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Pediatric Adaptive Athletes

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Adaptive Sports Medicine

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Abstract

There are many benefits of physical activity and sports participation for children and adolescents across the entire range of functional abilities. Youth with disabilities have some unique considerations when it comes to physical activity, exercise, and sports participation. Clinicians should be familiar with physical activity guidelines for all age groups and have expertise of a breadth of medical conditions to provide customized recommendations to promote physical activity, exercise, and sports participation that also keeps safety in mind. It is also important for clinicians to know and advocate for resources to facilitate equitable access and participation in physical activity and sports opportunities. This chapter focuses on the pediatric athlete with a disability and discusses: the benefits and current status of physical activity and sports participation, the current physical activity guidelines for different age groups, clinical approaches to discuss and prescribe physical activity and sports participation, common medical conditions and important medical considerations pertinent to sports participation and competition, and adaptive sports equipment and prostheses. The end of this chapter provides a list of many valuable resources relevant to pediatric adaptive and Para sports, physical activity, and exercise.

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References

  1. Aspen Institute Project Play. Youth Sports Facts—Benefits. Accessed 3 Dec 2022. https://www.aspenprojectplay.org/youth-sports/facts/benefits.

  2. Fuchs RK, Bauer JJ, Snow CM. Jumping improves hip and lumbar spine bone mass in prepubescent children: a randomized controlled trial. J Bone Miner Res. 2001;16(1):148–56.

    Article  PubMed  Google Scholar 

  3. Hernelahti M, Levalahti E, Simonen RL, et al. Relative roles of heredity and physical activity in adolescence and adulthood on blood pressure. J Appl Physiol. 2004;97(3):1046–52.

    Article  PubMed  Google Scholar 

  4. Kelly AS, Wetzsteon RJ, Kaiser DR, et al. Inflammation, insulin, and endothelial function in overweight children and adolescents: the role of exercise. J Pediatr. 2004;145(6):731–6.

    Article  PubMed  Google Scholar 

  5. Macdonald HM, Kontulainen SA, Khan KM, McKay HA. Is a school-based physical activity intervention effective for increasing tibial bone strength in boys and girls? J Bone Miner Res. 2007;22(3):434–46.

    Article  PubMed  Google Scholar 

  6. Kaufman C, Kelly AS, Kaiser DR, et al. Aerobic-exercise training improves ventilatory efficiency in overweight children. Pediatr Exerc Sci. 2007;19(1):82–92.

    Article  PubMed  Google Scholar 

  7. Damiano DL, Kelly LE, Vaughn CL. Effects of quadriceps femoris muscle strengthening on crouch gait in children with spastic diplegia. Phys Ther. 1995;75:658–71.

    Article  PubMed  Google Scholar 

  8. MacPhail HE, Kramer JF. Effect of isokinetic strength-training on functional ability and walking efficiency in adolescents with cerebral palsy. Dev Med Child Neurol. 1995;37:763–75.

    Article  PubMed  Google Scholar 

  9. Damiano DL, Abel MF. Functional outcomes of strength training in spastic cerebral palsy. Arch Phys Med Rehabil. 1998;79:119–25.

    Article  PubMed  Google Scholar 

  10. Anderson C, Mattsson E. Adults with cerebral palsy: a survey describing problems, needs, and resources, with special emphasis on locomotion. Dev Med Child Neurol. 2001;43:76–82.

    Article  Google Scholar 

  11. Liusuwan RA, Widman LM, Abresch RT, et al. Behavioral intervention, exercise, and nutrition education to improve health and fitness (BENEfit) in adolescents with mobility impairment due to spinal cord dysfunction. J Spinal Cord Med. 2007;30(suppl 1):S119–26.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Houghton K. Physical activity, physical fitness, and exercise therapy in children with juvenile idiopathic arthritis. Phys Sportsmed. 2012;40(3):77–82.

