LIMBPOWER 2012 40 PAGE GUIDE TO SPORT FOR THE AMPUTEE AND AMBULANT DISABLED • FEATURING THE LATEST IN PROSTHETICSPORTINGTECHNOLOGY•INCREASE YOURENERGY•AMPUTEEGAMESPROGRAMME

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PROUDTOSUPPORT Stefanie Reid long jump Scott Moorhouse javelin

www.proactiveprosthetics.co.uk [email protected] Tel:01252 702 500 Contents page Welcome Welcome 3 About us 4 Walking with Mark O’Leary 5 Neil Heritage’s Row2Recovery Challenge 6 We all want to live a longer, healthier and happier life. As Dietary tips to increase your energy levels 8 amputees we are prone to live a Competitive skiing prosthesis 10 more sedentary life than our able- LimbPower meets Danny Crates 13 bodied friends, which takes its toll LimbPower meets Jody Cundy 14 on our health. I read recently that 30 years ago above Five Steps to increase your fitness 17 knee amputees were believed to have an Amputee Games 19 increased mortality rate of 1.4 time that of Amputee Games Programme 20 a non-amputee. Things have changed greatly in the last 30 years with enhanced Five Steps to cycling 22 prosthetic technology, a better understan- A Nike accessory for a new age 25 ding of the importance of good nutrition of Paralympic glamour and a healthy lifestyle and improved access Five Steps to Running 27 to through events like the Amputee through better coping mechanisms, Games and Junior Games. improved cognitive abilities, enhanced Prosthetic Technology and sport 30 Not all of us have the potential to mood, increased self-confidence and Stewarts Law 32 become Paralympic athletes but we all self-esteem. Sports contacts 34 have the potential to live healthier lives by We hope that the articles in this magazine Stef Reid’s Top Tips 37 increasing our fitness, energy and health. provide you with the information you need Regular exercise increases our physical to take the first steps into leading a more Team LimbPower events and activities 38 well-being through improved physical active and fulfilled life. If you can’t find what The opinions expressed within this magazine are those of the strength, cardiovascular performance, you are looking for within these pages you authors and do not necessarily reflect LimbPower policy. We muscle tone, balance and coordination. are welcome to contact LimbPower directly. recommend that you do not engage in any physical activity without consulting your G.P. or rehabilitation consultant. We There is a plethora of research which would like to thank everyone who contributed articles, advertising, research and proof reading skills to the magazine. I would suggests that participation in sport also Kiera personally like to thank John Berbuto for designing the magazine. improves our psychological well-being Editor Editor: Kiera Roche Designer: John Berbuto

© Limbpower 2012 3 About us

LimbPower – The British Ambulant to get back into sport or try a Disabled Sports and Arts Foundation new sport we are incredibly proud was formed in November 2009, with the that a number or participants objective to provide amputees and the have gone on to join national ambulant disabled with opportunities to squads in sitting , participate in sport and the arts to aid weight-lifting, badminton and shooting the physical, social and psychological and will hopefully be representing rehabilitation. in the Paralympics. As a charity created by amputees and We have recently launched the Junior friends of amputees we are passionate about Games, replicating the Amputee Games helping new and existing amputees and the for children between the ages of five and ambulant disabled in their personal quests to eighteen. The inaugural Junior Games will live healthier, happier and more fulfilled lives. take place 15th – 16th September 2012. Our focus is on organising events and We also organise Cycling Clinics and activities where participants can learn new Running Clinics where amputee athletes skills, develop existing skills, meet with other and physiotherapists teach participants amputees and ambulant disabled people the skills they need to run or get back on already taking part, learn from each others a bike. We are working with a number of experiences and share ideas to inspire each sports governing bodies to promote their other to achieve more. events and to organise open-days for We are the organisers of the Amputee amputees and the ambulant disabled Games, where 80-100 amputees of all ages new to sport. and all abilities participate in 14 Paralympic In the autumn we will be producing a Sports over a long weekend, providing them LimbPower Arts Magazine, focusing on with a pathway to participation in sport at a access to the arts for the ambulant disabled. local, regional or national level. Whilst this To find out more about our work please event is aimed at primary amputees wanting visit our website at www. limbpower.com

4 LIMBPOWER SPORT 2012 Walking with Mark O’Leary

As an able-bodied person including myself and several other I enjoyed hill walking and amputees, continued to walk multi-day trekking but after regularly and this led to a more losing my leg in a motorbike adventurous trip into the snowy accident that all came to an Moroccan Atlas mountains in end. Although I achieved a winter to climb Toubkal (northern good recovery with a well- Africa’s highest mountain) using fitting prosthesis I had simply crampons and an ice axe. lost the habit of walking for Walking regularly not only keeps pleasure and thought any me fit but has shown me that with ‘serious’ walking was the right attitude, preparation and beyond me. some determination, ordinary In late 2008 I was fortunate disabled people can achieve enough to receive an implant in extraordinary feats. Walking my stump bone that allows doesn’t have to be about getting fixation of my prostheses, to the top of mountains though, removing the need for a socket. there’s nothing quite like a gentle I hoped this would open up a walk in the British countryside, wealth of physical possibilities come with me sometime and I’ll and in 2009 I was asked if I would show you! like to participate in a trek to the summit of Kilimanjaro along with other amputees, prosthetists and Mark O’Leary will be joining a team of amputees walking physiotherapists. Hadrian’s Wall and climbing Mount Kilimanjaro in 2013. After training hard and To find out more about both of these events visit successfully summitting Kili a core of the trekking group, www.limbpower.com or email [email protected]

LIMBPOWER SPORT 2012 5 Neil Heritage’s Row2Recovery challenge

“When the opportunity arose to row the 3000 miles Neil, who lost both his legs in had to ration water until they across the Atlantic ocean as part of the Row2Recovery a suicide bomb attack in Iraq in received assistance. The crew’s effort to raise £1M for charity, I knew I had to take part” said 2004, completed the race without ration was two litres of water a Neil Heritage from Poole. Double amputee Neil was one of six his prosthetic limbs and used a day. They rowed at night and men on the 29ft boat who rowed from the Canary Islands to seat that was specially made by slept during the day to combat Barbados. The team spent an epic 51 days at sea and his Dorset Orthopaedic. “Right from the overbearing heat. Neil lost an team crossed the line in 7th place. the outset, it was clear that I incredible two stone during the needed a system that would allow 51 day Atlantic Challenge. me to row without prosthetics. Speaking of the challenge Neil Knowing that the race would take said: “It was incredible and it was up to 80 days, 12 hours a day, terrible”. “I am really glad I did it I talked to my prosthetist Bob because it was an incredible Watts at Dorset Orthopaedic to experience but I would never help find a solution”. Bob do it again.” manufactured a custom seat that On arriving back in the UK Neil was made of carbon fibre and had the task of relearning to walk custom-moulded to fit me exactly. ahead of him after such a long It had a non-porous foam lining time at sea. “Fortunately Bob so I could wipe it dry when I made me a great new pair of finished my shift. The great fit Sabolich-type sockets with meant there was no rubbing and flexible inners supported by no sores. The only parts that did lightweight carbon frames. This chafe a bit were the straps new socket shape gives me far holding me into the seat when more control of the legs and the they became soaked in seawater. flexible sockets are really Neil’s team received a number comfortable to wear. I am always of set backs on the challenge. amazed at how easy Dorset The crew’s de-salinator broke Orthopaedic make it look and get down on Christmas Day, so they it perfect every time”, he said.

