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Handbook of Sports Medicine and Science Training and Coaching the Paralympic Athlete

Handbook of Sports Medicine and Science Training and Coaching the Paralympic Athlete

EDITED BY Yves C. Vanlandewijck PhD

Department of Rehabilitation Sciences Katholieke Universiteit Leuven Leuven Belgium Walter R. Thompson PhD

College of Education and Human Development Georgia State University , GA USA This edition first published 2016 © 2016 International Olympic Committee Published by John Wiley & Sons, Ltd

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Library of Congress Cataloging-in-Publication Data Names: Vanlandewijck, Yves, editor. | Thompson, Walter R., editor. Title: Training and coaching the paralympic athlete / edited by Yves C. Vanlandewijck, Walter R. Thompson. Other titles: Handbook of sports medicine and science. Description: Chichester, West Sussex, UK ; Ames, Iowa, USA : John Wiley & Sons, Inc., 2017. | Series: Handbook of sports medicine and science | Includes bibliographical references and index. Identifiers: LCCN 2016003735 (print) | LCCN 2016004115 (ebook) |ISBN 9781119044338 (pbk.) | ISBN 9781119045120 (pdf) | ISBN 9781119045106 (epub) Subjects: | MESH: Sports | Disabled Persons | Athletes | Sports Medicine Classification: LCC GV722.5.P37 (print) | LCC GV722.5.P37 (ebook) |NLMQT 260 | DDC 796.087–dc23 LC record available at http://lccn.loc.gov/2016003735

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1 2017 Contents

Contributors, vi 7 Research needs for the development Foreword by IOC President Thomas of evidence-based systems of Bach, ix classification for physical, vision, and Foreword by IPC President Sir Philip intellectual impairments, 122 Craven, xi Sean M. Tweedy, David Mann, and Yves C. Vanlandewijck 1 Introduction to the Paralympic 8 Sport and technology, 150 Movement, 1 Osnat Fliess-Douer, Barry Mason, Larry Walter R. Thompson Katz, and Chi-hung Raymond So 2 Biomechanics and ergonomics, 21 9 Contribution of sport science to Helco van Keeken, Sonja de Groot, Riemer performance: rugby, 172 Vegter, and Lucas van der Woude Yves C. Vanlandewijck 3 Physiology, 53 10 Contribution of sports science to Claudio Perret and Thomas Abel performance: Swimming, 199 4 medicine, 75 Brendan Burkett Cheri A. Blauwet, Jan Lexell, and Wayne Derman 11 Contribution of sport science to 5 The psychology of Paralympians and performance: Nordic , 216 mental preparation, 96 Vesa Linnamo, Walter Rapp, and Stefan Jeffrey J. Martin J. Lindinger

6 Sociology of sport and coaching, 108 Index, 237 P. David Howe

v Contributors

Thomas Abel, PhD Osnat Fliess-Douer, PhD Professor for Paralympic Sport, Institute of Movement Director of Aquatic Therapy and Adapted Swimming and Neurosciences, German Sport University, Cologne, Programs, Zinman College for Physical Education and Germany, European Research Group in Disability Sports Sport Sciences, Wingate Institute, Netanja, Israel

Cheri A. Blauwet, MD P. David Howe, PhD Medical Committee, International Paralympic Social Anthropologist of Sport, School of Sport, Committee; Department of Physical Medicine and Exercise and Health Sciences, Loughborough Rehabilitation, Spaulding Rehabilitation Hospital and University, Loughborough, UK the Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA Larry Katz, PhD Professor and Director, Sport Technology Research Brendan Burkett, PhD Laboratory (STRL), Faculty of Kinesiology, University of School of Health and Sport Sciences, University of the Calgary, Calgary, Sunshine Coast, , Australia Jan Lexell, MD, PhD Sonja de Groot, PhD Medical Committee, International Paralympic Senior Researcher, Amsterdam Rehabilitation Research Committee; Department of Health Sciences, Lund Center | Reade, Amsterdam, The Netherlands; University and Department of Neurology and University of Groningen, University Medical Center Rehabilitation Medicine, Skane˚ University Hospital, Groningen, Center for Human Movement Sciences, Lund, Groningen, The Netherlands Stefan J. Lindinger, PhD Wayne Derman, PhD Associate Professor, Department of Sport Science and Medical Committee, International Paralympic Kinesiology, University of Salzburg, Salzburg, Committee; University of Cape Town Research Unit for Sports Science & Exercise Medicine, Cape Town, South Vesa Linnamo, PhD Africa; International Olympic Committee Research Professor, Head of Sports Technology Unit, Department Center, University of Cape Town, Cape Town, South of Biology of Physical Activity, University of Jyvaskyl¨ a,¨ Africa Jyvaskyl¨ a,¨ Finland

vi Contributors vii

David Mann, PhD Sean M. Tweedy, PhD IPC Classification Research Partner – Vision IPC Classification Research Partner – Physical Impairment, Research Institute MOVE Amsterdam, Impairment, University of Queensland, School of Faculty of Human Movement Sciences, VU University, Human Movement and Nutrition Sciences, , Amsterdam, The Netherlands Australia

