ISSN: 2165-7025
Journal of Novel Physiotherapies
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Ocean Surfing as a Novel Physiotherapy Environment: A Commentary

Linda S Lamont1*, Cortney Armitano1,2 and Emily Clapham1
1Department of Kinesiology, College of Human Science and Services, University of Rhode Island, Kingston, USA
2Veterans Administration Medical Center, Providence, Rhode Island, USA
Corresponding Author : Linda S Lamont
Department of Kinesiology
College of Human Science and Services
University of Rhode Island, Kingston, USA
Tel: 352 236-1388
E-mail: lamont@mail.uri.edu
Received March 25, 2014; Accepted March 26, 2014; Published April 02, 2014
Citation: Lamont LS, Armitano C, Clapham E (2014) Ocean Surfing as a Novel Physiotherapy Environment: A Commentary. J Nov Physiother 4:e133 doi: 10.4172/2165-7025.1000e133
Copyright: © 2014 Lamont LS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Aquatic exercise for both fitness and rehabilitation are presently being offered to individuals of various special populations [1]. Pool programs offer physical activity and educational programming that can be particularly helpful for children with disabilities. The physiologic, psychologic, and social benefits of aquatic exercise are often found to be more pronounced in these children [2]. One reason aquatic exercise is of value is that the buoyancy provided allows the individual with landbased activity limitations to function in an independent fashion in the water. Some studies report individuals are enabled to walk for the first time in an aquatics environment; and if this form of exercise is repeated they have the opportunity to increase strength for a progression to on-land ambulation [3]. Swimming studies have documented improvements in muscle strengthening that improved postural stability for on-land locomotion (3 Kelly). Other research reports indicate an enhanced cardiorespiratory endurance, exercise capacity, and improved swim skills with aquatic exercise programming [4,5] Fragala-Pinkham). Unfortunately recreational and fitness opportunities for children with disabilities are limited [6].
For the past two summers we have conducted an 8-week surf instruction program specifically designed for children with disabilities. IRB approval and informed consent is obtained prior to the program. This program runs during May and June and generally has between 15 and 25 children between the ages of 5–19 years. Our participants have been diagnosed with developmental, sensory and/or physical disabilities. The children had a wide range of disabilities including: intellectual, learning, Down syndrome, Dandy-Walker syndrome, heart defects, hypothyroidism and attention deficit disorder. Parents or guardians are required to be at the beach when their child participates. The program is known as the University of Rhode Island’s Ocean Therapy program and it meets at a local Rhode Island beach, Narragansett Town Beach. The program has been staffed with physical education, exercise science, and physical therapy students and faculty in the Departments of Kinesiology and Physical Therapy, College of Human Science and Services, University of Rhode Island. Twice a week various sized surf boards and wet suits are delivered to the beach [7] and the children have one hour of surf instruction. The instructional goals are to teach each child to paddle, to balance on the board while in various positions, to catch a wave and ride it into shore and lastly to paddle back out through the surf. Each child has their own instructor who formulates individualized instructional goals designed around each child’s physical and cognitive needs [8].
We fitness tested the children prior to and after the Ocean Therapy program using the 20 meter pacer test as well as a few measures of strength and flexibility [9]. Our pilot data indicated that the children significantly improved their cardiorespiratory endurance, core body strength, and some measures of flexibility. Our Rhode Island program joins others around the world that are using ocean surfing as a novel physiotherapy environment. These programs include Surfers Healing, Ride-a-Wave both in the United States, and Disabled Surfer’s Association in Australia and Freedom Surf in the United Kingdom. They indicate that this novel physiotherapy environment can provide an environment for the disabled child or adult that can expand their rehabilitation, recreational, and fitness opportunities.

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