Additional resources for youth with disabilities

Additional resources /sources 

Sport activities for disabled kids and youth

https://www.google.com/search?

https://sport.vic.gov.au/participation/access-for-all-abilities

https://thedisabilitysportsnetwork.com

https://thedisabilitysportsnetwork.com/advert/free-paralympic-magazine

https://www.dsr.org.au/wheelchair-rugby

https://www.who.int/publications/i/item/9789241564182 WHO First world Report on Disability 

Articles /video 

The benefits of yoga for kids with special needs 

https://www.cerebralpalsy.org/blog/benefits-of-yoga-for-children-with-special-needs

https://www.google.com/search?   chair yoga 

https://www.healthline.com/health/fitness/adaptive-yoga#benefits all about adaptive yoga

Dance activities 
https://www.sense.org.uk/information-and-advice/for-professionals/…   How to deliver dance activities for people with complex disabilities
https://www.youtube.com/watch?app=desktop&v=1x8rQxE4KIs&t=234s video Proud Mary: Creative Movement for Kids and People with Special Needs

https://www.dryadesenplo.gr/en/… from Greece with our collaborator Maria Karapanaghioti

Research Rhythm and Dance Training https://www.researchgate.net/publication/… The Effects of Rhythm and Dance Training on the Levels of Daily Living Activities in Trainable Mentally Handicapped Children

https://www.yourtherapysource.com/blog1/2025/01/13/movement-interventions-for-autism/  WHAT DOES THE RESEARCH SAY ABOUT MOVEMENT INTERVENTIONS AND CHILDREN WITH AUTISM SPECTRUM DISORDER?

https://www.arts.gov/stories/magazine/2014/3/healing-properties-art-health/dancing-disability Presentation of the story of of Kitty Lunn a founder of the Infinity Dance Theater after a life-changing accident

Outdoor Activities for disabled

https://www.childrenandnature.org/resources/naturally-inclusive-outdoor-experiences-for-children-of-all-abilities/ Naturally Inclusive” outdoor experiences for children of all abilities AMELIA RHODELAND, FINDING NATURE NEWS, CHILDREN & NATURE NETWORK MAY 2023
Leisure Activities for disabled https://pubmed.ncbi.nlm.nih.gov/39194093/    Disability and participation in active leisure activities Article

https://fbacare.com.au/the-importance-of-leisure-in-disability-support/ The Significance of Leisure and Play in Disability Support Article Julay 24

Theatre games

https://www.youtube.com/watch?v=pGE2PZPqkyU&t=11s Theatre Game #7 – Heads Up, Heads Down

Aim The game promotes concentration, group awareness and is excellent for bringing focus to the start of drama session.

https://www.youtube.com/watch?v=tUEaF5y5lt0 Theatre Game #79 Crowd Reactions. From Drama Menu. 

Aim This game encourages players to maintain their focus and to remain committed whilst in playing area https://www.google.com/search?  Zumba dances for disabled  people led by  Yulissa World’s first certified  Zumba instructor with Down syndrome

Hiking Adventure 

https://www.bergfreunde.eu/hiking
https://www.childrenandnature.org/resources/… Naturally Inclusive” outdoor experiences for children of all abilities
Amelia Rhodeland

AMELIA RHODELAND, FINDING NATURE NEWS, CHILDREN & NATURE NETWORK MAY 2023

http://www.idancenetwork.eu/lessons/fold-float/   An Inclusive Dance Class_Empowerment   A SAMPLE LESSON PLAN
https://www.zumbacise.com/zumba-individuals-disabilities/   Zumba for Individuals with Disabilities

How to involve people with disabilities in various activities 

Before you are thinking to involve people with disabilities in various activities  

Checklist

I can / I cannot / I possibly can …

  • see blood 
  • clean up excrements 
  • lift someone into bed (physical strength)
  • dress/undress someone
  • wash someone
  • be with someone that is swearing aloud 
  • accept patronizing attitudes to the person with disability you are with
  • talk to someone who is not 100% coherent in his speech/behavior
  • have patience and respect towards people with behavioral problems 
  • deal with provocative, aggressive behavior
  • accept sexuality of young people with disability 
  • touching & hugging of disabled 
  • be patient and respectful towards people with behavioral problems
  • accept the exclusion by deaf people who use sign language with each other 
  • help people with life saving equipment (without which there is a risk of dying)

You can do a similar exercise with the young people with a disability to find out their limits and preferences as well

