PEARLS OR PERILS

■ Major barriers to participation for children and adolescents with disabilities include lack of trans­portation, financial constraints, and physical and attitudinal barriers.

■ Strengthening exercises in children with spasticity are not contraindicated, and often result in improved strength, aerobic capacity, and quality of life.

■ While active weight-bearing exercises such as jumping result in increased bone density, the oste­ogenic benefits of passive weight-bearing are less clear.

■ Access to technology such as video games and com­puters has resulted in a trend of lowered physical activity and increased obesity among AB and DA youth. However, use of active video games is result­ing in increased levels of physical activity. This technology is also being implemented in habilitative and rehabilitative therapy programs.

■ Sport and disability specific injury patterns are being recognized among disabled youth, leading to a new field of sports medicine for the disabled. Prescription of appropriate training and equipment are among the tools necessary for the pediatric reha­bilitation professional.

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