adaptations and integration of paddlers with disabilities at canoe...
TRANSCRIPT
![Page 1: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/1.jpg)
112/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE
Adaptations and Integration
of
Paddlers with Disabilities
at
Canoe Clubs
![Page 2: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/2.jpg)
2
1- ADAPTATIONS->Special seats
-> Back rest for everyone proposed by the boat manufacturers
->Adaptations « do it yourself »
-> Amputee adaptations
-> Upper limbs adaptations
-> Floats
-> Fitting out dock facilities
2- PATHOLOGIES : DESCRIPTIONS AND PRECAUTIONS
3- IMPORTANT TOPICS-> Precautions that should be taken
-> Integration at the club
-> Recommendations for events
12/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE
![Page 3: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/3.jpg)
3
Why do we need to adapt the equipment?
• Comfort (facility)• Security (for the paddler and the coach)• Transmission• Performance• Integration
12/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE
![Page 4: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/4.jpg)
4
ADAPTATIONS : special seats
12/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE
![Page 5: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/5.jpg)
5
Adjustable seats
Seat for amputee kayakers
12/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE
![Page 6: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/6.jpg)
6
Seats designed by a prosthetist
Pelvic abutment is very important for strength transmission and balance of
the paddler
12/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE
![Page 7: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/7.jpg)
7
Personalised seat design by a prosthetist
Legs are resting on a long surface. Inclination of the seat toward the back is important to prevent spastic crisis
12/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE
![Page 8: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/8.jpg)
8
USA Seats: http://www.creatingability.com/
12/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE
![Page 9: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/9.jpg)
9
Back rest for everyone proposed by boat manufacturers
http://www.dag-kayak.com/
12/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE
![Page 10: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/10.jpg)
1012/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE
![Page 11: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/11.jpg)
1112/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE
![Page 12: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/12.jpg)
12
Lumbar support for strength transmission and to compensate for lack of sheathing
12/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE
![Page 13: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/13.jpg)
13
ADAPTATIONS « do it yourself »
12/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE
![Page 14: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/14.jpg)
12/08/2009 14Romain DIDIO / Cyril FOURNIER
FRANCE
![Page 15: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/15.jpg)
1512/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE
![Page 16: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/16.jpg)
1612/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE
![Page 17: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/17.jpg)
1712/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE
![Page 18: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/18.jpg)
1812/08/2009
Adaptation for amputees
Romain DIDIO / Cyril FOURNIER FRANCE
![Page 19: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/19.jpg)
19
Use of a rudder by amputated
leg
12/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE
![Page 20: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/20.jpg)
20
Locking of an amputated leg is a must for balance, comfort, and strength transmission.
12/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE
![Page 21: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/21.jpg)
21
Upper limbs adaptation
12/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE
![Page 22: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/22.jpg)
2212/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE
![Page 23: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/23.jpg)
2312/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE
![Page 24: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/24.jpg)
2412/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE
![Page 25: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/25.jpg)
2512/08/2009
Muff to maintain the hand on the paddle
Romain DIDIO / Cyril FOURNIER FRANCE
![Page 26: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/26.jpg)
2612/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE
![Page 27: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/27.jpg)
2712/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE
![Page 28: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/28.jpg)
28
Help to maintain good prehension: http://www.creatingability.com/
12/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE
![Page 29: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/29.jpg)
29
Paddle with only one arm
12/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE
![Page 30: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/30.jpg)
3012/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE
![Page 31: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/31.jpg)
3112/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE
![Page 32: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/32.jpg)
32
Clip the paddle to use only one arm
12/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE
![Page 33: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/33.jpg)
33
The floats: http://www.creatingability.com/
12/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE
![Page 34: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/34.jpg)
34
Inflatable floats
12/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE
![Page 35: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/35.jpg)
35
Beach Hippocampe: www.vipamat.fr
12/08/2009
Accessibility to water
Romain DIDIO / Cyril FOURNIER FRANCE
![Page 36: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/36.jpg)
36
Loading adjustments
12/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE
![Page 37: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/37.jpg)
3712/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE
![Page 38: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/38.jpg)
3812/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE
![Page 39: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/39.jpg)
12/08/2009 39
2- PATHOLOGIES
a. Motors Chair:
- electricalpara/quadra, CP, TC, evolutive (myopathies…)
- manual
Walker:- Amputees LL/UL, hemiplegics, CP, para/quadra incomplete, others
b. Visual deficiencies=> total=> partial
c. Auditory deficiencies=> total=> partial
Romain DIDIO / Cyril FOURNIER FRANCE
![Page 40: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/40.jpg)
12/08/2009 40
METAMERIC SENSITIVE LEVEL:-Which one? -Complete or incomplete ?- Functional consequences?