  • go out and talk with people with disabilities, give all the details of the venue, explain all procedures  convincing their parents that they can participate in your activities
  • deal with physical obstacles (installing ramps or hold meetings/activities in accessible places)
  • do activities at different times (persons with some disabilities get tired earlier or need more time for their evening     hygiene)
  • be willing to write down or visualize all decisions and talks 
  • provide all documents in braille or electronic format (so it can be read with a braille reader)
  • compromise on the “quality” of a final product so that  persons with  an intellectual  disability can participate
  • find and divide tasks and activities for people with different abilities  you can change of thinking and working 
  • Doing a mixed-ability project, does not mean you should have persons from as many different disability types as possible. 
  • Be realistic about what your group can ‘carry’. Persons are  able to survive independently enough volunteers or staff to support the persons with disability It is best to start small and increase the number of participants with a disability gradually

Provide

  • Accessibility of the venue (bedrooms, bathrooms, toilets, working rooms, restaurants, parking,…) – vertical and horizontal mobility
  • Accessible working methods (audio loops, braille reader, flpilchards at an accessible height,
  • Daily life –appropriate assistive equipment for eating, washing, sleeping 
  • a space to switch off when they are  tired, to rest or, relax,…

Inform persons with disabilities about …

  • Accessible public transport, variety of indications of where you are, where to get off, ramps, braille, vocal & visual announcements, alternatives,…
  • Outings in the city – accessibility, obstacles, (adapted) maps or indicators, always move in couples/group, accessible public toilets
  • companies that can hire/sell/repair assistive equipment (wheelchairs, hoists, walking aids, hearing aids, special glasses, etc) when you need it
  • Take the most demanding requirement as minimum standard e.g. the largest wheelchair, the slowest walker or eater, the person with the least vision

Evaluation of the participants in relation to their abilities.

Ask the participants, their parents, personal assistant or doctor if they 

  • can  stay (sleep, eat, wash) alone or do they need assistance
  • use communication devices  
  • depend on accessible transportation to get to work, doctor’s appointments, or to other places in his community  
  • receive medical treatments (e.g. dialysis) on a regular basis
  • need assistance with personal care 
  • rely on electrically dependent equipment or other durable equipment
  • use mobility aids such as a walker, cane, or a wheelchair
  • have a service animal

Ask about the special needs of the participants related to

  • Care, medicine, material, food
  • Methods to keep up concentration – intellectual, practical, creative, verbal
  • Work on people’s self-esteem and sense of achievement – sometimes young people with a disability don’t even think that they could ever go on an international project
  • Make everybody in the group feel comfortable – spend enough time for group building and get to know each other, begin with relatively few activities based on involvement and gradually proceed to more and more challenging activities, create trust and friendship between peers
  • Deal with frustrations or dissatisfaction – foresee moments of feedback and evaluation (individual, in smaller groups, in national groups, before-during-after
  • Take time for fun and feel-good moments – can either be during free time or as an incorporated part of the programme
  • Give enough free time – not only in the group but also alone (to recover from the intense group life)
  • Foresee a life-line to the home front – create the possibility to speak/ mail parents, friends, people back home related to the medical condition of all participants, and in particular to the people with a disability you must know
  • What particular medication do the young people and youth worker need – collect information about their usage, take extra in case of loss, find out the name of the active component (because brands are different in different countries)
  • What type of personal care items do the people on the project need (e.g. adapted toiletries, nappies, etc) – can you buy more of them abroad when you run out of them?

One  must 

  • Keep the numbers and addresses of local doctor/nearest hospital/ emergency care handy
  • Make a list of contact numbers of people that know the people’s special needs and how to deal with them – parents, guardians, doctor at home
  • Have recently First Aid training or have a nurse in your team

Related to needs of the young people and their parent’s vis-à-vis the youth organization and youth workers that are taking the young people abroad.

  • Get appropriate insurance – health insurance for the country you are going to, travel insurance for luggage & expensive assistive equipment, repatriation in case of emergency
  • Clarify your role and liability as a youth worker towards the young people you work with – get parental consent, inform them about the programme of activities, ask them for agreement, allow opting-out for specific parts of the programme…
  • Check rules & regulations for youth work both in your country and abroad – minimum requirements, special provisions when working with mixed-ability groups,…
  • Think if you need a qualification/ brevet/ authorisation  for the development of your activities guard,…
  • Have ready an action plan, a proper risk assessment ,a crisis management strategy in case something goes wrong 
https://www.salto-youth.net/rc/inclusion/inclusionpublications/nobarriers

Press Release

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Press Release

Autonomous living for young people with disabilities

CENTO, Italy hosted on the 28th of April 2022 the first transnational meeting of the Erasmus+  Basic Action 2 project titled “Independence way”, a strategic partnerships in the field of education, training and education focused around the theme of Autonomous living for young people with disabilities.

