Bright Futures at Georgetown University
 
Bright Futures in Practice: Physical Activity

CHILDREN AND ADOLESCENTS WITH SPECIAL HEALTH CARE NEEDS

Frequently Asked Questions About Physical Activity and Children and and Adolescents with Special Health Care Needs

My son has cystic fibrosis. How often can he participate in physical activity?
If your son's condition is stable, encourage him to participate in physical activity every day. Encourage him to try a variety of activities so he can find activities that he enjoys and that are appropriate for him. If your son participates in physical activity during hot weather, make sure he eats foods that contain extra salt (for example, saltines, pretzels, and sports drinks) and drinks more water. If your son also has severe lung disease (lung capacity below 50 percent), take him to a health professional specializing in special health care needs for physical activity testing to evaluate his ability to participate in physical activity.

My daughter has a mild cardiac disorder. I'm worried about letting her participate in physical education. Should I ask that she be excused from the class?

Most children and adolescents with special health care needs can safely participate in physical education classes. Children and adolescents with mild cardiac disorders can participate in most class activities (for example, running and playing volleyball). Even children and adolescents with moderate to severe cardiac disorders can participate in low-intensity activities. Take your daughter to a health professional regularly to have her health status assessed and receive guidance on an appropriate level of participation in physical activity. Discuss your daughter's condition, abilities, and any activity restrictions with the physical education teacher.

My son, who has cerebral palsy, is about to start kindergarten. I'm afraid he'll get hurt playing with the other children. What should I do?

It is important for your son's physical and emotional health that he play with his classmates. Discuss your son's condition with his teacher. Assure the teacher that your son can participate in most activities, although he may require some assistance, and tell the teacher that he needs adult supervision when he is on playground equipment such as slides and climbing equipment. Discuss risks, injury prevention strategies, and how to handle emergencies.

My daughter has Down syndrome and wants to join a community baseball team. Is this OK?

If your daughter has no cardiac problems, she can safely participate in most physical activities. Participation in physical activity with others (for example, baseball and soccer) helps children and adolescents enhance their cognitive, creative, and motor skills. These activities are especially important for children and adolescents with special health care needs because they offer opportunities for them to socialize with their peers. Discuss your daughter's condition with the coach and provide written materials on her condition if possible.

 

Resources for Families

See Tool F: Physical Activity Resources for contact information on national organizations that can provide information on physical activity. State and local departments of public health and education and local libraries are additional sources of information.

Capper L. 1996. That's My Child: Strategies for Parents of Children with Disabilities. Washington, DC: Child and Family Press.

Goldberg B, ed. 1995. Sports and Exercise for Children with Chronic Health Conditions. Champaign, IL: Human Kinetics.

Greenstein D, Miner N, Kudela E, Bloom S. 1997. Backyards and Butterflies: Ways to Include Children with Disabilities in Outdoor Activities. Brookline, MA: Brookline Village Books.

Harris SL. 1994. Siblings of Children with Autism: A Guide for Families. Bethesda, MD: Woodbine House.

Marl K. 2000. The Accessible Games Book. Philadelphia, PA: Jessica Kingsley Publishers.

 


 

 
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