Athletic Training Practice Exam 2025 - Free Athletic Training Practice Questions and Study Guide

Atlantoaxial instability is indeed a common complication associated with athletes who have Down syndrome. This condition involves an abnormal relationship between the first (atlas) and second (axis) cervical vertebrae in the spine, which can lead to increased mobility at this joint. This increased mobility may raise the risk of spinal cord injury, particularly during contact sports or activities that involve sudden movements or impacts.

Athletes with Down syndrome may not only have inherent physiological differences but may also experience compromised neck stability due to the anatomical variations associated with the condition. As such, while awareness of other potential health issues, such as congenital heart defects, is important, atlantoaxial instability directly affects their participation in sports by potentially limiting the types of activities deemed safe for them.

Other conditions listed, such as congenital heart defects and slipped capital epiphysis, can impact athletes with Down syndrome but are generally less directly associated with sports participation concerns when compared to atlantoaxial instability. Chronic fatigue syndrome is another condition that could affect performance but does not have the same urgent implications for safety and injury risk during athletic activities.