Independent sailing with high tetraplegia using sip and puff controls: integration into a community sailing center

Solomon Rojhani, Steven A. Stiens, Albert C. Recio

Research output: Contribution to journalArticle

Abstract

Background: We are continually rediscovering how adapted recreational activity complements the rehabilitation process, enriches patients’ lives and positively impacts outcome measures. Although sports for people with spinal cord injuries (SCI) has achieved spectacular visibility, participation by high cervical injuries is often restricted due to poor accessibility, safety concerns, lack of adaptability, and high costs of technology. Methods: We endeavor to demonstrate the mechanisms, adaptability, accessibility, and benefits the sport of sailing creates in the rehabilitative process. Our sailor is a 27-year-old man with a history of traumatic SCI resulting in C4 complete tetraplegia. Results: The participant completed an adapted introductory sailing course, and instruction on the sip-and-puff sail and tiller control mechanism. With practice, he navigated an on-water course in moderate winds of 5 to 15 knots. Discussion: Despite trends toward shorter rehabilitation stays, aggressive transdisciplinary collaboration with recreation therapy can provide community and natural environment experiences while inpatient and continuing post discharge. Such peak physical and psychological experiences provide a positive perspective for the future that can be shared on the inpatient unit, with families and support systems like sailing clubs in the community. Conclusion: Rehabilitation theory directs a team process to achieve patient self-awareness and initiate self-actualization in spite of disablement. Utilization of local community sailing centers that have provided accessible assisted options provides person-centered self-realization of goals as assisted by family and natural supports. Such successful patients become native guides for others seeking the same experience.

Original languageEnglish (US)
Pages (from-to)1-10
Number of pages10
JournalJournal of Spinal Cord Medicine
DOIs
StateAccepted/In press - Jul 5 2016

Fingerprint

Quadriplegia
Rehabilitation
Spinal Cord Injuries
Sports
Inpatients
Recreation Therapy
High-Cost Technology
Outcome Assessment (Health Care)
Psychology
Safety
Water
Wounds and Injuries

Keywords

  • Adaptive sailing
  • Community reintegration
  • Nature
  • Recreation therapy
  • Spinal cord injury
  • Tetraplegia

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Independent sailing with high tetraplegia using sip and puff controls : integration into a community sailing center. / Rojhani, Solomon; Stiens, Steven A.; Recio, Albert C.

In: Journal of Spinal Cord Medicine, 05.07.2016, p. 1-10.

Research output: Contribution to journalArticle

Rojhani, Solomon; Stiens, Steven A.; Recio, Albert C. / Independent sailing with high tetraplegia using sip and puff controls : integration into a community sailing center.

In: Journal of Spinal Cord Medicine, 05.07.2016, p. 1-10.

Research output: Contribution to journalArticle

@article{178ce7d259604366bf8f9ad2ea01a485,
title = "Independent sailing with high tetraplegia using sip and puff controls: integration into a community sailing center",
abstract = "Background: We are continually rediscovering how adapted recreational activity complements the rehabilitation process, enriches patients’ lives and positively impacts outcome measures. Although sports for people with spinal cord injuries (SCI) has achieved spectacular visibility, participation by high cervical injuries is often restricted due to poor accessibility, safety concerns, lack of adaptability, and high costs of technology. Methods: We endeavor to demonstrate the mechanisms, adaptability, accessibility, and benefits the sport of sailing creates in the rehabilitative process. Our sailor is a 27-year-old man with a history of traumatic SCI resulting in C4 complete tetraplegia. Results: The participant completed an adapted introductory sailing course, and instruction on the sip-and-puff sail and tiller control mechanism. With practice, he navigated an on-water course in moderate winds of 5 to 15 knots. Discussion: Despite trends toward shorter rehabilitation stays, aggressive transdisciplinary collaboration with recreation therapy can provide community and natural environment experiences while inpatient and continuing post discharge. Such peak physical and psychological experiences provide a positive perspective for the future that can be shared on the inpatient unit, with families and support systems like sailing clubs in the community. Conclusion: Rehabilitation theory directs a team process to achieve patient self-awareness and initiate self-actualization in spite of disablement. Utilization of local community sailing centers that have provided accessible assisted options provides person-centered self-realization of goals as assisted by family and natural supports. Such successful patients become native guides for others seeking the same experience.",
keywords = "Adaptive sailing, Community reintegration, Nature, Recreation therapy, Spinal cord injury, Tetraplegia",
author = "Solomon Rojhani and Stiens, {Steven A.} and Recio, {Albert C.}",
year = "2016",
month = "7",
doi = "10.1080/10790268.2016.1198548",
pages = "1--10",
journal = "Journal of Spinal Cord Medicine",
issn = "1079-0268",
publisher = "Maney Publishing",