6 LIMBPOWER SPORT 2012

Dietary tips to increase your

Keeping your energy levels up is essential for any sport. Having plenty of By Simon C. Dyall PhD RNutr energy enables you to perform at the best of your ability. However, this Health Sciences Research Centre isn’t easy. It doesn’t just happen. High energy levels result from eating the best Department of Life Sciences, foods at the right time, training hard and getting plenty of rest. The foods you Roehampton University eat affect how much energy you have and how well you perform. [email protected]

Of course, we get “energy” from carbohydrates (potatoes, nuts, eating any food, but there are vegetables, fruit and berries), certain foods that can increase proteins (eggs and lean meat) our energy levels and others that and of course essential “healthy” are best avoided. The most fatty acids (fish). These foods will important thing is to have an provide your body with all the excellent foundation to your diet, nutrients it needs to function at with a wide variety of nutritious an optimum level. foods containing a good mix of Carbohydrates are a readily available source of energy and therefore eating the right type is essential. Many athletes mistakenly believe that high- sugar foods will give them a quick energy boost. However, these high sugar (and often high fat) foods, such as sweets and chocolates, should be avoided, as they can cause rapid swings

8 LIMBPOWER SPORT 2012 10 “Golden Rules” to energy levels increase your energy

Always start the day with a healthy breakfast in blood sugar, which may useful fats are nuts and seeds, 1 ultimately leave you feeling such as walnuts, nuts and tired, or even worse, decrease pumpkin seeds. A really great 2 Avoid junk food, such as crisps and sweets your performance. So when snack is a “trail mix”, made up considering the best source of of dried fruit, nuts and seeds. Graze on nuts, seeds and fruit carbohydrates always aim for This makes a very nutritious and 3 unrefined carbohydrates healthy “high energy” snack. Limit alcohol (wholegrain rice and beans), Eggs are an excellent source of 4 as these increase blood sugar protein, and beans and lentils levels more slowly than refined provide really good carbo- 5 Replace coffee with green tea carbohydrates (white sugar or hydrates and protein. So, kidney white flour products). Eating beans, lentils, and even baked Drink plenty of water this way will help keep your beans are a good dietary 6 blood sugar levels stable and addition. Have a “power snack” of trail mix your energy levels high. As a final comment, there are 7 When eating for health or a huge variety of energy and high energy, as well as eating protein bars available and these 8 Eat “healthy” fats, such as those found in fish unrefined foods, eat plenty of can be a great supplement to a vegetables. Vegetables are a varied diet, but always check the 9 Eat a varied a diet with plenty of fresh great source of carbohydrates, labels, as they can often have a (organic) fruit and vegetables to maximise vitamins and minerals, and high sugar content. your vitamin and mineral intake broccoli, spinach and asparagus should be included in the diet. Another great addition, full of 10 Get enough sleep carbohydrates, proteins and

LIMBPOWER SPORT 2012 9 Competitive skiing Prosthesis: Our experience with athlete HEATHER MILLS Heather took up ski race training a year ago after being spotted on the slopes. She Abdo Sleiman Haidar, raced for the British Disabled Ski Team (BDST) for the first time on January 19th 2012. SRPros/Orth, MBAPO, MISPO Competing for the BDST in February 2012, Heather won two Super G ski speed races and Consultant Prosthetist and two downhill events at the US Paralympics Adaptive Alpine Speed National and North Clinical Director, American Championships on the formidable Tiehack speed course. She went on to win four The London Prosthetic Centre gold medals on the slopes of Aspen in March 2012, and brought her dream of competing at the 2014 Paralympic Games in a step closer.

In the last 12 months, Heather Competition at the Paralympics prosthesis must be designed to has had five high-speed skiing is at a very high standard and compensate for this. The aim is accidents, all of which led to therefore the devices the amputee to achieve symmetry for both the her being hospitalised. These athletes uses must also be to lower limbs. To achieve this the accidents included fracturing her a very high standard. Skiing prosthesis must be well left shoulder twice, snapping her biomechanics is complicated suspended to the user and not anterior cruciate ligament once when trying to analyse able hinder the user’s range of and smashing her scapula into bodied turning, edging, and movement. five pieces. Heather had to be pressuring the ski, and more so The difficulty we faced when airlifted off the slope on one when trying to analyse amputee designing a prosthesis for Heather occasion. skiing. A below knee amputee has was finding a design that would Heather uses a bespoke skiing suffered the loss of the ankle joint, enable her to ski more freely leg designed and fitted by The reduced knee control and lack of with improved stability. Time, London Prosthetic Centre. proprioception; therefore a skiing attention to details and good

10 LIMBPOWER SPORT 2012 74;.).3,*=(1:8.;*N cutting-edge prosthetic care within individual care experience We understand that every Out highly trained and aprivate setting patient is different. Out experiencd clinicians can specialised prosthetic service customise the mostfunctional, equipped with state- ensures that your clinical comfortable, lightest and care package is created to cosmetic prosthesis available of-the-art workshop complement your lifestyle and within days of assessment. and silicone facilities to help you enjoy life. values specialities We have an honest and caring Š 7489-*9.(8 relationship with our clients, Š 79-49.(8 offering them and their families Š :8942.1.(43*482*8.8 support, evidence-based, cost Š *).(4J *,&1*54798 effective interventions and An innovative multiple spring design produces continuity of care. Our patients natural movement, smooth transition and are never rushed into making decisions. superior range of motion. Involving the entire foot in absorbing and returning 439&(9:8+47&+7**(438:19&9.4343 energy, the Soleus provides unsurpassed 0208 789 6566 or 07752 686 439 comfort for active lifestyles. www.thelondonprosthetics.com [email protected] | 0870 240 4133 The London Prosthetic Centre The Silicone Clinic www.rslsteeper.com 10 Harley Street, Unit 20, Kingsmill Business Park, London, W1G9PF Kingston Upon Thames, Surrey, KT1 3GX The London Prosthetic Centre designed skiing leg for Heather Mills – Improvement to Heather’s latest prosthesis can still be made and this is work in progress.The prosthesis discussed in this article is designed for the purpose of skiing only and is not designed to be used for walking.

HEATHER MILLS

communication with Heather and limb and socket movement and residual limb was necessary during knee flexion. her coach were very important in enhanced control and focus. to obtain a secure fit with • Custom made carbon fibre finding the ideal solution. The key Following many trials, research minimal pistoning. semi flexible corset brace with was to provide maximum control and a visit to the ski slopes the • Silicone liner with a sturdy the lateral and medial walls and manoeuvrability, to enable following prosthesis was matrix: This is necessary to lowered: The corset proximal Heather to take corners close to designed: achieve reduced soft tissue walls were lowered to improve the ground and really attack them • Lightweight carbon fibre displacement distally. the manoeuvrability around with complete confidence. To exoskeletal prosthesis. • Polycentric external knee joint bends when skiing. achieve this we designed and • Winding clutch locking system: side steels system: This design • Dynamic SACH foot: The foot/ fitted the socket in a way that Elongation of the excessive also improves the retention of ankle joint was dorsiflexed to considerably reduced residual residual soft tissue on the the residual limb in the socket approximately 25 degrees.

12 LIMBPOWER SPORT 2012 LimbPower meets Danny Crates as he prepares for the London Marathon

Paralympian Danny Crates, is a former Paralympic gold medallist, World champion, European champion, Paralympic World Cup winner and world record holder and is currently preparing to tackle the London marathon.

After retiring from athletics what anaesthetic straight into the calf Who is your Paralympic hero? made you decide to run the London to see if I could run through the “I don’t have heroes as such. Marathon? pain. It was incredibly I admire anyone who works hard “It’s another challenge. Being disappointing. in life, even if they don’t win. a runner it was the obvious I like people who try to be the choice. It was another thing What was the highlight of best that they can be.” I wanted to achieve.” your career? “The highlight was winning How proud were you to carry the the gold medal in Athens, but LimbPower have a free-signed British flag at the Paralympics? the pinnacle of my career was copy of Danny’s autobiography “Massively, every time I put the carrying the British flag at the “Danny Boy” to give away. To win British vest on I knew what it Beijing opening ceremony this book please send in your represented, so to be chosen in 2008”. name and address to LimbPower, to carry the flag at the opening Whitecroft, Tandridge Lane, ceremony was my proudest Did you have any superstitions, Lingfield, Surrey, RH7 6LL. We will moment”. habits or rituals? draw the competition on 17th I used to wear a lucky Dolphin November 2012. You can read How disappointed were you to necklace for competitions. I had the first paragraph from Danny’s miss your race due to injury at three just in case I lost one! I book at www.dannycrates.co.uk. the same Paralympics? listened to the same music before I’ve just read it and bought the “It was less than 24 hours after every race, Anxiety by the Black book, which you can do carrying the flag that I tore my Eyes Peas because it’s about through the website. calf muscle. I was given an overcoming your enemies.

LIMBPOWER SPORT 2012 13 Lets meet the inspirational Jody Cundy...

