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Adapted Physical Activity and Exercise is Medicine

Adapted Physical Activity and Exercise is Medicine. Prof. Dr. Gudrun Doll-Tepper Freie Universität Berlin. International Symposium „Exercise is Medicine“ Györ, 20th May 2011. Terminology. - Persons/individuals/athletes with a disability instead of the disabled

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Adapted Physical Activity and Exercise is Medicine

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  1. Adapted Physical Activity and Exercise is Medicine Prof. Dr. Gudrun Doll-TepperFreie Universität Berlin International Symposium „Exercise is Medicine“ Györ, 20th May 2011

  2. Terminology • - Persons/individuals/athletes with a disability instead of the disabled • - Adapted Physical Activity and sport for persons with a disability Györ, 20.05.2011

  3. What is Adapted Physical Activity? • Adapted Physical Activity exists in various settings: • Rehabilitation/therapy • Schools • Recreation & community (club sport, sport for all) • Elite sport (competitive, high performance) Györ, 20.05.2011

  4. APA Definitions (1) • - 1952 - AAHPER defined “Adapted Physical Education“ as a specialisation area with strong focus on children and youth in special school settings. • - 1970‘s - the term “Adapted Physical Activity“ was preferred because it covered a much broader spectrum Györ, 20.05.2011

  5. APA Definitions (2) • 1989 – when preparing the International Symposium on APA, efforts were made to define APA: • Adapted Physical Activity refers to movement, physical activity, and sport in which special emphasis is placed on the interests and capabilities of individuals with limited conditions.“ (Doll-Tepper, Dahms, Doll, Von Selzam, 1990) Györ, 20.05.2011

  6. APA Definitions (3) • Adapted Physical Activity is crossdisciplinary theory and practice related to lifespan activity of individuals whose uniqueness of function, structure, or appearance requires expertise in(a) assessing and adapting ecosystems and(b) facilitating changes necessary for • Equal access • Integration/inclusion • Lifespan wellness • Movement success • Empowerment/ self-actualization Sherrill (1996) Györ, 20.05.2011

  7. Rehabilitation/therapy Györ, 20.05.2011

  8. Physical Education & School Sport Györ, 20.05.2011

  9. Recreational & Sport For All Györ, 20.05.2011

  10. Recreation & Community Sport Györ, 20.05.2011

  11. Competitive Sport Györ, 20.05.2011

  12. High Performance Sport Györ, 20.05.2011

  13. APA is.... • - A VERY broad area of expertise and service • - Cross-disciplinary and links with many different professions • - Is a dynamic area of study, work and research • - Not limited to specific populations • - FOR EVERYONE! Györ, 20.05.2011

  14. A Look Back Sir Ludwig Guttmann – A visionary 1960 1st Summer Games for the Paralysed Precursor of the Paralympic Games Introduction of physical activity of sport as part of the rehabilitation process, exercise as medicine! 1899-1980 Györ, 20.05.2011

  15. ‚If I ever did one good thing in my medical career it was to introduce sport into the treatment and rehabilitation programme of spinal cord sufferers and other severely disabled‘ • Quote from Sir Ludwig Guttmann Györ, 20.05.2011

  16. International Federation of Adapted Physical Activity (IFAPA) • - Founded in 1973 in Quebec, Canada • - Developed regional organisations in: • Africa • Asia • Europe • Middle East • North America • Oceania • South America • http://www.ifapa.biz Györ, 20.05.2011

  17. Québec, 1977:1st International Symposium on APA Györ, 20.05.2011

  18. Berlin 1989:APA – An Interdisciplinary Approach Györ, 20.05.2011

  19. Education in APA – In Europe • - EMDAPA – since 1991 • - EMMAPA – since 2005 • an Erasmus Mundus master programme • - DEUAPA – since 1997 • - European University Diploma in APA • now coordinated by Haaga Helia University of Applied Sciences in Vierumäki (Finland) • EUDAPA started in 2010 Györ, 20.05.2011

  20. Youth & Ageing • More attention given to sport and physical activity of ALL ages, particularly on children and youth • A focus on the ageing population, THENAPA Network on APA, disability and ageing (THENAPA II) Györ, 20.05.2011

  21. Obesity Györ, 20.05.2011

  22. Physical Activity and Health • Agita São Paulo Agita Mundo Györ, 20.05.2011

  23. Important Journals • IFAPA‘s Scientific Journal http://www.humankinetics.com/APAQ/journalAbout.cfm Györ, 20.05.2011

  24. Important Journals Györ, 20.05.2011

  25. Important Journals Györ, 20.05.2011

  26. In the Past • Focus on differences/disabilities TODAY • Emphasis on similarities/abilities, integrated settings and inclusive education Györ, 20.05.2011

  27. World Health Organization (WHO) • 1980 – ICIDH: International Classification of Impairments, Disabilities and Handicaps • 2001 – ICF: International Classification of Functioning, Disability and Health (ICIDH-2) Györ, 20.05.2011

  28. The ICF Model of Disability • aims to provide “an international common • language, as well as a universal conceptual framework for disability across languages and cultures” (Üstün et al. 2001) • - classifies disability based on the health condition of the individual • - looks at body function and structure, activity andparticipation • - makes a distinction between contextual factors like environment and personal factors Györ, 20.05.2011

  29. The ICF Model Health Condition(disorder or disease) Body function & structure Activity Participation Contextual factorsa) environmental b) personal Györ, 20.05.2011

  30. United Nations and Disability • - 1981 - UN International Year of Disabled People • - 1982 - World Programme of Action Concerning Disabled People • - 1983 -1992 - UN Decade of the Disabled • - 1993 - UN Standard Rules on the Equalisation of Opportunities for Persons with Disabilities • - 2006 - UN Convention on the Rights of Persons with Disabilities Györ, 20.05.2011

  31. Action steps in society in general • - Remove barriers & change attitudes • - Guarantee equal rights • - Offer full access to all areas of society including sport • - Convince political leaders of the benefits of physical activity & sport • - Legislation can strongly influence the process of integration/inclusion! Györ, 20.05.2011

  32. Current & future challenges in APA (i) • - Develop training opportunities for athletes, coaches, teachers, administrators, officials and referees • - Intensify cooperation between disciplines in practice, research and teaching • - Improve networking opportunities on international, regional and local levels • - Expand research base of APA • - Develop closer links with sport, education, health and recreation providers Györ, 20.05.2011

  33. Current & future challenges in APA (ii) • - Be part of APA and help contribute to its professional development! • - Practise inclusive sport as much as possible • - Improve participation in the practical fields (therapy/rehabilitation, education, health, recreation and sport) • - Share examples of good practice! Györ, 20.05.2011

  34. Linking Networks • Similarities between networks of „APA“ and „Exercise is Medicine“ exist, both with regard to • treatment and • prevention • Explore how these networks could be connected in order to bring even more benefits to all people, including those with a disability! Györ, 20.05.2011

  35. For further information • Please contact • Gudrun Doll-Tepper • Freie Universität Berlin • gudrundt@zedat.fu-berlin.de • phone +49-30-838 531 83 Györ, 20.05.2011

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