

A practical, real-world guide for clinicians helping patients return to kayaking safely after injury, disability or mobility limitations.
Adaptive Kayaking for Rehab & Recovery:
A Practical Guide for
Clinicians
WHAT'S INSIDE:
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Understand what an adaptive kayaking evaluation looks like in practice
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Learn how to choose the right adaptive kayaking equipment for different needs
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Explore a comprehensive list of adaptive kayaking equipment and common use cases
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See how adaptive equipment is typically installed and adjusted
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Learn from one family’s real-world experience and lessons learned along the way
WHY THIS GUIDE MATTERS
Adaptive kayaking can be a realistic, meaningful option for many patients—but only when the right supports are in place. This guide focuses on helping clinicians understand what to look for, how to think about equipment selection, and how adaptive solutions can reduce barriers so more people can safely enjoy time on the water.
Whether you’re new to adaptive paddling or simply want a clearer framework to guide conversations with patients, this resource is designed to be practical, approachable, and easy to apply.
DOWNLOAD THE GUIDE
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WHEN PATIENTS WANT TO RETURN TO KAYAKING -
BUT THEIR BODIES CAN'T
Kayaking is a meaningful activity tied to identity, mental health and time outdoors. Yet after injury, surgery or changes in mobility, many patients are told — directly or indirectly — that kayaking is no longer realistic.
Common barriers include:
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Shoulder pain or fear of re-injury
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Limited range of motion
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Grip or wrist weakness
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Paralysis
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Arthritis
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Fatigue and poor endurance
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Asymmetrical strength after stroke or neurological injury
As a result, patients often abandon kayaking without knowing adaptive options exist.
ADAPTIVE KAYAKING AS A RETURN-TO-ACTIVITY STRATEGY
Adaptive paddling support can help clinicians bridge the gap between:
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Rehabilitation progress, and
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Safe, confident participation in a valued activity
By supporting the weight of the paddle and reducing physical demand, adaptive systems allow patients to paddle:
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With less shoulder and joint strain
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Using smaller, controlled ranges of motion
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With improved stability and confidence
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Within their current tolerance
This guide focuses on clinical decision-making, not recreation programming.