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Sports for the Physically Challenged Child

Dr. Wind is Assistant Professor, Department of Orthopaedic Surgery, State University of New York at Buffalo, Buffalo, NY. Dr. Schwend is Chief of Pediatric Orthopaedics, University of New Mexico, Carrie Tingley Hospital, Albuquerque, NM. Ms. Larson is Occupational Therapist, Carrie Tingley Hospital.

Reprint requests: Dr. Schwend, Carrie Tingley Hospital, 1127 University Blvd NE, Albuquerque, NM 87102-1715.

Participation in sports is important for the physical and emotional health of the physically challenged child. Sports can improve strength, endurance, and cardiopulmonary fitness while providing companionship, a sense of achievement, and heightened self-esteem. With interest in such participation increasing, it is necessary for the physicians, therapists, and families of children with special needs to understand the preparticipation evaluation, athletic options, specialized equipment, and sport-specific risks. Recommendations that provide guidelines for safe, effective participation in sports are currently available for common congenital and developmental disabilities such as Down syndrome, cerebral palsy, myelodysplasia, hemophilia, congenital amputations, and arthritic disorders.

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