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December 2004 Vol.6 No.11   Conference/Workshop Calendar
 Editor's Note

Dear Readers:

The holiday season is upon us. In keeping with the theme this month on “Holiday Celebrations and Staying Healthy,” three mini-articles are being presented.

The first, "Adapted Holiday Games, Sports, Arts n’ Crafts, and Events," presents a list of commonly known activities that can be adapted for holiday celebrations, and can be easily adapted for working with students of varying ages and abilities.

The second mini-article, Adapted Physical Education National Standards (APENS), provides readers with the most current information about APENS and about how our readers can become certified adapted physical educators (CAPEs). All adapted physical educators are welcomed and encouraged to become CAPEs. The confidence gained from knowing your teaching is competent, current, and appropriate helps you provide the best teaching possible for our students, while helping to professionally advance our field.

And finally - with the allergy, cold, and flu season now upon us - included is an overview on "Exercise Induced Asthma." Of course, a critical treatment component for maximum health with this condition is to become as physically fit as possible. Certainly any CAPEs in your area can provide further assistance with these topics, as well as many others.

So, we hope you enjoy our “Holiday Celebrations and Staying Healthy” issue for this month!

Happy Holidays to ALL!

Chris Stopka
Adapted Section Editor

 Article One
Adapted Holiday Games, Sports,
Arts n' Crafts, and Events

By: Kellie Rosslow, Margaux Hemstreet, Christine Stopka, Charis Brown, Jennifer Blay, Travis Broome, Lilly Chang, Amber Keumurian, Christine Minnix, Abbi Lane, Ian Dyar

Common, everyday games or events can be fit to any season or holiday, as well as be adapted to include everyone. Most of these suggestions require little or no further modifications for children with disabilities. The items used are generally light-weight, relatively easy to handle, colorful, and motivating.

The following is a list of adapted, seasonal games, sports, arts and crafts, and events:

GAMES
Bean Bag Toss
Bean bags tossed through holes in cutouts of trees, snowflakes, turkey, etc.
Wreath used as target to throw “snow balls” (Styrofoam balls) through
Cornucopia used as target in which to throw little pumpkins, plastic vegetables, etc.
Egg toss
Miniature pumpkin toss
Wreath (eg., tissue paper wreaths) toss
Toss other items such as rolled up socks colored for the season
Snowball toss (Styrofoam ball or shaved ice)
Bobbing for apples
Bobbing for candy buried in whipped cream
Bobbing for marshmallows or doughnuts suspended in the air from string or candy rope (for those unable or uncomfortable using their mouth, they can use their hands for the following:)
Hiding pine cones, snowballs (styrofoam balls) or marshmallows in a bucket filled with fake snow
Little pumpkins hidden in a bucket filled with Easter grass
Volleyball
Balloon volleyball (fall/winter colored balloons); lighter weight, slower moving, highly motivating for everyone. Beach balls work. Also try the lightweight grocery store ball which follow a more predictable path
Scavenger hunt
Winter wonderland-tree, snowman, snowflake cut-outs, etc. with clues written on them to find a large hidden item
Harvest festival-pumpkin, cornucopia, turkeys cut-outs, etc. with clues written on them to find a large hidden item
Treasure Hunt: hide treats in a treasure chest and let kids dig through it
Scavenger hunt for multiple hidden “winter or fall” items.
  * Items to find: Candy corn, pumpkin candies, peppermints, candy canes, “holiday colored” M&Ms
Board games
Make them LIFE SIZE
  * Example games: chess, dominoes, Candyland (with food), Chutes and Ladders, etc
Musical chairs
Add holiday music for festive touch…
  * But do not use the “elimination” rule; just play the music and stop it to give the opportunity for the children to end up on different chairs/stations…
Have designs on the chairs, such as animals, or seasonal objects (like stars, candy canes, etc.,) so the children will end up sitting on different chairs (or stations if they are in wheelchairs) at the end of each musical section.
Bingo
Fruit loop bingo: fruit loops used as bingo chips or any other treat that helps to represent the season
  * Example treats: candy corn, pumpkin candy, peppermints, “holiday colored” M&Ms
Contests
Pumpkin seed shooting contest
Gift wrapping contest
Pie eating contest