    Article  PubMed  Google Scholar 

  13. Jansen M, van Alfen N, Geurts AC, de Groot IJ. Assisted bicycle training delays functional deterioration in boys with Duchenne muscular dystrophy: the randomized controlled trial "no use is disuse". Neurorehabil Neural Repair. 2013;27(9):816–27.

    Article  PubMed  Google Scholar 

  14. Oliveira A, Jácome C, Marques A. Physical fitness and exercise training on individuals with spina bifida: a systematic review. Res Dev Disabil. 2014;35(5):1119–36.

    Article  PubMed  Google Scholar 

  15. Rowland JL, Fragala-Pinkham M, Miles C, OʼNeil ME. The scope of pediatric physical therapy practice in health promotion and fitness for youth with disabilities. Pediatr. Phys Ther. 2015;27(1):2–15.

    Google Scholar 

  16. Lewelt A, Krosschell KJ, Stoddard GJ, et al. Resistance strength training exercise in children with spinal muscular atrophy. Muscle Nerve. 2015;52(4):559–67.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Zwinkels M, Verschuren O, Janssen TW, et al. Exercise training programs to improve hand rim wheelchair propulsion capacity: a systematic review. Clin Rehabil. 2014;28(9):847–61.

    Article  PubMed  Google Scholar 

  18. Ross SA, Yount M, Ankarstad S, et al. Effects of participation in sports programs on walking ability and endurance over time in children with cerebral palsy. Am J Phys Med Rehabil. 2017;96(12):843–51.

    Article  PubMed  Google Scholar 

  19. Sherrill C, Hinson M, Gench B, Kennedy SO, Low L. Self-concepts of disabled youth athletes. Percept Mot Skills. 1990;70(3 Pt 2):1093–8.

    Article  PubMed  Google Scholar 

  20. Campbell E, Jones G. Psychological Well-being in wheelchair sport participants and nonparticipants. Adapt Phys Act Q. 1994;11:404–15.

    Google Scholar 

  21. Paciorek MJ, Jones JA. Sports and recreation of the disabled. 2nd ed. Cooper Publishing; 1994.

    Google Scholar 

  22. Martin JJ. Predictors of social physique anxiety in adolescent swimmers with physical disabilities. Adapt Phys Act Q. 1999;16:75–85.

    Google Scholar 

  23. Wetterhahn KA, Hanson C, Levy CE. Effect of participation in physical activity on body image of amputees. Am J Phys Med Rehabil. 2002;81:194–201.

    Article  PubMed  Google Scholar 

  24. Yazicioglu K, Taskaynatan MA, Guzelkucuk U, Tugcu I. Effect of playing football (soccer) on balance, strength, and quality of life in unilateral below-knee amputees. Am J Phys Med Rehabil. 2007;86(10):800–5.

    Article  PubMed  Google Scholar 

  25. Tasiemski T, Kennedy P, Gardner BP, Taylor N. The association of sports and physical recreation with life satisfaction in a community sample of people with spinal cord injuries. NeuroRehabilitation. 2005;20:253–65.

    Article  PubMed  Google Scholar 

  26. Sporner ML, Fitzgerald SG, Dicianno BE, et al. Psychosocial impact of participation in the National Veterans Wheelchair Games and winter sports clinic. Disabil Rehabil. 2009;31:410–8.

    Article  PubMed  Google Scholar 

  27. Muraki S, Tsunawake N, Hiramatsu S, Yamasaki M. The effect of frequency and mode of sports activity on the psychological status in tetraplegics and paraplegics. Spinal Cord. 2000;38(5):309–14.

    Article  PubMed  Google Scholar 

  28. Geacobbi PR, Stancil M, Hardin B, Bryant L. Physical activity and quality of life experienced by highly active individuals with physical disabilities. Adapt Phys Act Q. 2008;25:189–207.

    Google Scholar 

  29. Groff DG, Lundberg NR, Zabriskie RB. Influence of adapted sport on quality of life: perceptions of athletes with cerebral palsy. Disabil Rehabil. 2009;31:318–26.

