Tehran University of Medical Sciences Journal of Modern Rehabilitation 2538-385X 17 2 2023 04 01 156 171 Ataollah Shahbandi Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran. Farzin Farahbakhsh Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran. Pardis Noormohammadpour Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran. Navid Moghadam Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran. Mohsen Rostami Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran. Bahar Hassanmirzaei Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran. Ramin Kordi Spine Center of Excellence, Yas Hospital, Tehran University of Medical Sciences, Tehran, Iran. 2021 10 27 2021 11 28 Introduction: Chronic pain is a serious secondary problem for many individuals with disabilities. Materials and Methods: A total of 231 disabled athletes invited to compete in a multi-sport national sports tournament for para-athletes in Ahvaz, Iran, participated in the study to be investigated whether spinal pain (SP) prevalence and characteristics are different among different sports and disabilities. Athletes’ demographic information, SP prevalence, characteristics, and disability using the athlete disability index questionnaire were obtained. SP prevalence, characteristics, and factors affecting SP intensity and disability caused by low back pain (LBP) were determined as primary outcome measures before data collection. Results: The mean (95% confidence intervals) disability percentage and LBP intensity score were 22.2% (19.2-25.3) and 2.14(1.84-2.47) of 10, respectively. The highest LBP intensity was among physical fitness participants and patients with spinal lesions. Weightlifting athletes and athletes with arm movement limitations had the highest disability. The mean (95% confidence intervals) neck pain intensity score was 2.16(1.80-2.54). Conclusion: A high prevalence of SP was observed among most disabilities and sports. Although its intensity is rarely severe among a population of any disability or sports, it is undeniably disabling among the vulnerable population of para-athletes. https://jmr.tums.ac.ir/index.php/jmr/article/view/573