SPORTS
Horse (basketball)
Change 'horse' to holiday appropriate words (star, snow, flake, etc.)
Lower baskets, use light weight balls, or beeping balls and buzzing targets, if needed, based on the needs of various disabilities.
Tee ball
Fall-pumpkin colored ball, with cluster of leaves as bases
Winter-white colored ball, with wrapped gifts as bases
Hockey
Instead of using hockey puck use pumpkins or Styrofoam “snow balls”
Relay races
Baton relay with holiday related items (candy canes) or clothing (mittens, caps, scarves, jackets, etc.)
Turkey/Snowman Stuff-stuff shirt/coat with as many balls as possible, tag partner or team member and repeat
Hurry for Harvest: cornucopia at end of relay. Use vegetables as relay items to fill cornucopia
Dressing Frosty: snowman cutout; body parts of snowman are relay items; race to end to dress Frosty
Stress the joy of participating, rather than the competitive aspects, as needed, depending upon the children participating
Bowling
Instead of “normal” bowling pins use wrapped gifts, pine cones, little holiday trees, paint “normal” bowling pins with red stripes to look like candy canes, etc.
Soccer
North Pole Soccer: spray paint a small area of grass white and set up a goal in the shape of an igloo, then have the child kick a ball through the igloos for a prize
Fishing
Ice fishin’: get a plastic fishin’ pole and let the child cast over a barrier. On the other side of the barrier have a person put a prize on the end of the line, then let the child reel it in and find prize attached

ARTS & CRAFTS
With food
Mashed potato or marshmallow snowmen
Holiday cookie decorating (giant class cookie or large individual cookies)
Make pictures with food items (gumdrops, marshmallows, pretzel sticks, sugar cubes, etc.)
Whipped cream for finger painting on desks
Threading popcorn or cranberries for decoration
Without food
Paper chains (competition for longest)
Paint/Draw huge banner (chalk can go on bottom of chairs) with Fall/Winter theme
Potato or sponge stamping (can attach cutout potato slices or sponges to mittens or socks to go over hands)
Giant leaf or gift wrap collage
Puzzle piece decorating (when put together can be a “Winter,” “Holiday,” or “Harvest” themed item or scene)
Pumpkin carving

EVENTS
Fall Harvest or Winter Wonderland dance
Fall/Winter Festival
  * These events can include any or all of the above activity suggestions

NOW EVERYONE CAN HAVE HOLIDAY FUN!

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 Article Two

Adapted Physical Education National Standards: an Important Update for Everyone in the Adapted Physical Education Field
By: Tim Davis and Christine Stopka

APENS Exam UPDATE!
APENS is now housed at the State University of New York, Cortland, under the leadership of Dr. Tim Davis. If you are a current CAPE (Certified Adapted Physical Educator) and in need of re-certification materials, or would like to become a CAPE and are interested in taking the APENS National Exam, please contact Tim Davis, or the APENS office at 1-(888) APENS-EXAM or (607) 753-4969.
Speed Stacks
Updated Web Site!
Announcing our new web site: http://www.cortland.edu/APENS/ - please visit our new site for the latest information and applications. The new site has a complete listing of the APENS standards with a brief description of each, along with information on how to secure a study guide and manuscript on “How to make CAPE work for you!” We love feedback! So please feel free to email the APENS staff at APENS@cortland.edu. Let us know your Adapted Physical Education concerns, needs, interests, questions, etc! We’re here for you!

State Coordinators Needed!
If you are a current CAPE and a member of the NCPERID….APENS is looking for STATE COORDINATORS! If you are interested, your role will be to share our vision by helping to put “a CAPE in every district in the country”!

Over 14,000 public school districts serve the approximate 5.2 million children with disabilities in the United States. APENS is concerned that for so many of those children, qualified Adapted Physical Educators are not available, or possible for the district to hire. Therefore, general Physical Educators are often left to manage with little or no experience, or training. In addition, the majority of states do not offer a certification in Adapted Physical Education, or require certification to teach Adapted Physical Education.

