Center, North Shore Phone: 978-482-5358 ksalas@partners.org