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SportsAdaptive Sports

Inside the Reverse Integration of Wheelchair Basketball

Unlike many adaptive sports, wheelchair basketball accepts able-bodied athletes. Is it overlooking its primary duty?

By Maurice Peebles
Artwork by Jason Willmann

Hunger makes rebels of us all, and Mike Frogley’s hunger for basketball had driven him halfway around the world to a hospital cafeteria in England, searching for a way in. 

It was 1989, and the future Paralympic gold medalist had just arrived at Stoke Mandeville—the birthplace of the Paralympic movement—when he did what any basketball junkie would do: He went looking for a court.

He found a side door through the cafeteria, grabbed a basketball, and started shooting around alone. Within minutes, a player from Jordan rolled over to join him. Then athletes from the Netherlands, Turkey, and Greece filtered in like iron filings drawn to a magnet. Soon there were 10 players on the court from different countries, none sharing a common language. Yet somehow, impossibly, they were playing pickup basketball.

“We played for an hour and a half, till we got called for supper,” Frogley recalls. "We were able to play wheelchair basketball, play a pickup game, which is actually kind of unheard of—but we did."

For Frogley, what happened at Stoke Mandeville that day was more than just a pickup game—it represented the larger connective potential of sports. 

“It leads [me] to the idea that more people should be involved in the sport,” he says. “That means people who are able-bodied should be involved in this sport. Sport is a language we all speak. You don't get to just hop in a chair and be great at it just because you happen to be able-bodied. 

“I’ve toasted people who are able-bodied who didn't do the training.”

In leagues around the world, wheelchair basketball operates under a policy called "reverse integration," in which able-bodied athletes actually participate alongside disabled players and are actively recruited to fill roster spots and elevate competition. Unlike many other adaptive sports, wheelchair basketball doesn't require athletes to have a disability; the only qualification for playing is the willingness to compete. But when able-bodied athletes can take roster spots from willing and competitive disabled players, is the sport overlooking its primary duty?  

“I’ve toasted people who are able-bodied who didn't do the training.”

 Mike Frogley

The classification system that governs adaptive basketball is a way to get people with different types of function competing equitably on a basketball court. Players are assigned point values from 1.0 to 4.5 based on their functional ability with teams limited to 14 total points on the court at any time—turning difference into strategy. In leagues that allow them, able-bodied players are typically classified as a 4.5. 

Jerry Tonello is a 4.5 and a symbol of the sport’s transformation. The able-bodied player started playing wheelchair basketball in Toronto in the 1970s because his best friend's brother used a wheelchair and needed teammates. Recognized as the first able-bodied player to compete in the Canadian national championship, which he did in 1992, Tonello went on to coach Canada's men's team to Paralympic gold in 2012. But his greatest victory wasn't on the scoreboard—it was the shift in perspective he experienced from traveling with the wheelchair basketball community, gaining "a greater understanding of what the experience of individuals with disabilities was like." 

"The greatest enemy to inclusion is ignorance," says Frogley, who himself coached Team Canada to their first- (and second-) ever wheelchair basketball Paralympic golds in 2000 and 2004. "When we are exposed to something, when we learn about it, those outcomes are not only mitigated, they vanish." 

Recent research suggests the system of inclusion is working as intended. Studies comparing wheelchair basketball players found “no significant difference in shooting accuracy between wheelchair and able-bodied athletes,” while functional classification didn't correlate with performance on speed, endurance, or accuracy tests. The best able-bodied player Frogley ever coached was Jerry Tonello, but “aside from Jerry, I'm not sure if I've ever seen an able-bodied player that could compete with Pat Anderson, Steve Serio, or Phil Pratt." 

The advantage isn't physical—it's earned through training, skill development, and basketball IQ. “You don't get to compete because you have function,” Frogley explains. "You get to compete at that level because you've taken what you've got, and you've maximized what you've got." 

“The greatest enemy to inclusion is ignorance.”

 Mike Frogley

Frogley has witnessed it countless times from the sidelines. Before wheelchair basketball games, he'd hear spectators talking about what players couldn't do—they can't walk, they can't jump, they can't go upstairs. But as the game progressed, something remarkable happened. "They would start to hear them say things like, 'Wow, do you see how fast that person is?' 'Wow, that three-pointer.' 'Wow, see how quickly they got up?'" Frogley recalls. 