LimbPower ambassador Jody, why swimming? Swimming Championships where and five time Paralympic “I learnt to swim after I almost he won a gold medal in the 100m gold medallist Jody Cundy is drowned in my first school Butterfly. During his 11 year training hard for the London lesson. I picked up the bug for swimming career Jody won an 2012 Paralympics. it and worked my way through incredible 14 gold medals. the swimming club until I was Jody, how much training are you selected to race in my first galas. Jody, why the switch to cycling? doing at the moment? Shortly after I found out about the “I had come to the end of my “Training at the moment is 6 days Paralympics, and had a goal to swimming career, I’d won and a week, but 3 of those days are represent my country. Thankfully done everything in the sport double sessions, mixed between I was actually quite good in the and found motivation waning, Road, Track, Gym and Turbo pool, and loved training and and it getting harder to improve. Intervals”. competition and in the end I attended a disability open day At the age of five Jody spent 11 years on the GB at the Newport velodrome. I loved underwent surgery to become swimming team”. the experience and was told by an amputee, and had his first At the age of 16 Jody represen- the coach I was a natural even swimming lesson. ted Great Britain in the World though I’d never been on a track

14 LIMBPOWER SPORT 2012 Vari-Flex XC combines Flex-Foot® dynamics, shock absorption and comfort for a wide range of activities.

The impact reduction and smooth roll-over off ered by the Vari-Flex XC are designed to accommodate hiking, jogging and cycling, as well as level ground walking – ideal for active people who want to use a single lightweight foot.

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FOLLOW ÖSSUR ON www.ossur.co.uk 15 Jody Cundy

before. I explored this further by silver in the team sprint and bronze in used for Beijing. having another session on the the C4 4km Pursuit. It has a better track in Manchester, after which fit and alignment, I was persuaded to enter the Jody, after 18 years in competitive sport a new style of National championships, so I got what motivates you to keep winning? seal in liner, myself a racing license and signed “Having a home Paralympic games and is shaped to up. First race I did I broke the British only a few months away is a massive be more aerodynamic than the Record in the flying 200m and was motivation, especially as I will be going previous version”. also close to doing the same on the into it as reigning champion. But I love Jody’s liner is a new design of Seal-In Kilo and the Pursuit. I started to add my sport, and love everything that goes liner from Össur, which suspends the a track cycling session to my into it, so that helps me stay motivated”. leg with no pistoning enabling Jody to training, and before long I was transmit power on the up and down offered a trial for the GB team. I So tell us about the leg… stroke of the pedal. The alignment has made the team and my first race Jody is working with Össur, to create been optimised over months of trials in a GB skin suit I was part of the the cycling leg. His current to ensure its perfect for Jody. Össur, team sprint team and we broke leg is painted white, with World used a different lamination method in the WR in the Paralympic Championship stripes circling what order to make the leg as light and world cup. After I was offered would have been the calf muscle. The strong as possible and changed the a full time place on the chrome look it had in LA was vinyl. shape of the leg to make it more team, which I took and This masterpiece is made entirely of aerodynamic. retired from swimming.” carbon fibre, it fits snugly to the leg In 2011, Jody launched his own cycling At the Para-Cycling and doesn’t piston. team, the Para-T Cycling Team, of elite World Champion- para-cyclists to promote disability sport ships in 2012 Jody what can you tell us about and became an ambassador for Jody took gold your new cycling leg? LimbPower. Jody hopes that the 2012 in the C4 1km “Basically it’s a prototype at the moment, Paralympics will inspire a new generation time trial, but is an improvement on the design we of disabled athletes.

16 LIMBPOWER SPORT 2012 Five Steps to increase your fitness Anyone can improve his or her fitness. Research suggests that exercise in older people 63 – 88 years can produce The World Health Organisation recommend that: the same increase in flexibility as in 15 – 19 year olds, so it n would seem that age is not a barrier to fitness. Getting back to Children and young people aged 5 – 17 years old should fitness after injury or illness can seem impossible but it isn’t; accumulate at least 60 minutes of moderate to vigorous- it just takes determination and patience. In addition to the intensity physical activity daily. loss of your limb/limbs your body will have changed; it will n Adults aged 18+ should do at least 150 minutes of have become used to being sedentary from your hospital stay moderate-intensity aerobic physical activity throughout and to begin with you will have to make the effort to improve the week, or do at least 75 minutes of vigorous-intensity your fitness. aerobic physical activity throughout the week, or an equivalent combination of moderate and vigorous- intensity activity. Step One. Consult your G.P. and Step Two. Start walking. It is n Physical activity is defined as any bodily movement rehabilitation consultant before harder for an amputee to walk produced by skeletal muscles that require energy you embark on any change in your than an able-bodied person, which expenditure. physical activity. Find out whether is why so many amputees lead a your injuries have consolidated more sedentary life, which results n Regular moderate intensity physical activity – such and what type and level of fitness in a greater risk of heart disease, as walking, cycling, or participating in sports – has is best suited to you physical high blood pressure and diabetes. significant benefits for health. For instance, it can reduce ability. Your physiotherapist will It takes more energy to walk no the risk of cardiovascular diseases, diabetes, colon and give you a basic exercise matter what type of prostheses breast cancer, and depression. Moreover adequate levels programme, but you may need you use because walking with a of physical activity will decrease the risk of a hip or to ask for a programme or prosthesis is less efficient. The vertebral fracture and help control weight. guidelines for moderate-intensity good news is that amputees do Source: Global recommendations on physical activity for health, WHO aerobic activity. not need to take as many steps

LIMBPOWER SPORT 2012 17 Use the *Prosthetic STEP GOALS FOR AMPUTEES Fitness experts use the following Conversion Factor Type of Amputation Additional Energy Prosthetic measures to check an individual’s improvement in fitness. to compare your Cost of Walking Conversion Factor activity to an able- Single below knee 1. Frequency (how often a task is undertaken) 2. Intensity (how strenuous the activity is) bodied person. Long residual limb 25% 1.25 3. Duration (how long the task is performed for) Short residual limb 40% 1.4 Above knee amputee 65% 1.65 Improvements in performance are measured by Double below knee amputee 80-100% 2 increasing the frequency, intensity and duration of an activity. To avoid over exertion never Double above knee amputee 280% 4 increase more than one of these at a time. * Taken from “Stepping Up to Health: using a pedometer for amputee fitness. Amputee Coalition of America.To convert your steps to the able-bodied equivalent multiply your steps by the appropriate conversion factor.

as able-bodied people to get the swimming, dancing and playing rate. Your maximum heart rate Improving your fitness will same fitness benefits. golf. If you find walking too (MHR) is calculated by subtracting enable you to perform daily Use a pedometer, step counter uncomfortable, you could try your age from 220. Changes in tasks, you will feel better and or keep a written record of your swimming or cycling for moderate- your heart rate during activity will have more energy to do the activity, you might surprise intensity aerobic activity. indicate whether your fitness is things you enjoy. Fit people yourself with how much you are increasing. As you get fitter you burn more calories, event at already doing. Step Four. Increase the amount should be able to do the same rest and can do more without of activity you do gradually. It is activity with a lower heart rate. feeling exhausted. Other Step three. Incorporate physical important to get the balance right benefits of being fit are better activity into your daily routine. between increasing activity and Step Five. Plan your activities. weight control, reduced risk Walk or cycle to work or school, not exhausting yourself or injuring Make time to carry out your of heart failure, diabetes, use the stairs not the lift, walk yourself. activities. Don’t worry if you high blood pressure, reduced rather than drive to carry out can’t do a twenty-minute walk stress, increased mental errands. Try not to let other people THE TALK TEST every day. Try doing some smaller health and better sleeping do everything for you, as this will If you can talk during an activity, ten-minute walks. Set realistic patterns. If you are diabetic not only increase your depend- but cannot sing, you are exercising targets and stick to them. Keep getting and staying fit will ency, but it will reduce your level of at the right level. If you can’t talk a record of your activity and help you control the health activity. There are many other you are over-exerting yourself. reward yourself when you achieve problems associated ways to improve your fitness Another way to check your your targets. with diabetes. including housework, gardening, exertion is to monitor your heart

