by people with various disabilities, as well as several that are unique just to disabled athletes, such as goalball. Within each movement, different sports are practiced at different levels; for example, not all sports in the Paralympic movement are part of the Paralympic Games. In addition, many sports are practiced by persons with a disability outside the formal sports movements. Adapted sports help society learn about disability. They also can help remove some of the stigma associated with having a disability. Training There is evidence to support that the use of inspiratory muscle training (IMT) as a training intervention can be implemented to increase the aerobic fitness, respiratory function, and overall quality of life in this population of athletes. Inspiratory Muscle Training in particular has been shown to improve respiratory muscle function and might help to reduce dyspnea on exertion. Long term physiological adaptations through prolonged training demonstrated within athletes with disabilities include increased respiratory volume, improved executive functions and increased reaction time among other benefits in relation to non athletes in the same age group. Inclusion Beginning in the late 1980s and early 1990s, work began within several countries and organizations to include athletes with disabilities in the non-disabled sport system. This included adding events for athletes with disabilities to major games such as the Olympic Games and the Commonwealth Games, and integration of these athletes into non-disabled sports organizations. Since 1984, the Olympics have included exhibition events for Paralympic athletes. However, integration of full medal events has not taken place, and the status of athletes with a disability in the Olympic movement remains controversial. Within the Commonwealth Games, athletes with a disability were first included in 1990 Auckland Commonwealth Games, then at the exhibition events in 1994, and at the 2002 Manchester Commonwealth Games they were included as full members of their national teams, making these the first fully inclusive international multi-sport games. This policy has continued with the 2006 Melbourne Commonwealth Games, where Canadian Chantal Petitclerc became the first athlete with a disability to carry her country's flag in the Opening Ceremonies of an integrated games. Individual athletes such as swimmer Natalie du Toit and track athlete Oscar Pistorius have competed as equals against able bodied athletes at various events including the Olympic Games. 2013 the FIFA decided that Austrian footballer Martin Hofbauer can continue to play competitive football with prosthetics after he lost his right lower