SPASTIC PARAPLEGIA: spasms, hypertonia, uncontrolled reflex of defence.
SPINELESS PARAPLEGIA: Weak muscles, amyotrophia, no osteo-tendinal reflexes.
Paraplegic and quadriplegic:
Romain DIDIO / Cyril FOURNIER FRANCE
![Page 41: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/41.jpg)
12/08/2009 41
Paraplegic and quadriplegic: Peripheral neurologic handicaps
NEUROLOGICAL LEVEL
- Numbering = spinal column nerve≠ vertebra- C5 to T1 = quadriplegic- Under T2 = paraplegic
IN RELATIONSHIP WITH VERTEBRA ( IN GENERAL)
- Cervical = quadri- Dorsal = para high- Lumbar=para low- “Cauda equina“= para low
Paraplegic: palsy of the lower limbs, Coming up more or less high at the trunk level(according to the affected nerves)
quadriplegic: affection going up to the upper limbs
Romain DIDIO / Cyril FOURNIER FRANCE
![Page 42: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/42.jpg)
12/08/2009 42
Paraplegic and quadriplegic:
COMPLICATIONS and PREVENTION :
Vesico-sphincteral troubles
Vegetative troubles
Skin complications
Osteo-tendinal complications
Spasticity increase
Romain DIDIO / Cyril FOURNIER FRANCE
![Page 43: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/43.jpg)
12/08/2009 43
Paraplegic and quadriplegic:
CONCLUSION PARA/QUADRI :
- Variable portrait- Ask athlete information on their handicaps- Rare specific complications in the practice of a sport- Main prevention (fatigue, tendinitis, spasms…)
Romain DIDIO / Cyril FOURNIER FRANCE
![Page 44: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/44.jpg)
12/08/2009 44
Hemiplegic : Palsy on one side of the body
Encephalic lesion of the frontal lobe or of the connected neuron
Damage hemisphere on the side opposed to the hemiplegic
AETIOLOGY :- crane trauma- ACV- tumours- infections- malformations- diving accident-Cerebral Palsy (CP)
(IMC)
Romain DIDIO / Cyril FOURNIER FRANCE
![Page 45: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/45.jpg)
12/08/2009 45
Hemiplegic :
HEMIPLEGIC MAIN CARACTERISTICS :- Right or left- Complete or incomplete- Frequent brachium-facial predominance- Spasticity- Frequent associated troubles:
sensitive troubles visual troubles language troubles epilepsy
CRANE TRAUMA: - Neuropsychological- Epilepsy- Balance troubles- Orthopaedic troubles
trouble Romain DIDIO / Cyril FOURNIER FRANCE
![Page 46: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/46.jpg)
12/08/2009 46
CP (Cerebral Palsy):
- Causes: cerebral suffering ante/during/ or post-natal ; premature (in general : lack of oxygen at birth: late breathing)
- Non hereditary, non evolutive
- Associated troubles: hypertonia
abnormal movements
disturbed motor pattern
visual and auditory troubles
spatiotemporal troubles
epilepsy
orthopaedic troubles
different intellectual disease (1/3 of the cases)
Romain DIDIO / Cyril FOURNIER FRANCE
![Page 47: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/47.jpg)
12/08/2009 47
Amputees:
- Aetiology : congenital, traumatic, tumoral- Lower limb(s), upper limb(s), poly-amputees- Improvement of the equipment- Problems at the stump(important hygiene)- Sport activity with or without equipment
depending on the sport- Possible complications due to friction
humidity, salted water…
Romain DIDIO / Cyril FOURNIER FRANCE
![Page 48: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/48.jpg)
12/08/2009 48
Evolutive neurologic handicap :
- Myopathy (Duchenne de Boulogne, Becker,…) breathing assistance orthopaedic problem heart condition
- Heredo-degeneracy spino-cervical (Friedreich,Charcot-Marie…)- Spinal amyotrophy …
Evolutive handicap problems: - Aggravation with fatigue- Aggravation with settled way of life- Make compromise between physical activity and rest- Medico-technical assistance often needed- Sophistication of equipment- Psychological and social benefits play an important part- Do not propose long term objectives
Romain DIDIO / Cyril FOURNIER FRANCE
![Page 49: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/49.jpg)
12/08/2009 49
Visual deficiencies:
- Aetiology : congenital, traumatic, tumoral- Precautions :
frequent evolution of injuries fragility of eyeballs = avoid traumatisms frequency of falls and collisions watch water splashing depending on the cases.
