Before the 1964 games japan had a low awareness for the disabled, who would if unfortunate enough be put to live alone out of society and were challenged with barriers of eating out, jobs, education, and public transport. The first official (through small) paralympic games did not start in 1964 but instead the rome games of 1948 the paralympic games first started with Dr Ludwig Guttmann who started a spinal clinic in the stoke mandeville hospital just after the war had ended leaving many soldiers strapped to wheel chairs in the summer games of rome in the opening Dr Guttmann organised 18 athletes to attend this small stoke mandeville games 17 injured soldiers and one woman, little did they know that this stoke mandeville games would turn into something of a global succession. In 1964 with now 375 physically disabled athletes attending the stoke mandeville games they now needed perismision money and help to organise them. So Dr Guttmann held several meetings with Nakamura Yutaka who even visited the hospital in Britain. Finally both men agreed and persuaded others to hold the first official paralympics in Tokyo Japan a week after the Olympics ended. The paralympics had a big effect on disabled people in japan just a year after the 1964 paralympic games japan had created their own Para sport committee to manage all Para sports in the country soon after that an inventor called Seiichi Miyake invented tenji burokku ( tecial paving) to aid those with visual impairment which is a tile now used worldwide.