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Updated: Jul 20, 2026

Asymmetric Walkway: A Novel Behavioral Assay for Studying Asymmetric Locomotion
08:19

Asymmetric Walkway: A Novel Behavioral Assay for Studying Asymmetric Locomotion

Published on: January 15, 2016

Transient quadriparesis in the athlete.

Christina R Allen1, James D Kang

  • 1Division of Sports Medicine, Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.

Clinics in Sports Medicine
|March 7, 2002
PubMed
Summary

Deciding when athletes can return to play after transient quadriparesis or with congenital stenosis is complex. Individual assessment of each athlete

Area of Science:

  • Sports Medicine
  • Neurology
  • Orthopedic Surgery

Background:

  • Controversy exists regarding return-to-play (RTP) criteria after transient quadriparesis (TQ) in athletes.
  • The risk of neurologic injury in athletes with congenital cervical stenosis participating in contact sports is debated.
  • Infrequent occurrence rates of TQ and permanent cervical cord injury complicate risk prediction.

Purpose of the Study:

  • To provide guidelines for RTP decisions in athletes with TQ or congenital stenosis.
  • To clarify the risks associated with TQ and congenital cervical stenosis in contact sports.
  • To aid physicians and athletes in making informed RTP decisions.

Main Methods:

  • Review of existing literature on TQ, congenital cervical stenosis, and spinal injuries in athletes.

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  • Analysis of decision-making processes for player eligibility.
  • Development of proposed RTP guidelines based on individual athlete evaluation.

    • Main Results:

    • Current RTP criteria and the implications of congenital stenosis are not definitively established.
    • Predicting permanent neurologic injury risk after TQ is challenging due to low incidence.
    • Individualized assessment of cause, symptoms, radiographic findings, and history is crucial.

    Conclusions:

    • RTP decisions for athletes with TQ or congenital stenosis require careful, individualized evaluation.
    • The proposed guidelines aim to standardize and rationalize the RTP process.
    • Informed decision-making can mitigate risks for athletes in contact sports.