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TEAM PHYSICIAN’S CORNER
        athletes.  Health care professionals do   Other stressors that Paralympic athletes   cease competing. The impact of this
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        agree that the assumption that there   may experience include chronic pain from   needs to be investigated further to help
        is a relationship between physical and   their underlying medical conditions, lack   these athletes in their transition.
        intellectual impairment and mental   of sufficient adaptive sports facilities, and
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        health symptoms is not correct and is   logistic problems with travel to competition.    Conclusions
        discriminatory, but there are stressors that   Another issue is that a large portion of these   The Paralympics have significantly grown
        our unique to the Paralympic population   athletes had a significant trauma leading to   and their popularity has soared over
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        that have not been fully studied.    their disability, but little research has been
           One is the “Supercrip” phenomenon   done to assess the extent of traumatization   the past few decades. They have had a
        in which people make the Paralympic   symptoms in these athletes.         tremendous impact on inclusion and
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        athletes out to be superhuman for       Finally, the mental health impact of   acceptance of patients with disabilities
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        overcoming their disabilities.  This   retirement from sport has not been fully   in our society. With the increased
        phenomenon can be very positive as   studied in these athletes. Paralympic   competitiveness, though, has come the
        these athletes can inspire and serve as   athletes’ sports careers are relatively   increased risk of injury and illness. So, it is
        role models, but there may also be some   short as their careers do not start until   important for sports medicine physicians
        unintended negative consequences.    after the onset of their disability. As a   to understand conditions unique to these
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        First of all, excessive reverence of these   result, they are often adjusting to their   medically complex athletes and develop
        athletes could reinforce the notion that   new disability and then subsequent   prevention and treatment strategies.
        people with disabilities are not expected   retirement from their sport during the   A multidisciplinary biopsychosocial
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        to achieve.  Next, the “Supercrip”   same time period.  Furthermore, often   approach needs to be taken when caring
        narrative may be internalized by the   sports have helped Paralympic athletes   for Paralympic athletes as there are inter-
        athletes, making them feel that they have   transition back to normal life after their   relationships between injury and illness
        to have extraordinary achievements to    injuries and may have helped them avoid   and psychosocial factors. Finally, more
        be respected and accepted by others,   discrimination based on their disability.    research needs to be performed on the
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        which could place a significant amount    So, they could have potential problems   mental health of these athletes, as this
        of stress on the athletes to succeed.    integrating back into society once they   has been a grossly under-evaluated area.
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       12   SPORTS MEDICINE UPDATE  |  Summer 2020, Issue 3
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