rebound therapy for sen
Transcription
rebound therapy for sen
REBOUND THERAPY FOR SEN CODE OF PRACTICE All centres should develop their own Code of Practice for the use of the trampoline with adaptations linked to their own Health and Safety “best practice” and the Local Authority regulations. All staff with responsibility for Rebound Therapy are encouraged to read and adhere to these guidelines before undertaking any trampolining activities. The following document offers one model which may be helpful to consider when writing / adapting your own individual policies. The authors disclaim responsibility for any adverse effects resulting directly or indirectly from the suggested information or advice, from any undetected errors or from the reader’s misinterpretation of the text. After successfully completing the thirty hour accredited Open College Rebound Therapy for SEN course learners will be deemed as competent and responsible for overseeing individualized programmes for a wide variety of students with special needs. In order to do so, great care must be taken with the safe management of the trampoline and with its use as a therapeutic teaching resource. We would encourage those learners new to Rebound Therapy to work alongside confident teaching staff, physiotherapists and knowledgeable adults to embed their skills and practice. Safety is the paramount concern and all policies must begin with a Risk Assessment of the potential hazards involved, the significant risks to health and safety and the preventative and protective measures taken to reduce risks to an acceptable level [or avoid them all together]. TYPICAL ACTIVITIES WITH HAZARD POTENTIAL There can be no Rebound Therapy coaching above the level of training achieved on the accredited course [ This is a Level Two course]. This course does not qualify the coach to teach front or back somersaults or back drops with any combination of movements. No Rebound Therapy should be undertaken without a suitably qualified member of staff present. Staff undertaking Rebound Therapy should have an awareness of Health and Safety requirements for the centre including the location of the First Aid kit and the named First Aiders. It is the certified Rebound Therapy Tutor's responsibility to check for contra indications and to ensure that permission has been granted for Rebound Therapy by parents / carers before any activity is undertaken by students. SIGNIFICANT RISKS TO HEALTH AND SAFETY Moving, unfolding, and folding the trampoline: THE TRAMPOLINE IS HEAVY - OVER 250KGS. MAKE SURE THAT NO HEAVY PART SUCH AS THE FRAME ENDS OR THE WHOLE TRAMPOLINE IS ALLOWED TO DEVELOP A HIGH MOMENTUM. (Incorrect folding procedures could cause it to topple over and seriously injure someone). 1 This task should be carried out wearing shoes / trainers, only by trained staff or under the direct supervision of trained staff. The trampoline should be unfolded and refolded by a minimum of TWO trained suitably sized persons. It is better if FOUR trained suitably sized persons carry out this task unless using a trampoline trolley lifter During use place the roller stands well away from the trampoline so that no one can fall over or on to them, preferably in the PE store cupboard. After use put the locked up trampoline in a store cupboard or in a safe location. If left in a shared space ensure that it is securely locked to prevent unauthorized use. PREVENTATIVE AND PROTECTIVE MEASURES TO REDUCE RISK The space ideally should be at least 5m / 16ft-high for Rebound Therapy. The trampoline should be sited away from fire exits or walls and overhead or protruding structures which could cause injury if struck. The lighting should be bright and even. whilst bouncing. The trampoline area should be protected from stray balls or projectiles by full height netting. Do not carry out any trampoline / rebound activities alongside games activities. Noise levels should be low enough for students to hear all instructions. Trampolines should be stored away from the working area. unauthorised use, the frames should be chained and locked. Multi- trampoline set ups: The most suitable arrangement for this is with trampolines end to end, with a safety mat placed between the ends of the adjacent trampolines. Where trampolines are placed side by side they should be separated by at least two metres OR be directly touching. Avoid direct sunlight getting in students eyes Alternatively, to prevent EQUIPMENT SAFETY CHECK A safety check must be carried out before use by the responsible authority, this must include: the roller stands for freely running and swivelling castors wheels and hooks. If you have more than one trampoline please check the colour codes and match the correct roller stands to the correct trampolines. the security of the leg braces (allan keys tight, rivets secure, T joint fully in place) the chains for security and even adjustment all joints for wear with the frame level all round and not bowed 2 where applicable check the stability and secure attachment of the end decks the security of all six frame pads (either standard pads, wide pads for safety sides or coverall pads). It is even better if safety landing mattresses (10' x 5' x 8") are used supported on specially manufactured end decks. the pads for tears, loose or missing clips or straps or soft areas at the joints where little protection would be given to anyone landing on that area ensure that the extra spring is under the comer of coverall pads to prevent anyone falling through. the anchor bars on both the frame and the bed for excessive wear from the movement of the hooks on the springs or cables. the springs or cables to ensure that they are all in place with the hooks pointing downwards and arranged so that there is an even