The physically-challenged athlete: Medical issues and assessment

Sports Medicine

Volumn 29, Issue 4, 2000, Pages 245-258

  Dec, Katherine L ^a,d   Sparrow, Karen J ^b   McKeag, Douglas B ^c  

^a Mind Body Medical Institute   (United States)

^b VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c INDIANA UNIVERSITY SCHOOL OF MEDICINE   (United States)

^d NONE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ATHLETE; DECUBITUS; DISABILITY; EXERCISE; HEALTH PROGRAM; HIGH RISK POPULATION; HUMAN; MEDICAL ASSESSMENT; MUSCULOSKELETAL INJURY; OSSIFICATION; OSTEOPOROSIS; PATHOLOGICAL REFLEX; PHYSICAL DISABILITY; REVIEW; SPASTICITY; SPORTS MEDICINE; THERMOREGULATION; VENOUS STASIS;

EID: 0034002355     PISSN: 01121642     EISSN: None     Source Type: Journal    
DOI: 10.2165/00007256-200029040-00003     Document Type: Review

References (60)

1. 1. Reynolds J, Stirk A, Thomas A, et al. The 1994 Paralympic Games. Br J Sports Med 1994; 28 (1): 14-7
2. 2. Bloomquist LE. Injuries to athletes with physical disabilities: prevention implications. Phys Sports Med 1986; 14 (9): 97-105
3. 3. Ferrara MS, Buckley WE, McCann BC, et al. The injury experience of the competitive athlete with a disability: prevention implications. Med Sci Sports Exerc 1992; 24 (2): 184-8
4. 4. Taylor D, Williams T. Sports injuries in athletes with disabilities: wheelchair racing. Paraplegia 1995; 33 (5): 296-9
5. 5. Aljure J, Eltorai I, Bradley WE, et al. Carpal tunnel syndrome in paraplegic patients. Paraplegia 1986; 23: 182-6
6. 6. Wilson PE, Washington RL. Pediatric wheelchair athletics: sports injuries and prevention. Paraplegia 1993; 31: 330-7
7. 7. Laskowski ER. Rehabilitation of the physically-challenged athlete. In: Kraft GH, Press JM, editors. Physical medicine and rehabilitation clinics of North America. Philadelphia (PA): W.B. Saunders, 1994: 215-33
8. 8. Peck DM, McKeag DB. Athletes with disabilities: removing medical barriers [commentary]. Phys Sports Med 1994; 22 (4): 59-62
9. 9. Braddom RL, Rocco JF. Autonomic dysreflexia: a survey of current treatment. Am J Phys Med Rehabil 1991; 70: 234-41
10. 10. Burnham R, Wheeler G, Bhambhani Y, et al. Intentional induction of autonomic dysreflexia among quadriplegic athletes for performance enhancement: efficacy, safety, and mechanism of action. Clin J Sport Med 1994; 4 (1): 1-10
11. 11. Sawka MN, Latzka WA, Pandolf KB. Temperature regulation during upper body exercise: able-bodied and spinal cord injured. Med Sci Sports Exerc 1989; 21: S132-40
12. 12. Corcoran PJ, Goldman RF, Hoerner EF, et al. Sports medicine and the physiology of wheelchair marathon racing. Orthop Clin North Am 1980; 11 (4): 697-716
13. 13. Armstrong LE, Maresh CM, Riebe D, et al. Local cooling in wheelchair athletes during exercise-heat stress. Med Sci Sports Exerc 1995; 27 (2): 211-6
14. 14. Pitetti KH, Barrett PJ, Campbell KD, et al. The effect of lower body positive pressure on the exercise capacity of individuals with spinal cord injury. Med Sci Sports Exerc 1994; 26 (4): 463-8
15. 15. Figoni SF. Spinal cord injury. In: American College of Sports Medicine, editor. ACSM's exercise management for persons with chronic diseases and disabilities. Champaign (IL): Human Kinetics, 1997: 175-9
16. 16. Kerk JK, Clifford PS, Snyder AC, et al. Effect of an abdominal binder during wheelchair exercise. Med Sci Sports Exerc 1995; 27 (6): 913-9
