Table Tennis. for Rehabilitation, Restoration, Socialization, and Competition. Jesse Cejudo USATT Athlete Jennifer Lućarević ITTF Level B Classifier

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Table Tennis for Rehabilitation, Restoration, Socialization, and Competition Jesse Cejudo USATT Athlete Jennifer Lućarević ITTF Level B Classifier

Disclosures This presentation is supported by a grant from the Media content was provided by Classification Seminar Materials

Learning Objectives 1. Name specific physical, cognitive, perceptual, and sensory integrative skills athletes can develop with table tennis 2. List the basic equipment necessary to conduct a successful table tennis program 3. Identify how to adapt or modify basic table tennis equipment

History of Table Tennis Ping Pong Table Tennis Origin 1880s Parlor Game Adapted from lawn tennis Commercialized and grew in popularity Evolution of the name 1920s trademark by Parker Brothers Worldwide Popularity Most popular recreational sport? Topend Sports estimates 300 million play recreationally Over 40 million competitive players in 100 countries

Elite Table Tennis Professional Leagues Throughout Asia and Europe Olympic debut 1988 Seoul Paralympic debut 1960 Rome One of the first Paralympic sports Toronto 1976: introduced Standing Athletes 2007: Integrated under ITTF Today it is the 3 rd largest Paralympic Sport Rio 2016 had 276 athletes and 29 medal Paralympic Games Rome 1960 2010 Asian Para Games

Para Table Tennis Rules 101 Best of five sets, First player/team to 11 points, win by two-points Adaptations: Classification Service exceptions Equipment Wheelchair play: Feet cannot touch the ground Service must exit end of table (not sides)

Table Tennis FAQ RATING 200-1000 Beginner GENERAL INTERPRETATION 1400 USATT Member 1400-1800 Tournament Player 2000 Master Rating points = System of rating the playing strength of a TT Athlete Points are +/- based on tournament play Match upsets are rewarded with larger point exchange Factor points = Tournament participation credits

Table Tennis Benefits PROGRAM Social Weatherproof Low budget Inclusive Age Medical diagnoses REHABILITATION Cardiovascular fitness Motor Strength and flexibility Balance Visual motor Cognitive Coordination Social

Rehabilitation Benefits Aging better: Table Tennis players preserve more brain function than non-players of the same age (Jeoung, 2014)( 1997) Coordination: Skilled Table Tennis players have faster ball tracking and accuracy of shots (Rodrigues et al, 2002) Safe cardiovascular exercise: Subjects with coronary artery disease achieved safe therapeutic levels with TT play. (Sacks et al, 2014) Average 2-5 METS Average HR 83% of Max HR

The world s best brain sport. The clear increase in motor skills and cognitive awareness from playing table tennis is significant, if not remarkable, in its unique benefit for brain disease patients -Alzheimer's Weekly, 2011

Table Tennis for Brain Exercise Primary motor cortex which is required for the fine motor skills and hand-eye coordination that allows a player to return a ball at speed, Hippocampus which allows for the retention of information, Prefrontal cortex which is used in strategic planning as a player anticipates their opponent s next shot.

Inclusive Sport Indoors Non-contact Low joint impact Low $$ equipment Inclusive Classification system Functional system Can assess multiple impairments Seated / standing

Project Table Tennis Utilizes Table Tennis as a vehicle to create meaningful relationships between people. Alzheimer s & Dementia, Veterans with Disabilities, Drug & Alcohol Abuse, Preventing Obesity http://projecttabletennis.com/ Workshops & Clinics Private Lessons & Camps Exhibitions & Demonstrations Pro Shop & Equipment Tournaments & Competitions Player Support & Sponsorship

SAEF Table Tennis Therapy Sport and Art Educational Foundation (SAEF) was established in 2007 Targeted intervention for individuals with early stage Alzheimer's Supervised Table Tennis instruction and play

Grant Program Collaboration between USA Table Tennis (USATT) and Super Micro Computer, Inc. Annually awards Table Tennis equipment grants $2,500 equipment grants Purchase of tables, balls, or paddles Stay Tuned 2018 grant deadline information has not been released

Table tennis materials TT TABLE AND NET BALL RACKET: Individually chosen by the player

RACKET ANATOMY BLADE Basically made of wood RUBBERS Red and Black Top sheet rubber Rubber sponge Wood Carbon or others Wood

RU BBERS NORMAL PIMPLES 18

BASIC RUBBER COMPARISON 19

Equipment Scorekeeper B Training Robots Barrier Retrievers A

Table tennis skills 21

BLADE: SHAKE HAND GRIP Head of racket faces up. Used by 90% of the players. Allow using FH and BH equally.

