Standard paddles can be easily adapted for paddlers with single-arm amputation or for the individual with hemiplegia due to a stroke or cerebral palsy. My-Grip® (pictured below) can assist paddlers with visual impairments in learning the proper grip and hand placement on the paddle.

For individuals with impaired grip, four pieces of bike tubing (pictured below) can be assembled with pull-ties and electrical tape to create an adapted hand grip.

Proper fit and comfort are essential because water increases the breakdown of skin and can lead to an increased risk of pressure sores. For a snug fit into the kayak, closed-cell foam and adaptive seating systems may be used for increased contact with the boat. 

VersaForm T pillows (pictured below) may be used to create a backrest or seat cushion for increased contact with the kayak and comfort for the participant. When the air is pumped out, the pillow conforms to an individual's body.