Jeffrey J. Martin, PhD Lucas van der Woude, PhD Professor, Division of Kinesiology, Health, and Sport Professor of Human Movement Sciences, Rehabilitation Studies, Wayne State University, Detroit, MI, USA and Functional Recovery, University of Groningen, University Medical Center Groningen, Center for Barry Mason, PhD Human Movement Sciences & Department of Senior Research Associate, Peter Harrison Centre for Rehabilitation Medicine, Groningen, The Netherlands Disability Sport, School of Sport, Exercise & Health Sciences, Loughborough University, Loughborough, UK Yves C. Vanlandewijck, PhD, PT Professor of Rehabilitation Sciences, Faculty of Claudio Perret, PhD Kinesiology and Rehabilitation Sciences, KU Leuven, Institute of Sports Medicine, Swiss Paraplegic Centre, Leuven, Belgium Nottwil, Switzerland; European Research Group in Disability Sports Helco van Keeken, PhD Assistant Professor, University of Groningen, University Walter Rapp, PhD Medical Center Groningen, Center for Human Department of Sport and Sport Science, University of Movement Sciences, Groningen, The Netherlands Freiburg, Freiburg, Germany Riemer Vegter, PhD Chi-hung Raymond So, PhD Assistant Professor, University of Groningen, University Director of Elite Training Science and Technology Medical Center Groningen, Center for Human Division, Hong Kong Sports Institute, Hong Kong, Movement Sciences, Groningen, The Netherlands

Walter R. Thompson, PhD, FACSM, FAACVPR Regents’ Professor and Associate Dean for Graduate Studies and Research, College of Education and Human Development, Georgia State University, Atlanta, Georgia USA

Foreword

A strong relationship has existed throughout the Today, in this handbook on Training and Coach- years between the International Olympic Commit- ing the Paralympic Athlete, our two co-editors, along tee and the International Paralympic Committee. with a new talented team of 10 contributing Since our historic agreement in 2000, the IOC authors, provide practical information on clinical and the IPC have worked in partnership to serve and scientific topics as well as examples of best athletes, promote values, fight discrimination, and practices. increase access to sport. This brand new handbook is an ideal working A concrete example of our collaboration was the tool for professionals dealing with para-athletes publication in 2011 of the comprehensive hand- with the objective of improving their health and book on The Paralympic Athlete, edited by Profes- welfare at all levels of competition. sors Yves Vanlandewijck and Walter Thompson. With the contribution of a team of 17 international sports medicine physicians and scientists, this valu- able guide joined the IOC Medical and Scientific Commission series, Handbooks of Sports Medicine and Science. Thomas Bach IOC President

ix

Foreword

In 2011, The Paralympic Athlete was published in the against each other, with the Paralympic Gold Medal Handbook of Sports Medicine and Science series, as the ultimate prize. While much has been learned an IOC Medical Commission Publication. It was about the Paralympic athlete in these past 25 years, the first time the International Olympic Committee there is still much more to be discovered. Scien- (IOC) and the International Paralympic Commit- tists all over the world are now actively engaged tee (IPC) teamed up to focus on a comprehensive in the study of Paralympic athletes and in the evaluation of the athlete from different perspec- application of this research to training and coach- tives, including basic science, applied science, social ing. Much of the credit for the increased inter- science, nutrition, and performance enhancement est has to be attributed to the IPC Sports Science in both cold and hot environments. This book Committee. stimulated more research on Paralympic athletes, Prof. Dr. Yves Vanlandewijck of Katholieke Uni- but was also utilized by the coach and the ath- versiteit (Leuven, Belgium) and Prof. Dr. Walt lete as a guide to improving athletic performance. Thompson of Georgia State University (Atlanta, The book was a source of valuable information for GA, USA), both members of the IPC Sports Sci- coaches and athletes and was also important in the ence Committee, have again successfully recruited classroom where college and university courses are the world’s best and most respected coaches and dedicated to the understanding of the Paralympic scientists to write exemplary chapters, and then athlete. The book stimulated many more specific amalgamated this handbook into the most com- questions about coaching and training. prehensive book on the subject of training and This new book, Training and Coaching the Para- coaching the Paralympic athlete. Athletes, the IPC lympic Athlete, uses as a foundation the first book, Governing Board, Paralympic sports, coaches, but now discusses specific training and coaching member nations, and the Paralympic Movement techniques for the athlete. Coaches and athletes are indebted to all who contributed to this alike can use this new book to answer specific ques- book. tions about training techniques for successful ath- letic performance and careers. Chapters not found in any other source can now be found in this one book. Since 1989, the IPC has experienced exponen- Sir Philip Craven, MBE tial growth in the number of athletes competing IPC President

xi

Chapter 1 Introduction to the Paralympic Movement Walter R. Thompson College of Education and Human Development, Georgia State University, Atlanta, GA, USA

