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Para athletes report relatively high rates of sports injuries and illnesses compared with non-disabled athletes as well as other health problems related to impairments, overuse injuries in daily life and mental distress.1 2 Additionally, many Para athletes at elite level need to navigate common life stressors such as maintaining a work-life balance, transitioning careers, financial uncertainty and parenthood. Despite all these challenges, most preventive frameworks, return to play protocols, pre-participation programmes and athlete health consensus guidelines in sports remain unsuitable to the unique needs of Para athletes. Moreover, the knowledge about Para athletes’ health is scarce within the sports and exercise community, and many athletes do not have the same support structures as non-disabled athletes.3