The main goal of the program is to teach skills necessary for independent living, important for both young people with disabilities and young people with typical development, giving them the opportunity to become full-fledged citizens and to have control over their own lives. The autonomous living of people with disabilities is now at the heart of European education and social policy with the ultimate goal of creating the conditions for a ‘society for all’

This innovative project will last 24 months (February 2022 to February 2024) and will be implemented by a group of European NGOs, expert in the field, under the leadership of  Fondazione Don Giovanni Zanandrea Onlus (Italy) in collaboration with “CYA KRICK” (Republic of North Macedonia), the Greek NGO “Changing myself…I change the world”, ” Gruppo Ingegneria Gestionale s.r.l. from Italy and the Latvian NGO Latvijas Autisma apvieniba.

Specific objectives of the project

• Identifying the special needs of young people with disabilities related to independent living

• Designing an individual educational plan for learning skills necessary for independent living (Individual Educational Plan)

• Designing innovative activities involving young people with disabilities and young people with typical development

• Production of an educational video offering smart, cheap solutions and innovative technical and technological tools useful for independent living.  

• Training of youth workers in techniques and methods that will help young people with disabilities in their daily lives as well as for their participation in social life. 

Project deliverables

  • A training seminar will be hosted by the Greek NGO Changing myself…I change the world with the participation of 20 people (5 from each participating country) and 2 trainers, one from Greece and one from Latvia. As part of the training, participants will visit various educational institutions and projects working with people with disabilities, parents’ associations, etc.
  • A number of educational tools will be created to help parents, educators, caretakers, youth workers, etc ..and train young people with disabilities on independent living skills as well social integration.
  • It expected that during the duration of the project 4 experiential workshops (one in each participating country) will take place, in which 5 young people with disabilities and 5 with typical  development will live together for 3 days, experiencing in a practical and challenging way real life issues.
  • The results of the program will be publicly presented in each participating country with the active involvement of young people with disabilities and young people with typical development, youth organizations, parents’ associations, representatives of local authorities, etc.

The material produced as a direct result of the project activities will be available on the sites 

For more Information about the project activities in Greece please contact Catina Ahmad at catinaahmad@yahoo.gr

Additional sources and resources

Websites

Sport:

Arts:

Articles:

  • ‘Mindfulness: its beneficial effects on patients with intellectual disabilities’ by Fabiola Caruso: The article describes the introduction of mindfulness practice workshops in socio-educational settings for adults with intellectual disabilities, highlighting the benefits found.  https://www.stateofmind.it/2020/03/mindfulness-disabilita-intellettiva/ 

Bibliography:

  • Biondini, F. (2022). Arteterapia e autismo. Colori e sfumature di un dialogo possibile. Joker.
  • Cioni, L. (2023). Posso giocare anche io? Sport e disabilità: dalla teoria ai dati sulle pari opportunità in età evolutiva. Soares Editore.
  • Orioli, W. (2021). Teatroterapia. Prevenzione, educazione, riabilitazione e arte della scena: indicazioni operative. Gagio.
  • Warren, B., (1995). Art Therapy in education and rehabilitation, Trento: Erickson Edizioni.

Useful resources from other projects of Zanandrea Foundation:

  • Fondazione Zanandrea. “Artistic Practices in Youth Work – What is the ‘theater not-theater’”. Youtube video created within the European project ‘Superheroes’ (2022-2-CY02-KA220-YOU-000101622). Available at: https://www.youtube.com/watch?v=NF57XTi4EoU&t=1s 
  • Fondazione Zanandrea. “Artistic Practices in Youth Work” – Get to know Rulli Frulli, a very original way to do music. Youtube video created within the European project ‘Superheroes’ (2022-2-CY02-KA220-YOU-000101622). Available at: https://www.youtube.com/watch?v=Vo0ejpjRGk0&t=8s 
  • Fondazione Zanandrea. “Artistic Practices in Youth Work”. Get to know the famous Carnevale di Cento and the Toponi. Youtube video created within the European project ‘Superheroes’ (2022-2-CY02-KA220-YOU-000101622). Available at: https://www.youtube.com/watch?v=mOoF9ko4Ve8&t=4s
  • Fondazione Zanandrea. “Artistic Practices in Youth Work” Get to know -Diversamente Artisti- & Fondazione Zanandrea. Youtube video created within the European project ‘Superheroes’ (2022-2-CY02-KA220-YOU-000101622). Available at: https://www.youtube.com/watch?v=JWOUcwtQCA8&t=2s 
  • Booklet on “INCLUSIVE LEARNING THROUGH CREATIVE PRACTICES IN YOUTH WORK” created within the European project ‘Superheroes’ (2022-2-CY02-KA220-YOU-000101622). Available at: 