athlete who has a physical, visual, or intellectual Introduction impairment. It is a cutting-edge resource, but the authors know and understand that in this rapidly The Paralympic Movement, a dream and an inspi- growing and expanding movement, new technol- ration for many, dates back to the post–World War ogy and new evidence-based classification will be II era of Sir , a Jewish physician introduced. These chapters offer a starting point who fled Nazi Germany for a new home anda for coaching and training the Paralympic athlete, new start in Great Britain in 1939. This neurosur- beginning with a brief history of the movement, geon was now in a place where he could practice then more detailed training techniques, methods, medicine freely and without religious persecution. systems, skills, and best practices. The chapters on In 1943, at the urging of the British government, Dr. technology and classification are based on current Guttmann established the National Spinal Injuries knowledge and evidence, fully understanding that Centre at Stoke Mandeville Hospital in Bucking- these two topics specifically will be forever chang- hamshire, which opened in February 1944. In 1948, ing. The coach and the athlete will decide how to he organized the first “Stoke Mandeville Games” for apply these and other chapters to their own train- people with disabilities, on the same day as the start ing programs as they prepare for the greatest sport- of the London Summer Olympics. Over the next ing moment of their lives. couple of decades, the Stoke Mandeville Games grew to the point where it caught the attention of the International Olympic Committee, and by 1960 was run in parallel with the . History of the Paralympic Movement The first took place in , , with 400 athletes from 23 countries compet- ing. Today, thousands of athletes compete in the The first were held in and the Winter Para- Sweden in 1976, and just like the Summer Para- lympic Games. Sir Ludwig died in 1980, but lived lympic Games have taken place every four years to see his dream become a reality. thereafter. Since the Summer Paralympic Games This book and this chapter chronicle the foun- in Seoul, Korea (1988) and the Winter Paralympic dation on which Sir Ludwig envisioned the Par- Games in , (1992), the Games alympic Movement. It is written for coaches and have taken place in the same cities and the same for athletes, the elite and the yet-to-be elite venues as the Olympic Games.

Training and Coaching the Paralympic Athlete, First Edition. Edited by Yves C. Vanlandewijck and Walter R. Thompson. © 2016 International Olympic Committee. Published 2016 by John Wiley & Sons, Ltd.

1 2 Chapter 1

The International Paralympic Committee (IPC) paralympic.org/ipc-25-year-anniversary/top-25- was formally established in Dusseldorf,¨ Germany moments). Thanks to Craig Spence, the IPC’s on September 22, 1989. More than 200 people rep- Director of Media and Communications, here are resenting 42 countries attended the event that cre- the top 10 Paralympic moments from the past ated for the first time a global governing body quarter-century. for the growing Paralympic Movement. Founding members of the IPC were the Comite´ Interna- London 2012: Inspiring a generation, tional des Sports des Sourds (International Com- transforming a nation mittee of Sports for the Deaf, CISS), the Cerebral Palsy International Sports and Recreation Associa- The London 2012 Paralympic Games broke mul- tion (CP-ISRA), the International Blind Sports Fed- tiple world records and created seismic shifts in eration (IBSA), the International Sports Federation attitudes and perceptions toward people with an for Persons with Intellectual Disability (formerly impairment. The Games did not just inspire a known as INAS-FMH, now INAS), the International generation, but transformed a nation for ever. Stoke Mandeville Games Federation (ISMGF), and In September 2011, over 30,000 people attended the International Sports Organization of the Dis- International Paralympic Day in London’s Trafalgar abled (ISOD). The first President of the IPC was Square. It was a taste of what was to come. The Canada’s Dr. , who remained Pres- media interest was unprecedented, with 1 million ident until 2001. In that year, Sir Philip Craven of Paralympic Games tickets sold in a matter of Great Britain was elected President and has served days, and a record 2.7 million tickets sold overall. as such since that time. The momentum continued in the lead-up to the Initially housed in a small office in Brugge, Bel- Games. For the first time ever, the Games were gium, in 1999 the IPC opened a headquarters in positioned by the organizing committee, media, Bonn, Germany and currently employs 75 peo- broadcasters, and commercial partners as a high- ple and has over 200 members, including interna- performance sporting event. Paralympic athletes tional federations. Today, the IPC organizes both were promoted on the strength of their abilities, the Summer and Winter Paralympic Games, acts as as opposed to their perceived disabilities. Every the International Federation for nine sports (alpine worldwide Olympic partner signed up as a Para- skiing, athletics, biathlon, cross-country skiing, ice lympic sponsor, and many Paralympians starred , powerlifting, shooting, swimming, in television and billboard campaigns. British and wheelchair dance sport), and coordinates world broadcaster Channel 4 led the way with its multi- championships for those sports. For a more detailed award-winning Superhumans television commercial chronological summary of key events in the Para- (https://www.youtube.com/watch?v=kKTamH__xu lympic Movement, see Table 1.1 and Tweedy and Q), and its breathtakingly innovative Games cov- Howe (2011). erage was watched by two-thirds of the UK population. The Games attracted a record-breaking 4,236 ath- letes from 164 countries. They competed across 20 The top 10 greatest moments in sports in packed venues. The British media gave the Paralympic history event the coverage it deserved, and the achieve- ments and stories of Paralympians were headline news – at both the front and back of all national In May 2014, the IPC set out to determine what had newspapers. More broadcasters than ever before been the most impactful events of the Paralympic covered the London 2012 Paralympic Games. Tele- Movement over the preceding 25 years. More than vision pictures were beamed to over 100 countries, 500 people participated in the survey and the IPC reaching a cumulative audience of 3.8 billion peo- Governing Board chose the top events (for fuller ple. By the time that Coldplay, Rihanna, and Jay-Z descriptions of the top picks go to http://www. performed at the closing ceremony (see Figure 1.1), Introduction to the Paralympic Movement 3

Table 1.1 History of the Paralympic Movement.

