Shoulder pain is a common issue among individuals who utilize manual wheelchairs, with reported incidence as high as 78% among all users. This has a significant impact on functional independence and quality of life in these individuals. Wheelchair sports and programs have been growing in popularity and competitiveness in the United States. There are only a small number of studies to date investigating shoulder pain and pathology amongst the different athletes competing in wheelchair sports. The purpose of this program is to review current literature of shoulder pain and pathology in both manual wheelchair users and recreational and elite athletes competing in wheelchair sports; to understand the difference in biomechanics between pushing a manual wheelchair in every day mobility and wheelchair sports; and to highlight recent research on shoulder pain and pathology in elite wheelchair racers. The Director of University of Pittsburgh’s Human Engineering Research Laboratory and elite wheelchair racer, Rory Cooper will be part of the speaking panel to discuss his expertise on the biomechanics of wheelchair users.