592 September & October 2025. Volume 14. Num 4 Background and Aims Paralympic athletes are at increased risk of overuse injuries due to their unique physical condions, which may impair their performance.This study aimed to invesgate the relaonship of sports injuries with physiological and funconal indicators (knee isokinec strength, anaerobic power, and balance) in Iranian Paralympic athletes. Methods This descripve–analycal study was conducted on 76 elite male and female Iranian athletes with physical and motor disabilies (Mean age: 32±2.99 years) from 11 sports disciplines compeng in the Paris 2024 Paralympic Games. The knee isokinec strength was measured by the Biodex system. The anaerobic power was calculated using the Wingate test. Also, stac and dynamic balances were measured using the Stork test and the Y-balance test, respecvely. To assess sports injuries, the Oslo Sports Trauma Research Center (OSTRC) quesonnaire was used. Based on its score, athletes were classified into three groups: non- injured, moderately injured, and severely injured. Results Regarding the OSTRC quesonnaire components, the injured group showed significantly higher mean scores than the non-injured group in parcipaon (P=0.001), performance (P=0.001), pain (P=0.001), training volume (P=0.027), and total score (P=0.001). However, the t-test results revealed no stascally significant differences between non-injured and injured groups in right knee strength (P=0.945), leſt knee strength (P=0.354), peak anaerobic power (P=0.498), mean anaerobic power (P=0.352), stac balance (P=0.373), or dynamic balance (P=0.326). Pearson’s correlaon test results indicated a non-significant relaonship between injury and physiological/funconal indicators (P>0.05). Conclusion The results emphasize the importance of integrang both subjecve and objecve evaluaon methods in analyzing the performance of Paralympic athletes. The findings can be useful in the design of training, rehabilitaon, and injury prevenon programs for these athletes. Keywords Sports injury, Athlec performance, Paralympic athlete, Isokinec indicators, Oslo quesonnaire A B S T R A C T Received: 10 Apr 2025 Accepted: 30 Apr 2025 Available Online: 23 Sep 2025 Citaon Hossein Bara A, Barzegar Bafrouei M, Rouhi M [The Relaonship of Sports Injuries With Knee Isokinec Strength, Anaerobic Power, and Balance in Iranian Paralympic Athletes (Persian)]. Scienfic Journal of Rehabilitaon Medicine. 2025; 14(4):592-605. hps://dx.doi.org/10.32598/SJRM.14.4.3352 https://dx.doi.org/10.32598/SJRM.14.4.3352 Use your device to scan and read the article online Research Paper The Relaonship of Sports Injuries With Knee Isokinec Strength, Anaerobic Power, and Balance in Iranian Paralympic Athletes 1. Department of Health and Sports Rehabilitaon, Faculty of Sport Sciences and Health Promoon, Shahid Behesh University, Tehran, Iran. *Amir Hossein Bara 1 , Morteza Barzegar Bafrouei 1 , Mojtaba Rouhi 1 * Corresponding Author: Amir Hossein Bara, Associate Professor. Address: Department of Health and Sports Rehabilitaon, Faculty of Sport Sciences and Health Promoon, Shahid Behesh University, Tehran, Iran. Tel: +98 (912) 1930811 E-Mail: ah_bara@sbu.ac.ir Copyright © 2025 The Author(s); This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC: https://creativecommons.org/licenses/by-nc/4.0/legalcode.en), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.