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Sports and leisure

Having the opportunity to take part in sport and leisure activities is important for everyone, including people with epilepsy. The information on these web pages looks at a number of different sporting and leisure activities in relation to epilepsy.

In this section

Sport and leisure activities and epilepsy

With the right support and the relevant safety precautions, there is little that someone with epilepsy should need to avoid. Many people with epilepsy have their seizures completely controlled by anti-epileptic medication and don’t need to take any greater safety precautions than anyone else.

Some people say that when they are active, they are less likely to have seizures. So, for some people with epilepsy, taking part in sport and leisure activities can really benefit their epilepsy. A very small number of people with epilepsy find that doing strenuous exercise increases their likelihood of having seizures.

Telling people about your epilepsy

To take part in some sports or activities you may need to complete a medical form. This information should only be used to help the organiser do a risk assessment and, if needed, make any reasonable adjustments. However, if your epilepsy is unlikely to affect the safety of yourself and others, you may feel you don’t need to tell anyone about your epilepsy. Contact Epilepsy Action for further information about this.

Talking to your doctor

It’s a good idea to speak to your doctor before trying a new sport or activity, particularly if your seizures are uncontrolled. These are some of the things you might want to discuss with your doctor.

  • How often you have seizures.
  • What happens when you have a seizure.
  • If you have a warning before a seizure.
  • How long your seizures usually last.
  • If there are things you know trigger your seizures (for example flashing lights, excitement, and disturbed sleep).
  • What risk there could be for you and other people if you had a seizure during the activity.
  • What support would be available if you needed it.

Boxing

If you have epilepsy, a history of epilepsy, or take anti-epileptic medication, regulations in the UK say you are not able to box.

If you do not live in the UK, please contact your local epilepsy organisation for advice about boxing.

Climbing

Heights are a potential danger to anyone with epilepsy. This doesn’t necessarily mean that you shouldn’t go climbing. But you will need to think carefully about your safety and that of the other people with you in any climbing group. If you are still having seizures, you may need to consider avoiding this sport, until you have better seizure control.

It is possible that being at high altitudes (above 3,500 metres/11,666 feet) can cause fluid retention. For someone with epilepsy, fluid retention could trigger seizures. The risk of this happening, however, is thought to be very small.

Cycling

Normal safety precautions for cyclists, such as wearing high-visibility clothing and protective headgear, are particularly important if you have epilepsy and want to cycle. If you still have seizures, try to avoid cycling on busy roads. If you have frequent seizures, you may decide to avoid cycling on public roads altogether, until your seizures are under better control.

Extreme sports

Cave diving, hang gliding, parachuting, snowboarding and bungee jumping are just a few examples of extreme sports. Whichever sport you choose, there is usually a governing body that sets the safety regulations. Contact Epilepsy Action for further information.

Fishing

If your seizures are completely controlled, you need to consider the general safety precautions for fishing. If your seizures are uncontrolled, never fish alone and make sure the person with you knows what to do if you have a seizure. Wearing a life jacket is essential if there’s a danger of falling into the water.

Gym

If your seizures have been totally controlled for some time, you should be able to use any piece of gym equipment. If you are still at risk of having seizures, there may be equipment that you shouldn’t use in order to avoid injury to yourself or other people. You could discuss this with the staff at the gym and ask for a safety assessment.

Hiking and rambling

There’s no reason why having epilepsy should stop you going hiking or rambling. If your seizures are not controlled, it’s a good idea to go with someone who knows what to do if you have a seizure. The Ramblers Association have information on safety aspects of rambling and hiking for people with epilepsy in the UK.

Horse riding

Horse riding can be safe for people whose seizures are well controlled, or who always have a long enough warning before a seizure. If your seizures are not well controlled and could cause you to fall off the horse, you may still be able to ride. However, you would need to be closely supervised by someone walking alongside the horse.

Jacuzzi, sauna and steam room

There is no reason why you shouldn’t use these. However, if your seizures are not well controlled, you could have someone with you who would know how to help you, if you have a seizure.

Martial arts

If you have seizures, it would be best to ask your doctor for advice before practising martial arts. Whatever type of martial art you choose, you should make sure that the people in charge know about your epilepsy and what to do if you have a seizure.

Running and jogging

If you go running or jogging, you may wish to consider taking some extra safety precautions. These could include keeping to well-lit and traffic-free routes. If your epilepsy is not controlled, you should ideally go with someone else and/or have a mobile phone with you to call for help if necessary.

Scuba diving

It is recommended by the British Sub-Aqua Club that you are free from awake seizures and off medication for five years if you want to go scuba diving. If you only have seizures while asleep, you should be seizure-free and off medication for three years.

Skiing

Cross country and downhill skiing can both be enjoyed by many people with epilepsy. However, if your seizures are not well controlled, you should avoid downhill skiing. This is because it would be dangerous if you had a seizure. If you are going cross country skiing, go with someone who knows what to do if you have a seizure.

