Abstract
Participation in sports is important for the physical and emotional health of physically and mentally challenged children. Before participation in sports, several questions need to be answered: (1) Is the child ready to participate? (2) What types of sports are appropriate? (3) What are the advantages/disadvantages of specific sports? Each child with Down syndrome (DS) must undergo a careful pre-participation evaluation by an individual trained and experienced with the medical and orthopedic comorbidities associated with DS. Important medical factors relevant to sports participation by children with DS include hearing loss, cardiovascular disorders, pulmonary hypoplasia, obesity, and musculoskeletal problems. Approximately 20 % of children with DS suffer from musculoskeletal pathology, secondary to abnormal collagen leading to ligamentous laxity and decreased muscle tone. Children with DS commonly suffer from abnormalities of the cervical spine, hip, patellofemoral joint, and feet. Most athletes with DS can participate safely in several sports if appropriately screened, supervised, and matched. Children with DS should be encouraged to participate in sport at all levels because of the well-recognized psychological and medical benefits.
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Shore, B. (2014). The Young Athlete with Down Syndrome. In: Micheli, L., Stein, C., O'Brien, M., d’Hemecourt, P. (eds) Spinal Injuries and Conditions in Young Athletes. Contemporary Pediatric and Adolescent Sports Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4753-5_14
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