BLADE: PENHOLD GRIP Head of racket faces up. Used by 10% of the players. FH is easier to perform than BH.

TABLE TENNIS SKILLS Spin Forehand / Backhand Topspin / Block / Chop Backspin / Push Smash / Lob Tetraloop Service 24

SPIN: R O T A T I O N OF THE BALL Topspin: Rotation forwards around the horizontal axis. Backspin: Rotation backwards around the horizontal axis. Sidespin: Rotation sideways around the vertical axis.

FOREHAND/ BACKHAND: The two sides of every stroke 26

TOPSPIN BLO CK CHOP Attacking shot that gives the ball a lot of forward rotation. Defensive shot or medium shot that uses opponent s ball forward rotation to return the ball. Defensive shot that gives the ball a lot of backward rotation or no rotation at all.

BACKSPIN / PUSH Backspin: A defensive shot that gives the ball a lot of backward rotation. Push: A defensive shot that gives the ball a bit of backward rotation or no rotation at all.

SMASH Hard and fast strike to force the opponent further away from the table. LOB Defensive stroke played by throwing the ball very high. 29

TETRALOOP Very specific stroke of para table tennis. It is frequently used by players in classes 1 and 2. 30

SERVICE Very important skill in table tennis. Only situation in which the player has total control over how and where to play the ball. Service rules may be relaxed for some para table tennis players under the classifier s criteria. PTT services may be from the racket, from the stump, from the playing hand and others.

TT Classification 11 Classes Intellectual Impairment Physical Impairment Seated Standing IPC Eligible Impairments 1. Ataxia 2. Athetosis 3. Hypertonia 4. Impaired ROM 5. Impaired Muscle Power 6. Limb Deficiency 7. Short Stature 8. Leg Length Difference 9. Intellectual Impairment 10. Visual Impairment

Wheelchair Considerations Legs cannot bump table Feet cannot touch the ground No straps above the knees* No seatbelt* For youth or short stature: Seat height to optimize table play

CLASS 1 CLASS 2 Weak elbow extension and grip. Good elbow extension Ability to grip 34

CLASS 3 Normal arms, No trunk movement or sitting balance 35

CLASS 4 CLASS 5 Some trunk movement Full trunk movement 36

Standing Athletes Ideal playing position Wide BOS Forward trunk Bent knees Assistive technology Racket modifications Shoe lift Prosthetics Braces

CLASS 6 Severe impairments in balance & movement Both legs Legs + playing arm 38

CLASS 7 Severe impairment in balance and movement <OR> Moderate limitation in Playing arm 39

CLASS 8 Diverse class presentation Severe impairment of 1 leg, or moderate impairment of both Moderate involvement of playing arm Example athlete: hemiplegia with good playing arm

CLASS 9: Mild hypertonia (non-playing arm) Severe impairment 1 leg or both ankles Below knee amputation Mild impairment on lower limbs Severe impairment Non-playing arm

CLASS 10 Minimal Eligibility Criteria TRUNK Fusion Ankylosing spondylitis Severe scoliosis PLAYING ARM Dysmelia Stiff wrist NON-PLAYING ARM Amputation or dysmelia (<2/3 arm) Brachial plexus lesion LEG Stiff ankle Midfoot amputation Loss of 10 MMT in one leg 42

Coaching Tips Critical Table Tennis Skills (Djokić, 2007) Technique Sport specific drills Mental focus Relaxation exercises Strategy Match analysis, simulation drills Strength Resistance training, plyometric Stamina is essential for players to fully realize their skills and tactics at the table (Kondrić et al, 2013) Muscular and Cardiovascular endurance exercises

Thank You!