Squash

There are no specific safety precautions. But if you are still having seizures, it would be a good idea to check with your doctor before you take up squash. In addition to possible danger from the equipment if you had a seizure, squash is particularly strenuous.  Strenuous activity can trigger seizures in some people.

Swimming

If your seizures are completely controlled, you don’t need to take any greater safety precautions than anyone else. If you are still having seizures you need to consider safety precautions. For example:

  • Seek advice from your doctor or epilepsy nurse. Discuss issues such as your seizure type(s), frequency, and any other factors that could affect your safety when swimming.
  • When possible, have a companion in the water with you. 
  • Talk to the staff at your local swimming facilities about any special requirements you may have.
  • Use a floating/buoyancy aid.
  • Think safety at all times.
  • If there is a lifeguard or pool supervisor present, make them aware of your epilepsy.
  • If there’s no qualified lifeguard present, don’t swim deeper than the shoulder height of the companion swimming with you.
  • Make sure that your companion knows what to do if you have a seizure and is strong enough to help you. (See how to deal with a seizure in the water)
  • Practise what to do if you have a seizure with your companion. This will boost your confidence and theirs.
  • You could ask a lifeguard to show you how to deal with a seizure that happens in the water.
  • Don’t swim if you are feeling unwell.
  • Avoid overcrowded situations, as it might be difficult for others to notice if you have a seizure.

How to deal with a seizure in the water

Tonic-clonic seizures - basic guidelines

  • From behind, tilt the person’s head so it is out of the water.
  • If possible, move the person to shallow water, while holding their head above water.
  • Don’t restrain their movements or place anything in their mouth.
  • Once jerking movements have stopped, move them to dry land.
  • Place them on their side to recover.
  • Stay with them until they feel better.

Absence and partial seizures – basic guidelines

Protect the person from danger, for example by guiding them away from deep water or by holding their head above the water. When they recover, check if they need to get out of the water as they may feel confused and need to rest.

When to call an ambulance

  • When you believe the person has swallowed or breathed in water, even if they appear to be fully recovered, or
  • When the person goes from one seizure to another without regaining consciousness between seizures. or
  • When the seizure lasts longer than is usual for the person or, if in  doubt, when the seizure continues for more than five minutes, or
  • When the person has been injured.

Team sports (including football, rugby and netball)

Generally, there is no evidence to suggest that you should avoid team sports, as long as you follow the normal safeguards. These safeguards may include wearing the proper head protection as recommended by the official sporting body. If your epilepsy has been caused by a head injury, your doctor may advise you to avoid these types of sports.

Theme Parks 

Some people with epilepsy have concerns about safety on rides. Providing there are general safety precautions in place, rides do not have to be avoided. If you have frequent and/or severe seizures it would be advisable to check with your doctor.

Some attractions may involve flashing lights and these may need to be avoided by people with photosensitive epilepsy.

Water sports in general

Water sports can be enjoyed by people with epilepsy whose seizures are well controlled. If your seizures are completely controlled, you need to consider the general safety precautions for that sport. If your seizures are uncontrolled, you need to consider safety issues related to your seizures. For example:

  • Some water sports can be hazardous and may be best avoided.
  • Don’t do water sports on your own.
  • Make sure someone with you knows about your epilepsy and how to rescue you if necessary.
  • Wearing a life jacket is essential if there’s a danger of falling into the water.

Yoga

Yoga can be of benefit to some people with epilepsy. It is said to help people become balanced in mind and body and to aid relaxation. There are different types of yoga available. Strong pranayama (breathing control) and trataka (gazing at a meditation object) should be avoided by people with epilepsy, as they could trigger a seizure. More information about yoga is available from the British Wheel of Yoga (‘Sports England’ recognised national governing body for yoga).

If there is an activity you are interested in, that isn’t mentioned in this booklet, please contact Epilepsy Action . We will do our best to help.

More infotmation about going to the cinema and epilepsy

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  • Updated January 2013
    To be reviewed January 2015

Comments: read the 1 comments or add yours

Comments

I have nocturnal epilepsy since I was 16 sometimes happens during the day if I lack of sleep, now I am 22, it happens every two months frequency, I take now topiramate as medicine, I do Ride my Bike, and I do Swim OPEN water, I do not follow any of there safety advices, and so far I had never had any case of convulsion during practicing a sport. I know IF have in water. . . I will have it one time and never again, because there will be no one near to help. As I train on my own.
I have won some competitions and several medals and I am very proud of it.
I would not recommend swim open water deep alone unless you happen to have while sleeping seizure only well controlled. But have fun in the Pool and let someone around know you may need help.
And Yes... I am afraid, I try not to panic. I had stopped for a while but I'm now coming back to open water swimming.
Sports are good for all of us! ! !

Submitted by Hugo Andrade on

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