    Article  PubMed  Google Scholar 

  30. Zwinkels M, Verschuren O, Lankhorst K, et al. Sport-2-stay-fit study: health effects of after-school sport participation in children and adolescents with a chronic disease or physical disability. BMC Sports Sci Med Rehabil. 2015;7:22.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Côté-Leclerc F, Boileau Duchesne G, Bolduc P, et al. How does playing adapted sports affect quality of life of people with mobility limitations? Results from a mixed-method sequential explanatory study. Health Qual Life Outcomes. 2017;15:22.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Zwinkels M, Verschuren O, Balemans A, et al. Effects of a school-based sports program on physical fitness, physical activity, and cardiometabolic health in youth with physical disabilities: data from the sport-2-stay-fit study. Front Pediatr. 2018;6:75.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Lastuka A, Cottingham M. The effect of adaptive sports on employment among people with disabilities. Disabil Rehabil. 2016;38(8):742–8.

    Article  PubMed  Google Scholar 

  34. Carbone PS, Smith PJ, Lewis C, LeBlanc C. Promoting the participation of children and adolescents with disabilities in sports, recreation, and physical activity. Pediatrics. 2021;148(6)

    Google Scholar 

  35. Bloemen MAT, Backx FJG, Takken T, et al. Factors associated with physical activity in children and adolescents with a physical disability: a systematic review. Dev Med Child Neurol. 2015;57(2):137–48.

    Article  PubMed  Google Scholar 

  36. Ross SM, Smit E, Yun J, Bogart K, Hatfield B, Logan SW. Updated national estimates of disparities in physical activity and sports participation experienced by children and adolescents with disabilities: NSCH 2016-2017. J Phys Act Health. 2020;17(4):443–55.

    Article  PubMed  Google Scholar 

  37. Perkins DF, Jacobs JE, Barber BL, Eccles JS. Childhood and adolescent sports participation as predictors of participation in sports and physical fitness activities during young adulthood. Youth Soc. 2004;35(4):495–520.

    Article  Google Scholar 

  38. Tuakli-Wosornu YA, Derman W. Contemporary medical, scientific & social perspectives on para sPORT. Phys Med Rehabil Clin N Am. 2018;29(2):xvii-xviii:xvii.

    Article  Google Scholar 

  39. U.S. Department of Health and Human Services. Physical Activity Guidelines for Americans, 2nd ed; 2018. Accessed 3 Dec 2022. https://health.gov/sites/default/files/2019-09/Physical_Activity_Guidelines_2nd_edition.pdf.

  40. Clear J. Atomic habits: an Easy & proven way to Build Good Habits & Break bad Ones. Penguin Random House LLC; 2018.

    Google Scholar 

  41. Dickson TJ, Darcy S, Walker C. A case of leveraging a mega-sport event for a sport participation and sport tourism legacy: a prospective longitudinal case study of whistler adaptive sports. Sustainability. 2021;13(1):170.

    Article  Google Scholar 

  42. Iverson M, Ng AV, Yan AF, et al. Navigator role for promoting adaptive sports and recreation participation in individuals with disabilities. Am J Phys Med Rehabil. 2021;100(6):592–8.

    Article  PubMed  PubMed Central  Google Scholar 

  43. Rosenbaum P, Gorter JW. The 'F-words' in childhood disability: I swear this is how we should think! Child Care Health Dev. 2012;38(4):457–63.

    Article  PubMed  Google Scholar 

  44. Stricker PR, Faigenbaum AD, McCambridge TM, Council on Sports Medicine and Fitness. Resistance training for children and adolescents. Pediatrics. 2020;145(6):e20201011.

