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Physically and Mentally Challenged Athletes

Individuals with physical and intellectual disabilities regularly compete in sports alongside athletes with and without similar disabilities. This entry outlines the benefits of sports and exercise for individuals with disabilities and provides information on participation levels, barriers, special considerations, and program design. The discussion is intentionally broad because individuals with disabilities represent a heterogeneous population and each individual has his or her own unique needs. This entry provides general guidelines that could assist coaches, fitness instructors, health professionals, and teachers in implementing and/or supporting a program that would include individuals of all abilities. This entry also focuses on both sports and exercise for individuals with disabilities, with an emphasis on participation in community programs for recreation and health.

Defining Disability

The World Health Organization states that

disabilities is an umbrella term, covering impairments, activity limitations, and participation restrictions. Impairment is a problem in body function or structure; an activity limitation is a difficulty encountered by an individual in executing a task or action; while a participation restriction is a problem experienced by an individual in involvement in life situations. Thus disability is a complex phenomenon, reflecting an interaction between features of a person's body and features of the society in which he or she lives. (http://www.who.int/topics/disabilities/en)

There is no universal agreement on the definition of the term disability, but the shift from a medical model of disability to the social model has been widely accepted. This means that people's physical, cognitive, or sensory limitations are no longer the center point of disability; rather, it is the interaction of their functional status with their environment. If an environment is free of physical and attitudinal barriers and offers appropriate support to accommodate people of all abilities, then a person with a disability can fully participate in all aspects of society. This includes involvement in competitive and recreational sport.

Prevalence rates of disability vary radically around the world, in part because surveys and data collection methods differ. The lack of a standard definition of disability as well as comorbidities and multiple pathologies contribute to the uncertainty of current prevalence estimates. Rates have ranged from less than 1% to 20% of a nation's population, and the United Nations estimates that disabilities are prevalent in 10% of the world's population.

Participation in Sports and Exercise

Sports for People with Disabilities

Individuals with physical and intellectual disabilities have excelled in competitive and recreational sports for many years. An athlete with a disability may elect to engage in inclusive sports alongside nondisabled individuals (i.e., regular sports) or in adapted sports alongside other individuals with similar disabilities (i.e., disability sports). Opportunities for athletes with disabilities to compete at an elite level and to achieve athletic excellence are often within disability sports, such as the Paralympics. However, athletes with disabilities have also competed at the highest level of regular sports. Jim Abbot (Major League Baseball pitcher from 1989 to 1998) and Casey Martin (former golfer on the PGA tour and member of the 1994 National Collegiate Athletic Association Championship golf team) are just two examples of high-performance athletes with disabilities.

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