18 LIMBPOWER SPORT 2012 How the games work AMPUTEE GAMES The programme has been streamed, so that each group has an opportunity to take part in all of the sports. “The best weekend Each group will be given a set programme to follow, with different sport choices for each session. of my amputeeRuss Young, lifeprevious participant ” 2012 Participants are required to participate in all four of the competitive sports and can participate in the “have-a-go” sessions highlighted in the programme. Points will be awarded to competitors finishing in the top three places for each of the competition sport. The competition sports are; archery, shooting, swimming, and table tennis. There are no restrictions on the “have-a- go” sessions, but bonus points are awarded for taking part 12th-13th May 2012 in the “have-a-go” sessions. Competitors will be given a score sheet on which to record The Amputee Games takes place over two days, the “have-a-go” sessions. The onus is on the participants where participants are invited to take part in 14 to ask the sport officials to sign the score sheet for all of Paralympic sports and meet staff and coaches from the “have-a-go” sessions as a record of participation. other sports governing bodies and associations. There will also be an opportunity to meet the team from Blatchford to learn about sporting and high activity POINT SCORING SYSTEM prostheses, talk to staff from the Stewarts Law “Advice FIRST PLACE will receive 5 points, Clinic” and attend a Belly dancing class to help with SECOND PLACE will receive 4 points, core stability. Participants at this years amputee games will be THIRD PLACE will receive 3 points allocated to a group, with a group mentor. The group mentor will be an amputee who has previously All competitors will receive 1 point for taking part. attended the event. They will be available to help and encourage their group, offering advice and support The Games finish at 4 pm on Sunday throughout the event. after the awards ceremony.

LIMBPOWER SPORT 2012 19 Weekend Programme Saturday 12th May

Blue – Damian Purple – Gemma Pink – Gary Green – Kelvin Yellow – Mary Orange – Russ 9.00 – 9.45 Cycling/Rowing/ Shooting/Athletics/ Powerlifting/Basketball/ Cycling/Rowing/ Shooting/Athletics/ Powerlifting/Basketball/ Fencing Tennis Archery Fencing Tennis Archery 10. 00 – 10.45 Powerlifting/Basketball/ Cycling/Rowing/ Shooting/Athletics/ Powerlifting/Basketball/ Cycling/Rowing/ Shooting/Athletics/ Archery Fencing Tennis Archery Fencing Tennis 10.45 – 11.15 Tea & Coffee Tea & Coffee Tea & Coffee Tea & Coffee Tea & Coffee Tea & Coffee 11.15 – 12.00 Shooting/Athletics/Tennis Powerlifting/Basketball/ Cycling/Rowing/ Shooting/Athletics/ Powerlifting/Basketball/ Cycling/Rowing/ Archery Fencing Tennis Archery Fencing 12.15 – 13.00 Cycling/Rowing/ Shooting/Athletics/ Powerlifting/Basketball/ Cycling/Rowing/ Shooting/Athletics/ Powerlifting/Basketball/ Fencing Tennis Archery Fencing Tennis Archery 13.00 – 14.00 Lunch Lunch Lunch Lunch Lunch Lunch 14.00 – 14.45 Powerlifting/Basketball/ Cycling/Rowing/ Shooting/Athletics/ Powerlifting/Basketball/ Cycling/Rowing/ Shooting/Athletics/ Archery Fencing Tennis Archery Fencing Tennis 15.00– 15.45 Shooting/Athletics/ Powerlifting/Basketball/ Cycling/Rowing/ Shooting/Athletics/ Powerlifting/Basketball/ Cycling/Rowing/ Tennis Archery Fencing Tennis Archery Fencing 15.45 – 16.15 Afternoon Tea Afternoon Tea Afternoon Tea Afternoon Tea Afternoon Tea Afternoon Tea 16.15 – 17.00 Free Sport & Competition Free Sport & Competition Free Sport & Competition Free Sport & Competition Free Sport & Competition Free Sport & Competition 17.15 – 18.00 Free Sport & Competition Free Sport & Competition Free Sport & Competition Free Sport & Competition Free Sport & Competition Free Sport & Competition

16.30 Road bike ride beginners & road bike ride intermediates (1 hour) 17.00 – 18.00 Archery Competition 15.00 –18.00 Swimming Competition

20 LIMBPOWER SPORT 2012 For the 2012 Amputee Games we are putting the participants into personalised programme of events to encourage participants colour coded groups where they will have a group mentor who to take part in all of the sports on offer. For each session there will meet with them on the Friday evening or Saturday morning will be a choice of sports to ensure that participants taking part and who will be available to help them with the programme or any in the competition sports don’t miss out. All sports are repeated questions they have about the event. Each group will have a to give participants a chance to try everything. Sunday 13th May

Blue – Damian Purple – Gemma Pink – Gary Green – Kelvin Yellow – Mary Orange – Russ (Swimming competition) (Swimming competition) 9.00 – 9.45 Table Tennis/Cycling/ /Athletics/ Volleyball/Powerlifting/ Table Tennis/Cycling/ Volleyball/Powerlifting/ Football/Athletics/ Rowing Shooting Badminton Rowing Badminton Shooting 10.00 – 10.45 Rugby/Athletics/ Table Tennis/Cycling/ Rugby/Athletics/ Volleyball/Powerlifting/ Table Tennis/Cycling/ Volleyball/Powerlifting/ Shooting Rowing Shooting Badminton Rowing Badminton 10.45 - 11.15 Tea & Coffee Tea & Coffee Tea & Coffee Tea & Coffee Tea & Coffee Tea & Coffee 11.15 – 12.00 Volleyball/Powerlifting/ Football/Athletics/ Table Tennis/Cycling/ Football/Athletics/ Volleyball/Powerlifting Table Tennis/Cycling/ Badminton Shooting Rowing Shooting Badminton Rowing 12.15 – 13.00 Table Tennis/Cycling/ Volleyball/Powerlifting/ Rugby/Athletics/ Table Tennis/Cycling/ Rugby/Athletics/ Volleyball/Powerlifting Rowing Badminton Shooting Rowing Shooting 13.00 – 14.00 Lunch Lunch Lunch Lunch Lunch Lunch 14.00 – 14.45 Volleyball/Powerlifting Table Tennis/Cycling/ Volleyball/Powerlifting Football/Athletics/ Table Tennis/Cycling/ Football/Athletics/ Rowing Shooting Rowing Shooting 15.00 – 15.45 Rugby/Athletics/ Volleyball/Powerlifting Table Tennis/Cycling/ Volleyball/Powerlifting Rugby/Athletics/ Table Tennis/Cycling/ Shooting Rowing Shooting Rowing

12.15 – 15.45 Table Tennis Competition All day Shooting Competition

This programme is subject to change. Please check the website for updates

LIMBPOWER SPORT 2012 21 Five Steps to Cycling

By Kiera Roche Cycling is a perfect exercise on to rollers (used by professional cyclists Amateur amputee cyclist for lower limb amputees and where the bike is placed on a stand). You the ambulant disabled because it can build your fitness gradually while getting is a non-impact sports. used to the bike you will be cycling on outdoors and you can make the necessary Step One adjustments for safety and comfort. Some Before embarking on any form of exercise people prefer to get straight on a bike, but it consult with your Rehabilitation Consultant is important to have the right set-up. and GP to ensure you are fit enough to take on the activity and to ensure you are given Step Three the right advice on exercises to build muscle If you are planning to do more than the odd strength and the right prosthetic set up. bit of recreational cycling your prosthesis will Most amputees can cycle whether it be need some adjustments. a bicycle, a tricycle or a hand bike. If you would like some advice before getting BELOW KNEE AMPUTEE started you can join LimbPower at one Consider adjustments to the back of the of our Cycling Clinics. socket brim to allow full knee flexion. Lowering the socket brim will make walking Step Two more difficult, but will improve cycling Now you have been given the all clear to performance. Some prosthetists have cycle it’s time to build your confidence and designed a removable brim, which can be fitness. I started cycling in the gym on a taken off for cycling and replaced for static bike and when I felt confident I could walking. Also consider replacing suspension cycle without getting out of breath I moved systems that cross the knee, such as suction

22 LIMBPOWER SPORT 2012 Rehabilitation Services Prosthetics I Orthotics Physiotherapy I Counselling www.pacerehab.com Occupational Therapy CONVERTING PATIENTS Immediate Needs Assessments INTO PEOPLE Expert Witness Services Quantum Reports

