Ten thousand steps and more. It’s becoming routine for the 4 million primary school children. Generalized in September 2022, the Thirty minutes of daily physical activity (30’APQ) system is gradually being rolled out in the country’s 36,250 elementary schools. But what about the more than 111,000 young people with disabilities, welcomed in medico-social establishments: medico-educational institutes (IME), theutic educational and pedagogical institutes (ITEP) or structures dedicated to multiple disabilities? In a logic of equal access for children to physical activity, the 30’APQ has been extended to the medico-social sector. Acted in July 2022, the measure targets 3-21 year olds. It appears all the more fair and welcome as this population is both less inclined to practice physical activity and sports (PSA), and more exposed to overweight and obesity.
But, on the ground, there is still a lot to do to start the movement, notes a joint report of the General Inspectorate of Social Affairs (IGAS) and the General Inspectorate of Sports Education and Research (IGESR). Made public on May 25, it was based in particular on the rare surveys on the subject: only four in the last ten years, including three regional ones.
Practices are widely present in establishments, and often diversified, “but neither daily nor universal », says the report. Thus, a large majority of structures (94%) offer these activities, according to the national survey – conducted in 2018 – and another conducted in Pays de la Loire in 2015. But the proportion is much lower in small ones ( 70% in establishments with less than fifty places) or welcoming children with multiple disabilities (73%). In total, 75% of children and adolescents in medico-social settings practice APS, estimates the national survey, which still means that one in four does not.
Incidentally, the mission draws up a not very glorious observation in structures for adults, where only 53% of people with disabilities have a physical or sports activity. In addition, the weekly time devoted to these activities is very limited. In the survey in Pays de la Loire, it is on average thirty to forty minutes in medicalized reception centers and medicalized reception houses.
Not enough sports educators
Back to the children. The obstacles to the development of a regular APS are mainly “human resources, premises and the perception of what it is possible to practice according to disabilities”, points out the report. Supervision by sports professionals is far from being the norm, although they are mentioned in the regulations. More than half (57%) of establishments for young people with disabilities do not have sports educators within their teams, with significant disparities depending on the type of structure.
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