CAPE Update!
The 15 Adapted PE National Standards (APENS), detailing the comprehensive knowledge Adapted Physical Educators need to know, is available for Adapted Physical Education and general Physical Education teachers to review, study, and demonstrate by sitting for the APENS exam, and thus earn their CAPE (Certified Adapted Physical Educator) certification.

If a district is unable to hire or find a qualified Adapted Physical Educator, they should at least provide the opportunity for an existing general Physical Educator to learn the 15 Standards and demonstrate that knowledge by taking the APENS exam, and thus become CAPEs.
In addition we are developing Adapted Physical Education “STATE MAPS.” These are one page comprehensive “fact sheets” about Adapted Physical Education that we can share at local and state conferences, with parents, advocates, and administrators. The links are listed on the APENS web site!

Join the National Movement!
Join the movement be a part of a national unified voice for all Adapted Physical Educators by taking the APENS National Certification Exam. The APENS are the conceptual framework (comprised of 15 standards) used to define the professional knowledge content and skills for Adapted Physical Educators.

The national certification exam, sanctioned by the National Consortium for Physical Education and Recreation for Individuals with Disabilities (NCPERID), is composed of 100 multiple choice items designed to measure a teacher’s knowledge base according to the APENS. A comprehensive website exists for the APENS Project (http://www.cortland.edu/APENS). Applications for the exam can be downloaded from the website, or can be obtained by contacting:

Dr. Timothy D. Davis,
E253 Park Center, SUNY Cortland,
Cortland, NY 13077.
Phone: (607) 753-4969.
Email: APENS@cortland.edu or Davist@cortland.edu.

National Exam Dates:
Current Exam Schedule for 2004-05:
AAHPERD – Chicago, IL – Tentative: Saturday, April 16, 2005, 9am - 12 noon. Walk-ins Welcome!

Nation-wide, at a site near you: June 4, 2005, Saturday 9:00 AM. Application Deadline April 30th.

Please contact us for more information regarding national test dates.

GO APENS!

 Article Three

Exercise Induced Asthma in Children
By: Heather Hamlin and Christine Stopka

Introduction
What is exercise induced asthma? It’s an asthma attack that occurs at the start of exercising, and is a condition that is prevalent for many children.

“Exercise induced asthma (EIA) affects about 40-90% of children with asthma, and occurs when a child’s asthma is triggered by exercise or physical activities” (1). However, this doesn’t mean that children with this condition are not capable of exercise. To take away exercise, or play from a child, would severely limit their development and hinder their growth both mentally and physically. Children with asthma have to be more cautious than others when it comes to physical activity and exercise, but in no way do they have to put a stop to it. It may seem contradictory, but the best thing for a child to do who has exercise induced asthma…is to be active!
Nutripoints
The principal message
In a nutshell…this is how it works…

Exercise induced asthma occurs when a person exercises at about 80% of their physiological capacity for at least 5-7 minutes. So, if the child is un-trained, most any physical activity, even for a brief amount of time, can cause an attack. However, if the child is physically fit…the child has a far greater work capacity. The greater their work capacity…the less chance they have of having an attack due to an exercise activity, as most exercise activities will be well under the physiological limits that cause an attack! So, the best way to prevent an attack is to be in the best physical shape possible.

To get in shape, the training program should be gradual. Some children even have to start with intermittent (start/stop) activities, to ensure enough rest between the movements; but as the child improves in training, continuous, endurance activities are indicated.

Warm, humid air, is better than cold, dry air; thus swimming is a sport of choice for children with asthma. Indeed, in the 1996 Olympics, as many U.S. athletes with asthma won as many medals as their asthma-free counterparts! They got into swimming as children due to their physicians’ recommendations to participate in this activity to treat (minimize the effects of) their asthma.

Background
Asthma is a disorder of the respiratory system, and can cause severely troubled breathing, or “dyspnea.” “Asthma is a disease. More specifically, it is an inflammatory disorder of the lungs that causes obstruction due to narrowing of the bronchial tubes in the lung, and because that is not enough, there is an added bonus of mucus and fluid production. Wheezing, coughing, chest tightness, and sputum production are the classical symptoms of asthma” (5).