17. 17. Burnham RS, May L, Nelson E, et al. Shoulder pain in wheelchair athletes: the role of muscle imbalance. Am J Sports Med 1993; 21 (2): 238-42
18. 18. Hardcastle P, Bedbrook G, Curtis K. Long-term results of conservative and operative management in complete paraplegics with spinal cord injuries between T10 and L2 with respect to function. Clin Orthop 1987; 224: 88-96
19. 19. Adams RC, McCubbin JA. Games, sports, and exercises for the physically disabled. 4th ed. Pennsylvania (PA): Lea and Febiger, 1990
20. 20. Mitten MJ. Amateur athletes with handicaps or physical abnormalities: who makes the participation decision? Nebraska Law Rev 1992; 71: 987-1032
21. 21. IX Paralympic Games. General and functional classification guide. Barcelona: IX Paralympic Games, 1992
22. 22. Stoke Mandeville Games Federation. International Stoke Mandeville Games Federation guide for doctors. Aylesbury: Stoke Mandeville Games Federation, 1982
23. 23. Bednarczyk JH, Sanderson DJ. Comparison of functional and medical assessment in the classification of persons with spinal cord injury. J Rehabil Res Dev 1993; 30 (4): 405-11
24. 24. Paciorek MJ, Jones JA. Sports and recreation for the disabled. 2nd ed. Carmel (IN): Cooper Publishing Group, 1994
25. 25. McCoy RL, Dec KL, McKeag DB. Caring for the school-aged athlete. In: Kimmel SR, editor. Primary care clinics: well-child care. Issues in prevention. Philadelphia (PA): W.B. Saunders, 1994: 781-99
26. 26. Kaplan NM, Deveraux RB, Miller HS. Systemic hypertension. American College of of Sports Medicine and American College of Cardiology. 26th Bethesda Conference: recommendations for determining eligibility for competition in athletes with cardiovascular abnormalities. Med Sci Sports Exerc 1994; 26 (10): S268-70
27. 27. Linderholm H, Lindgren V. Prediction of spirometric values in patients with scoliosis. Acta Orthop Scand 1978; 49: 469-74
28. 28. Wilson RH. Clinical application of the single breath diffusion test as an independent variable in the predictions of degree of pulmonary disability. Lancet 1968; 88: 71-7
29. 29. Epler GR, Saber FA, Gaensler AE. Determinations of severe impairment (disability) in interstitial lung disease. Am Rev Respir Dis 1980; 121: 647-61
30. 30. Glaser RM. Exercise and locomotion for the spinal cord injured. Exerc Sport Sci Rev 1985; 13: 263-303
31. 31. American Thoracic Society. Evaluation of impairment/disability secondary to respiratory disorders. Am Rev Respir Dis 1986; 133: 1205-9
32. 32. Birk TJ. Polio and post-polio syndrome. In: American College of Sports Medicine, editor. ACSM's exercise management for persons with chronic diseases and disabilities. Champaign (IL): Human Kinetics, 1997: 194-9
33. 33. American College of Sports Medicine. ACSM's exercise management for persons with chronic diseases and disabilities. Champaign (IL): Human Kinetics, 1997
34. 34. Kofsky PR, Davis GM, Jackson RW, et al. Field testing: assessment of physical fitness of disabled adults. Eur J Appl Physiol 1983; 51: 109-20
35. 35. Kofsky PR, Shephard RJ, Davis GM, et al. Classification of aerobic power and muscular strength for disabled individuals with differing patterns of habitual physical activity. In: Sherrill C, editor. 1984 Olympic Scientific Congress: Sports and Disabled Athletes. Champaign (IL): Human Kinetics, 1986: 147-56
36. 36. Coutts KD, Stogryn JL. Aerobic and anaerobic power of Canadian wheelchair track athletes. Med Sci Sports Exerc 1987; 19: 62-5
