CP7 swimmers experience swimmers shoulder, a swimming related injury, at rates similar to their able-bodied counterparts. When fatigued, asymmetry in their stroke becomes a problem for swimmers in this class. The integrated classification system used for swimming, where swimmers with CP compete against those with other disabilities, is subject to criticisms has been that the nature of CP is that greater exertion leads to decreased dexterity and fine motor movements. This puts competitors with CP at a disadvantage when competing against people with amputations who do not lose coordination as a result of exertion.
