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Abstract Objective: To discuss the case of a 42-year-old weightlifter with osteogenesis imperfecta. Clinical Features: There is no current treatment for osteogenesis imperfecta. treatment objectives were designed to minimize pain, improve range of motion and decrease stress on the elbow joints. Nutritional supplementation was used to help maintain bone density. The elbow pain improved with treatment, and the patient has not had no new fractures in the last 6 years. Conclusion: Although most patients with osteogenesis imperfecta are physically of the high risk of fracture, some patients with milder forms of condition inactive because may be involved in some athletic activities. Although manipulation is contraindicated in patients with osteogenesis imperfecta, chiropractors may be service by offering pain relief and rehabilitation, in addition to advice regarding nutrition and supplements. (J Manipulative Physiol Ther 2002:25:334-39) Key Indexing Terms: Osteogenesis Imperfecta: Wheelchair Athletice; Weightliting; Chiropractic Introduction Ostegenesis imperfecta is a genertic mutation fecting the quality and quantity of collagen production. A hallmark finding a patients with osteogenesis imperfecta is an abnormally fragile skileton susceptible to fracture with minimal trauma. The following is a case report of a 42-year-old with osteogenesis imperfects who has had more than 35 fractures of his spine and traordinary achievements in the field of weightlifting. In 1991, he won the National Wheelchair Athletic Association Championship in Oklahoma; in 1993, he was the Stoke-Mandeville Game Champion in England; and in 1994 and 1995, he was the USA National Wheelchair Athletic Association Champion in Boston. In 1991 at a body weight of 119 lbs. he set a national recoed at the US National Wheelchair Athletic Association Championships by bench pressing 3 repetitions at 270 lbs, Case Report A 42-Year-old African American man previously diagnosed with osteogenesis imperfecta tarda (type 1) was seen as a patient by one of the autyers (RES). No family history (including both parents, 4 brothers and 1 sister) of osteogeneis imperfecta or other congenital anomalies was present. He was able to stand and walk with assistance devices or supports; however, his ambulation after several minutes of weiht-bearing (Fig 1, A and B). He used a wheelchair and was able to drive a car by using hand controls. His history included at least 35 fractures of both the spine and extremities. his chief complaint was acute elbow pain bilaterally. Physical Examination The patient 46 inches tall and weighed 118 lbs. His skull was conical-shaped, characteristic of the deformity |