By the end of the game, spectators were leaving the gym talking about speed, skill, and athleticism—not disability. "I couldn't help but wonder if later that day, when they would be going across campus or in the community and they saw a person in a wheelchair, that their first thoughts would be: 'I wonder if that person plays wheelchair basketball. I wonder what that person does,'" Frogley says. 

For the athletes, these experiences aren't just about breaking a sweat—they’re measurably life-changing. While the general employment rate for people with disabilities hovers around 22.7 percent, studies show that 97 percent of elite Paralympic athletes are employed. Among Swedish athletes with intellectual disabilities participating in Special Olympics, employment rates reached 72 percent for men and 44 percent for women—dramatically higher than the 27 percent and 16 percent baseline rates for people with intellectual disabilities in Sweden. 

Ryan Murphy, who built the groundbreaking wheelchair basketball program at the City University of New York (still the only program of its kind on the East Coast), sees these statistics not as abstract data points but as proof of sport’s transformative power. “The average employment rate of a person with a disability is somewhere in the 25-to-30-percent range," Murphy explains. "But that bumps up to 55 to 60 percent for individuals with disabilities who participated in adaptive sports, whether that was at the junior level or at the collegiate level." 

The implications are staggering. Sport isn't just recreation for people with disabilities—it's a pathway to economic independence, professional fulfillment, and societal contribution.  

“Is your return on investment that you want to win collegiate wheelchair basketball championships, or do you want to provide the same experiences to your students with disabilities that their non-disabled peers get?”

 Ryan Murphy

Murphy calls his approach the "field of dreams" strategy: If you build a program and hire the right person, students will come to that university specifically for wheelchair basketball. But the math is more complex than population percentages suggest. A campus with 30,000 undergraduate students theoretically has the numbers to support a program. The challenge is that many students with disabilities at the university level don't have to disclose their disabilities, making it difficult to identify and recruit potential players. 

That's where reverse integration can become not just inclusive, but practical. When Auburn University's emerging program had an able-bodied athlete averaging 35 minutes per game in the 2017-’18 season, it created an opportunity for four teammates with disabilities to compete, generating 165 minutes of playing time they otherwise wouldn't have had. The NWBA's pilot program allowing able-bodied athletes in collegiate divisions resulted in six new teams—a 35 percent increase—with 30 new athletes, only nine of whom were able-bodied. 

To Murphy, though, the decision to integrate rests largely on a league’s organizational goals. "Is your return on investment that you want to win collegiate wheelchair basketball national championships at all costs, or do you want to provide the same experiences to your students with disabilities that their non-disabled peers get?" 

No radical concept comes without tension. While many domestic leagues are inclusive, the practice creates a stark divide with international competition, where only athletes with qualifying disabilities can compete. This inclusion paradox—a sport that's maximally inclusive domestically but exclusive internationally—represents one of Paralympic sport's most complex challenges. 

The debate also reveals deeper questions about the purpose of Paralympic sport. "All participants reported positive experiences and supported able-bodied involvement," a 2023 study of national wheelchair basketball players found. "However, involvement of able-bodied players was not supported at international level." 

The debates aren’t simply philosophical—they’re economic. With Name, Image, and Likeness rules changing college athletics and athletic departments cutting non-revenue sports, adaptive sports face an uncertain future. Perhaps able-bodied inclusion increases visibility and participation enough to make it a reliably stable part of any school. Or those students could take up roster spots that otherwise would’ve gone to a disabled athletes.  

The good news from an economic standpoint? Corporate sponsors are recognizing that Paralympic sport represents access to 15 percent of the global population—over a billion people. Companies are investing in Paralympic athletes not out of charity but because they understand this is an untapped market with tremendous purchasing power.  

But wheelchair basketball is only played in the Paralympics once every four years.  

Additionally, according to Murphy, current political trends are threatening the progress disability advocates have made over decades. States attempted to opt out of Section 504 of the Rehabilitation Act prohibiting discrimination based upon disability, and there have been deep cuts to the U.S. Department of Education, which provides crucial support for students with disabilities. "I don't think this is a time for growth," Murphy cautions. "I think this is a time where we need to be able to really validate and fight for the things that we do have, because losing them would be a tremendous step backwards." 

And that fight will continue. Just as 10 players from different countries found common ground on a basketball court in 1989, wheelchair basketball's reverse integration shows how sport can create spaces for people where the only qualification is the willingness to compete. That pickup game at Stoke Mandeville wasn't just basketball—it was proof of concept for a more inclusive world. "We had a shared value," Frogley remembers. "We valued wheelchair basketball. We valued playing as a team. That allowed us to compete together."