Effects of scuba diving programmed classes on Bosnian war veterans with amputations

Öz

Aim: Diving is an ideal sport for almost all people with physical disabilities, and therefore, has been increasingly popular as a way of rehabilitation for such people. The aim of this study was to determine the attainment of the elements of diving techniques, and the effects of programmed instruction of diving on the psychosocial status of war veterans with amputations.

Materials and Methods: The study was conducted on a sample of 12 male participants. In order to assess the psychosocial status of the applied sample, five different psychological scales were implemented before and after the diving training. Data analysis was performed using parametric and nonparametric statistics. 

Results: After the three-week diving program, results show that the distribution of data has changed and is in favour of the final measurement. There is a statistically significant difference between initial and final measurements given that the Z = -3.06 index is significant at the level of (p < 0.01)adopted the elements of diving technique. The results indicate that in patients with amputations, there has been an improvement in the Perception of Social Support.

Conclusion: The study showed that after a three-week programmed diving training, the quality of life of people with disabilities has improved and they adopted elements of diving techniques. This shows that people with disabilities are as well qualified for recreational diving when accompanied by a diving instructor, which again suggests that disability in and under water does not represent a barrier for recreational underwater activities.

Anahtar Kelimeler

• Disability,Psychosocial,Amputation,Veterans

Kaynakça

1. Bosco, G., Rizzato, A., Moon, R. E., & Camporesi, E. M. (2018). Environmental Physiology and Diving Medicine. Frontiers in Psychology, 9. https://doi.org/10.3389/fpsyg.2018.00072
2. Breakey, J. W. (1997). Body image: the lower-limb amputee. JPO: Journal of Prosthetics and Orthotics, 9(2), 58–66.
3. Buning, M. E., & Schmeler, M. R. (1999). Effects of the Transition to Powered Mobility on Occupational Performance, 20.
4. Cantor, N. L. (1972). A Patient’s Decision to Decline Life-Saving Medical Treatment: Bodily Integrity versus the Preservation of Life. Rutgers Law Review, 26, 228.
5. Carin-Levy, G., & Jones, D. (2007). Psychosocial Aspects of Scuba Diving for People with Physical Disabilities: An Occupational Science Perspective. Canadian Journal of Occupational Therapy, 74(1), 6–14. https://doi.org/10.2182/cjot.06.07.
6. Cheng, J., & Diamond, M. (2005). SCUBA Diving for Individuals with Disabilities. American Journal of Physical Medicine & Rehabilitation, 84 (5), 369. https://doi.org/10.1097/01.PHM.0000159974.01251.E2.
7. Compton, D. M., Eisenman, P. A., & Henderson, H. L. (1989). Exercise and Fitness for Persons with Disabilities. Sports Medicine, 7(3), 150–162. https://doi.org/10.2165/00007256-198907030-00002
8. Fleming, N., & Melemed, Y. (1977). Report of a scuba diving training course for paraplegics and double leg amputees with an assessment of physiological and rehabilitation factors. SPUMS Journal of the South Pacific Underwater Medicine Society.MS, 7(1), 1. http://archive.rubicon-foundation.org/xmlui/handle/123456789/6132?show=full.

