Introduction Sports participation is increasingly recognized as a key contributor to psychological and social well-being in individuals with motor disabilities. Growing attention has been given to lived experiences and subjective dimensions of well-being in this population. This systematic review explores the impact of sport on psychological outcomes, including quality of life, self-efficacy, social support, resilience, and self-esteem in adults with motor disabilities. Methods A systematic search was conducted in PubMed, Scopus, and PsycNET following ENTREQ and PRISMA-S guidelines. Peer-reviewed qualitative and mixed-methods studies were included if they involved adults with motor disabilities engaged in sports and reported psychological outcomes. Methodological quality was assessed using the CASP Qualitative Checklist and the Mixed Methods Appraisal Tool (MMAT). Confidence in findings was evaluated using GRADE-CERQual. Results Of 10,807 records identified, 359 duplicates were removed and 10,338 records were excluded after title/abstract screening. Of 110 full-text articles assessed, 96 were excluded, leaving 14 studies. Thematic synthesis identified a hierarchical structure of themes reflecting psychological outcomes of sport participation. Benefits clustered across five domains: psychological well-being, self-efficacy, self-esteem, resilience, and social support. Sub-themes included identity reconstruction, belonging, and empowerment. Some challenges, including performance-related anxiety and social inequalities in sport contexts, were also reported. Conclusions Sport plays a transformative role in the lives of individuals with motor disabilities, promoting emotional growth, resilience, and social inclusion. The synthesis provides a nuanced understanding of how adapted sport contributes to psychological adjustment and quality of life, with implications for inclusive sport policies and psychosocial interventions.
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