Sports and Recreation for Those with Lower Limb Amputation or ...

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Roller Skating Skating with a prosthesis takes practice and good balance. Often the skater will demonstrate an uneven arm swing (Fig. 35a) . Skaters wearing prostheses also tend to prefer having the prosthetic leg closest to the inside of the rink. A Hein-A-Ken Skate Aid, similar to that discussed in the section on ice skating, is also available for roller skating (Fig . 35b) . This device is made of a lightweight, tubular rnotol and is fully collaps- Fig 35b . Young skater demonstrates Hein-A-Ken assistive device . (Photo courtesy of Hein-A-Ken, Inc .) Fig . TLE foot and additional waistbelt suspension. (Photo by Bernice Kegel) ible for ease of storage and transportation . Several models are available in sizes for children, teenagers, and adults. For more information, see the discussion under the ice skating section and contact: ^Hein-A-Ken,Inc. 102 Fosse Court Thief River Falls, MN 56701 (218)681-2147 or7420 • Special Olympics, Inc. International and National Headquarters c/o Robert Montague, Exec. Director 1701 KStreet, N .W./Suite203 Washington, D .C.2O0OS (2O2)331-134S 32
While some individuals with amputation find running too difficult, and others have not even tried it, the \Ay s Prosthetics Research Study in Seattle and the Department of Kinesiology at the University of Washington have found that many people with disability can indeed run, and quite successfully. Some prefer a hopskip-run technique where they begin with one step on the prosthetic leg, followed by two steps on the sound limb. Other runners use crutches, but no prosthesis. The technique is similar to running with a prosthesis—crutch, skip, skip; crutch, skip, skip . . . (Fig. 36). Although the person with lower limb amputation is capable of running, he or she encounters certain challenges that people without disability do not face . For example, difficulties associated with a poorly fitted prosthesis are likely to be exacerbated during running and may lead to undesirable gait modifications such as knee hyperextension when stepping onto the prosthesis. in addition, excess perspiration of the residual limb during running necessitates changing residual limb socks frequently to safeguard against skin irritation. A certain amount of movement of the residual limb in the socket is expected, but this problem can be minimized. For example, many individuals with below -knee amputation attach a fork strap and waistbelt to their prosthesis when running. The additional fork strap suspension is of greater importance when the amputee attempts faster running speeds, especially when the knee is bent . Many amputees also use a rubber latex sleeve for additional suspension because of its elasticity and suction effects. Some prosthetists also are considering a form of cream or denture adhesive that will stick to the walls of the prosthesis, holding the re' oidua! limb in place. The above' knee amputee may benefit from using a Silesian bandage for extra suspension. The above-knee amputee may occasionally experience some rotation of the prosthesis around the residual limb during running so that, at heelstrike, the prosthetic foot is either turned in or everted too much . Because of the great motion between the residual limb and the socket in running, some above-knee amputees may find Fig . 36 . Crutch runner wearing protective gloves and residual limb protector. (Photo hv Roger W Vargo, courtesy of the Valley News) 33
Page 1 and 2: Contents vi Acknowledgments 67 Comp
Page 3 and 4: Preface During the rehabilitation p
Page 5 and 6: Sports for hose with Lower Limb Amp
Page 7 and 8: Bicycling Fig . 2 . Acyc!ist with u
Page 9 and 10: These and the tricycle for adults (
Page 11 and 12: sliding forward on the seat Canoe r
Page 13 and 14: straps which fit high - - - thigh a
Page 15 and 16: Fly ~ y ng overall feeling of physi
Page 17 and 18: To facilitate the pivoting action n
Page 19 and 20: Gardening ~~ Gardening often poses
Page 21 and 22: shank of the prosthesis, simulates
Page 23 and 24: plate whereupon two small holes are
Page 25 and 26: Horseback Riding provides programs
Page 27 and 28: "residual limb stirrup" to maintain
Page 29 and 30: Ice Sledding • Skate Supply, Inc.
Page 31 and 32: Motorcycling Mountain Climbing For
Page 33: arm crutches so that in case of a f
Page 37 and 38: of a half a mile or more . Thus man
Page 39 and 40: Scuba Diving ton) Foot developed by
Page 41 and 42: the amputation side of the body obv
Page 43 and 44: For static line jumps, the person w
Page 45 and 46: Fig. 46a . Unilateral knee disartic
Page 47 and 48: A beginning skier, indeed any skier
Page 49 and 50: Outriggers Outriggers are specially
Page 51 and 52: - National Handicapped Sports and R
Page 53 and 54: positions assumed are very similar
Page 55 and 56: the muscles of his lower torso. It
Page 57 and 58: needed, at which time it is attache
Page 59 and 60: Swimming People of all ages and dis
Page 61 and 62: Fig. 73 . Waterproof phenolic ankle
Page 63 and 64: Water Skiing The British Disabled W
Page 65 and 66: Fig . 79 . Skiing solo without a pr
Page 67 and 68: well. When the boat moves the skier
Page 69 and 70: Competitive Sports for Those with L
Page 71 and 72: For table tennis, a prosthesis is w
Page 73 and 74: Wheelchair Sports
Page 75 and 76: for increased maneuverability throu
Page 77 and 78: Archery, Crossbow, Dartchery • Ev
Page 79 and 80: ~~~~~~~~~~~~~~~~=0, Wheelchair Bask
Page 81 and 82: Wheelchair Bicycling Most individua
Page 83 and 84: spinal column is highly recommended
Page 85 and 86:
Wheelchair Football Wheelchair Moto
Page 87 and 88:
~~~~~ ~ ~@~~~~ ~~~~ ~=""~~~~=~~"°~
Page 89 and 90:
Wheelchair Unicurl at all times. To
Page 91 and 92:
Wheelchair Field Events As the resu
Page 93 and 94:
third of the revolution time for ac
Page 95 and 96:
Wheelchair Marathon Training Though
Page 97 and 98:
Wheelchair Slalom The slalom event
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