1. The Benefits of Adaptive Programming Robert McIver, PT, DPT, NCS

2. Goals To define Neuroplasticity and its contents
The role of Neuroplasticity in physical and mental health
How water sports can enhance Neuroplasticity and healthy living

3. Neuroplasticity Research supports Intensity Repetition Salience
“The brain's ability to reorganize itself by forming new neural connections throughout life. Neuroplasticity allows the neurons (nerve cells) in the brain to compensate for injury and disease and to adjust their activities in response to new situations or to changes in their environment.”
Research supports
Intensity
Repetition
Salience

4. Neuroplasticity

5. Salience The most overlooked piece of the puzzle
Doing what matters to each individual
Strong desire, creates environment for change
Patient must attend to the task for plasticity to occur
They must value the task and be motivated to perform the same task
Considerations: We are more resilient, the younger we are; the sooner rehab begins in the patient’s care, the sooner we can make plastic changes in the brain to prevent functional loss and also reduce the risk of compensatory strategies from having stronger pathways in the brain than the desired movement.

6. Motor Recovery Repeated movements for specific task completion
Specific movements increased representation in motor cortex (Animal studies)
Unspecific movements did not
Nudo 2001
Constraint Induced Movement Therapy
Increased hand representation in patients post stroke
Sawaki, 2008

7. Jacksonville, FL

8. Adaptive Sailing
Modern Technology has given the ability for anyone to now sail the waterways.
People with mobility deficits
Children with developmental delays
Individuals with Visual impairments

9. Adaptive Sailing

10. Potential Benefits Prevention of Downward Spiral Sedentary lifestyle
Psychosocial Benefits
Support groups
Ability to do new activities
Improved self esteem
Physical Benefits
Improves muscle control
Improves balance
Salience to activity causes improved functional gain!
Prevention of Downward Spiral
Sedentary lifestyle
Drug Abuse
Social Isolation
Irreversible Health conditions

11. Other Adaptive Sailing programs
Boston
Baltimore
New York
Annapolis
Miami
Sarasota
Hollywood, FL
Twin Cities
Salt Lake City
Chicago
San Diego
Seattle
Jacksonville?

12. Resources
International Association for Disabled Sailors:
Blind Sailing International -
Special Olympics -
US Sailing Adaptive Sailing Webpage–
US Sailing Adaptive Sailing Resource Manual
US Sailing Adaptive Sailing Sanctioning Program