Year Event r 1922 Establishment of Comite´ International des Sports des Sourds/International Committee for Deaf Sports (CISS) r [first international sports organization for people with disabilities] Establishment of the Disabled Drivers Motor Club (UK) r [one of the earliest sports organization for people with physical disabilities (Brittain, 2010)] 1924 First International Games for the Deaf r [first international sports event for people with disabilities] 1932 Establishment of British Society of One-Armed Golfers r [one of the earliest organizations to emphasize sports of physical prowess for people with physical disabilities] 1939 Start of World War II [theaters of war led to a large increase in the number of fit, young soldiers and civilians sustaining permanent physical r impairments, including ] 1944 Dr. Ludwig Guttmann begins tenure as inaugural Director of the National Spinal Injuries Unit in Stoke Mandeville, UK [Guttmann had free rein to develop and implement his quite radical approach to management of spinal cord injury (SCI). The inclusion of competitive sports activity was a key component of this approach that became increasingly important over the r years] 1948 First Stoke Mandeville Games, an archery competition between patients from Stoke Mandeville and those at the Star and Garter Home in Richmond, Surrey, UK [occurred the same day as the opening ceremony of the London Olympic Games being held just 35 miles away, an important, r though possibly coincidental, initial link with the Olympic movement (Brittain, 2010; Bailey, 2007)] 1949 Second Stoke Mandeville Games (known at the time as the “Grand Festival of Paraplegic Sport”; Brittain, 2010) [the Games became an established annual event and grew substantially, from 16 competitors and 2 hospitals, to 37 competitors from six hospitals (Brittain, 2010); Guttmann gives a speech in which he declares his hope that the Games would become international and achieve “world fame as the disabled men and women’s equivalent of the Olympic Games” r (Goodman, 1986)] r First Winter Games for the Deaf 1950 Ski School for amputees established in Salzburg, Austria r [first organization for persons with a disability (Jahnke, 2006)] 1952 First International Stoke Mandeville Games (known at the time as the “First International Inter-Spinal Unit Sports Festival”; Bailey, 2007), with an official team from the Netherlands competing in a program of five sports [recognized as the first International Stoke Mandeville Games; first international games for athletes with a physical disability; second Stoke Mandeville Games to be held in the same year as the Olympic Games]. 1953 Firstr media record of the term “Paralympic,” in the Bucks Advertiser and Aylesbury News (Brittain, 2010) 1956 Fifth International Stoke Mandeville Games r [the third Stoke Mandeville Games to be held in the same year as the Olympic Games] Guttmann awarded the Fearnley Cup by the IOC for “outstanding achievement in the service of Olympic ideals” [the first official engagement with the Olympic movement] 1957 The term “Paralympic” in common colloquial use to describe the Stoke Mandeville Games (Gold and Gold, 2007) 1959 Establishmentr of International Stoke Mandeville Games Committee, ISMGC (Bailey, 2007) 1960 1st Paralympic Games held in Rome (also officially known as the 9th International Stoke Mandeville Games); competitors were SCI athletes only [first International Stoke Mandeville Games held outside Stoke Mandeville; first time the Olympic Games and Stoke Mandeville Games were held in the same city, venue, and year, strengthening links between the movements; recognized by IPC as first r Paralympic Games] Formal decision by International Stoke Mandeville Games Committee to align the International Stoke Mandeville Games with the Olympic cycle, so that in the year of an Olympic Games the Committee would endeavor to hold the annual Games in the r same city (or country) as the Olympic Games 1964 2nd Paralympic Games held in Tokyo (also officially known as the 13th International Stoke Mandeville Games); competitors were SCI athletes only [ISMGC achieves goal of linking the Games with the Olympics, which it set in 1960; Paralympic athletes share accommodation r and sporting facilities used by Olympic athletes] Establishment of International Sports Organisation for the Disabled (ISOD), a multi-disability sports organization that aimed to provide sports opportunities for people with disabilities other than SCI 4 Chapter 1

Table 1.1 (Continued)