    Article  PubMed  Google Scholar 

  45. Faigenbaum AD. Strength training for children and adolescents. Clin Sports Med. 2000;19:593–619.

    Article  PubMed  Google Scholar 

  46. Drumm M, Fabiano J, Lee E, Jezequel J, Rao AK, Yoon L. Effects of power training on gait, power, and function in children with cerebral palsy. Phys Occup Ther Pediatr. 2022;42(3):227–41.

    Article  PubMed  Google Scholar 

  47. Cerebral Palsy International Sports and Recreation Association. What sports can i do? Accessed 10 March 2023. https://cpisra.org/new-site/wp-content/uploads/2019/08/CPISRA-What-Sports-Can-I-do.pdf.

  48. International Blind Sports Federation. Classification. Accessed 10 March 2023. https://ibsasport.org/anti-doping-and-classification/classification/overview/.

  49. International Paralympic Committee. IPC Classification. Accessed 10 March 2023. https://www.paralympic.org/classification.

  50. Patel DR, Greydanus DE. Sport participation by physically and cognitively challenged young athletes. Pediatr Clin N Am. 2010;57(3):795–817.

    Article  Google Scholar 

  51. Special Olympics. Intellectual disability: what is intellectual disability? Accessed 10 March 2023. https://www.specialolympics.org/about/intellectual-disabilities/what-is-intellectual-disability?locale=en.

  52. Holder M. Special olympics sports sciences: sports injury guide for coaches. Accessed 10 March 2023. https://media.specialolympics.org/resources/sports-essentials/sport-sciences/SpecialOlympics_SportsSciences-Injury_Prevention.pdf.

  53. International Committee of Sport for the Deaf. Audiogram Regulations, Version 5. 2016. Updated 2018. Accessed 10 March 2023. http://www.deaflympics.com/pdf/AudiogramRegulations.pdf.

  54. International Paralympic Committee. Paralympic Sports. Accessed 10 March 2023. https://www.paralympic.org/sports.

  55. Special Olympics. Sports. Accessed 10 March 2023. https://www.specialolympics.org/what-we-do/sports/sports-offered.

  56. Deaflympics. Sports. Accessed 10 March 2023. https://www.deaflympics.com/sports.

  57. International Blind Sports Federation. Sports. Accessed March 10, 2023. https://ibsasport.org/sports/.

  58. International Paralympic Committee. ‘All About Ability’ – How the Paralympic Movement is Maintaining Momentum. YouTube. December 2, 2013. Accessed December 2, 2022. https://www.youtube.com/watch?v=6RMOSDynkw8.

  59. International Paralympic Committee. US Paralympics Launches Athlete Development Model. January 18, 2016. Accessed December 2, 2022. https://www.paralympic.org/news/us-paralympics-launches-athlete-development-model.

  60. Team USA. US Paralympics Cycling—Athlete Pipeline. Accessed 10 March 2023. https://www.teamusa.org/usparacycling/athletes-section/athlete-pipeline.

  61. US Association of Blind Athletes. Blind Soccer. Accessed 10 March 2023. https://www.usaba.org/clubs-sports/blind-soccer/.

  62. Brenner JS, Council on Sports Medicine and Fitness. Sports specialization and intensive training in young athletes. Pediatrics. 2016;138(3):e20162148.

    Article  PubMed  Google Scholar 

  63. Brenner JS. American Academy of Pediatrics Council on Sports Medicine and Fitness. Overuse injuries, overtraining, and burnout in child and adolescent athletes. Pediatrics. 2007;119(6):1242–5.

