{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T01:53:43Z","timestamp":1790042023646,"version":"4.0.1"},"reference-count":45,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,10,23]],"date-time":"2019-10-23T00:00:00Z","timestamp":1571788800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100005350","name":"Centrum for Idrottsforskning","doi-asserted-by":"publisher","award":["P2016\u20100069"],"award-info":[{"award-number":["P2016\u20100069"]}],"id":[{"id":"10.13039\/501100005350","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005350","name":"Centrum for Idrottsforskning","doi-asserted-by":"publisher","award":["F2016\u20100024"],"award-info":[{"award-number":["F2016\u20100024"]}],"id":[{"id":"10.13039\/501100005350","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>With increased participation in Paralympic sports, the burden of sports\u2010related injuries and illnesses may increase. However, there is limited knowledge about the epidemiology of sports\u2010related injuries and illnesses in Paralympic sports (SRIIPS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe among Swedish Paralympic athletes the 1\u2010year retrospective period prevalence of severe SRIIPS and the point prevalence of all SRIIPS and to examine differences in prevalence proportions between athletes with different impairments, behaviors, and sport characteristics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Cross\u2010sectional study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Swedish Paralympic Programme.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>One hundred and four Paralympic athletes with visual, physical, and intellectual impairment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An eHealth application adapted to Paralympic athletes was used to collect self\u2010report data on existing and previous SRIIPS, as well as impairment, behavior, and sport characteristics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measurements<\/jats:title><jats:p>One\u2010year retrospective period prevalence and point prevalence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The period prevalence of severe injuries was 31% (95% CI 23\u201040) and the point prevalence 32% (95% CI 24\u201041). The period prevalence of severe illnesses was 14% (95% CI 9\u201023), and 13% of the athletes (95% CI 8\u201022) reported a current illness. More severe injuries <jats:italic>(P\u2009&lt;.05)<\/jats:italic> were reported by athletes aged 18 to 25\u2009years, not using assistive device, having pain during sport, using analgesics, continuing training injured, and feeling guilt when missing exercise. Athletes who reported a previous severe injury, having pain in daily life and during sport, using analgesics, and being upset when unable to exercise had a higher prevalence of current injuries <jats:italic>(P<\/jats:italic>\u2009&lt;.05<jats:italic>)<\/jats:italic>. Being female<jats:italic>,<\/jats:italic> reporting previous severe illness, using prescribed medication, and feeling anxious\/depressed were features associated with ongoing illnesses <jats:italic>(P<\/jats:italic>\u2009&lt;.05<jats:italic>)<\/jats:italic>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Paralympic athletes report a high prevalence of SRIIPS. Behavioral and psychological aspects as well as pain and use of medication appear to be associated with the occurrence of SRIIPS. The results imply that factors leading to SRIIPS are complex and call for a broad biopsychosocial approach when developing preventive measures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>III.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pmrj.12211","type":"journal-article","created":{"date-parts":[[2019,7,1]],"date-time":"2019-07-01T17:58:51Z","timestamp":1562003931000},"page":"271-280","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":77,"title":["Prevalence of Sports\u2010Related Injuries and Illnesses in Paralympic Athletes"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9524-7553","authenticated-orcid":false,"given":"Kristina","family":"Fagher","sequence":"first","affiliation":[{"name":"Department of Health Sciences, Rehabilitation Medicine Research Group Lund University  Lund Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00d6rjan","family":"Dahlstr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Medical and Health Sciences, Athletics Research Center Link\u00f6ping University  Link\u00f6ping Sweden"},{"name":"Department of Behavioural Sciences and Learning Link\u00f6ping University  Link\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenny","family":"Jacobsson","sequence":"additional","affiliation":[{"name":"Department of Medical and Health Sciences, Athletics Research Center Link\u00f6ping University  Link\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toomas","family":"Timpka","sequence":"additional","affiliation":[{"name":"Department of Medical and Health Sciences, Athletics Research Center Link\u00f6ping University  Link\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Lexell","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Rehabilitation Medicine Research Group Lund University  Lund Sweden"},{"name":"Department of Neuroscience, Rehabilitation Medicine Uppsala University  Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,10,23]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"International Paralympic Committee. 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