Year Event r 1966 r Ludwig Guttmann knighted for services to the disabled and becomes President of ISOD r for the Deaf replace International Games for the Deaf (established in 1924) First international sports competition for amputees, held at Stoke Mandeville and hosted by the British Limbless r Ex-Serviceman’s Association (Brittain, 2010) 1967 r ISOD transfers headquarters to Stoke Mandeville r ISOD begins development of rules of sports and classification for amputee athletes 1968 3rd Paralympic Games held in Tel Aviv, Israel (also officially known as 17th International Stoke Mandeville Games); competitors were SCI athletes only [despite promising early negotiations with Instituto Mexicano de Rehabilitacion,´ ISMGC fails for the first time to secure a host for the Games in Mexico, the 1968 Olympic City; credible alternative bids from Israel and USA indicate the growing international r stature of the Games] r Establishment of Sports and Leisure Group by International Cerebral Palsy Society 1972 4th Paralympic Games held in Heidelberg, Germany (also officially known as the 21st International Stoke Mandeville Games); r competitors were SCI athletes only r ISMGC changes name to International Stoke Mandeville Games Federation, ISMGF (Bailey, 2007) 1975 United Nations (UN) General Assembly adopts “The Declaration on the Rights of Disabled Persons” (Resolution 3447, article 9), r which states that “Disabled persons have the right to … participate in all social, creative or recreational activities” 1976 5th Paralympic Games held in Toronto, Canada (also officially known at the time as the Toronto Olympiad for the Physically Disabled, or Torontolympiad); competitors were SCI athletes and, for the first time, amputee and vision impaired (VI) athletes [first Paralympic Games not recognized by the ISMGC alone, but in cooperation with ISOD; first games that included athletes r other than those with SCI – viz. amputee and les autres (LA)] 1st Winter Paralympic Games held in Ornsk¨ oldvik,¨ Sweden (also officially known at the time as the “ for r the Disabled”; Jahnke, 2006); competitors were amputee and VI athletes r Establishment of Cerebral Palsy-International Sport and Recreation Association (CP-ISRA) r UN adopted Resolution 31/123, declaring 1981 the International Year of Disabled Persons 1977 ISOD creates Les Autres Classification system, a single classification system for athletes not eligible to compete in competitions for people with SCI, cerebral palsy, amputation, vision impairment, or hearing impairment (Bailey, 2007) 1978 Establishment of Cerebral Palsy-International Sports and Recreation Association (CP-ISRA), replacing Sports and Leisure Group of ther International Cerebral Palsy Society (established 1968) 1980 6th Paralympic Games in Arnhem, the Netherlands (also officially known at the time as Olympics for the Disabled); competitors r were SCI, amputee, VI athletes, and, for the first time, athletes with cerebral palsy (CP) Establishment of International Blind Sports Association (IBSA) r [first international sports organization for people with vision impairment] 2nd Winter Paralympic Games held in , (also officially known at the time as the 2nd Winter Olympic Games for the r Disabled; Jahnke, 2006); competitors were amputee and VI athletes and, for the first time, athletes with SCI World Health Organization publishes International Classification of Impairment Disability and Handicap (ICIDH), which defines and uses a standardized language for describing the consequences of disease and injury; and provides a framework to code information relating to the consequences of disease and injury 1981 Unitedr Nations declares “International Year of the Disabled” 1982 Establishment of International Coordinating Committee of World Sports Organisations for the Disabled (ICC) comprised of r representatives from CP-ISRA, IBSA, ISMGF, and ISOD (Bailey, 2007; Brittain, 2010) r First Cerebral Palsy World Games, held in Denmark and hosted by CP-ISRA UN adopts Resolution 37/53, proclaiming 1983–92 the “United Nations Decade of Disabled Persons” 1983 Unitedr Nations declares Decade of Disabled Persons (GA resolution 37/52) 1984 7th Paralympic Games held in two locations: ◦ New York, USA (also officially known at the time as the New York International Games for the Disabled); competitors were SCI, amputee, VI, CP, and, for the first time, LA athletes r ◦ Aylesbury, UK (also officially known at the time as International Stoke Mandeville Games); competitors were SCI athletes only 3rd Winter Paralympic Games, held in , Austria, also officially known at the time as the III World Winter Games for the Disabled (Jahnke, 2006); competitors were SCI, amputee, VI, CP, and, for the first time, LA athletes Introduction to the Paralympic Movement 5

Table 1.1 (Continued)

Year Event

1985 Establishment of International Association for Sport for Persons with Mental Handicap (INAS-FMH) 1986 CISSr and INAS-FMH join ICC 1988 8th Paralympic Games held in Seoul, [first Games since 1964 held in the same city as the Olympic Games, sharing venues and facilities]; competitors were SCI, r amputee, VI, CP, LA athletes, and for the first time dwarves were included under the banner of LA 4th Winter Paralympic Games, held in Innsbruck, Austria, also officially known at the time by two names: IV World Winter Games for the Disabled – Winter Paralympics 1988 and IV World Winter Games for Physically Disabled Innsbruck 1988 r (Jahnke, 2006); competitors were SCI, amputee, VI, CP, and LA athletes 1989 Establishment of International Paralympic Committee (IPC) 1990 ISMGFr changes name to International Stoke Mandeville Wheelchair Sports Federation (ISMWSF) 1992 r 9th Paralympic Games, held in , Spain; competitors were SCI, amputee, VI, CP, and LA r 1st Games for athletes with intellectual disability (ID) held in Madrid, Spain r 5th Winter Paralympic Games held in Tignes-Albertville, France r Conclusion of United Nations Decade of Disabled Persons r United Nations declares December 3 the annual International Day of Disabled Persons (GA resolution 47/3) 1993 r First VISTA Conference held in Jasper, Alberta, Canada at the Jasper Park Lodge r First World Dwarf Games, Chicago, USA r Establishment of the International Dwarf Athletic Federation (IDAF) 1994 r 6th Winter Paralympic Games held in , Norway; competitors were SCI, amputee, VI, CP, and LA. 1995 r CISS withdraws from Paralympic family, having joined in 1986 1996 10th Paralympic Games held in Atlanta, USA; competitors were SCI, amputee, VI, CP, LA, and, for the first time at the same r venue, ID 1998 r 7th Winter Paralympic Games held in , ; competitors were SCI, amputee, VI, CP, LA, and, for the first time, ID 1999 r Second VISTA Conference hosted by the German Sport University in Koln,¨ Germany r INAS-FMH changes name to International Association for Sport for Persons with Intellectual Disability (INAS-FID) 2000 r 11th Paralympic Games held in Sydney, Australia; competitors were SCI, amputee, VI, CP, LA, and ID 2001 INAS-FID suspended from the Paralympic Movement by the IPC at the 2001 General Assembly following revelations that 69% of athletes who had won medals in the intellectually disabled events at the Sydney Paralympic Games did not have a necessary r verification of an intellectual disability r Deaflympics replace World Games for the Deaf (established in 1966) 2002 r 8th Winter Paralympic Games held in Salt Lake, USA; competitors were SCI, amputee, VI, CP, and LA 2003 r Third VISTA Conference held at the Swedish Development Centre for Sport in Bollnas,¨ Sweden 2004 A cumulated global television audience of 1.8 billion watch the Athens 2004 Paralympic Games in which judo and women’s sitting volleyball make their Games debut and at the closing ceremony the Agitos, the new symbol of the Paralympic r Movement, is launched Cairo, Egypt, stages an IPC Extraordinary General Assembly adopting a new IPC Constitution and new nomination and election r procedures for the Governing Board, which will replace the Executive Committee r ISMWSF and ISOD merge to form the International Wheelchair and Amputee Sports Federation (IWAS) 2006 r Fourth VISTA Conference held in Bonn, Germany, home of the IPC headquarters r 9th Winter Paralympic Games held in Torino, Italy; makes its debut IPC launches ParalympicSport.TV, an online television channel, during the Games attracting nearly 40,000 unique viewers from r 105 nations 2007 IPC Table Tennis transfers governance to the International Table Tennis Federation (ITTF) and IPC Cycling becomes part of the r Union Cycliste Internationale (UCI) Seoul, South Korea stages the 13th IPC General Assembly; new members include Liberia, Panama, the Netherlands (transfer), r Asian Paralympic Committee, FEI, FISA, ITTF, and UCI (there are now 178 members) The IPC Classification Code is approved by the General Assembly and published; it helps support and coordinate the development and implementation of accurate, reliable, and consistent sport-focused classification systems, and to detail r policies and procedures common to classification in all sport For the first time, the are held in the same city and at the same venues as the ; r Rio de Janeiro, Brazil welcomes 1,132 athletes from 25 countries Bonn stages the first Women in Paralympic Sport Leadership Summit 6 Chapter 1

