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Adaptive rowing challenges barriers to participation in the sport for individuals with learning, physical and sensory impairments.
The first adaptive and integrative rowing club was affiliated to the ARA in 1998 and there are now a number of clubs that offer, and are indeed dedicated to, adaptive rowing. Advances in the equipment available for adaptive athletes and the ever-increasing number of accessible rowing venues, has meant that rowing is truly becoming a sport for all.

Leg, Trunk and Arms athletes race in a coxed four. Athletes in this category have a "minimal disability". The legs, trunk and arms offers competition for rowers with a visual impairment or a physical disability who can row using a sliding seat. The cox can be male or female, and with or without a disability. Athletes with visual impairment have to wear masks when they race. Those athletes who are in this category have specialist rowing legs.
Rowers who have trunk function which allows them to row with their trunk and arms on fixed seats, compete in a mixed double sculls event, with one male and one female rower.

There are single sculling races for both male and female rowers who have the ability to row using their arms only. Rowers use a standardised boat design with outrigger floats to stabilise the boat and prevent it tipping over. Athletes race on a fixed seat with a back and they are strapped in at chest height.