Asthma attacks can be fatal, and there is always a constant possibility of having an attack for those who do have it, especially for children who like to be active outside where there is pollen and dirt. Allergens, chemical irritants, and dust particles in the air, all which can get trapped in the lungs, can set the stage for an attack to occur. Asthma may be a limiting disorder, but in no way is it an excuse for a child to be excluded from activities and exercise. All that's needed is a slight modification.

Treatments
Treatments for exercise induced asthma in children consists of several different options. Most children can be treated with a short acting inhaler prior to physical activities, which can help prevent asthma for several hours. There are also anti-inflammatory medications that can be taken prior to activity, as well, that can help prevent an attack. Other inhaled medications may be needed to treat/minimize the effects of an attack if one does occur.

continued top of column three...

 Contribute Your Ideas
If you have ideas, comments, letters to share, or questions about particular topics, please email one of the following Adapted PE Section Editors:

Chris Stopka
Ph.D., U of Florida
Sue Tarr
Ph.D., U.Wis-River Falls
Phillip Conaster
Brent Hardin

 Article Three

continued from previous column...

However, the most optimal treatment for children with exercise induced asthma is simply physical activity. Treatments should be individualized for each child, with physician recommendations, including which types of physical activities are best. Some activities can cause an asthma attack easier than others (such as running in cold, dry air, without proper training), but if properly assessed, well controlled, and prevention is used consistently, the child should have fewer problems engaging in the activity of his or her choice.

Children with asthma don’t have to be limited to activities that may not interest them. “Asthma doesn’t have to keep your child out of the game. The right treatments can usually prevent asthma attacks in any sport” (4). Encouraging physical activity and exercise can greatly help a child cope with their asthma.

Getting Active
There are numerous physical activities in which children with exercise induced asthma can participate, but it does require a huge responsibility on their part to be in control of their disorder. It is very important for children with asthma to continue to stay active and be healthy, along with taking the appropriate steps in protecting themselves.
Sporttime
Exercise and physical activity cannot be stressed enough in the prevention of asthma in children. Exercise doesn’t have to be boring or routine, just running around outside in the yard with a ball, riding a bike or taking a hike on a dirt trail can prove to have huge rewards. “A few simple changes in your child’s exercise routine can also help prevent attacks. Encourage them to warm up by walking, stretching and briefly running in place before exercising” (4).

Making exercise and physical activity fun for children with asthma will make it easier for them to want to stay active and take the necessary precautions to keep their asthma under control. Not only that, but it can help show children that they can participate in what they want to do, and not feel as though they are limited by their disorder.

Swimming
Swimming is an activity that can be extremely beneficial to a person with asthma. It doesn’t require much effort, but is an active and fun way to work out. Swimming can be for competition, or for just recreational fun.

There are many different setting for swimming, whether it is the beach, a pool, or a lake in the backyard. It is a wonderful form of exercise and a great way to also enjoy the outdoors. It is one of the best exercises that children with asthma can participate in because “Swimming works more muscle groups at once than any other sport. An aerobic exercise, swimming is great for cardiovascular and pulmonary systems” (3).

Swimming is a wonderful exercise for anyone, not just for children with asthma, and if done on a consistent basis it can improve one’s health greatly. Swimming is the optimal exercise for children with asthma because it is an environment least likely to bring on an attack. “Swimming…which is done in a humid environment, rarely bring on attacks” (4).

Its non-weight bearing characteristic reduces the stress to heart and lungs. The water is a great place to play because it offers so much variety of fun. Snorkeling, scuba diving, and even surfing, are great activities that can be done in the water, and offer a change of pace from the normal laps or recreational splashing around. Swimming can help improve self-esteem in children with asthma because it’s an activity that a child of any age, or size, can participate in and enjoy.
Digiwalker
Biking
Another great outdoor activity for children who have asthma is bike riding. Bicycling, a non-weight bearing activity is also less likely to stir up an attack.