Table 1.1 (Continued)

Year Event r 2008 13th Paralympic Games held in , China; high jumper Hou Bin climbs a rope using just his arms in the Bird’s Nest Stadium r to light the Paralympic Cauldron during the opening ceremony; rowing makes its Paralympic Games debut 2009 r INAS-FID reinstated to the Paralympic movement at the IPC General Assembly Sir Philip Craven re-elected President, Australian Greg Hartung becomes Vice President, and the membership votes in a new r Governing Board The process of complying with the IPC Classification Code is initiated through a self-audit process; a total of 157 NPCs, 4 r regions, 3 IOSDs, and 10 IFs sign the Code for acceptance 2010 , Canada stages the 10th Paralympic Winter Games attracting 502 athletes from 44 countries; the cumulated global r television audience hits 1.6 billion people 2011 r Fifth VISTA Conference held in Bonn, Germany 2012 r 13th Paralympic Games held in London, UK; competitors were SCI, amputee, VI, CP, LA, and ID The IPC and IOC sign a new cooperation agreement that increases the amount of financial support to the IPC and guarantees r that the Paralympics will be staged in the same city and venues as the Olympics through until Tokyo 2020 The Agitos Foundation is launched aiming to be the leading global organization developing sport activities for people with an r impairment, as a tool for changing lives and contributing to an inclusive society for all 2013 r Sixth VISTA Conference held in Bonn, Germany In Athens, Greece, Sir Philip Craven is elected IPC President for a fourth and final term at the 16th IPC General Assembly, and r Brazilian Andrew Parsons wins the race to become Vice President 2014 11th Winter Paralympic Games held in , ; competitors were SCI, amputee, VI, CP, and LA, and exceed all r expectations, obliterating all ticket and television audience records for a Winter Games r IPC celebrates its 25th anniversary 2015 r Seventh VISTA held in Girona, Spain 2016 r 14th Paralympic Games held in Rio de Janeiro, Brazil 2018 r 12th Winter Paralympic Games held in PyeongChang, South Korea 2020 15th Paralympic Games held in Tokyo, Japan

Source: Vanlandewijck 2011. Reproduced with permission of Wiley.

