A practical, real-world guide for clinicians helping clients 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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Why traditional kayaking often fails after injury
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Upper-extremity and shoulder considerations (including rotator cuff recovery)
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How supported paddling reduces load without eliminating movement
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When adaptive paddling may be appropriate after stroke, arthritis or injury
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A clinician-friendly comparison of adaptive paddle systems
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Real client and therapist experiences
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Practical guidance for safe introduction and progression
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Complementary client guide available
WHY THIS GUIDE MATTERS
Adaptive kayaking can be a realistic, meaningful option for many clients—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 clients, this resource is designed to be practical, approachable, and easy to apply.
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WHEN CLIENTS 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 people 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, clients 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 clients 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.