Abstract des Autors

Der Rollstuhlsport stellt einen Teilbereich des Behindertensportes dar. Behindertengerechte Sportarten beinhalten physiologische, spezifische Bewegungsabläufe der erhaltenen Funktionen. Restfunktionen werden gestärkt und Ausgleichsbewegungen trainiert. Eine Verstärkung der Behinderung ist dabei unwahrscheinlich. Das Verletzungsrisiko ist sportartspezifisch und durch die Behinderung nicht erhöht. Der betreuende Arzt von Rollstuhlsportlern sollte über Kenntnisse der sportartspezifischen Bewegungen, der Behinderung und deren spezifischen Komplikationen verfügen. Die genaue Untersuchung der unsensiblen Körperbereiche ist bei einer Verletzung/Unfall essentiell. Bei geringstem Zweifel sollte ein Röntgenbild zum Frakturausschluss durchgeführt werden. Verf.-Referat

Abstract des Autors

Wheelchair sports is only a part of all the different sports that are practiced by handicapped persons. The sport performed by a handicapped person should take care of the residual functions to guarantee that the specific movement is physiologic. Under this conditions the residual functions get stronger, compensation movements are trained and then an amplification of the handicap is unlikely. The risk of an injury is sports specific and not elevated by the handicap. Beside the knowledge of the sport specific movements of the wheelchair sportsmen it is important to know the possible medical like dehydration, hypo-/hyperthermia, decubital ulcers and autonomic hyperreflexia. After an crash or fall out of the wheelchair the clinical examination of the parts without sensibility is essential. In any case of doubt of a fracture an X-ray should be done. Wheelchair sports is only a part of all the different sports that are practiced by handicapped persons. The sport performed by a handicapped person should take care of the residual functions to guarantee that the specific movement is physiologic. Under this conditions the residual functions get stronger, compensation movements are trained and then an amplification of the handicap is unlikely. The risk of an injury is sports specific and not elevated by the handicap. Beside the knowledge of the sport specific movements of the wheelchair sportsmen it is important to know the possible medical like dehydration, hypo-/hyperthermia, decubital ulcers and autonomic hyperreflexia. After an crash or fall out of the wheelchair the clinical examination of the parts without sensibility is essential. In any case of doubt of a fracture an X-ray should be done. Verf.-Referat