Some athletes use wheelchairs or prosthetic limbs and compete in their respective sport independently and under their own power.

Visually impaired athletes participate in running events with the help of a sighted guide, to whom they may be attached by a tether.

Sound-emitting devices or a sighted "caller" are used to indicate target areas for throwing events, take-off points for jumping events, and other important locations for visually impaired competitors.

Shot, Discus and Javelin – Have no sitting balance and usually hold on to part of chair whilst throwing [2] The following medal table is the winnings of the 2020 Paralympic Games.

The United States has more than doubled the winnings of any other country, Great Britain and Canada being their closest competitor.