37. 37. Davis GM, Tupling SJ, Shephard RJ. Dynamic strength and physical activity in wheelchair users. In: Sherrill C, editor. 1984 Olympic Scientific Congress: Sports and Disabled Athletes. Champaign (IL): Human Kinetics, 1986: 139-48
38. 38. Gayle GW, Davis GM, Pohlman RL, et al. Wheelchair track ergometry: effects of handrim diameter on metabolic responses. In: Doll-Tepper G, Dahms C, Doll B, et al., editors. Adapted physical activity: an interdisciplinary approach. New York (NY): Springer-Verlag, 1990: 101-8
39. 39. Glaser RM, Foley DM, Laubach LL, et al. An exercise test to evaluate fitness for wheelchair activity. Paraplegia 1979; 16: 341-9
40. 40. Figoni SF. Exercise responses and quadriplegia. Med Sci Sports Exerc 1993; 25 (4): 433-41
41. 41. Ponichtera-Mulcare JA. Exercise and multiple sclerosis. Med Sci Sports Exerc 1993; 25 (4): 451-65
42. 42. Hoffman MD. Cardiorespiratory fitness and training in quadriplegics and paraplegics. Sports Med 1986; 3: 312-30
43. 43. Shephard RJ. Sports medicine and the wheelchair athlete. Sports Med 1988; 4: 226-47
44. 44. Bar-Or O. Muscular dystrophy. In: American College of Sports Medicine, editor. ACSM's exercise management for persons with chronic diseases and disabilities. Champaign (IL): Human Kinetics, 1997: 180-4
45. 45. Allen A. Disabled athletes dive into scuba. Rehab Manage 1991; 4 (2): 20
46. 46. Perloff JK. The clinical recognition of congenital heart disease. 4th ed. Philadelphia (PA): W.B. Saunders, 1994
47. 47. Jokl E. Sudden death of athletes. Springfield (IL): Thomas, 1985
48. 48. Ashworth B. Carisoprodol in multiple sclerosis. Practitioner 1964; 192: 540-2
49. 49. Cooke RE. Atlantoaxial instability in individuals with Down's Syndrome. Adapted Phys Act Q 1984; 1 (3): 194-5
50. 50. Kelly MJ. Evaluation of the shoulder. In: Kelly MJ, Clark WA, editors. Orthopedic therapy of the shoulder. Philadelphia (PA): J.B. Lippincott, 1995: 225-68
51. 51. Hertling D, Kessler RM. The shoulder and the shoulder girdle. In: Hertling D, Kessler RM, editors. Management of common musculoskeletal disorders: physical therapy principles and methods. 3rd ed. Philadelphia (PA): Lippincott-Raven, 1996: 165-216
52. 52. Coutts KD. Drag and sprint performance of wheelchair basketball players. J Rehabil Res Dev 1994; 31 (2): 138-43
53. 53. Coutts KD. Dynamics of wheelchair basketball. Mod Sci Sports Exerc 1992; 24 (2): 231-4
54. 54. Chatard JC, Lavoie JM, Ottoz H, et al. Physiological aspects of swimming performance for persons with disabilities. Med Sci Sports Exerc 1992; 24 (11): 1276-82
55. 55. MacLeish MS, Cooper RA, Harralson J, et al. Design of a composite monocoque frame racing wheelchair. J Rehabil Res Dev 1993; 30 (2): 233-49
56. 56. Busconi BD, Curtis KA. Physically challenged athletes. In: Pappas AM, editor. Upper extremity injuries in the athlete. New York (NY): Churchill Livingstone, 1995; 104-9
57. 57. Rodgers MM, Gayle W, Figoni SF, et al. Biomechanics of wheelchair propulsion. Arch Phys Med Rehabil 1994; 75 (1): 85-93
58. 58. Maki KC, Langbein WE, Reid-Lokos C. Energy cost and locomotive economy of handbike and rowcycle propulsion by persons with spinal cord injury. J Rehabil Res Dev 1995; 32 (2): 170-8
59. 59. Dallmeijer AJ, Kappe YJ, Veeger D, et al. Anaerobic power output and propulsion technique in spinal cord injured subjects during wheelchair ergometry. J Rehabil Res Dev 1994: 31 (2): 120-8
60. 60. van der Woude LHV, Drexhage D, Veeger HEJ. Peak power production in wheelchair propulsion. Clin J Sport Med 1994; 4 (1): 14-24