Some of the special health concerns that arise for children with disabilities identified earlier can be managed with some foresight. Wilson (2002) provides many examples of ways to prevent injury in athletic children with disabilities. Children with spinal cord injury [SCI], who might have abnormal sensory function, can wear aqua boots in the pool to avoid pressure ulcers. Likewise, children who use a racing wheelchair may require "strategically placed padding" to prevent skin breakdown. Children with SCI are also at risk for thermoregulatory dysfunction for many reasons, including their reduced capacity to sweat (Wilson, 2002).
Other disability populations have unique issues to keep in mind. Children with SB often have ventricular shunts in place, which should not necessarily keep them off the field; individual assessments should be made. Children with CP often experience spastic quadriceps muscles, which can lead to knee pain (Wilson, 2002). Children with neuromuscular disease expend more energy to move than unimpaired children. This condition causes this population to become fatigued quickly during locomotion; it is important to make adjustments so that the cardiovascular system is not overtaxed (Cooper et al., 1999).