    Article  PubMed  Google Scholar 

  64. Small E. Chronic musculoskeletal pain in young athletes. Pediatr Clin N Am. 2002;49(3):655–vii.

    Article  Google Scholar 

  65. Budgett R. Fatigue and underperformance in athletes: the overtraining syndrome. Br J Sports Med. 1998;32(2):107–10.

    Article  PubMed  PubMed Central  Google Scholar 

  66. Peterson HA. Physeal fractures: Part 3. Classification. J Pediatr Orthop. 1994;14(4):439–48.

    Article  PubMed  Google Scholar 

  67. Benjamin HJ, Hang BT. Common acute upper extremity injuries in sports. Clin Pediatr Emerg Med. 2007;8(1):15–30.

    Article  Google Scholar 

  68. Osbahr DC, Kim HJ, Dugas JR. Little league shoulder. Curr Opin Pediatr. 2010;22(1):35–40.

    Article  PubMed  Google Scholar 

  69. Casadei K, Kiel J. Proximal humeral epiphysiolysis. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2022.

    Google Scholar 

  70. Kasser JR, Mathews PA, MacEwen GD. Tibial tubercle apophysitis in cerebral palsy treated with proximal tibial epiphysiodesis: report of two cases with 3-year follow-up. J Pediatr Orthop. 1988;8(6):704–6.

    Article  PubMed  Google Scholar 

  71. Gholve PA, Scher DM, Khakharia S, Widmann RF, Green DW. Osgood Schlatter syndrome. Curr Opin Pediatr. 2007;19(1):44–50.

    Article  PubMed  Google Scholar 

  72. Valentino M, Quiligotti C, Ruggirello M. Sinding-Larsen-Johansson syndrome: a case report. J Ultrasound. 2012;15(2):127–9.

    Article  PubMed  PubMed Central  Google Scholar 

  73. Micheli LJ, Ireland ML. Prevention and management of calcaneal apophysitis in children: an overuse syndrome. J Pediatr Orthop. 1987;7(1):34–8.

    Article  PubMed  Google Scholar 

  74. Adirim TA, Cheng TL. Overview of injuries in the young athlete. Sports Med. 2003;33(1):75–81.

    Article  PubMed  Google Scholar 

  75. Pediatric TN, Injuries S. Pediatr Clin N Am. 2020;67(1):205–25.

    Article  Google Scholar 

  76. Karadsheh M. Osteochondritis dissecans. OrthoBullets October 5, 2021. https://www.orthobullets.com/knee-and-sports/3028/osteochondritis-dissecans. Accessed 10 March 2023.

  77. Fairbairn JR, Huxel Bliven KC. Incidence of shoulder injury in elite wheelchair athletes differ between sports: a critically appraised topic. J Sport Rehabil. 2019;28(3):294–8.

    Article  PubMed  Google Scholar 

  78. Diaz R, Stoll AH, Rho ME, Blauwet CA. Preserving the shoulder function of an elite Paratriathlete. Am J Phys Med Rehabil. 2018;97(8):e69–72.

    Article  PubMed  Google Scholar 

  79. Akbar M, Brunner M, Ewerbeck V, et al. Do overhead sports increase risk for rotator cuff tears in wheelchair users? Arch Phys Med Rehabil. 2015;96(3):484–8.

    Article  PubMed  Google Scholar 

  80. Marrè-Brunenghi G, Camoriano R, Valle M, Boero S. The psoas muscle as cause of low back pain in infantile cerebral palsy. J Orthop Traumatol. 2008;9(1):43–7.

    Article  PubMed  PubMed Central  Google Scholar 

  81. Chung CC, Shimer AL. Lumbosacral spondylolysis and spondylolisthesis. Clin Sports Med. 2021;40(3):471–90.

    Article  PubMed  Google Scholar 

  82. Osmotherly PG, Thompson E, Rivett DA, Haskins R, Snodgrass SJ. Injuries, practices and perceptions of Australian wheelchair sports participants. Disabil Health J. 2021;14(2):101044.

    Article  PubMed  Google Scholar 

  83. Napolitano J. Shoulder pain and injury in the adaptive athlete. Nationwide Children’s July 11, 2018. https://www.nationwidechildrens.org/family-resources-education/700childrens/2018/07/shoulder-pain-in-the-adaptive-athlete. Accessed 16 Dec 2022.

  84. Brook EM, Tenforde AS, Broad EM, et al. Low energy availability, menstrual dysfunction, and impaired bone health: a survey of elite Para athletes. Scand J Med Sci Sports. 2019;29(5):678–85.

