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Acute mountain sickness in athletes with neurological impairments. Deepan C. Kamaraj, MD; Brad E. Dicianno, MD; Rory A. Cooper, PhD; John Hunter, MD; Jennifer L. Tang. Aim
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Acute mountain sickness in athletes with neurological impairments Deepan C. Kamaraj, MD; Brad E. Dicianno, MD; Rory A. Cooper, PhD; John Hunter, MD; Jennifer L. Tang
Aim • Compare occurrence of acute mountain sickness (AMS) in athletes with neurological impairments to physically active and physically inactive control subjects at high altitude. • Compare occurrence of AMS in athletes based on their disabilities. • Relevance • AMS in individuals with neurological impairments has not been considered in detail.
Method • 168 subjects at National Veterans Winter Sports Clinic in Snowmass, CO, 2007-2009. • Athletes with disabilities. • Physically active controls: trainers, volunteers, or individuals with visual impairments participating in sports activities. • Physically inactive controls: trainers, volunteers, or individuals with visual impairments not participating in sports activities. • Lake Louise Score used to quantify AMS symptoms.
Results • Higher than anticipated occurrence of AMS (42.85%) among study population. • Significantly high Lake Louis Scores among athletes with neurological impairments. • Disability group, prior history of AMS, and prior occurrence of headache at high altitude predicted development of AMS symptoms.
Conclusion • More research is warranted specifically targeting interaction between factors affecting AMS and pathophysiology of neurological impairments. • Will further our understanding of prophylactic medications and treatments for AMS. • Especially important because many military personnel with neurological impairments continue on Active Duty.