Find Your Strength
through
Adaptive Sports
& Recreation
Kathleen Salas, PT, MHA
Program Coordinator,
Spaulding Adaptive Sports
Centers – North Shore
2010
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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%
2.6%
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
83.8%
1.8%
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
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
[email protected]