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Para sport translation of the IOC consensus on recording and reporting of data for injury and illness in sport
  1. Wayne Derman1,2,3,
  2. Marelise Badenhorst1,2,4,
  3. Cheri Blauwet3,5,
  4. Carolyn A Emery6,7,
  5. Kristina Fagher8,
  6. Young-Hee Lee9,10,11,
  7. James Kissick3,12,
  8. Jan Lexell3,8,13,
  9. Ian Stuart Miller14,15,
  10. Babette M Pluim16,17,18,
  11. Martin Schwellnus2,19,
  12. Kathrin Steffen20,21,22,
  13. Peter Van de Vliet23,24,
  14. Nick Webborn3,25,26,
  15. Richard Weiler17,27
  1. 1Institute of Sport and Exercise Medicine (ISEM), Division of Orthopaedic Surgery, Department of Surgical Sciences, Stellenbosch University Faculty of Medicine and Health Sciences, Cape Town, South Africa
  2. 2International Olympic Committee Research Centre, South Africa
  3. 3IPC Medical Committee, Bonn, Germany
  4. 4Sports Performance Research Institute New Zealand (SPRINZ), Auckland University of Technology, Auckland, New Zealand
  5. 5Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital/Harvard Medical School, Boston, Massachusetts, USA
  6. 6Sport Injury Prevention Research Centre, Faculty of Kinesiology and Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
  7. 7International Olympic Committee Research Center, Calgary, Alberta, Canada
  8. 8Rehabilitation Medicine Research Group, Department of Health Sciences, Lund University, Lund, Sweden
  9. 9Department of Rehabilitation Medicine, Yonsei University Wonju College of Medicine, Seodaemun-gu, Korea (the Republic of)
  10. 10International Olympic Committee Research Center, Seoul, Korea (the Republic of)
  11. 11Yonsei Institute of Sports Science and Exercise Medicine, Seoul, Korea (the Republic of)
  12. 12Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada
  13. 13Department of Rehabilitation Medicine, Skåne University Hospital, Lund, Sweden
  14. 14English Institute of Sport, Manchester, UK
  15. 15British Paralympic Association, London, UK
  16. 16Section Sports Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa
  17. 17Amsterdam Collaboration on Health & Safety in Sports (ACHSS), AMC/VUmc IOC Research Center of Excellence, Amsterdam, The Netherlands
  18. 18Medical Department, Royal Netherlands Lawn Tennis Association (KNLTB), Amstelveen, The Netherlands
  19. 19Sport, Exercise Medicine and Lifestyle Institute (SEMLI), University of Pretoria, Faculty of Health Sciences, Pretoria, South Africa
  20. 20Oslo Sports Trauma Research Center, Norwegian School of Sports Sciences, Oslo, Norway
  21. 21International Olympic Committee Research Center, Norway
  22. 22The Norwegian Olympic Training Center (Olympiatoppen), Oslo, Norway
  23. 23Former Medical & Scientific Director International Paralympic Committee, Bonn, Germany
  24. 24Immune-Oncological Centre, Cologne, Germany
  25. 25Centre for Sport and Exercise Science and Medicine (SESAME), School of Sport and Service Management, University of Brighton, Brighton, UK
  26. 26School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK
  27. 27Fortius Clinic, London, UK
  1. Correspondence to Professor Wayne Derman, Institute of Sport and Exercise Medicine, Division of Orthopaedic Surgery, Department of Surgical Sciences, Stellenbosch University Faculty of Medicine and Health Sciences, Cape Town, South Africa; ewderman{at}


In 2020, the IOC proposed a universal methodology for the recording and reporting of data for injury and illness in sport. Para sport is played by individuals with impairment, and they have a unique set of considerations not captured by these recommendations. Therefore, the aim of this addendum to IOC consensus statement was to guide the Para sport researcher through the complexities and nuances that should be taken into consideration when collecting, registering, reporting and interpreting data regarding Para athlete health. To develop this translation, experts in the field of Para sports medicine and epidemiology conducted a formal consensus development process, which began in March 2020 with the formation of a consensus group that worked over eight phases, incorporating three virtual consensus meetings to finalise the translation. This translation is consistent with the IOC consensus statement, yet provides more detailed Para athlete specific definitions and recommendations on study population, specifically, diagnostic and eligible impairment categorisation and recording of adaptive equipment, and defining and classifying health problems in the context of Para sport. Additionally, recommendations and Para athlete specific examples are described with regards to injury mechanism, mode of onset, injury and illness classification, duration, capturing and reporting exposure and risk. Finally, methods and considerations are provided to cater to the varied needs of athletes with impairment with respect to data collection tools. This harmonisation will allow the science to develop and facilitate a more accurate understanding of injury and illness patterns for tailoring evidence-informed prevention programmes and enabling better planning of medical services for Para sport events.

  • consensus statement
  • injury
  • illness
  • injury prevention
  • sports and exercise medicine

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  • Twitter @wderman, @CABlauwet, @CarolynAEmery, @KristinaFagher, @docpluim, @SportswiseUK

  • Contributors All authors were part of the teleconferences and made substantial contributions. Please refer to the Methods section.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.

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