    Article  PubMed  Google Scholar 

  85. Georges A, Das JM. Traumatic brain injury. StatPearls; 2022. https://www.ncbi.nlm.nih.gov/books/NBK459300/. Accessed 10 March 2023.

  86. Gessel LM, Fields SK, Collins CL, Dick RW, Comstock RD. Concussions among United States high school and collegiate athletes. J Athl Train. 2007;42(4):495–503.

    PubMed  PubMed Central  Google Scholar 

  87. Kerr ZY, Chandran A, Nedimyer AK, Arakkal A, Pierpoint LA, Zuckerman SL. Concussion incidence and trends in 20 high school sports. Pediatrics. 2019;144(5):e20192180.

    Article  PubMed  Google Scholar 

  88. Lexell J, Lovén G, Fagher K. Incidence of sports-related concussion in elite Para athletes - a 52-week prospective study. Brain Inj. 2021;35(8):971–7.

    Article  PubMed  Google Scholar 

  89. Echemendia RJ, Meeuwisse W, McCrory P, et al. The sport concussion assessment tool 5th edition (SCAT5): background and rationale. Br J Sports Med. 2017;51(11):848–50.

    PubMed  Google Scholar 

  90. Waddington GS. The king-Devick test and concussion diagnosis. J Sci Med Sport. 2017;20(8):707.

    Article  PubMed  Google Scholar 

  91. Halstead ME, Walter KD, Moffatt K, Council on Sports Medicine And Fitness. Sport-related concussion in children and adolescents. Pediatrics. 2018;142(6):e20183074.

    Article  PubMed  Google Scholar 

  92. Weiler R, Blauwet C, Clarke D, et al. Concussion in Para sport: the first position statement of the Concussion in Para Sport (CIPS) Group. Br J Sports Med. 2021;55(21):1187–95.

    Article  PubMed  Google Scholar 

  93. McCrea M, Guskiewicz KM, Marshall SW, et al. Acute effects and recovery time following concussion in collegiate football players: the NCAA concussion study. JAMA. 2003;290(19):2556–63.

    Article  PubMed  Google Scholar 

  94. Halstead ME, McAvoy K, Devore CD, et al. Returning to learning following a concussion. Pediatrics. 2013;132(5):948–57.

    Article  PubMed  Google Scholar 

  95. International Paralympic Committee. Wheelchair Rugby—Para Sport Explained: Wheelchairs in Wheelchair Sports. June 25, 2016. https://www.paralympic.org/news/para-sport-explained-wheelchairs-wheelchair-sports. Accessed 18 Dec 2022.

  96. Lusty D, Modrcin A. Chapter 19: seating evaluation. In: Rinaldi RJ, Srinivasan R, editors. Handbook of pediatric rehabilitation medicine. 1st ed. DemosMedical; 2022. p. 219–29.

    Google Scholar 

  97. Cooper RA, De Luigi AJ. Adaptive sports technology and biomechanics: wheelchairs. PM R. 2014;6(8 Suppl):S31–9.

    PubMed  Google Scholar 

  98. Ward M, Johnson C, Klein J, et al. Chapter 11: Orthotics and assistive devices. In: Murphy KP, McMahon MA, Houtrow AJ, editors. Pediatric rehabilitation: principles and practice. 6th ed. DemosMedical; 2021. p. 196–229.

    Google Scholar 

  99. Hamdy RC, Makhdom AM, Saran N, Birch J. Congenital fibular deficiency. J Am Acad Orthop Surg. 2014;22(4):246–55.

    Article  PubMed  Google Scholar 

  100. Torode I. Congenital deficiencies of the femur. In: Krajbich JI, Pinzur MS, Potter BK, Stevens PM, editors. Atlas of amputations and limb deficiencies. 4th ed. American Academy of Orthopaedic Surgeons; 2016. p. 889–900.

