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Periodic Health Evaluations in the Adaptive Athlete: Redefining "Medical Clearance"
Stephanie Tow1, Jeffrey Warren Kepple2, Carolette Snyders3
1Department of Physical Medicine & Rehabilitation, University of Colorado; Departments of Pediatric Rehabilitation Medicine and Orthopedics Institute - Sports Medicine Center, Children's Hospital Colorado, 13123 East 16th Avenue, Box 285, Aurora, CO 80045, USA.
Periodic health evaluations (PHEs) lack standards for adaptive athletes, who face unique health challenges. This article offers guidance for healthcare providers to ensure safe sports participation for this population.
Area of Science:
- Sports Medicine
- Adaptive Sports
- Healthcare Standards
Background:
- Periodic health evaluations (PHEs) are crucial for assessing and monitoring athletes' health.
- The adaptive sport population has unique health considerations and delayed healthcare access.
- Current PHE standards do not adequately address the needs of adaptive athletes.
Purpose of the Study:
- To provide education and standardized considerations for PHEs in adaptive athletes.
- To equip healthcare providers with the knowledge to offer comprehensive care.
- To promote safe and inclusive participation in adaptive sports.
Main Methods:
- Review of existing literature on PHEs and adaptive sports.
- Identification of specific health challenges in adaptive athletes.
- Development of standardized recommendations for PHEs.
Main Results:
- Adaptive athletes present with a higher prevalence and diversity of health issues.
- Lack of standardized PHEs creates barriers to safe participation.
- Guidance can improve healthcare provider preparedness for adaptive athletes.
Conclusions:
- Standardized PHEs are essential for the adaptive athlete population.
- Healthcare providers need specific education to address the needs of adaptive athletes.
- Implementing standardized PHEs will enhance safe sports participation for adaptive athletes.

