Sports participation by persons with disabilities has increased dramatically over the past fifty years. Athletes with spinal injury, amputees, and those with developmental disabilities are at risk for certain injuries because of their specific injury impairments. There are also general medical problems that can arise in association with these physical conditions. Providing sporting event coverage and appropriate treatment for the disabled athlete requires knowledge of these impairment-specific injuries and risks. Physiatrists can provide essential leadership and and support to disabled sports programs.