Figure 1.1 London 2012 Paralympic Games. Source: Getty Images. Reproduced with permission of Getty Images. Introduction to the Paralympic Movement 7 few observers could believe what had taken place in of the Paralympic Games, with the aim of creat- the previous 12 days. London 2012 chairman Lord ing similar principles for the organization of the Sebastian Coe, speaking on the first anniversary of Olympic and Paralympic Games. Although this had the Games, said: “What struck me most was that been the informal practice since 1988, cement- people were not seeing the disabilities: they were ing this bond in the eyes of organizing commit- seeing the abilities. These were athletes perform- tees and the public was an important step. The ing feats that so-called ‘able-bodied’ people would agreement also meant that, from the 2012 bid pro- not have got within a country mile of.” Post-Games cess, cities were fully aware that they were bidding research found that fantastic athletic performances, for both Games, not just the Olympics. Speak- combined with capacity crowds and unprecedented ing after signing the agreement, President Sama- media coverage, led to a huge shift in British soci- ranch said: “Today is an important day for the ety. One in three UK adults changed their attitude Olympic Movement. This agreement is the result toward people with an impairment, while two in of many years of close relationships between the three said that the Paralympic Games changed the IOC and the IPC. Its aim is to secure the organi- way people with an impairment are viewed in Great zation of the Paralympic Games, with full integra- Britain. Very many aspects of London 2012 have set tion of both organizing committees and financial the benchmark for how future Paralympic Games guarantees.” should be organized. Since the 2002 Games, one orga- nizing committee has been responsible for host- ing both the Olympic and the Paralympic Games. Historic “One Bid, One City” agreement Athletes from both Games live in the same vil- Since their inception in 1960, the Paralympic lage and enjoy the same catering services, medi- Games have always been held in the same year cal care, and facilities. Ticketing, technology, and as the Olympic Games. In Rome 1960 and Tokyo transport systems for the Olympic Games are seam- 1964, the Games took place in the same city as the lessly extended to the Paralympics. Over the years, Olympics, but that practice was not repeated until the agreement has been extended on a number of Seoul 1988 for the Summer Games, and Albertville occasions. The most recent extension was signed in 1992 for their winter equivalent. Since then, the June 2012, going through to Tokyo 2020. Paralympics have been staged in the same city as the Olympics, with just a few weeks separating Barcelona 1992: The benchmark for the two major sport events. However, it was not the future until 2001 that a formal agreement was put in place between the International Olympic Commit- Barcelona 1992 acted as a turning point for the tee (IOC) and the IPC, ensuring that Olympic host entire Paralympic Movement, and is still referred cities would also stage the Paralympics. to today as the best Games ever by many who wit- On June 19, 2001, Dr. Bob Steadward, the IPC’s nessed what took place in the Catalan capital (see Founding President, and IOC President Juan Anto- Figure 1.3). For the first time ever the Games bene- nio Samaranch signed the historic agreement that fited from daily live domestic television coverage. still benefits the Paralympic Movement to this day. They were played out in front of packed venues The “One Bid, One City” agreement protected the and, in some areas, received comparable levels of organization of the Paralympic Games, meaning organization and service to the Olympics. The per- that the staging of the Paralympics is automati- formances of both Olympians and Paralympians cally included in the bid for the Olympic Games. It were greeted with the same level of enthusiasm and formally recognized that, after 2008, the Olympic support. Moreover, a Paralympian took center stage host city had an obligation also to stage the Par- before the event started, with Para-archer Antonio alympic Games, using the same venues, facilities, Rebello responsible for lighting the cauldron dur- and infrastructure (see Figure 1.2). The agreement ing the Olympic opening ceremony. His extraordi- also addressed the general scope and organization nary aim saw him shoot his arrow high above the 8 Chapter 1

Figure 1.2 One bid, one city. Source: Getty Images. Reproduced with permission of Getty Images.

Olympic stadium. Four weeks later Rebello stood in for all 16 sports were made available free of charge. the same position, only this time to light the Par- The Spanish public responded, and a record 1.5 alympic flame in front of a 65,000-capacity crowd million people attended the Games. Many venues during a spectacular Paralympic opening ceremony. were regularly filled with hugely passionate crowds. Among those watching were IOC President Juan Long queues developed for any sport involving Antonio Samaranch, King Juan Carlos, and Queen Spanish teams or athletes, and it was not uncom- Sofia of Spain. mon for people to be turned away, such was the demand for a seat. The USA beat 82 other coun- tries to top the medal standings, helped in part Coach’s Corner by visually impaired swimmer , who “The Paralympic Games in Barcelona were the first of won ten gold and two silver medals. Other high- their kind, crowned with success which highlighted to the lights included the thrilling finale to the men’s world the human quest for great sporting achievements.” wheelchair marathon, which took place in front Juan Antonio Samaranch, IOC President of 65,000 spectators in the Olympic Stadium, and the men’s final, which took place in front of a 15,000-capacity crowd ahead of Barcelona Mayor Pasqual Maragall, who was the closing ceremony. Barcelona 1992 were the last highly supportive of the Games, noted that “the Games to be organized by the International Coordi- city took a whole-hearted interest in the competi- nating Committee (ICC), following the formation tion.” Although tickets for both the sold-out open- of the IPC in 1989, and benefited hugely from the ing and closing ceremonies came at a price, tickets financial support of the ONCE Foundation. Introduction to the Paralympic Movement 9

Figure 1.3 Barcelona 1992. Source: Getty Images. Reproduced with permission of Getty Images.

Jonnie Peacock silences 80,000 London 2012 – the crowd was already excited after people watching David Weir win his third gold of the Games with a virtuoso performance. The competi- It is amazing how less than 11 seconds can change tion was fierce. Nobody could predict the podium everything. At London 2012, British sprinter Jon- positions, and defending champion nie Peacock delivered a performance that not only and world champion Jerome Singleton were consid- changed his own life for ever, but was arguably the ered to have an outside chance. Unbelievable ten- greatest single moment in Paralympic sporting his- sion settled on the stadium as the athletes took to tory. At the start of 2012, the T44 sprinter was a rel- the starting blocks, but it was broken by 80,000 peo- ative unknown. His only major international result ple chanting “Peacock, Peacock, Peacock.” was a sixth-place finish at the 2011 World Cham- The emotion was raw, and every spectator felt pionships. In June 2012, however, things started part of the race. London 2012 chief Lord Sebastian to change. Peacock, then aged 19, ran the 100 Coe said: “Even the great Usain Bolt doesn’t get his meters in 10.85 seconds to become the world’s name chanted in the way Jonnie Peacock did. It was fastest leg amputee. With a world record under spine-tingling stuff.” Peacock calmed the crowd, his belt, he started a gradual rise to fame in the somehow coping with the immense pressure with lead-up to London 2012, starring in a Channel 4 ease. A stumble by Alan Fonteles Oliveira on the television commercial promoting the Games and start line only added to the tension. Then, as the being talked about as a gold medal prospect. Yet starting gun sounded, the athletes exploded into few could have predicted what happened next. a 1.6 meters/second headwind. Peacock, however, When eight athletes lined up for the men’s 100 had a tailwind of 80,000 screaming fans urging him meters T44 final – the most anticipated race of 10 Chapter 1