Above the knee amputee returns to mountain biking Back to life – in the saddle

National Referral Centre PACE Rehabilitation Tel: 0845 450 7357 36 Brook Street, Cheadle, Unit 1, Anglo Business Park, Asheridge Road, Email: [email protected] Cheshire, SK8 2BX Chesham, Bucks HP5 2QA Cycling

sockets with the distal pin-and-lock system. BIKE ADJUSTMENTS Step Five Some amputees cycle with the suspension Make sure your saddle is at the correct height. For building up fitness and system, but I prefer the pin-and-lock system. With the balls of your feet on the pedals, your putting the miles in, comfort knee should be very slightly bent at the bottom is of paramount importance. ABOVE KNEE AMPUTEE of the pedal stroke. Above knee amputees Here are some techniques You need adequate clearance between the will find that having a good saddle height to help you. saddle and the socket brim to avoid the socket will increase the clearance of the socket and catching the saddle. The brim of my cycling reduce discomfort. There is a trade off between RULE OF THIRDS socket made by Richard Nieveen at ProActive being able to stop and put your feet on the Distribute your body weight evenly between Prosthetic has been lowered to allow this floor for balance and the efficiency of having your hands, feet and your seat. You’ll probably clearance, but is not suitable for walking long a higher saddle. find yourself leaning forwards at an angle of distance. For road cycling a knee that allows Cycling requires a smooth cadence. 30 to 45 degrees – halfway between an upright free motion on the bike will be easier to use. Amputees often find there is not enough position and a low, crouching position. With Choose a knee that is safe to walk on in a free clearance between the foot and the knee your weight evenly distributed you are less swing mode. For mountain biking there is a when pedalling. Having a shorter crank on the likely to feel pressure on your back or stomach. specialist knee, the Bartlett Tendon. (see the side of the artificial limb can overcome this. Pace Rehabilition Ad). This unique system Secure the artificial foot to the pedal for safety. CADENCE enables the amputated leg to provide power Options are: Cadence is the rate at which the cyclists back to the bike, as well as enabling the user to 1.Toe-clips with straps, which you can buy pedal. You should be looking at 85-100 rpm stand and sprint out of the saddle. from most bike shops. for a smooth and efficient pace. Over-gearing is unnesessary and wastes energy. Step Four 2. Clipless pedals, which have mechanisms As you don’t have as much strength in your Ensure your bike is the right frame size and has that clip your cycling specific shoe directly residual limb hill climbing is more difficult. You a comfortable ‘reach’ to the handlebars. The onto the pedal. I use mountain bike shoes can combat this with training and tackling the distance between your crotch and the top tube and spd clips as they enable me to walk hills in a lower gear and a higher cadence. Make determines the frame size of your bike. The right without too much discomfort, where as road- sure your bike has lots of gears. I have a road sized frame should have at least 6cm clearance. bike shoes are difficult to walk in. bike, with mountain bike gears at the rear.

24 LIMBPOWER SPORT 2012 A Nike accessory for the new age of Paralympic glamour

By Stuart Hughes BBC News Many of the sportsmen and Nike in the design of a new women Nike sponsors embody lightweight sole, emblazoned Fashionable brands not just outstanding sporting with the famous swoosh logo, have long dominated the achievement but also an ideal which clips on to a carbon-fibre sportswear market, but up of physical perfection. running blade. to now few have specifically But for one of its newest Reinertsen admits that a targeted disability sports. products, Nike has teamed up partnership with the world’s Nike has now become the with an athlete whose sporting biggest sportswear firm is a first to produce a sole for prowess is based on her physical far cry from her early days as a a blade used by amputee difference from her rivals. competitive athlete. runners. Has the era of Sarah Reinertsen is a record- “For many years I didn’t have Paralympic chic dawned? breaking sprinter, marathon any sponsors,” she told BBC It’s one of the most widely runner, triathlete and Ironman News. recognised, and lucrative, brands competitor. She also happens “We’d do little local fundraisers in the world. The distinctive Nike to be an above-knee amputee. in my town to try to raise some swoosh logo has adorned the kit Born with a bone-growth money just so I could compete.” of sporting greats and helped to disorder, Reinertsen underwent The big money deals are still sell billions of pounds of an amputation at the age of enjoyed by only a few Para- sportswear around the globe. seven. She has collaborated with lympians – but marketing

LIMBPOWER SPORT 2012 25 Paralympic glamour

experts say there are clear signs Sutherland, a sports marketing as soldiers who have been injured that perceptions are changing. consultant. in Afghanistan, are aspirational. Athletes like South African “I’m not surprised that huge Fashion is important to them double amputee sprinter Oscar brands are becoming more because of their age,” says Pistorius are helping to lend involved. There’s a higher level Saeed Zahedi, visiting professor some Olympic glamour to of awareness of the Paralympics in prosthetics at the University of Paralympic sports, says Steve and the competitors are no longer Surrey. “Companies will do being patronised – they’re being anything to increase their sales taken seriously and seen as but these are medical devices. athletes in their own right, as “I’m sceptical about using they should be,” he says. fashion and branding to sell The reason for the growing prosthetics unless there’s clinical attraction of the Paralympics evidence to back it up.” may lie in its position as what Some fear the current wave advertisers call a “challenger of interest may be little more than brand” – a smaller but potentially a passing fad – but elite athlete more nimble player in the Sarah Reinertsen believes marketplace. disability sport is here to stay. It offers firms a chance to bask “I think this is only just the in the glow of the Olympic flame beginning,” she predicts. for a fraction of what it would “Disability may be the ‘new cost to be involved in the able- cool’ right now – but I think this A longer version of this bodied Games. trend is just going to continue to article first appeared on But one leading figure in the grow. the BBC News website prosthetics industry is uneasy “Disabled people are not going about the entry of “fashion” into to go away and neither is the this area. “Young amputees, such Paralympics.”

26 LIMBPOWER SPORT 2012 Five Steps to Running

By Robert Gailey, foot. The runner should ignore back forcefully creating a PhD, PT everything else and know that the backward force. As a result, the prosthetic limb will be there. ground will produce a forward force accelerating the body Step 2: Backward Extension forward. This movement has two Step Two, the runner reaches out effects: First, it will accelerate the Learning how to run with the prosthetic foot during body forward causing an increase with a prosthesis can be swing. Just prior to striking the in speed and, second, this very challenging, yet, when ground, the prosthetic leg pulls movement will give you the power simplified into series of to shift your body weight over the relatively basic elements, it prosthesis and fully load your can be much easier to learn. prosthetic foot resulting in max- Figure 1. Prosthetic Thrust—reaching out with The following are the five the prosthetic limb and knowing it will be there imum prosthetic foot performance easy steps that have made as you load the forefoot. it possible for me to teach Step 1: Prosthetic Trust hundreds of people to relearn Step One requires gaining trust Step 3: Sound Limb Stride the skill of running, and in the prosthesis, or instilling the During Step Three, the focus enabled them to benefit from confidence of knowing that the now shifts to the sound limb. the ability to move fast when prosthetic limb is going to be The runner should concentrate necessary. Initially, for safety there and not collapse when the on taking a longer stride with the reasons, I strongly suggested amputee’s prosthetic limb strikes sound limb. This can be easily that skilled clinicians work the ground. This is accomplished Figure 2. Backward Extension – pushing accomplished by continuing to with their clients and use a by reaching out with the prosthetic back against the socket wall exerting a pull down and back through the gait belt. limb and landing squarely on the forward force prosthetic limb. Pulling back

LIMBPOWER SPORT 2012 27 Robert Gailey, PhD, PT is a Professor at the University Running of Miami Miller School of Medicine where he continues to perform research and publish on prosthetic and amputee rehabilitation.

