Periodic Health Evaluations in the Adaptive Athlete: Redefining "Medical Clearance"

The periodic health evaluation (PHE) is a tool used to assess, monitor, and identify barriers to safe participation in sport. Currently, there are no standards associated with the PHE in the adaptive sport population. These athletes have a higher prevalence and a wide variety of health problems while also having delayed access to appropriate health care. This article provides education and standardized considerations of the PHE for adaptive athletes. With guidance, health care providers are more prepared to perform comprehensive and clinically appropriate care to this at-risk population, while also promoting safe participation in sport for the adaptive athlete population.