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What is a significant concern for a child with Down syndrome wanting to play contact sports?

  1. Increased risk of leg fractures

  2. Cervical spine injury risk

  3. Heart conditions related to sports

  4. Bleeding disorders commonly seen in Down syndrome

The correct answer is: Cervical spine injury risk

A significant concern for a child with Down syndrome wanting to play contact sports is cervical spine injury risk. Children with Down syndrome often have atlantoaxial instability, which is an increased mobility of the first two cervical vertebrae. This instability can lead to potential spinal cord compression or injury, particularly in activities that involve impact or sudden movements, such as contact sports. Because the durability of the spinal structures can be compromised, the risk for cervical spine injury becomes elevated, making it a critical consideration for safety when evaluating participation in such activities. Understanding the specific health characteristics of individuals with Down syndrome is fundamental, as it allows healthcare providers and guardians to make informed decisions regarding physical activities. In contrast, while other choices like leg fractures or heart conditions are relevant medical concerns, they do not specifically correlate with the unique anatomical and physiological challenges posed by Down syndrome as directly as cervical spine risks do.