– fonti del Curriculum.

Effects of physical exercise on motor skills of children with intellectual disorders

Effects of physical exercise on motor skills of children with intellectual disorders: Systematic review

  • February 2024

DOI:10.5937/ATAVPA24043D

  • Conference: 10th INTERNATIONAL SCIENTIFIC CONFERENCE “ANTHROPOLOGICAL AND TEO-ANTHROPOLOGICAL VIEWS ON PHYSICAL ACTIVITY”
  • At: Kapaonik, Serbia

The aim of this research was to determine, on the basis of a systematic review of previous research, whether and to what extent physical exercise affects the motor abilities of persons with intellectual disabilities. The sample of respondents were people with intellectual deficits, male and female, a total of 1203 respondents. The criteria for the analysis of the papers were as follows: the time period of publishing the papers from 2010 to 2020, that the respondents were persons with an intellectual deficit. Based on the set criteria, 14 papers were included in the final analysis, which were analyzed and presented. The experimental exercise program consisted of exercises to develop and improve balance, coordination, strength, manual dexterity, running speed, and agility. The results of the research, programs that lasted 8 or more weeks, with trainings at intervals of 3 to 5 times a week and lasted 20 or more minutes give positive results in terms of development of basic motor characteristics, speed, coordination, balance and strength, while physical activity generally has a positive effect on childhood development. The impact of physical exercise in children with a normal intellectual level is more pronounced in relation to children with developmental disabilities. 

The significance of this research is that it provides information on the effects of physical exercise on the motor abilities of children with intellectual disabilities, provides information on the complexity of the approach to planning and organizing physical activity for the development of motor skills of children with diagnosed intellectual disabilities. Key words: Physical exercise, power, speed, motor skills.

First World report on disability

The first ever World report on disability, produced jointly by WHO and the World Bank provides the best available evidence about what works to overcome barriers to health care, rehabilitation, education, employment, and support services, and to create the environments which will enable people with disabilities to flourish. The report ends with a concrete set of recommended actions for governments and their partners https://www.who.int/publications/i/item/9789241564182

This pioneering World report on disability will make a significant contribution to implementation of the Convention on the Rights of Persons with Disabilities. At the intersection of public health, human rights and development, the report is set to become a “must have” resource for policy-makers, service providers, professionals, and advocates for people with disabilities and their families.

– Accessible versions and language versions can be accessed here

Key facts

  • 1.3 billion people experience significant disability. This represents 16% of the world’s population, or 1 in 6 of us.
  • Some persons with disabilities die up to 20 years earlier than those without disabilities.

Persons with disabilities 

  • Have generally poorer health, lower education achievements, fewer economic opportunities and higher rates of poverty than people without disabilities due to the lack of services available to them and the many obstacles they face in their everyday lives
  • Have twice the risk of developing conditions such as depression, asthma, diabetes, stroke, obesity or poor oral health.
  • Face many health inequities.
  • Find inaccessible and unaffordable transportation 15 times more difficult than for those without disabilities.
  • Face unfair conditions (stigma, discrimination, poverty, exclusion from education and employment, barriers in the health system) arising health inequities

Research on the participation of youth with disabilities in leisure activities

Research on the participation of youth with disabilities in leisure activities https://www.sjdr.se/articles/10.1080/150174192016.1264467/

The article examines what kind of activities youths with intellectual disabilities participate in during their leisure time, and when and how they participate. The analysis is based on qualitative interviews of 10 youths with intellectual disabilities (aged 13–16) and their parents (N = 20). The study reveals that youth with intellectual disabilities have the same preferences and wishes for leisure activities as their peers with no disabilities. Both genders prefer sports and cultural activities. However, a closer examination reveals marginalization of intellectually disabled youths from leisure activities organized for young people in general. In our society, the understanding that leisure activities are a private concern is based on the idea of the ‘normate’. The ‘normate’ emerges when we explore the social processes of participation that constitute otherness and systematically marginalize groups of people, here intellectually disabled youths, from organized leisure activities.