tension on the bed. Stretched springs or frayed cables need replacing. the bed for tears and areas which have obviously worn thin on solid beds. loose stitching or breaks in the webbing on webbed beds which might allow toes to be caught or uneven landings to be made. uneven tension shown by the centre or metre box red lines not being straight. This is caused by springs being of uneven length or missing or broken anchor bars on the edge of the bed. high tension caused by excessive shrinkage of the bed. ALL damage MUST be reported to the Health and Safety Coordinator. If necessary, the trampoline should not be used until repaired by the manufacturer or an approved agent and declared safe. 1. THE TEACHER / COACH. They should never allow: anyone to take part: UNLESS THEY HAVE BEEN WARNED OF THE INHERENT POTENTIAL DANGER OF TRAMPOLINING. After illness / injury or absence due to illness without first checking the evidence that the student is fit to meet the demands of performance. Any jumping on the trampoline without suitable non-slip footwear. Trampoline shoes or non slip socks (not shiny nylon or thin hard cotton) are recommended if there is a foreseeable danger of toes going through the holes of a webbed bed. Any jumping without the presence of an adequate number of attentive spotters of suitable size and weight who have been instructed in and understand their duties. End decks with safety mattresses can replace spotters at the ends. 3 Any continuous jumping for long periods, 1 min -1 min 30secs, 4/5 attempts at a skill or two routines are recommended. Any double bouncing (both approx. the same weight and experience) or kipping without prior training and permission. Any horse play or fooling around. Any eating or drinking in the immediate vicinity of the trampoline. Any wearing of jewellery, watches, chains, rings, body piercing, tongue studs, bands, unsecured long hair, untrimmed long nails or anything which could catch on the bed, distract or harm the trampolinist or a spotter. Any participation without suitable sports clothing. Pockets should be emptied. Anyone other than the coach (for coaching purposes) to stand or sit on the end decks or frame pads or anyone, especially small children, to go underneath the trampoline whilst it is in use. Any jumping other than the centre of the bed. Any NEW SKILLS without checking the readiness of the student, i.e. ability and confidence, without using recommended progressive practices and supports, without using trained supporters of suitable size. Any use of more powerful beds without warning the performers of the extra power and rebound and insisting on a period of acclimatisation. Any use by young children who are too small to act as spotters unless there are crash mats (not unsecured chairs) on the floor alongside the trampoline to avoid injury if any child should fall off. Two gym benches secured side by side and covered with gym mats are also suitable. Two thicknesses of safety mattress should be sufficient for most children to climb on and off safely. Make sure that when small children get off they do so with the stomach towards the frame. Very small children will need to be helped on and off. All children should be encouraged to step up the trestle steps, sit on the side of the trampoline, swing their legs over onto the bed and sit in the middle of the trampoline awaiting instructions. 2. THE TRAMPOLINIST STUDENT: Where appropriate, should always inform the Teacher / Coach of any medical condition or medication which might affect performance. Or staff should make the coach aware of any contra indications, Risk Assessments relevant to the student. Where appropriate should always inform the Teacher / Coach of any accident in the last six months which resulted in unconsciousness from a blow to the head. Should never attempt to unfold / fold the trampoline. Should never go or swing under the trampoline or end decks. Should never jump without non slip footwear if there is a foreseeable danger of toes going through the holes in the bed, and in particular when using a parachute or slippery material on the trampoline bed. 4 Should never use the trampoline unless the Teacher / Coach is present and has given specific permission for specific skills. Should never attempt difficult skills without progressive training and the specific permission of the Teacher / Coach. Should never get involved in "TESTS OF DARING" with others who may be far more capable. Should, when spotting for others, always pay attention and be ready to help and understand their role. Should always pay attention to the instructions of the Teacher / Coach. Should mount and dismount safely in a sitting position on the long side of the trampoline. Should never place their fingers through the webbing or around springs. ALL ACCIDENTS MUST BE REPORTED TO THE HEALTH AND SAFETY CO-ORDINATOR AND LOGGED FOLLOWING NORMAL ACCIDENT PROCEDURES. Adults transferring disabled children onto the trampoline must adhere to "Moving and Handling Guidelines" and refer to individual students moving and handling risk assessments. Whenever possible use the hoist. 