Evaluating and clearing the Special Olympics athlete for participation in sports and recreational activities can be a challenging task for a primary care physician. Radiographic clearance of the cervical spine is mandatory for all athletes with Down syndrome. Regular physical activity for this special population has measurable physiologic and psychosocial benefits.
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References
1.
Shriver EK. 1983 International Summer Special Olympics Games. J Rehabil. 1983;49(2):8-12.
2.
Stewart MJ. The handicapped in sports. Clin Sports Med. 1983;2(1):183-190.
3.
Lorenzen H. Historical development of sports for the handicapped. Z Orthop. 1975;113(4):606-608.
4.
Jackson RW, Davis GM. The value of sports and recreation for the physically disabled. Orthop Clin North Am. 1983;14(2):301-314.
5.
Ryan AJ, Beaver DP, Jackson RW, et al.Sport and recreation for the handicapped: a round table. Phys Sportsmed. 1978;6(3):44-47.
6.
Healy A. Role of primary care physician in sports for the handicapped. Commun Med. 1981;45(9):571-573.
7.
Ryan AJ. Sports opportunities for the disabled. Phys Sportsmed. 1981;9(12):37.
8.
Jackson RW, Fredrickson A. Sports for the physically disabled. The 1976 Olympiad. Am J Sports Med. 1979;7(5):293-296.
9.
Dexter WW, Murray S. Special needs of athletes with disabilities. Phys Sports Med. 1998;12(5):23-25.
10.
Maxwell BM. The nursing role in the special olympic program. J School Health. 1984;54(3):131-133.
11.
Taft LT, Matthews WS, Molnar GE. Pediatric management of the physically handicapped child. Adv Pediatr. 1983;30:13-60.
12.
Bergel RR. Individual assessment procedures for multi-handicapped and implementation of a sports program. Int J Rehab Res. 1981;4(3):365-378.
13.
Spohr HW. Degree of handicapped and performance in sports. Z Orthop. 1975;113(4):606-608.
14.
Herbert G. Basic principles of sports for the disabled. Z Orthop. 1975;113(4):606-608.
15.
Fernhall B, McCubbin JA, Pitetti KH, et al.Prediction of maximal heart rate in individuals with mental retardation. Med Sci Sports Exerc. 2001;33(10):1655-1660.
16.
Draheim CC, Laurie NE, McCubben JA, Perkins JL. Validity of a modified aerobic fitness test for adults with mental retardation. Med Sci Sports Exerc. 1999;31(12):1849-1854.
17.
Fernhall B, Pitetti KH, Rimmer JH, et al.Cardiovespiratory capacity of individuals with mental retardation including Down syndrome. Med Sci Sports Exerc. 1996;28(3):366-371.
18.
Fernhall B, Tymeson G, Millar L, et al.Cardiovascular fitness testing and fitness levels of adolescents and adults with mental retardation including Down syndrome. Educ Training Ment Retard. 1989;24:133-138.
19.
Millr AL, Fernhall B, Burkett LN, et al.Effects of aerobic training in adolescents with Down syndrome. Med Sci Sports Exerc. 1993;25:260-264.
20.
Stadler LV, Pitetti KH. Isometric and isokinetic leg strength of youths with and without mental retardation. Med Sci Sports Exerc. 1996;28(5):59.
21.
McCormick DP, Ivery FM, Gold DM, et al.The preparticipation sports examination in Special Olympics athletes. Tex Med. 1988;84:39-43.
22.
Goldberg MJ. Spine instability and the Special Olympics. Clin Sports Med. 1993;12(3):507-515.
23.
Official Special Olympics. Summer Sports Rules. 1992-1995 Revised Edition, Section L, pp 7-8.
24.
Davidson RG. Atlantoaxial instability in individuals with Down Syndrome: a fresh look at the evidence. Pediatrics. 1988;81:857-865.
25.
Cope R, Olson S. Abnormalities of the cervical spine in Down syndrome: diagnosis, risks, and review of the literature with particular reference to the Special Olympics. South Med J. 1987;80(1):33-36.
26.
Cremers MJG, Bol E, de Roos F, et al.Risk of sports activities in children with Down syndrome and atlantoaxial instability. Lancet. 1993;342:511-514.
27.
Cremers MJG, Beyer JHM. No relation between general laxity and atlantoaxial instability in children with Down syndrome. J Ped Orthop. 1993;13:318-321.
28.
Official Special Olympics Summer Sports Rules 1992-1995. Washington DC: Special Olympics International; 1992.
29.
Official Special Olympics Winter Sports Rules 1994-1998. Washington DC: Special Olympics International; 1994.
30.
Committee on Sports Medicine: atlantoaxial instability in Down syndrome. Pediatrics. 1984;74:152-154.
31.
Guidelines for Cervical Spine screening in Down Syndrome. Standing Medical Advisory Committee Dept. Health and Social Security, 1986.
32.
Torg JS, Ramsey-Emrhein JA. Suggested management guidelines for participation in collision activities with congenital, developmental, or post injury lesions involving the cervical spine. Med Sci Sports Exerc. 1997;29(75):256-272.
33.
Alvarez N, Rubin L. Atlantoaxial instability in adults with Down syndrome: a clinical and radiological survey. Appl Res Mental Retard. 1986;7:67-78.
34.
Pueschel SM, Scola FH. Atlantoaxial instability in individuals with Down syndrome: epidemiologic, radiographic, and clinical studies. Pediatrics. 1987;80(4):555-560.
35.
Smith DS. Health care management of adults with Down syndrome. Am Fam Phys. 2001;64:1039-1040.
36.
Birrer RB. The Special Olympics: an injury overview. Phys Sportsmed. 1984;12(4):95-97.
37.
American Academy of Pediatrics. Community on Sports Medicine. Atlantoaxial instability in Down syndrome. Pediatrics. 1984;74(1):152-154.
38.
Bernardi M, Castellano V, Ferrara MS, et al.Muscle pain in athletes with locomotor disability. Med Sci Sports Exerc. 2003;35(2):199-206.