and the hands should be loosely prosthesis, and initially the closed and rise to just below chin prosthetic foot is not critical. level when brought forward. Just However, if the amputee decides as in walking, arm swing is really that running is going to be a part the result of trunk rotation, as the of his active lifestyle they should trunk and pelvis rotate in opposi- discuss with their prosthetist the tion to each other for balance, various available prosthetic Figure 3. Sound Limb Stride – reaching out Figure 4. Arm Carriage – moving the arms momentum and economy of effort. options. Classically, the Flex-Foot with sound limb for an equal stride length in opposition to the movement of the legs has been considered the foot of Putting It All Together choice for higher level activities, during the prosthetic foot’s initial should choose a comfortable Finally, the runner should be ready with the Flex-Sprint foot worn by contact with the ground initiates jogging pace that produces an to put all the individual elements most competitive athletes. the movement pattern. The runner equal stride length for both limbs. of running together. The runner Currently, there is also a relatively should continue to extend the hip There should not be any concern should relax and think about only new design, the Flex-Run, which is by pulling down and back into the for the arms, concentration should a couple of elements of running engineered for recreational jogging socket. This will generate more be focused on maintaining stability with each pass. Many long and longer distance training. The power and a stronger push off with over the prosthetic limb using the distance runners augment their same principles of running apply the prosthetic limb, which will, in muscles of the hips to create equal endurance training program by regardless of the prosthetic foot; turn, enable the sound limb to and relaxed strides. utilizing low impact activities such however, prosthetic feet designed reach out to complete a full stride. as swimming, stationary biking or for running can reduce the effort Step 5: Arm Carriage stair climbing machines. In time, and improve performance. Step 4: Stride Symmetry Finally, Step Five is focused on the runner will develop his/her own Step Four is really a phase arm swing. The arms and legs comfortable running style, depen- To learn more about gait training, designed to decrease the move in opposition to each other, ding on the sports or recreational exercise and basic running techniques, enormous effort that is being so, as the right leg moves forward, activities chosen for participation. visit www.advancedrehabtherapy.com exerted and to simply relax and so will the left arm. The elbows Learning to run can take place for the Functional Training Series book jog a little. Therefore, the runner should flex to about 90 degrees on just about any type of and DVD collection.

28 LIMBPOWER SPORT 2012 © Ottobock · UK/ADV/PARA/0399 Ottobock ·08456007664 www.ottobock.co.uk expertise visitwww.ottobock.com/paralympicsexpertise To Paralympic Games Official ProviderfortheLondon 2012 Orthotic andWheelchairrepairs,asthe Supporting allathleteswithProsthetic, On themove to London nd out how you bene can 80 4200 11 24 Ottobock technicians days ofcompetition years ofParalympic experience Paralympic athletes t from ourtechnical Prosthetics Technology and Sport

by Carl Elliott, Prosthetist and Clinical Manager Seacroft Hospital, RSLSteeper

Within the last four of amputee athletes as an model on a P.C. which can be decades rapid advances competing at elite level interface used to produce an accurate 3D have been made in the field prosthetic component between the model from which a socket can of prosthetic provision and suppliers have focused skin and the be manufactured. component development. much of this strive for socket reducing From the use of wood, leather innovation on the development shear and Feet and metal for the manufacture of sports specific components. impact forces In broad terms feet are either of prostheses to prostheses and whilst improving designed to be compliant or bio components manufactured from Sockets and CAD. limb suspension mechanically efficient plastics, titanium, carbon fibre In simple terms the socket is the with the (– returning much of and silicone. From feet and “cup” into which the residuum (or application of a the energy put into knees that were nothing more “stump”) inserts and is therefore connecting pin or walking/running back than simple single axis pivots the crucial interface between the valve/air expulsion to the amputee as a and hinges to “intelligent” natural remaining anatomy and system. The result is force driving the leg microprocessor controlled units the artificial limb. Companies greater control over the forward). containing pneumatic and and training institutions have prosthesis and enhanced At the top end of hydraulic cylinders. Indeed developed designs in socket confidence and comfort for the energy efficiency many of the recent innovations shape that improve both comfort the athlete. are specialised developed within the last ten and control of the prosthesis. The application of CAD sports specific feet years lend much of their design The most significant development (computer aided design) in made purely from and concept to innovations has been in the application of systems such as the Bio carbon fibre within aeronautics development silicone, polymer gel and Sculptor now mean that the designed as and design. urethane liners that roll onto Prosthetist is able to scan the energy With the ever increasing profile the residuum. These liners act residuum and produce a “virtual”

30 LIMBPOWER SPORT 2012 storing distortable “J” or “C” of bracing the shapes. Other prosthetic feet prosthetic knee can be compliant to uneven against collapsing in terrain or designed to allow a stumble situation and the wearer to adjust the foot all have some means according to heel height and of controlled yielding activity undertaken. (allowing a slow controlled bend of the Knees knee permitting ease of descent A number of companies have of stairs and ramps). developed Microprocessor knees Microprocessor knee however that are programmed to the gait are not appropriate for many needs of the individual and can high impact sporting activities or have sports specific settings events in which the participant stored within them (for example will be running. Prosthetic knees locking the knee at a predeter- have therefore been developed mined angle of flexion for golf). that are more robust in design Each of these knees varies and will permit the knee to slightly in design and concept but swing freely during swing and some common themes remain. extension with some having the Each adapts the speed at which option of disengaging the knee the knee swings according to the mechanism for scenarios in speed at which the amputee is which minimal resistance is walking. Most have some means required. (e.g. cycling).

LIMBPOWER SPORT 2012 31 LEGAL SERVICE, AMPUTEE GAMES 2012

Following a serious law, so that you understand your Law will provide you with all of at the Hospital and as a result the injury, a number of legal legal rights. We will also provide the assistance that you require. patient received full payment and financial issues can you with a list of alternative law under the policy. arise. On the 12th and 13th firms. Stewarts Law are included Examples of the pro-bono May 2012, Stewarts Law will on the list, but there is no work that Stewarts Law Patient B sustained a spinal hold a free legal service for obligation to instruct us in relation have undertaken: cord injury as a result of a road all participants of the to the Compensation claim. We traffic accident. Whilst his Amputee Games where would encourage you to evaluate Patient A sustained a brain particular patient was in Hospital, advice can be provided on a a number of law firms, as it is an injury as a result of brain the Company that he was range of issues, for example; important decision. haemorrhage. This patient had employed by for 25 years went If, during the course of the concerned about securing the into liquidation without giving the • WELFARE BENEFITS meeting, other legal issues are payment from a critical illness patient any notice or redundancy • DEBT identified that are not compen- policy following her sub- payment. We advised the patient • INSURANCE sation related, for example, arachnoid haemorrhage. The that he could claim redundancy • EMPLOYMENT benefits, housing and insurance, Insurers were unwilling to make payment from the Insolvency • HOUSING AND ADAPTATIONS then Stewarts Law will be willing payment to Patient A, stating that service. The patient subsequently • CARE ARRANGEMENTS to assist you with those issues a haemorrhage did not fall within received £11,000.00. The patient • POWERS OF ATTORNEY free of charge. It is the type of their definition of a critical illness. also had no-fault critical illness • COMPENSATION legal work for which you would We analysed the policy cover through his Employer. As not ordinarily be able to secure documents and noted that a his Employer was in liquidation In the event that we identify a legal representation and is the sub-arachnoid haemorrhage he did not think that he would be claim for compensation, we will work traditionally done by the could fall within a definition of entitled to any payment and provide you with preliminary Citizens Advice Bureau and a stroke. We obtained written therefore did not submit a claim. advice and an explanation of the Disability Rights UK. Stewarts confirmation from a Consultant We advised that he would be

32 LIMBPOWER SPORT 2012 entitled to claim as the insurance Stewarts Law are committed About Us was in place when the accident to supporting LimbPower occurred. We subsequently and have been proud Stewarts Law is the largest litigation only assisted the patient with the sponsors of the Amputee Law firm in the UK. The firm is top-ranked claim form for critical illness Games for many years. cover. in both the Legal 500 and Chambers, the two leading guides to the legal profession Patient E sustained a spinal Please feel free to visit one of cord injury after a domestic our representatives at our stand in the . fall. The patient had concerns in the sports hall today regarding her finances and The firm is a leading Personal Injury Law wished to execute a power of Alternatively, please contact: firm, specialising in pursuing high value attorney. After several and complex personal injury claims with discussions with the patient Kara Smith and the family we advised that [email protected] expertise in compensation claims following a limited power of attorney Mobile: 07717 878 131 traumatic amputation and limb loss. which was limited in scope and time and would allow her to Sepie Nourouzi The firm is proud of the Stewarts Law concentrate on her rehabilitation [email protected] whilst she was in Hospital. Mobile: 07769 142 262 Foundation, which is committed to Once discharged from Hospital, supporting a wide range of charitable she would be able to take full causes, and of its ongoing commitment control of her finances again. to completing pro-bono work.