5 REBOUND THERAPY FOR SEN Glossary Abduction Movement of limbs away from midline Adduction Movement of limbs towards midline Bed The surface of the trampoline for work, ie canvas or webbing Bilateral coordination The ability to use both sides of the body together in a smooth, simultaneous and coordinated manner. Bounce Movement initiated in any position where the effect results in upward motion. Cardio-respiratory An increase in the respiratory rate and subsequently the heart rate, the increase in constant muscle work required to maintain position and balance increases the demand for oxygen. Contracture Permanently tight muscles and joints Contra-indications Assessment of risk for potential rebound candidates including epilepsy, cardio, atlantoaxial instability. Cradling Support position given in sitting or lying position, giving maximum support to the individual. Crossing the midline The ability to use one side or part of the body (hand, foot or eye) in the space of the other side of the body. Dampening the bed Absorbing the energy of the bed to stillness. This is achieved by taking up some of the energy of the bed through flexed hips and knees. Diplegia Form of Cerebral Palsy involving four limbs with the legs more affected than the arms. Dismounting Safe exit from the trampoline Drumming An approach where the trampoline bed is vibrated from the side or whilst on the bed to check the child's responses, reactions or for fun. Dyspraxia Dysfunction in praxis: difficulty in conceiving of, planning and carrying out a novel motor action or series of motor actions. Can be defined as motor difficulties caused by perceptual problems, especially visual-motor and kinaesthetic-motor difficulties 6 Engine The person(s) providing the energy for moving the trampoline bed Extensor A muscle that serves to extend a limb or other body part Flexion Movement of the muscles around a joint to pull a body part towards its front or centre; bending Hanging A position whilst bouncing in the upright position with arms above the head, still, and remaining still on landing Hemiplegia Form of Cerebral Palsy where one side of the body is affected. High Kneeling A position on the bed which shows right angle at knees-remainder of the body in an upright position, head in mid-line Kinaesthesia The conscious awareness of the movement of body parts, such as knowing where to place one’s feet when climbing stairs, without looking. Sometimes called ‘conscious proprioception’ Kipping / Popping A method of controlling the bed to initiate a bounce in a controlled manner. Lateralisation The process of establishing preference of one side of the brain for directing skilled motor function on the opposite side of the body, while the opposite is used for stabilisation; necessary for establishing hand preference and crossing the body midline Long sitting A position on bed in sitting where the legs are straight in front of the body, where possible arms by side Low muscle tone The lack of supportive muscle tone, usually associated with increased mobility at the joints; the person with low muscle tone may appear ‘loose and floppy’ or may have fluctuating muscle tone. Monoplegia Form of Cerebral Palsy where one limb is affected Mounting Safe entry onto the trampoline Pace / Intensity Degree of controlled bouncing Pogo Controlled bounce, arms held by side, legs together, two feet landing Postural stability The feeling of security and self confidence when moving, based on one’s body awareness Praxis The ability to ‘conceptualise’ or ‘ideate’, to plan and organise, and to carry out a sequence of unfamiliar actions; to do what one needs and wants to do in order to interact successfully with the physical environment 7 Prone On stomach ‘tummy down’ horizontal position Proprioception The unconscious awareness of sensations coming from the receptors in one's joints, muscles, tendons and ligaments, that provides information about when and how muscles contract or stretch; when and how joints bend, extend, or are pulled; and where each part of the body is and how it is moving. Quadriplegia Form of cerebral Palsy where all four limbs are affected Rebound Therapy The therapeutic use of a trampoline in order to promote physical and emotional well being Reciprocal crawling On hands and feet, stepping in the ‘bear walk’ or ‘elephant walk’ Roller stands The removable wheel supports used to move the trampoline Saving reaction Whole body or partial body reaction to moving off mid-line Sensory integration The modulation, discrimination, coordination and organisation of incoming sensory information received from the body and the environment in order to produce adaptive and purposeful responses; or, more simply, the organisation of sensory input for use in daily life Spotting Close supervision of staff around the perimeter of the trampoline, tracking the movement of persons on the bed at all times Supine On back, ‘face up’, horizontal body position Synchronicity Movement as a whole, in concert, in harmony. The elements of movement coming together in time Trampoline Trolley The Trampoline Trolley Lifters are intended to assist the manual handling of the Regulation 77A trampolines. The Trolley lifter is used to raise the trampoline whilst removing or fitting the roller stands Travel Moving away from midline on the trampoline in any direction Triplegia Form of Cerebral Palsy where three limbs are affected Vestibular The sensory system that responds to changes in head position, to body movement, and to the pull of gravity. It coordinates movement of the eyes, head and the body, affecting balance, muscle tone, visual-spatial perception, auditorylanguage perception and emotional security. Receptors are in the inner ear Windmill Movement of arms to the side of the body to support lift and balance Zero energy The concept of stillness from which to initiate a movement from any given starting position 8 Other key vocabulary includes the following: Achievement Agility Anticipation Asymmetrical tonic neck reflex Balance Body awareness Communication Co-ordination Confidence Directionality Dynamics Energy Flight Independence Killing the bed Levers Log rolls Momentum Moro reflex Operator Palmer reflex Perception of body, shape, space, time Planter reflex/foot grasp Progressions Recovery time Rhythm Riding the bed Self confidence Session leader Spatial awareness Stamina Stimulation Strength Suppleness Timing Zero gravity 9