Today there are so many different type of bikes that almost anyone of any age, size, shape and handicap can find one to fit their needs. Bicycling is great exercise, and can be a lot of fun for children of any age because there isn’t anywhere you can’t go on a bike.

“Many cities have bike paths that pass through their most scenic areas. A day trip of site-seeing is easier on a bike since more distance can be covered with less energy expenditure than walking, and a bike can be equipped to carry almost anything you need from medications to cell phone, to a picnic lunch” (2).

Riding a bike can turn into a great family even, where the child is not only getting exercise, but also having one-on-one time with his/ her parents, helping to form a stronger bond.

Bicycling doesn’t have to be a strenuous activity either. Even just a ride around the neighborhood after dinner with parents each night can have an enormous impact on children's health, both physically and mentally. You can take them through dirt - go slow, go fast - the possibilities are limitless, which can help keep a child interested in staying active. There is a variety of places and things you can do on a bike, which can lead to a new adventure each day for a child, and at the same time keep him or her healthy.

Other activities of choice
The key to helping children stay active, especially children with exercise induced asthma, is to have the exercise be FUN! Children want to have fun and do activities they enjoy. That’s their main concern. Swimming and bicycling may be fun and provide health benefits, but not all children may find those activities enjoyable.

Some children love to play sports, even watch them. However, if a child has exercise induced asthma isn’t participating in a sport too dangerous? Of course not. There are sports that children with asthma play, and might even be better at it then some of their non-asthmatic teammates.

For example, soccer is a great sport that children with asthma can play, with just minor restrictions. There are some positions in soccer that require less continuous running, giving the child a break for their breathing to become normal again. Goalie is a great position for a child with asthma because there isn’t much running; it requires more thinking and reflexes then anything else.

Another, “asthma friendly” position is that of defense because it doesn’t require the child to run up and down the field in comparison to the position of a forward.

Participating in a sport can have an enormous affect on a child because it enables him/her to be an important asset to the team, gives him/her the opportunity to participate with his/her peers, and increase his/her strength and endurance. Soccer involves running, paying attention to the ball and fellow teammates, coordination for kicking the ball, and an understanding of the sports rules and strategies - all of which a child with asthma can do. Soccer is a sport that a child with asthma can easily play, given that the necessary precautions are taken into account, and at the same time gives the child a sense of self worth!

Summary
To summarize, exercise induced asthma doesn’t have to be a limiting disorder if its properly controlled and all the necessary preventive measures, including physician clearances, are observed. It’s extremely important for children with asthma to continually be active. The disorder should not be used as an excuse for a child to not exercise or take part in physical activities.

With the necessary knowledge, and determination, children with asthma can live to do anything a child without asthma can do, possibly even more. There are famous athletes who have asthma, but that didn’t prevent them from accomplishing their goals and working hard to achieve their dreams. “Jonna Zeiger is a world class triathlete and former Olympian who has exercise-induced asthma. She is living proof that asthma doesn’t have to stop you from achieving your goals…” (5).

There are scores of people with asthma who have won Olympic medals competing against others who didn’t have asthma. Jackie Joyner-Kersee, spokes-person for the Asthma Society of America, has asthma…and, she has won multiple Olympic track and field gold medals, and holds a world record in the long jump.

“Above all, encourage your child to stay active. Regular exercise is good for any child, asthma or no asthma. And, once your child controls his asthma on the basketball court or the soccer field, he’ll have the confidence to control it the rest of his life” (4).

Participating in physical activity and sports not only improves a child’s physical activities of strength, flexibility, and coordination skills, but also their social skills which can help give them a feeling of self worth. It’s vital for children with exercise induced asthma to learn how to exercise for the main purpose staying healthy. However, exercise may also increase their self confidence, and give them an overall balance between mind, body, and soul, which will help them succeed as they grow!

Works Cited
1. Exercise Induced Asthma
2. Rhoades, John. Asthma Friendly Sports-Bicycling
3. Rhoades, John. Asthma Friendly Sports-Swimming
4. Woolston, Chris. Asthma, sports, and Kids
5. Zieger, Joanna. Just For Kids: Dispelling the Myths of Exercise Induced Asthma

TWU
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