LIMBPOWER SPORT 2012 33 SPORTS Contacts

. ARCHERY UK Athletics badminton. Parabadminton has provided British Cycling Archery is a test of accuracy, strength and Katie Jones – Senior Co-ordinator – players of different disabilities and Paul West – Paracycling Development Officer concentration. It is open to men and women Paralympic Talent backgrounds an opportunity to interact under Tel: 061 274 2021/07507 641267 with a physical disability. There are three Tel: 0121 713 8462 a common purpose. Email: [email protected] classifications in Archery: Standing, Email: [email protected] Playing badminton with a disability requires Web: www.britishcycling.org.uk Wheelchair One and Wheelchair Two. Web: www.uka.org.uk both physical and mental strength. Paralympic disciplines comprise Compound GOLF or Recurve Bows. Athletics Tom Webster The Disabled Golf Society aim is to bring Shelley Holroyd (North) Disability Manager, Badminton England together all disabled golfers, irrespective of Archery GB Tel: 07912070625 Tel: 01908 268 400 gender, age or ability, and help them enjoy golf Helen George [email protected] email: [email protected] on a level playing field, or in our case a level Tel: 01952 677888 Job King (Midlands and South West) golf course! Email: [email protected] Tel: 07841 504311 CANOEING Web: www.archerygb.org [email protected] Canoeing allows family and friends to Disabled Golf Society Liz Purbrick (South) experience exercise that is therapeutic for Graeme Robertson, national co-ordinator ALPINESKIING Tel: 07850 514936 both mind and body. The sport is so diverse Tel: 0118 979 0193 / 07932 061680 Alpine skiing is the sport of sliding down [email protected] that there is literally something for everyone, Email: Graeme.Robertson@disabledgolf snow-covered hills on skis with fixed-heel www.englandatheltics.org/disabilityathletics regardless of your age or ability. More society.com bindings, also known as downhill skiing .There importantly, canoeing is pleasurable, fun Web: www.disabledgolfsociety.com are 4 disciplines Downhill, Slalom, Giant ADAPTIVEROWING and a great way of accessing the outdoors; Slalom and Super Giant Slalom. Adaptive rowing is about removing barriers exercising and gaining independence. PARA-EQUESTRIAN to participation in the sport for anyone with Together, able bodied and disabled can Para-Equestrian Dressage has been steadily Disability Snowsport a disability. It best suits those with spinal share all aspects of the sport. developing for the past 25 years and riders Rachel Easton – Development Officer cord injuries, visual impairments, lower limb with a wide variety of disabilities participate in Email: [email protected] amputations or restricted movement in Canoe England PaddleAbility the sport. Equestrian is one of the few sports Web: www.disabilitysnowsport.org.uk a lower limb or wrist. Clarisse Smith, Disability Officer, where men and women compete against each Tel: 07702 954949. other. It is a sport open to anyone with a ATHLETICS British Rowing Email: [email protected] physical disability. Its classification system Amputees can take part in a variety of track Madeleine Millichap – British Rowing Adaptive Web: www.canoe-england.org.uk/our- puts riders into four grades. and road events ranging from the 100 m to the Development Officer sport/paddleability Marathon. They can also compete in Field Helen Blamey – GB Rowing Talent Coach British Dressage Ltd events such as the Long Jump and the Tel: 0870 0607100 CYCLING Amy Cullen – Para Officer Javelin. LimbPower work with UK Athletics and Email: [email protected] Cycling is open to both men and women with a Tel: 024 76 698830 England Athletics to deliver Introduction Days Email: [email protected] physical or visual disability. For competition Web: www.britishdressage.co.uk to amputees. The running AVIVA Parallel Web: www.britishrowing.org/adaptive athletes with cerebral palsy and locomotive Success Coach and Athlete Talent Introduction disabilities are classified together in 5 divisions. FOOTBALL Days will take place between November and BADMINTON Football for amputees and the ambulant March 2012/2013. Parabadminton caters for most disabilities, if disabled is available across the country at you can pick up a racket, you can still play local club level within the pan (or multi)

34 LIMBPOWER SPORT 2012 SPORTS Contacts

disabled set up. This can be played as 5 or 7 The British Sledge Association Over the years people of all ages with SWIMMING a-side for fun or in a competitive league run Simon Berry – Development officer a wide range of disabilities have enjoyed Swimming is open to men and women by the EAFA. Email: [email protected] the thrill of sailing on our yachts. of all disabilities The 7-a-side version of the game is Web: www.sledgehockey.co.uk Tel: 01488 658330 At the Paralympic Games the eligible open to male athletes with Cerebral Palsy Email: [email protected] classifications are S1-S13. S1-S10 stands who are classified in ambulant classes five, POWERLIFTING Web: www.gwennili.org.uk for swimmers with a Physical Impairment. six, seven and eight, of which class five IPC Powerlifting is the ultimate test of upper S1 being swimmers with the most severe players have the highest level of impairment. body strength. Competitors must lower the bar SHOOTING impairments through to S10 who have a Teams must include at least one player from to the chest, hold it motionless on the chest Shooting is open to athletes with a physical minimal impairment. S11-S13 stands for either class five or six. and then press it upwards to arms length with disability. There are two classifications at those with a visual impairment. S11 being locked elbows. The bench press is the only Paralympic level SH1 and SH2. SH1 swimmers with no vision, S12 being English Association discipline with 10 different categories based incorporates pistol and rifle shooters who swimmers can recognise the shape of a Steve Johnson - Chairman. on body weight. The athletes are given three are able to support the weight of their hand and have some ability to see. S13 Tel:07906477647 attempts and the winner is the athlete who weapon unaided. SH2 incorporates rifle swimmers who are the most sighted but Dave Tweed – Football development officer lifts the highest number of kilograms. competitors who are not able to support are legally considered to be blind. Tel: 07974118717 the weight of their weapon unaided and Email: [email protected] British Weight Lifting use a stand. Disability Swimming Email: [email protected] Samantha Jamieson – British Weight Lifting There are events in four different weapons: Tel: 01509 640 192 web: www.theEAFA.co.uk Development Officer Air rifle, Air pistol, .22 rifles, .22 pistols Email: [email protected] Tel: 0113 8127098 Web: www.swimming.org Football Association Email: [email protected] Disability Target Shooting GB Jeff Davis – National Football Development Web: www.britishweightlifting.org Dave Porrill – Chairman TABLE TENNIS Manager (Disability) Rosie Hughes – Secretary Table tennis also known as ping-pong is 5-a-side football is played in 21 countries. SAILING Email: [email protected] a sport in which two or four players hit a Tel: O20 7745 4545 Sailing is open to everyone and all disabilities. Web: www.dtsgb.org.uk lightweight, hollow ball back and forth using Email: [email protected] There are three Sailing Classes within table tennis rackets. The game takes place Web: www.thefa.com Paralympic sailing, a single person Keelboat, VOLLEYBALLENGLAND on a hard table divided by a net Table Tennis a two person Keelboat and a three person is a version of Volleyball that is open to male and female athletes with ICESLEDGEHOCKEY Keelboat. has been adapted to allow anyone to partici- a physical or learning difficulty spread As its name suggests, players sit in sledges pate including those with a disability. To play at over 11 classes. and propel themselves using sticks with The Royal Yachting Association an International level there are certain class- a spike in the one end to dig into the ice Debbie Blachford – Sailability Manager ification requirements that need to be met. The English Table Tennis Association and a blade in the other end for shooting. Tel: 0844 556 9550 Judy Rogers – Disability Lead Officer The sledges are raised slightly off the Email: [email protected] British Sitting Volleyball Tel: 01424 722525 ground, which allow the puck to pass Web: www.rya.org.uk/sailability Richard Stacey-Chapman, Sitting Volleyball Email: [email protected] underneath the sledge, making ice sledge Development Officer Web: www.etta.co.uk hockey an incredibly fast-paced sport. The The Gwennili Trust Tel: 01509 22 77 14 sport is played by athletes with a physical The Gwennili Trust provides yacht sailing Email: [email protected] disability in the lower half of their body. opportunities for people with disabilities. Web: www.volleyballengland.org