Figure 1.4 Jonnie Peacock silences 80,000 people. Source: Getty Images. Reproduced with permission of Getty Images. to the finish line. As the line approached he tooka sensational showcase of sport (see Figure 1.5). The sneaky look to his left: there was nobody ahead of momentum of a highly successful Olympics trans- him. A glowing smile replaced the tension on his ferred to the Paralympics, and astounding levels of face. He knew that he was going to be Paralympic competition, administration, and public awareness champion (see Figure 1.4). Peacock crossed the line raised the profile of the Paralympic Games to a new in 10.90 seconds, a Paralympic record, and the sta- high. dium went ballistic. The USA’s Richard Browne took From an organizational point of view, the Games silver, marking the start of his huge rivalry with Pea- were outstanding. The local organizing committee cock, while South Africa’s Arnu Fourie claimed the benefited from a number of shared resources with bronze. All eight finishers came in under 12 sec- the Olympics. A record 1.2 million tickets were sold, onds. Peacock said: “To hear the crowd chant my and many spectators received excellent explana- name was amazing, and that’s going to live with tory guides to athlete classification. The spectac- me forever. I couldn’t have wished for better.” ular opening ceremony was a three-hour affair. One of Australia’s most decorated Paralympians, , lit the Paralympic cauldron, and Sydney 2000 pop princess Kylie Minogue entertained the fans After the tremendous success of Barcelona 1992, with a virtuoso performance. The Games attracted and the interesting experience of Atlanta 1996, 3,881 athletes from 122 countries, greater than the Sydney 2000 Paralympic Games got the the number of athletes and countries that took Paralympic Movement back on track with a part in the Munich 1972 Olympic Games. Athletes Introduction to the Paralympic Movement 11

Figure 1.5 Sydney 2000. Source: Lieven Coudenys. Reproduced with permission of Lieven Coudenys. competed in 18 sports and, in terms of sporting countries, ensuring that those in territories where performance, Canadian para-swimmer Jessica Sloan the Games were not shown on television could won the most individual titles, topping the podium still follow the action. The official Games web- six times. Great Britain’s wheelchair racer Tanni site attracted an estimated 300 million visits dur- Grey-Thompson also enjoyed notable success, win- ing competition time. At the closing ceremony on ning four gold medals. After being a demonstra- October 29, which featured live music and a show- tion sport in Atlanta, wheelchair rugby made its case of the athletes’ achievements, IPC President Dr. full Games debut and won huge praise for its fast Bob Steadward said: “It came as a sheer delight, but and physical style. The USA edged out Australia no surprise, that you excelled yourselves in hosting 32–31 in a thrilling gold medal match. Despite the our Paralympic athletes to an absolutely outstand- loss, Australia, aided by tremendous home support, ing event. Thank you Australia, for enhancing the still topped the medals table, winning 149 medals, profile of our athletes more than at any time inour including 63 golds. The Games were not without history.” controversy, however. It was discovered that mem- bers of the gold medal–winning Spanish basketball Great Wall of China and Forbidden City team for athletes with an intellectual impairment made accessible did not meet the eligibility criteria. The Games received unprecedented global expo- A sporting event’s success is usually judged by sure. More than 2,300 media representatives similar metrics: the performances of athletes, num- attended and, for the first time ever, 100 hours of ber of television hours broadcast, media coverage Paralympic sport were webcast to more than 103 achieved, spectator attendance, and commercial 12 Chapter 1

Figure 1.6 Great Wall of China and Forbidden City become accessible during the Games. © International Paralympic Committee. income generated. What makes the Paralympic 20 years’ investment – was spent on making 14,000 Games unique is the legacy that they can leave facilities, including roads, transport hubs, and pub- away from sport, and their ability to act as a lic buildings, accessible throughout China. More catalyst for enormous societal change. Prior to the than RMB 67 million (USD $11 million) was spent Beijing 2008 Paralympic Games, China’s 83 million on making 60 of the country’s most popular tourist people with an impairment were excluded from destinations accessible. Elevators and wheelchair society. The country was inaccessible, inhospitable, ramps were installed at the most popular part of and in many ways inhumane for anyone with an the Great Wall of China, and accessibility was also impairment. Winning the right to host the 2008 improved in the 600-year-old Forbidden City and Paralympics Games, however, acted as a trigger for Imperial Palace (see Figure 1.6). On July 1, 2008, the Chinese government to improve the lives of the revised Law of the People’s Republic of China on people with an impairment and protect their rights the Protection of People with a Disability came into as equal members of society. force, having been adopted by the National People’s To meet the requirements of the Games, new Congress Standing Committee some months ear- legislation on the building of accessible facilities lier. The law provided that state and society should was passed. A 5,000-strong team was recruited to take measures to improve accessible facilities and oversee the construction and renovation of acces- promote accessible information, in order to enable sible facilities. In the seven years leading up to the equal participation in social life for people with an Games, RMB 1 billion – equivalent to EUR 124 mil- impairment. One small example was allowing guide lion (USD $136 million) and the sum of the last dogs and their owners into public places. This is