Diabetes. In general, swimmers with

Diabetes. In general, swimmers with diabetes need to follow physician’s advice with
respect to a regimen of exercise, nutrition, and medication to control blood sugar at safe
levels, and they should communicate that regimen to their coaches. Serious athletes
who engage in frequent, prolonged, or intense training may benefit from the information
available from the Diabetes, Exercise and Sports Association (http://www.diabetesexercise.org/).

 Poor balance. Slippery and uneven surfaces are especially problematic for swimmers
who have vision loss or impaired balance, as well as those who use mobility equipment
such as crutches, canes, or walkers. Keep pool decks as uncluttered and dry as possible
to help prevent injury.
 Skin care. Persons with spinal cord injuries typically lack sensation in the lower body.
Therefore they are prone to developing pressure sores (decubitus ulcers) from sitting in
one position too long. Skin irritations are also problematic for persons who have
amputations (the stump area may become irritated) and those who use braces (brace
components may rub against the skin). It should be the swimmer’s responsibility to
regularly check skin condition. Because open wounds can easily become infected,
persons with pressure sores or other open wounds should not swim until the wound is
healed. Some swimmers fail to disclose pressure sores or other open wounds because
of the likelihood they will not be allowed to swim under those circumstances – coaches
should be vigilant about this possibility.
 Lack of sensation. Because they typically lack sensation in the lower body, persons with
spinal cord injuries may sustain bruises, cuts, and other soft tissue injuries when the feet
or legs bump against hard surfaces. To avoid injury, swimmers should wear water shoes
when doing dry-land work, when transferring in or out of the pool, and in some cases
while swimming.
 Wheelchair transfer. Some wheelchair users need assistance transferring from the
wheelchair to a swimming pool lift or deck, or from other locations back to the
wheelchair. First, ask the person how s/he prefers to be helped. A few general principles
include moving the wheelchair as close as possible to the destination, clearing away any
clutter, locking the wheels, removing or repositioning armrests and footrests, and
involving two or more people in the lift. The lifter should use good body mechanics,
keeping the spine as erect as possible, and lifting by extending the legs.
 Shunts. Some swimmers with spina bifida, cerebral palsy, and dwarfism may have
shunts. A shunt is a narrow-diameter tube that moves excess cerebro-spinal fluid from
the brain to the abdomen. Swimmers with shunts should avoid diving, underwater
swimming, and blows to the head unless cleared by their physicians. Coaches should
report symptoms of shunt malfunction (e.g., nausea/vomiting, sensitivity to light,
dizziness, seizures, headache, drowsiness, behavior changes) to the swimmer or
parents.
 Thermoregulation. Thermoregulation problems refer to irregular body temperatures often
experienced by persons with higher-level spinal cord injuries. Swimmers with this
problem can lose body heat quickly in cold water or become overheated quickly in warm
environments. Swimmers prone to hypothermia should consider using full or partial
wetsuits when swimming, as well as warm showers, towels, parkas, and clothing after
exiting the water. Appropriate clothing, fans, and water spray can help cool the swimmer,
preventing hyperthermia in warm environments.
 Sun sensitivity. Some persons with disability (e.g., albinism) cannot tolerate sun
exposure, and others have difficulty applying sunscreen because of limited mobility.
These swimmers should consider using “rash shirts” and/or seek help to apply
sunscreen.
 Autonomic dysreflexia and boosting. Persons with spinal

Kết quả (Việt) 1:

Bệnh tiểu đường. Nói chung, bơi lội với bệnh tiểu đường cần phải làm theo lời khuyên của bác sĩ vớitôn trọng một chế độ tập thể dục, dinh dưỡng và thuốc để kiểm soát lượng đường trong máu tại Két an toàncấp, và họ cần giao tiếp đó chế độ để huấn luyện viên của họ. Vận động viên nghiêm trọngnhững người tham gia vào đào tạo thường xuyên, kéo dài, hoặc căng thẳng có thể hưởng lợi từ các thông tincó sẵn từ bệnh tiểu đường, tập thể dục và Hiệp hội thể thao (http://www.diabetesexercise.org/). Nghèo cân bằng. Bề mặt trơn và không đồng đều là đặc biệt là có vấn đề cho bơi lộinhững người đã mất thị lực hoặc gặp khó khăn cân bằng, cũng như những người sử dụng thiết bị di độngchẳng hạn như nạng, canes, hoặc đi bộ. Giữ cho sàn ngoài trời là gọn gàng và khô càng tốtđể giúp ngăn ngừa chấn thương. Chăm sóc da. Những người bị chấn thương dây cột sống thường thiếu cảm giác trong cơ thể thấp hơn.Do đó họ được dễ bị phát triển áp lực vết loét (decubitus loét) từ ngồi trongmột vị trí quá dài. Kích ứng da cũng là có vấn đề đối với những người cóamputations (vùng gốc có thể trở thành kích thích) và những người sử dụng niềng răng (đôithành phần có thể chà chống lại da). Nó nên là trách nhiệm của vận động viên bơithường xuyên kiểm tra tình trạng da. Vì vết thương mở có thể dễ dàng bị nhiễm,người có vết loét áp lực hoặc các vết thương mở không nên bơi cho đến khi vết thươngchữa lành. Một số bơi lội không tiết lộ các áp lực đau hoặc mở vết thương bởi vìcủa khả năng họ sẽ không được phép bơi dưới những hoàn cảnh-huấn luyện viênshould be vigilant about this possibility. Lack of sensation. Because they typically lack sensation in the lower body, persons withspinal cord injuries may sustain bruises, cuts, and other soft tissue injuries when the feetor legs bump against hard surfaces. To avoid injury, swimmers should wear water shoeswhen doing dry-land work, when transferring in or out of the pool, and in some caseswhile swimming. Wheelchair transfer. Some wheelchair users need assistance transferring from thewheelchair to a swimming pool lift or deck, or from other locations back to thewheelchair. First, ask the person how s/he prefers to be helped. A few general principlesinclude moving the wheelchair as close as possible to the destination, clearing away anyclutter, locking the wheels, removing or repositioning armrests and footrests, andinvolving two or more people in the lift. The lifter should use good body mechanics,keeping the spine as erect as possible, and lifting by extending the legs. Shunts. Some swimmers with spina bifida, cerebral palsy, and dwarfism may haveshunts. A shunt is a narrow-diameter tube that moves excess cerebro-spinal fluid fromthe brain to the abdomen. Swimmers with shunts should avoid diving, underwaterswimming, and blows to the head unless cleared by their physicians. Coaches shouldreport symptoms of shunt malfunction (e.g., nausea/vomiting, sensitivity to light,dizziness, seizures, headache, drowsiness, behavior changes) to the swimmer orparents. Thermoregulation. Thermoregulation problems refer to irregular body temperatures oftenexperienced by persons with higher-level spinal cord injuries. Swimmers with thisproblem can lose body heat quickly in cold water or become overheated quickly in warmenvironments. Swimmers prone to hypothermia should consider using full or partialwetsuits when swimming, as well as warm showers, towels, parkas, and clothing after exiting the water. Appropriate clothing, fans, and water spray can help cool the swimmer,preventing hyperthermia in warm environments. Sun sensitivity. Some persons with disability (e.g., albinism) cannot tolerate sunexposure, and others have difficulty applying sunscreen because of limited mobility.These swimmers should consider using “rash shirts” and/or seek help to applysunscreen. Autonomic dysreflexia and boosting. Persons with spinal