9. Gallagher, P., & MacLachlan, M. (2004). The Trinity amputation and prosthesis experience scales and quality of life in people with lower-limb amputation 11No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the author(s) or on any organization with which the author(s) is/are associated. Archives of Physical Medicine and Rehabilitation, 85(5), 730–736. https://doi.org/10.1016/j.apmr.2003.07.009
10. Gempp, E., Lyard, M., & Louge, P. (2017). Reliability of right-to-left shunt screening in the prevention of scuba diving related-decompression sickness. International Journal of Cardiology, 248, 155–158. https://doi.org/10.1016/j.ijcard.2017.08.059
11. Griffiths, T. J., Steel, D. H., & Vaccaro, P. (1979). Relationship between Anxiety and Performance in Scuba Diving. Perceptual and Motor Skills, 48(3), 1009–1010. https://doi.org/10.2466/pms.1979.48.3.1009
12. Guttmann, M. (1976). The link between equilibrium segregation and precipitation in ternary solutions exhibiting temper embrittlement. Metal Science, 10(10), 337–341. https://doi.org/10.1179/030634576790431390
13. Harvey, D., Pollock, N. W., Gant, N., Hart, J., Mesley, P., & Mitchell, S. J. (2016). The duration of two carbon dioxide absorbents in a closed-circuit rebreather diving system, 46(2), 6.
14. Kovacs, C. R., & Walter, D. (2015). Scuba Diving and Kinesiology: Development of an Academic Program. Journal of Physical Education, Recreation & Dance, 86(3), 12–17. https://doi.org/10.1080/07303084.2014.998394.
15. Laferrier, J. Z., Teodorski, E., & Cooper, R. A. (2015). Investigation of the Impact of Sports, Exercise, and Recreation Participation on Psychosocial Outcomes in a Population of Veterans with Disabilities: A Cross-sectional Study. American Journal of Physical Medicine & Rehabilitation, 94(12), 1026. https://doi.org/10.1097/PHM.0000000000000263.
16. Levy, A. R., Polman, R. C. J., Clough, P. J., Marchant, D. C., & Earle, K. (2006). Mental Toughness as a Determinant of Beliefs, Pain, and Adherence in Sport Injury Rehabilitation. Journal of Sport Rehabilitation, 15(3), 245–254. https://doi.org/10.1123/jsr.15.3.245
17. Lucrezi, S., Egi, S. M., Pieri, M., Burman, F., Ozyigit, T., Cialoni, D., Saayman, M. (2018). Safety Priorities and Underestimations in Recreational Scuba Diving Operations: A European Study Supporting the Implementation of New Risk Management Programmes. Frontiers in Psychology, 9. https://doi.org/10.3389/fpsyg.2018.00383
18. Nagi, S. Z., & Hadley, L. W. (1972). Disability Behavior: Income Change and Motivation to Work. ILR Review, 25(2), 223–233. https://doi.org/10.1177/001979397202500206
19. Noreau, L., & Shephard, R. J. (1995). Spinal Cord Injury, Exercise and Quality of Life. Sports Medicine, 20(4), 226–250. https://doi.org/10.2165/00007256-199520040-00003
20. Papadopoulou, V., Germonpré, P., Cosgrove, D., Eckersley, R. J., Dayton, P. A., Obeid, G., Balestra, C. (2018). Variability in circulating gas emboli after a same scuba diving exposure. European Journal of Applied Physiology, 118(6), 1255–1264. https://doi.org/10.1007/s00421-018-3854-7
21. Patkiewicz, J. (2015). The specificity of diving of the disabled. Physiotherapy, 23(3), 34–39. https://doi.org/10.1515/physio-2015-0017
22. Rosenberg, M. (1965). Rosenberg self-esteem scale (RSE). Acceptance and Commitment Therapy. Measures Package, 61, 52.
23. Seymour, R. (2002). Prosthetics and Orthotics: Lower Limb and Spinal. Lippincott Williams & Wilkins.
24. Shontz, F. C. (1974). Body Image and its Disorders. The International Journal of Psychiatry in Medicine, 5(4), 461–472. https://doi.org/10.2190/RK8P-RR62-UV6W-B31L
25. Sturgess, C. E. N., & Clatworthy, M. C. (1981). A scuba diving acquaintance course for the severely disabled. South Pacific Underwater Medicine Society Journal, 11, 27–31.
26. Van de Meent, H., Hopman, M. T., & Frölke, J. P. (2013). Walking Ability and Quality of Life in Subjects with Transfemoral Amputation: A Comparison of Osseointegration With Socket Prostheses. Archives of Physical Medicine and Rehabilitation, 94(11), 2174–2178. https://doi.org/10.1016/j.apmr.2013.05.020
27. Williamson, J. A., McDonald, F. W., Galligan, E. A., Baker, P. G., & Hammond, C. T. (1984). Selection and training of disabled persons for scuba-diving. Medical and psychological aspects. The Medical Journal of Australia, 141(7), 414–418.
28. Zidarov, D., Swaine, B., & Gauthier-Gagnon, C. (2009). Quality of Life of Persons with Lower-Limb Amputation During Rehabilitation and at 3-Month Follow-Up. Archives of Physical Medicine and Rehabilitation, 90(4), 634–645. https://doi.org/10.1016/j.apmr.2008.11.003
29. Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52(1), 30–41.
30. Zung, William W. (1971). A rating instrument for anxiety disorders. Psychosomatics: Journal of Consultation and Liaison Psychiatry.
31. Zung, William WK. (1965). A self-rating depression scale. Archives of General Psychiatry, 12(1), 63–70.