Romain DIDIO / Cyril FOURNIER FRANCE
![Page 50: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/50.jpg)
12/08/2009 50
Auditory deficiencies :
- Aetiology:
chronic otitis deafness of cerumen plug transmission otosclerosis (extern and mid ear,
otospongiosis: calcification that reduce mobility of the stirrup never total)
exposure to loud noises deafness of absorption of ear’s toxic medication perception skull fractured (intern ear)
- Precautions : consider removal of auditory prosthesis watch impacts at the implant level
Romain DIDIO / Cyril FOURNIER FRANCE
![Page 51: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/51.jpg)
51
3 – IMPORTANT SUBJECTS
* Discuss with the paddler:his/her pathology, his/her true-life sport, what he/she is looking for from sport activity.
* The medical certificate and record of medical information(Abdos yes/no, level of fatigue, etc.…)
* Importance of tipping (Remember, this can be fun!)
* Watch for skin problems
* Watch the weather (warm/cold) => problems of thermoregulation (paraplegic et quadriplegic)
12/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE
![Page 52: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/52.jpg)
52
* Assess aspects related to possible incontinence: time on the water, bottle, catheter….
* Assisting the transfer into the boat… watch for the safety of the person and the one who is assisting.
* Safety of adaptations: there should be no risk of jamming in case of wet exit (tip).
• Comfort and tipping : experiment with tipping, validation of tipping and of adaptations is common: discussion helper/paddler =>very important.
• Review all steps of the apprenticeship: wet exit, reloading, safety, choice of equipment…
12/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE
![Page 53: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/53.jpg)
53
IMPORTANT SUBJECTS AT THE CLUB LEVEL
• Be Welcoming: ensure the Club environment is accessible to everyone.
• Promote and communicate with other Club members
• Review the accessibility of the Club environment.
• Communicate with the participant: speak directly to the one involved.
• Promote long term participation adapted to the desire, capacity and pathology of the participants.
• Do not hesitate to call on local expert resources
• Opportunity for the Club to “give back to the community”
12/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE
![Page 54: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/54.jpg)
12/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE 54
RECOMMENDATIONS FOR COMPETITIONS
- Appoint a person on the Organising Committee in order to coordinate all matters pertaining to the PaddleAbility races & all accessibility issues.
- Parking spaces for persons with a disability should be convenient.
-All access routes from the parking to accommodation, from accommodation to the regatta venu be accessible. This means a smooth access route which facilitates movement in a wheel-chair or crutches.
- Ensure accessible washroom facilities .
-A special loading area (the docks) is required (loading is longer and need more space due to wheel-chair).
![Page 55: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/55.jpg)
12/08/2009Romain DIDIO / Cyril FOURNIER
FRANCE 55
- The height of the loading dock at between 15 and 20 cm from the surface of the water with a minimum width of 1.50 m.
- If there is a ramp to access the dock, the width should not be less than 1 m and the slope should be no more than 10 %. A guard/handrail should be provided on one side.
- Schedule the races to begin no sooner than 10 am (to give the athletes a chance to get ready)
- Provide an area to store the boats close to the dock.
-A tent, close to the loading area, to store the garments and above all, the wheel-chairs, the crutches and the prosthesis…-Provide a tent and related facilities/equipment for a PaddleAbility athlete classification team
![Page 56: Adaptations and Integration of Paddlers with Disabilities at Canoe …server.selltec.com/.../behindertensport/Ppt+FFCK+FINAL-ENGLISH+v… · Adaptations and Integration of Paddlers](https://reader036.vdocuments.net/reader036/viewer/2022081402/5f09bb567e708231d4284035/html5/thumbnails/56.jpg)
12/08/2009 56
CONCLUSION:
BENEFITS OF PRACTICING CANOE/KAYAK FOR DISABLED PERSONS
Physical aspects - Rediscovery of one’s personal ability (feel one’s own body under effort…) - Facilitate the use of muscular and functional compensations- Keeping and improving heart and breathing capacity- Balance development- Skill developmentEtc…
Socio-psychological aspects - Social integration into the life of the club - Feeling of being like all other persons on the water- Outdoor activity- Feeling of liberty (equipment non visible or absent)Etc…
=> IMPROVEMENT OF AUTONOMY AND SELF ESTEEMRomain DIDIO / Cyril FOURNIER
FRANCE