Table 1

Examples of comorbidities associated with certain diagnoses

DiagnosisAssociated comorbidityComment
Spinal cord injury—wheelchair basketballUrinary tract infection associated with neuropathic bladderNot necessarily sport related
Neuromuscular disorder/muscular dystrophy—shooting Para sportDecreasing muscle strength and/or cardiac functionDecreasing baseline of health over time and cardiac risk
Bilateral above knee amputee—handcyclingPhantom limb pain—athlete uses regular endurance exercise as a form of pain managementIncreased risk of shoulder pain deemed necessary by the athlete to manage mental health
Vision impairment—Para swimming (eg, pseudoxanthoma elasticum, Stickler syndrome)Collagen disorder causing sight loss but also affects soft tissueIncreased risk of injury and impaired healing of tissues