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UK Coaching Team
16
Inclusive

Coaching Manual Wheelchair Users

Advice on how to adapt sessions using the STEPS principle

The STEPS principle (Space, Task, Equipment, People and Safety) provides guidance on how to make your sessions more inclusive.

Every coach should modify their areas of focus according to the skills, abilities and needs of the individuals in the group. The STEPS framework will help you do just that, with the five letters representing these explicit areas of focus.

Some adaptations and safety considerations are given below that, put into practice, will allow manual wheelchair users to feel included in sessions.

  • What is the effect of the size of the play area chosen?
  • Can you change the surface so it is suitable for a wheelchair user?
  • Is the facility accessible, including access to toilets and changing rooms?
  • Decrease targets and distances to make things easier.
  • Working in zones enables people of similar ability to be matched.
  • Is there room to move around?
  • Can you use a tackle-free zone?
  • Ensure the demonstrations/communication methods used will enable understanding.
  • Adapt rules for the whole group or for individuals.
  • Adapt the task for some participants so they can use adapted equipment.
  • Choose a sport/task that is accessible to all; for example, avoid high jump or run parallel with another accessible activity.
  • Recognise rule changes; for example in:

–    tennis, allow two bounces of the ball
–    basketball, allow two touches of wheels before having to bounce or pass the ball
–    table tennis, ensure the other player plays seated.
 

  • Size – a larger ball is easier to hit and receive in racket sports.
  • Size – a smaller ball is easier to handle in some sports.
  • Size – can you make the length of a handle shorter/longer on a racket/bat?
  • Make the grip size smaller or larger to suit the participant’s needs.
  • Size – can you reduce the height of targets (eg a lower badminton net)?
  • Is sport-specific specialist equipment available (eg wheelchair football attachment)?
  • Does the wheelchair have an anti-tip fitted?
  • Ensure group dynamics – working in pairs and small groups.
  • Vary groups – use mixed-ability groups and similar pairings, and ensure these are not the same for every session.
  • Select team roles carefully – to challenge but not to frustrate.
  • Let them try – never assume they can’t do it, and work with them on adaptations; what works and what doesn’t?
  • As a coach, your position is important for people to hear and see.
  • As a coach, develop your demonstration skills to include wheelchair users.
     
  • Know your individual/group, their ability and potential.
  • Know what precautionary action to take (eg medical, behavioural).
  • Be aware of further potential heat loss and dehydration with some groups.
  • With wheelchair users, be aware of additional space for run-offs and potential hazards (eg nets/walls).

While there are common characteristics for this impairment, every manual wheelchair user is different and it is recommended you ask the participants before the session what coaching considerations may apply to them.

  • Be aware and minimise risk of common injuries from propelling the wheelchair such as blisters, abrasions and lacerations.
  • Check participants’ range of movement; they may, for example, find it difficult to raise their arms above their head.
  • There is a common assumption that if a participant is in a wheelchair, they cannot bear weight on their legs. Participants may be able to bear weight, depending on their impairment.
  • Participants may tire easily during a session due to their lack of motor skill efficiency.
  • Participants may struggle with temperature regulation – both hot and cold. For example, a tetraplegic (quadriplegic) may not be able to perspire and will, therefore, require water to be sprayed on them to avoid overheating.
  • Make sure participants take in plenty of fluid during sessions.
  • There may be a decrease in a participant’s range of movement due to, for example, a rod in the spine.
  • Be aware of hot and cold surfaces, as participants may have lack of sensation in their touch.
  • There is the potential for damage such as cuts and bruises below their lesion due to lack of sensation.
  • Be aware that some participants may require equipment for bowel and bladder control.
  • Participants may have a decreased breathing efficiency due to only their diaphragm supporting their breathing (tetraplegic/quadriplegic).
  • If transferring to a different wheelchair or sporting equipment (throwing frame/handcycle), participants should do this independently or with the help of a parent/guardian/personal assistant, or with a trained individual. With higher levels of impairment, a hoist may be required for transfer.
  •  If participants are not using a sports wheelchair, they may not have an anti-tip system fitted to their chair. If this is an option on their chair, ensure it is fitted. If no anti-tip is fitted, reduce the risk of the chair tipping back during an activity (eg by reducing speed and quick turns) as this may cause head injuries.

Strapping is useful to help improve sitting balance for wheelchair users, particularly:

  • spinal cord foot straps to keep feet on footplate when turning
  • knee strap to keep central in chair
  • lap strap to secure hips to be at one with the chair
  • waist strap to give core balance.

Straps can be varied, but for beginners simple Velcro straps work quickly and effectively and provide security and confidence when playing sport.

Similarly, taping/strapping for  those with upper limb impairments enable rackets to be held securely (eg, table tennis/tennis/badminton) and gloves with tactile surface and textured push rims enable those with upper limb impairments to push more effectively.

The following information has been written by those with a great deal of experience in this area. The information is provided as guidance only, allowing you to be more informed in your approach to being a more inclusive coach. No two people are the same; as such, please ensure your first step is always to speak to the person – understand their abilities and goals, and never assume.

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UK Coaching Team