Keywords: Leisure activities, participation, youth, intellectual disability

Leisure activities are important because they are an arena for developing peer relations and social inclusion (Kampert and Goreczny 2007). Mentally disabled youth  seem to participate less in leisure activities with peers than typical developing children (Solish, Perry, and Minnes 2010), and their degree of participation decreases with age Taking part in recreational and leisure activities provides opportunities for social interaction, promotion of friendships for learning and development Physical activities offer the opportunity to contribute to well-being, improved physical fitness and an increased perception of self-efficacy and social competence (Kampert and Goreczny 2007), and for learning and developmen (Wendelborg and Paulsen 2014). While activity is the execution of a task or action by an individual, we understand participation as involvement in life situations (World Health Organization 2001). Leisure activities are typically activities in which individuals freely choose to participate during their spare time because they find such activities enjoyable (Majnemer et al. 2008). The benefits of participation in recreational and leisure activities are well documented, and we will now point at findings that stress the importance of leisure activities as phenomena regardless of age. Taking part in recreational and leisure activities provides opportunities for social interaction and promotion of friendships (Kampert and Goreczny 2007), and for learning and development (Øia and Fauske 2010). Furthermore, involvement in leisure activities provides opportunities to express oneself in different ways (Kolstad 2011), and to challenge one’s existing identity (Devine 2004). For example, participating in cultural activities opens for presenting oneself as an artist instead of an intellectually disabled person (Høiseth 2012) or client (Gürgens 2004). Physical activities offer the opportunity to contribute to well-being, improved physical fitness and an increased perception of self-efficacy and social competence (Hutzler and Korsensky 2010). In other words, aspects of participation in leisure activities can contribute to enhancing the quality of life of people with disabilities (Badia et al. 2013). 

The importance of participation in leisure activities has also been acknowledged by the United Nations, in Article 30 of the rights of persons with disabilities, which highlights that persons with disabilities (2006) should be able to participate on the same terms as others in cultural life, recreation, leisure and sport. Additionally, in accordance with Article 12 of the UN Convention (United Nations 1990) on the Rights of the Child (UNCRC), children and youths’ ‘voices’ and participation in matters concerning them is not just a model of policy-making, but a legally binding obligation (Lundby 2007).

This article examines the leisure participation of Norwegian youth with intellectual disabilities. 

By asking both intellectually disabled youths themselves and their proxies (parents or foster-parents) what they do in their spare time, we obtained a balanced picture of their situation. When we see that intellectual disability is characterized by significant limitations in both intellectual functioning and adaptive behaviour, which cover many everyday social and practical skills (American Association on Intellectual and Developmental Disabilities 2014), we also find that the UNCRC has not been adequately implemented for these children, neither generally (Carpenter and McConkey 2012), nor when it comes to specific leisure activities. In 2003, Aitchison (2003) introduced a shift in the disability leisure research field with her article ‘From leisure and disability to disability leisure,’ developing a more integrated understanding of disability and leisure. Before this leisure studies belonged to the non-disabled sphere and disability studies had paid little attention to leisure. This shift led to an increase in research on disability leisure. The dominant focus of this research has been on the environmental dimensions of availability and accomodability in mainstream leisure activities (King et al. 2013), and this was also our point of departure. However, the importance of the dimensions’ accessibility, affordability and acceptability emerged in our findings, thus expanding the two above-mentioned environmental dimensions of participation. Our findings are in line with Granlund (2009) and Maxwell (2012), who highlight the frequency and intensity of participation. They relate frequency and intensity to (1) availability (is it possible to act?), (2) accessibility (can I access the context?), (3) affordability (is it worth it in terms of available resources?), (4) accomodability (can the situation be adapted to my way of functioning?) and (5) acceptability (do I experience acceptance in the situation) (Maxwell 2012, 21).