LIMBPOWER SPORT 2012 35 SPORTS Contacts

WHEELCHAIRBASKETBALL British Disabled Fencing Association be played by anyone with a permanent SPORTENGLAND is one of the largest Cath Ross – Secretary physical disability. The only rule change Sport England is focused on helping people Paralympic Sports, it embraces a wide Email: [email protected] from the able-bodied game is that the ball and communities across the country create range of disabilities including amputees, is allowed to bounce twice, as long as the a sporting habit for life. paraplegics, spina bifida, brittle bones, WHEELCHAIRRACING first bounce is within the confines of the cerebral palsy and multiple sclerosis. Able Wheelchair racing is the racing of wheelchairs court.The Tennis Foundation organise come Tel: 08458 508508 bodied players are eligible to play in divisions in track and road races. Wheelchair racing is and try weekend camps as well as a full Email: [email protected] 1, 2, 3 and 4, junior league and women’s open to athletes with any qualifying type of competitive structure of tournaments in www.sportengland.org league. Virtually everyone who can disability, amputees, spinal cord injuries, the UK and there is also an international conceivably play wheelchair basketball cerebral palsy and partially sighted (when tour of over 170 events. BRITSH PARALYMPIC ASSOCIATION is encouraged to do so. Classification is combined with another disability). Athletes The British Paralympic Association (BPA) is based on physical ability and players are are classified in accordance with the nature Tennis Foundation responsible for the United Kingdom's given a points rating between 1 and 4.5: and severity of their disability or combinations Tel: 0845 872 0522 participation in the Paralympic Games. those with 1 point are the most severely of disabilities. Email: [email protected] disabled and those with 4.5 the least. Web: www.tennisfoundation.org.uk Tel: 020 7842 5789 There are over 103 clubs in the country British Wheelchair Racing Association Eamail: [email protected]. to encourage as many people as possible Ian Thompson LIMBPOWER Web: www.paralympics.org.uk/ to try the sport at all levels. Tel: 01642 789362 LimbPower – The British Ambulant Disabled Email: [email protected] Sports and Arts Foundation. Provide access BALASA British Wheelchair Basketball to sport and the arts through events, the BALASA: British Amputee & Les Autres Sports Jay Popat – Club Development Officer WHEELCHAIRRUGBY provision of useful and relevant information, Association Tel: 01509 279900 is a full-blooded, contact access to facilities and opportunities for Tel: 01773715984 Email: [email protected] sport developed initially for tetraplegics. It participation in sport and the arts. Email: [email protected] Web: www.britishwheelchairbasketball.co.uk offers male and female players significant Web: https://sites.google.com/a/balasa.org. rehabilitation, health and social benefits. Kiera Roche, Chairman uk/main WHEELCHAIRFENCING Wheelchair rugby became a full Paralympic Tel: 07502 276858 In Wheelchair Fencing the athlete’s sport at Sydney in 2000 and is without Email: [email protected] SPORTS+ (LIMBLESS ASSOCIATION) wheelchair is clamped into a metal frame question one of the fastest-growing Web: www.limbpower.com The Limbless Association is a national charity which holds the competitors at a given wheelchair sports in the world. that supports the needs of amputees and distance from each other. The fencer with THE ENGLISH FEDERATION people born with limb deficiencies. the shortest arm decides if the playing Great Britain Wheelchair Rugby OFDISABILITYSPORT area will be at his distance or that of Steve Huckett – Company Secretary The English Federation of Disability Sport Dean Heffer, Sports Officer his opponent. Tel: + 44 (0)1482 442611 (EFDS) was established in September 1998 Tel: 01245 216670 The competition comprises individual Email: [email protected] as the national body and charity dedicated to Email: [email protected] and team events in foil, epee and sabre Web: www.gbwr.org.uk. disabled people in sport throughout England. Web: www.limbless-association.org/sports for men and individual and team events in foil and epee for women. WHEELCHAIRTENNIS Tel: 01509 227750 Wheelchair Tennis is both great fun and great Email: [email protected] exercise. This dynamic Paralympic Sport can Web: www.efds.net

36 LIMBPOWER SPORT 2012 Stef Reid’s Top Tips for Getting Healthy and Lean

1. Healthy Eating is to pick foods with the right 6. Training EAT!!! – Severely restricting kinds of fat, such as mono and Introduce interval training to your calories is the WORST way to polyunsaturated fats, and workouts. Instead of running at a lose weight. especially omega 3s: nuts, slow steady pace for 40min, run Our metabolisms are too smart avocados, coconut, fish. full out for 30sec, and jog for for that. If we eat too little, our Limit sources of trans and 90sec 10 times. The key to metabolisms simply slow down. saturated fats. burning fat is to work your body You need to ‘eat yourself lean’. at maximum intensity. This means eating small meals 4. Portion control every 3-4 hours. Properly portion your meals – 7. Treats counting calories is overrated. If you are going to indulge do it 2. Protein The best guideline is our hands: right. Every healthy diet should Include a source of protein in your protein source should be allow for a cheat meal at least every meal, such as chicken, the size of your palm, your once a week. Don’t waste this on eggs, nuts, milk, tofu, beans etc. carbohydrate should be the size a bag of crisps, processed cookie Protein is vital to building muscle, of your fist, and the rest of your or chocolate bar. Bake a delicious and building muscle is the best plate should be loaded with rich cheesecake and share it with way to lose fat. Muscle requires veggies. friends. Not only does the more energy to maintain, so the amount of effort involved deter more muscle you have, the higher 5. Carbohydrates you form doing it often, you will your resting metabolism will be. Pick carbohydrates that are high be eating a cake full of fresh in fibre. Replace boring white rice wholesome ingredients. 3. Right kinds of fat and pasta with more exotic Eating fat does not make you fat. choices such as pearl barley, Fats are vital to the health of quinoa, spelt, or bulgur wheat. every cell in your body. The trick

LIMBPOWER SPORT 2012 37 Team LimbPower Events and activities

LimbPower Running Team LimbPower Cycling Team LimbPower Walking Team LimbPower are launching a running team LimbPower already have a core LimbPower are launching a walking where, beginners and intermediate contingent of cyclists who have learnt team headed up by amputee trekker runners can join us to learn to run through to cycle through the ‘Cycling Clinic’ and join Mark O’Leary who has recently climbed the ‘Running Clinic’ and take part in both fun us for training ride and fundraising events. Mount Kilimanjaro and Mount Toubkal. Mark runs and races. The objective behind this We now have a core number of rides and is a keen walker and wants to help other is to support amputees in their quest to get sportifs that amputees take part in. The amputees get back into walking to get fit fit and create a sporting habit for life. We Lingfield Park Ride (Surrey), the Merlin Ride and create a sporting habit for life. already have a facebook page LimbPower (), The Isle of Wight Randonee, Stoke LimbPower are organising a four-day Running where amputee and ambulant Mandeville Ride (Amputee Games) London fundraising trek along Hadrian’s Wall in 2013. disabled runners can share information, to Paris (Fundraising ride) and the Nightrider Join us at LimbPower Walking on experiences and events. Why not join us? (Fundraising ride). If you want to learn to facebook or contact Mark at Contact paralympian Robert Barrett at cycle join us at the ‘Cycling Clinic’ at the [email protected] [email protected] for running advice Amputee Games or Lingfield Park Ride or or [email protected] for events contact Damian MacDonald at information. [email protected] Our facebook page is LimbPower Cycling.

38 LIMBPOWER SPORT 2012 PRIMARY&JUNIOR PRIMARY GAMES SATURDAY 15th SEPTEMBER JUNIOR GAMES SUNDAY 16th SEPTEMBER GAMES @STOKE MANDEVILLE STADIUM 2012 7KH pODQ LV WKH RQO\ PLFURSURFHVVRU FRQWUROOHG IRRW WKDW VLOHQWO\ DQG LQWHOOLJHQWO\ VHQVHV WHUUDLQ W\SH DQG LQVWDQWO\ UHVSRQGV XVLQJ D K\GUDXOLF DQNOH ZLWK D WUXO\ FRPSOLDQW KLJK HQHUJ\ FRPSRVLWH IRRW