}

TY - JOUR

T1 - Independent sailing with high tetraplegia using sip and puff controls

T2 - Journal of Spinal Cord Medicine

AU - Rojhani,Solomon

AU - Stiens,Steven A.

AU - Recio,Albert C.

PY - 2016/7/5

Y1 - 2016/7/5

N2 - Background: We are continually rediscovering how adapted recreational activity complements the rehabilitation process, enriches patients’ lives and positively impacts outcome measures. Although sports for people with spinal cord injuries (SCI) has achieved spectacular visibility, participation by high cervical injuries is often restricted due to poor accessibility, safety concerns, lack of adaptability, and high costs of technology. Methods: We endeavor to demonstrate the mechanisms, adaptability, accessibility, and benefits the sport of sailing creates in the rehabilitative process. Our sailor is a 27-year-old man with a history of traumatic SCI resulting in C4 complete tetraplegia. Results: The participant completed an adapted introductory sailing course, and instruction on the sip-and-puff sail and tiller control mechanism. With practice, he navigated an on-water course in moderate winds of 5 to 15 knots. Discussion: Despite trends toward shorter rehabilitation stays, aggressive transdisciplinary collaboration with recreation therapy can provide community and natural environment experiences while inpatient and continuing post discharge. Such peak physical and psychological experiences provide a positive perspective for the future that can be shared on the inpatient unit, with families and support systems like sailing clubs in the community. Conclusion: Rehabilitation theory directs a team process to achieve patient self-awareness and initiate self-actualization in spite of disablement. Utilization of local community sailing centers that have provided accessible assisted options provides person-centered self-realization of goals as assisted by family and natural supports. Such successful patients become native guides for others seeking the same experience.

AB - Background: We are continually rediscovering how adapted recreational activity complements the rehabilitation process, enriches patients’ lives and positively impacts outcome measures. Although sports for people with spinal cord injuries (SCI) has achieved spectacular visibility, participation by high cervical injuries is often restricted due to poor accessibility, safety concerns, lack of adaptability, and high costs of technology. Methods: We endeavor to demonstrate the mechanisms, adaptability, accessibility, and benefits the sport of sailing creates in the rehabilitative process. Our sailor is a 27-year-old man with a history of traumatic SCI resulting in C4 complete tetraplegia. Results: The participant completed an adapted introductory sailing course, and instruction on the sip-and-puff sail and tiller control mechanism. With practice, he navigated an on-water course in moderate winds of 5 to 15 knots. Discussion: Despite trends toward shorter rehabilitation stays, aggressive transdisciplinary collaboration with recreation therapy can provide community and natural environment experiences while inpatient and continuing post discharge. Such peak physical and psychological experiences provide a positive perspective for the future that can be shared on the inpatient unit, with families and support systems like sailing clubs in the community. Conclusion: Rehabilitation theory directs a team process to achieve patient self-awareness and initiate self-actualization in spite of disablement. Utilization of local community sailing centers that have provided accessible assisted options provides person-centered self-realization of goals as assisted by family and natural supports. Such successful patients become native guides for others seeking the same experience.

KW - Adaptive sailing

KW - Community reintegration

KW - Nature

KW - Recreation therapy

KW - Spinal cord injury

KW - Tetraplegia

UR - http://www.scopus.com/inward/record.url?scp=84978518697&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84978518697&partnerID=8YFLogxK

U2 - 10.1080/10790268.2016.1198548

DO - 10.1080/10790268.2016.1198548

M3 - Article

SP - 1

EP - 10

JO - Journal of Spinal Cord Medicine

JF - Journal of Spinal Cord Medicine

SN - 1079-0268

ER -