Leisure and barriers to participation

Children and young people with intellectual disabilities participate in some activities in the community, but the number of social and recreational activities they attend are fewer compared to what their non-disabled peers attend (Solish, Perry, and Minnes 2010). According to Cowart et al. (2004), these children have the same desires and benefits from the same types of activities as other children. However, disabled youths’ participation in leisure activities is reported to be somewhat contradictory. On the one hand, persons with intellectual disabilities take part more in passive, solitary activities compared to their non-disabled peers (Buttimer and Tierney 2005). On the other hand, they are members of voluntary organizations to a higher degree than their non-disabled peers, with the exception of sports organizations (Ødegård 2006). Another difference is that while the typical developing youth will take part in leisure activities together with peers, the intellectually disabled youth will participate more together with parents or other adults (Solish, Perry, and Minnes 2010). King et al. (2013) suggest that the reason for this difference is that the intellectually disabled are more dependent on support. This support might result in fewer opportunities to develop self-determination and independence. Furthermore, the type of school and the age of the youth are found to affect leisure participation. Intellectually disabled pupils attending regular schools are found to take part in more leisure activities than pupils in special schools (Badia et al. 2013; Wendelborg and Paulsen 2014), and the leisure segregation process seems to increase the further into childhood they have progressed (Wendelborg and Paulsen 2014).

Persons with intellectual disabilities seem to encounter more comprehensive barriers to leisure than persons with other types of impairments (Molden and Tøssebro 2009). These barriers include expenses, insufficient resources to accommodate a person’s interests, transport challenges and attitudes in the community (Reynolds 2002).

Children with intellectual disabilities not only take less part in social activities, they also seem to have less friends than children without disabilities (Solish, Perry, and Minnes 2010). For example, many of them have no or only a few close friends, and spend very little time with friends outside of school (Solish, Minnes, and Kupferschmidt 2003; Oates et al. 2011). Furthermore, compared with their non-disabled peers, children and youths with intellectual disabilities participate more in social activities at home (King et al. 2013) and with adults (especially their parents) (Solish, Perry, and Minnes 2010), and with family and other persons with disabilities (Dolva, Kleiven, and Kollstad 2014). Even though more integrated school systems are found to have positive influence on the level of participation in leisure activities of children with disabilities (including children with intellectual disabilities) (Ullenhag et al. 2012), physical proximity in the community alone does not appear to ensure social inclusion in peer activities and interactions (Solish, Minnes, and Kupferschmidt 2003).

When it comes to the participation in physical activities of persons with intellectual disabilities, the amount of research is limited (Ingebrigtsen and Petter Aspvik 2009). However, the research that has been conducted has found that many individuals with intellectual disabilities are highly inactive during their leisure time (Frey 2004), and not active enough to gain health benefits from the activities (Temple, Frey, and Stanish 2006). Children with intellectual disabilities seem to take less part in physical activities and rather more in recreational activities than children without disabilities (Umb-Carlsson 2008). King et al. (2013) suggest that this might be due to the fact that recreational activities are easier to get involved in and master, and that there are less external barriers when it comes to recreational than physical activities.

Briefly summarized, existing research tells us that youths with intellectual disabilities participate less in leisure activities than their non-disabled peers. This article will ask the youths themselves and their parents about this and listen to their stories to examine: In what kind of activities, and when and how do youths with intellectual disabilities participate in Disability Leisure? As part of the study, we will compare this group’s participation in leisure activities with the existing knowledge of the participation of Norwegian youth in general (Vaage 2013; NOVA 2014).

Before answering the research questions, we will briefly present the Norwegian context and the research methods used. In 1975, the Norwegian Education Act for Special and General Education was merged with the School Act to make the comprehensive Educational Act for compulsory school. This conferred the legal right to pursue an education within their local school for all children, included children in need of special education services. This shift also made it possible for intellectually disabled children to stay in their family home with parents and siblings. Moreover, all central institutions for intellectually disabled people were closed down in 1991, and the responsibility for all kinds of services – including leisure activities – was transferred from the state to the local authority level. The leisure activities were to be provided by the public and non-governmental organizations (NGO’s) (St. meld. nr. 45, 2012–2013). However, in spite of the intentions behind integrated leisure activities, a number of studies have found that people with intellectual disabilities in Norway still participate more in segregated than in ordinary leisure activities (Kittelsaa 2008; Kolstad 2011; Söderström and Tøssebro 2011).

The Global Report on Assistive Technology

The Global Report on Assistive Technology presents evidence for the first time on the global need for and access to assistive products and provides a series of recommendations to expand availability and access, raise awareness of the need, and implement inclusion policies to improve the lives of millions of people.

“Assistive technology is a life changer – it opens the door to education for children with impairments, employment and social interaction for adults living with disabilities, and an independent life of dignity for older persons,” said WHO Director-General, Dr Tedros Adhanom Ghebreyesus. “Denying people access to these life-changing tools is not only an infringement of human rights, it’s economically shortsighted. We call on all countries to fund and prioritize access to assistive technology and give everyone a chance to live up to their potential.”

