RIWC_PARA_A128 Right People Right Sport

Finding the right sport and being successful
for people with handicap.
a performance testing approach.
Helge Riepenhof, Annika Lindenmeyer

backround
identifying personal preferences
identifying limitation
identifying talent

„Sport is fun“
Sports Med. 1992 Jan;13(1):25-36.
Changes in beta-endorphin levels in response to aerobic and anaerobic exercise.
Schwarz L1, Kindermann W.
Image
Sport is fun p4-6

„Sport creates self-confidence“

„Positivity from sports will be transferred into life“
Public Health Forum. 2015 Feb.
Wie wirkt Sport? – Ein biopsychosoziales Modell. How does sport act? A biopsychosocial model.
Schneider, S.
Image
Positivitaet p1-1

„Sport leads to inclusion“
Image
Inklusion p4-74

Case 1
Fabian Lehnert
Diagnosis:
• Xxxxx
• Xxxxx
• Xxxxx
Interest pre-trauma:
• Xxxx
• Xxxx
• xxxx
Image
Patient 08041964

Case 2
Edina Mueller
Diagnosis:
• XXXXX
• XXXXX
• XXXXX
Interest pre-trauma:
• Xxxxx
• Xxxxx
• xxxx
Image
Patient 16071982

identifying
personal
preferences
8 preferences
all in order

identifying
personal
preferences
identifying
limitation
8 preferences 30 limitation
all in order
exclude
ineligible

identifying
personal
preferences
identifying
limitation
identifying
talent
8 preferences 30 limitation 5 skills
all in order
exclude
ineligible
reorganise
best fitted

identifying personal preferences

What makes sports fun?
… and how to identify personal interests?
Part 1 – The questionnaire
Image
Questionnaire p11-13

personal preferences
Tennis Tennis Tennis Tennis Tennis Tennis
wheelchair
Tennis Tennis Tennis Tennis Tennis
no wheelchair
Tennis
Tennis
continuous interval / endurance
start-stop / intermittend
Tennis
Tennis
team sport
individual sport
Tennis
Tennis
indoor
outdoor
Tennis
Tennis

personal preferences
water / air
land
Tennis
Tennis
competition
non-competition
Tennis
Tennis
extreme sport
non-extreme sport
Tennis
Tennis
< 30 ~ 45 min
> 30 ~ 45 min
Tennis
Tennis

Case 1
Fabian Lehnert
Personal preferences:
• Xxxxx
• Xxxxx
• Xxxxx
Image
Patient 08041964

Case 2
Edina Mueller
Personal preferences:
• XXXXX
• XXXXX
• XXXXX
Image
Patient 16071982

Excluding the obvious!
… where is your limitation?
Part 2 –limitation
Image
Verletzungen p14-2
Image
Verletzungen p14-7

Where is your limitation?
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
1
2
3
4
5
right left
10
11
12
13
14
15

Where is your limitation - functional capacity
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
lower extremity
right left
0
1
2
3
4
5
0
spine
complete incomplete
0
6
7
8
9
0
upper extremity
right left
0
10
11
12
13
14
15
0

Sports – negative selection:
1
2
3
4
5
lower extremity single,
excluded:
0
1
2
3
4
5
lower extremity double,
excluded:
0

spine incompete,
excluded:
spine complete,
excluded:
6
7
8
9
0
6
7
8
9
0

upper extremity single,
excluded:
upper extremity double,
excluded:
10
11
12
13
14
15
0
10
11
12
13
14
15
0

Case 1
Fabian Lehnert
limitation:
• Xxxxx
• Xxxxx
• Xxxxx

Case 2
Edina Mueller
limitation:
• Xxxxx
• Xxxxx
• Xxxxx

What is relevant for good performance?
… and how to identify personal capacity
Part 3 – The assessment
related to limitation specific performance test

• lower leg amputation right
2

• thigh amputation left
2 4

• spine o.k.
2 4 0

• spine o.k.
• right arm o.k.
2 4 0 0

• spine o.k.
• right arm o.k.
• left elbow no ROM
2 4 0 0 13

Find your sport - assessment 2 4 0 0 13
Aerobic capacity
Anaerobic capacity
ROM, Strength Core
Coordination
BMI
Length
ROM, Strength upper extremity
ROM, Strength lower extremity
Video
Tests 1-3

Find your sport - assessment 2 4 0 0 13
Motivation
Concentration
Decision making
Self-confidence
Game Intelligence
Anxiety control
Attention
Anticipation
Video
Tests 1-3

Identifying talent - Performance capacity
Physical
Aerobic capacity
Anaerobic capacity
ROM, Strength Core
Great Good o.k. Red. Limited
Coordination
None > 33 30-35 25-30 20-25 15-20 <15
BMI
Very
long
Long Normal
+
Normal
-
Short
Length
Very
short
Strong
Full
Strong
Red.
Medium
Full
Medium
Red.
Weak
Full
Weak
Red.
ROM, Strength upper extremity - handgrip
ROM, Strength lower extremity – extensin / flexion
2 4 0 0 13
right
left
right
left
right
left
right
left
Strong
Full
Strong
Red.
Medium
Full
Medium
Red.
Weak
Full
Weak
Red.
Strong
Full
Strong
Red.
Medium
Full
Medium
Red.
Weak
Full
Weak
Red.
Strong
Full
Strong
Red.
Medium
Full
Medium
Red.
Weak
Full
Weak
Red.
Great Good o.k. Red. Limited None
Very
long
Long Normal
+
Normal
-
Short Very
short
Strong
Full
Strong
Red.
Medium
Full
Medium
Red.
Weak
Full
Weak
Red.

Identifying talent - Performance capacity
Mental
Attention
Anticipation
Tennis
Tennis
Anxiety-control
Concentration
Tennis
Tennis
Motivation
Game-Intelligence
Tennis
Tennis
Decision making
Self-confidence
Tennis
Tennis
2 4 0 0 13

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
….
1.
X.
3.
4.
5.
X.
X.
8.
X.
10.
….
4.
8.
3.
1.
10.
5.
16.
17.
22.
23.
….

Case 1
Fabian Lehnert
skills:
• Xxxxx
• Xxxxx
• Xxxxx

Case 2
Edina Mueller
skills:
• Xxxxx
• Xxxxx
• Xxxxx

advantages and questions
• sport might help to accept an injury and limitation
• sports might help to create a new more positive future
• sports might effect the contextual factors
• being successful in sport might be motivational
• being successful in sport might endorse confidence

upcoming steps
• follow up questionnaire 12 month post trauma
• do they do any sport / the recommended sport?
• how often do they exercise per week?
• Contextual factors (ICF)?
• Website and App
• Send request to: sportmedizin@bgk-hamburg.de

RIWC_PARA_A128 Right People Right Sport

RIWC_PARA_A128 Right People Right Sport

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RIWC_PARA_A128 Right People Right Sport