    Google Scholar 

  101. Wening J, Stockwell M. Oxygen consumption and prosthetic moments for two transfemoral amputees running with and without a knee. Paper presented at: AAOP 2012. American Academy of Orthotists & Prosthetists 38th academy annual meeting and scientific symposium; US Department of Health. HCFA common procedure coding system (HCPCS) 2001; Atlanta, GA. Springfield (VA): US Department of Commerce, National Technical Information Service; Mar 21–24, 2012.

    Google Scholar 

  102. Highsmith MJ, Kahle JT, Miro RM, Mengelkoch LJ. Bioenergetic differences during walking and running in transfemoral amputee runners using articulating and non-articulating knee prostheses. Technol Innov. 2016;18(2–3):159–65.

    Article  PubMed  PubMed Central  Google Scholar 

  103. Verheul FJM, Verschuren O, Zwinkels M, et al. Effectiveness of a crossover prosthetic foot in active children with a congenital lower limb deficiency: an explorative study. Prosthetics Orthot Int. 2020;44(5):305–13.

    Article  Google Scholar 

  104. Heneghan NR, Heathcote L, Martin P, Spencer S, Rushton A. Injury surveillance in elite Paralympic athletes with limb deficiency: a retrospective analysis of upper quadrant injuries. BMC Sports Sci Med Rehabil. 2020;12:36. Published 2020 Jun 11

    Article  PubMed  PubMed Central  Google Scholar 

  105. Heneghan NR, Collacott E, Martin P, Spencer S, Rushton A. Lumbosacral injuries in elite Paralympic athletes with limb deficiency: a retrospective analysis of patient records. BMJ Open Sport Exerc Med. 2021;7(1):e001001. Published 2021 Jan 15.

    Article  PubMed  PubMed Central  Google Scholar 

  106. Burger H, Vidmar G. A survey of overuse problems in patients with acquired or congenital upper limb deficiency. Prosthetics Orthot Int. 2016;40(4):497–502.

    Article  Google Scholar 

  107. Wasser JG, Acasio JC, Hendershot BD, Miller RH. Single-leg forward hopping exposures adversely affect knee joint health among persons with unilateral lower limb loss: a predictive model. J Biomech. 2020;109:109941.

    Article  PubMed  Google Scholar 

  108. Dumanian GA, Potter BK, Mioton LM, et al. Targeted muscle Reinnervation treats neuroma and phantom pain in major limb amputees: a randomized clinical trial. Ann Surg. 2019;270(2):238–46.

    Article  PubMed  Google Scholar 

  109. Valerio IL, Dumanian GA, Jordan SW, et al. Preemptive treatment of phantom and residual limb pain with targeted muscle reinnervation at the time of major limb amputation. J Am Coll Surg. 2019;228(3):217–26.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. University of Colorado/Children’s Hospital Colorado, Aurora, CO, USA

    Stephanie Tow

  2. Children’s Mercy Hospital, Kansas City, MO, USA

    Stephanie Green

  3. Cincinnati Children’s Hospital Medical Center/University of Cincinnati, Cincinnati, OH, USA

    Jeremy Shapiro

  4. Children’s Mercy Hospital/University of Missouri—Kansas City, Kansas City, MO, USA

    Mark Fisher

  5. University of California San Diego/Rady Children’s Hospital—San Diego, San Diego, CA, USA

    Phoebe Scott-Wyard

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  2. Stephanie Green
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Correspondence to Stephanie Tow .

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  1. Department of Physical Medicine and Rehabilitation, Mayo Clinic Arizona, Scottsdale, AZ, USA

    Arthur Jason De Luigi

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Tow, S., Green, S., Shapiro, J., Fisher, M., Scott-Wyard, P. (2023). Pediatric Adaptive Athletes. In: De Luigi, A.J. (eds) Adaptive Sports Medicine. Springer, Cham. https://doi.org/10.1007/978-3-031-44285-8_33

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