“Nearly 240 million children have disabilities. Denying children the right to the products they need to thrive doesn’t only harm individual children, it deprives families and their communities of everything they could contribute if their needs were met,” said UNICEF Executive Director Catherine Russell. “Without access to assistive technology, children with disabilities will continue to miss out on their education, continue to be at a greater risk of child labor and continue to be subjected to stigma and discrimination, undermining their confidence and wellbeing.”

The report notes that the number of people in need of one or more assistive products is likely to rise to 3.5 billion by 2050, due to populations ageing and the prevalence of noncommunicable diseases rising across the world. The report also highlights the vast gap in access between low- and high-income countries. 

An analysis of 35 countries reveals that access varies from 3% in poorer nations to 90% in wealthy countries.

Affordability is a major barrier to access, the report notes. Around two thirds of people with assistive products reported out-of-pocket payments for them. Others reported relying on family and friends to financially support their needs.

A survey of 70 countries featured in the report found large gaps in service provision and trained workforce for assistive technology, especially in the domains of cognition, communication and self-care. Previous surveys published by WHO note a lack of awareness and unaffordable prices, lack of services, inadequate product quality, range and quantity, and procurement and supply chain challenges as key barriers.

Assistive products are generally considered a means to participate in community life and in wider society on an equal footing with others; without them, people suffer exclusion, are at risk of isolation, live in poverty, may face hunger, and be forced to depend more on family, community and government support.

The positive impact of assistive products goes beyond improving the health, well-being, participation and inclusion of individual users – families and societies also benefit. For example, enlarging access to quality-assured, safe and affordable assistive products leads to reduced health and welfare costs, such as recurrent hospital admissions or state benefits, and promotes a more productive labour force, indirectly stimulating economic growth.

Access to assistive technology for children with disabilities is often the first step for childhood development, access to education, participation in sports and civic life, and getting ready for employment like their peers. Children with disabilities have additional challenges due to their growth, which requires frequent adjustments or replacements of their assistive products.

The report makes recommendations for concrete action to improve access, including:

1.   Improve access within education, health and social care systems

2.   Ensure availability, safety, effectiveness and affordability of assistive products

3.   Enlarge, diversify and improve workforce capacity

4.   Actively involve users of assistive technology and their families

5.   Increase public awareness and combat stigma

6.   Invest in data and evidence-based policy

7.   Invest in research, innovation, and an enabling ecosystem

8.   Develop and invest in enabling environments

9.   Include assistive technology in humanitarian responses

10. Provide technical and economic assistance through international cooperation to support national efforts.

Advantages of following a healthy diet

Following a healthy diet is important for anyone, whether living with a disability or not. Food and nutrition play a large role in all kinds of medical treatments, including effective management for some disabilities. Following a diet that meets your body’s requirements will likely help you manage the condition more effectively.

Some reasons why disabled people should eat healthily include:

  • Physical movement may be limited for some disabled individuals, but there are exercises specific to disabilities. However, exercising with physical disabilities requires more energy as the body has to compensate to move effectively. This means that healthy eating is even more important to help the body perform. Following a healthy diet allows disabled adults and children to manage their weight..
  • When we eat healthy, our wellbeing improves. Taking care of your mental state is just as important as taking care of your body, and this can be done by following a healthy diet.
  • Vitamins and minerals that are beneficial for our brain and can enhance our moods include zinc (is plentiful in red meats, seafood, nuts whole grains, breakfast cereals, and dairy products) omega-3 (is in seafood, nuts and seeds, and plant oils). Protein  (stimulate the dopamine and norepinephrine levels in our brains altering our moods, making us feel motivated, and helping

Τips that can help you make the transition to a higher-fiber diet:

Eat a minimum of three servings of vegetables and two servings of fruit every day. This makes up the five-a-day recommended by the USDA’s Dietary Guidelines for Americans. In general, one serving is a single piece of fruit or a half-cup of raw fruits or vegetables, or a cup of leafy greens.

Include fruits, vegetables, or both with every meal. For instance, include fruit with breakfast and as a snack, and vegetables with lunch and dinner.

Eat pulses (the seeds of plants in the legume family), such as beans, lentils, and peas, at least three times a week. You can include them either as a plant-based protein in meatless dishes, or as the starch side in place of grains. For example, you could have fish on a bed of lentils rather than rice.

Rely on nuts, seeds, and fruit for snacks. Or add them to other items like yogurt, oatmeal, salads, and stir-fries.

Replace refined grains like white rice with whole grains like brown rice, wild rice, or bulgur. For pasta, look for versions made from quinoa or pulses like chickpeas and lentils.

Check nutrition fact labels for the amount of dietary fiber. Aim for at least 5 grams of fiber per serving.

Be careful about eating a lot of fiber at once. Overdoing it can cause gas, bloating, diarrhea, and abdominal cramps as your gut bacteria try to process all the new fiber. These problems go away after a while as your digestive system gets used to the higher fiber levels, but you can avoid them by adding extra fiber gradually to your diet. 

Τry to add just one more serving of a high-fiber food to your daily diet for a week, then see how your body feels. Give yourself another week, if needed. If everything is okay, add another daily serving for a week. Continue this pattern until you reach your daily quota of fiber.

Μake sure to drink plenty of fluids each day—about 16 ounces of water, four times a day. Increasing the water you drink can help fiber pass through your digestive system and avoid stomach distress.

Balance exercises for disabled

Balance is important because it allows us to stand, walk, perform everyday tasks, and maintain ideal posture, without injuring ourselves. Balance is more important for disabled, as it can help prevent fall-related injuries and promote healthy, independent living. .

Exercise 

Single-Leg Stand 

Aim is a simple straightforward unilateral strength training exercise. 

Instructions

1.From a standing position, lift your right foot off the floor and hold.

2.Hold this position for the desired duration, then place your foot back down.

3.Lift your left foot and repeat.

Tree Pose 

Aim provides more muscle activation, and improves body awareness

Instructions

  • From a standing position, lift your right foot off the floor. 
  • Place the bottom of your foot on the inside of your left leg either next to or above your left knee using your right hand.
  • Raise your hands directly over your head and hold the position.
  • Slowly return to the starting position. Now, repeat the movement but, this time, bring your left foot next to or above your right knee using your left hand.

Single-Leg Reach 

Aim increase the challenge and the activation in your upper body and core.

Instructions

1.Stand with your feet together.

2.Bend one knee, then slowly lift the foot of your opposite leg off the floor, raising the leg behind you. Simultaneously bring your arms over your head and lower your chest toward the floor.

3.Continue until your chest is nearly parallel with the floor. Maintain a straight line from your fingers to the foot of your raised leg while keeping your working knee bent.

4.Slowly return to the starting position, place your foot back down on the floor, switch legs, and repeat.

Heel-To-Toe Walking

Aim basic balance movement that stabilize muscles helping  the person from falling 

Instructions 

1.From a standing position, slowly walk forward by placing one foot in front of the other. The heel of your moving foot should touch the toes of your resting foot as you move, thus the name “heel-to-toe” walking.

2.Keep your eyes fixed ahead, your posture tall, and your arms extended to the sides for balance, if needed.

3.Walk for the desired distance, then rest

Triplanar Toe Taps

Aim engage various lower body muscles, like the hip flexor and glutes, to build hip stability and overall balance. 

Instructions

1.Stand with your feet together and your knees slightly bent. We can use resistance band warping  it around your thighs just above the knees.

2.Step forward with your right leg, then bring it back to center. Repeat for the desired number of reps, then switch sides and repeat the set.

3.Step to the side with your right leg, then bring it back to center. Repeat for the desired number of reps, then switch sides and repeat the set.

4.Step back with your right leg, then bring it back to center. Repeat for the desired number of reps, then switch sides and repeat the set.

Standing Elbow-To-Knee

Aim  minimize the stress on  lower back and helping in the building of  balance

Instructions 

1.Stand with your feet shoulder-width apart and your hands clasped behind your head.

2.Bring your right knee to your left elbow, squeezing your abs at the end of the movement.

3.Return to the starting position, then bring your left knee to your right elbow.

4.Repeat each side for the desired number of repetitions

Single-Leg Sit-To-Stand 

Aim physical  exercise used by physical therapists to strength/  rehab the knee joint.

Instructions

1.Place a chair on a non-slip surface or against a wall so it doesn’t slide. Start from a seated position.

2.Place the heel of your non-working leg on the floor for support. If your current fitness level allows for it, you can lift the foot altogether.

3.Drive the heel of the other leg into the floor to stand up.

4.Slowly lower yourself back onto your chair.

4.Repeat as needed for sets and reps.