UCI klassifisering - Topcare

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UCI klassifisering

The UCI recommends to use the codes below on UCI para-cyclists licenses:

Handbike H 1 M H 1 WH1
Handbike H 2 MH2 WH2
Handbike H 3 MH3 WH3
Handbike H 4 MH4 WH4


Handcycle Class H1
H 1.1 Tetraplegia C6 or above and severe athetosis / ataxia / dystonia

· Tetraplegic with impairments corresponding to a complete cervical lesion at
C6 or above
· Complete loss of trunk stability and lower limb function
· Limited extension of the elbow with a muscle score of 6 (total of both triceps)
· Limited handgrip
· Non-spinal cord injury, but functional ability profile equivalent to class H 1.1
· Impaired sympathetic nerve system
· Recumbent position in handbike mandatory (AP-bikes)
· Severe athetosis / ataxia / dystonia and elbow extension limitation
· Asymmetric or symmetric quadriplegia with at leastgrade 3 spasticity in upper
limbs and lower limbs.


H 1.2 Tetraplegia C7/C8 and severe athetosis / ataxia / dystonia
· Tetraplegic with impairments corresponding to a complete cervical lesion at
C7/C8 or above
· Complete loss of trunk stability and lower limb function
· Non-spinal cord injury, but functional ability profile equivalent to class H 1.2
· Impaired sympathetic nerve system
· Recumbent position in handbike mandatory (AP-bikes)
· Severe athetosis / ataxia / dystonia and no elbow extension limitation
· Asymmetric or symmetric quadriplegia spasticity with at least grade 2
spasticity in upper limb and lower limbs.

Handcycle Class H2
H 2.1
· Paraplegic with impairments corresponding to a complete lesion from Th1 to
Th3
· Very limited trunk stability
· Impaired sympathetic nerve system
· Non-spinal cord injury, but functional ability profile equivalent to

H 2.2
· Paraplegic with impairments corresponding to a complete lesion from Th4 to
Th10
· Limited trunk stability
· Non-spinal cord injury, functional ability profile equivalent to class H 2.2
· Recumbent position in handbike mandatory (AP-bikes)
· Moderate quadriplegia with/without athetosis/ataxia.
· Severe hemiplegia (non-ambulant)
· Severe diplegia (non-ambulant) and athetosis/ataxia
· Neurological impairments with at least grade 1 spasticity in upper limb

Handcycle Class H3
· Paraplegic with impairments corresponding to a complete lesion from Th11 or
below
· No lower limb function or limited function
· Normal or almost normal trunk stability
· Non-spinal cord injury, functional ability profile equivalent to class H 3
· Incomplete loss of lower limb function, functional ability profile equivalent to
class H3 or H4, with other disabilities, which prevent the safe use of a
conventional bicycle, tricycle or the Kneeling position in a handbike
· Recumbent position in handbike (AP or ATP bike)
· Diplegia and athetosis/ataxia/dystonia (almost normal UE)
· Hemiplegic with spasticity a minimum of Grade 3, lower limb more involved


Handcycle Class H4
An athlete who can use the kneeling position must use it and therefore will be
classifier accordingly.
·
Paraplegic with impairments corresponding to a complete lesion from Th11 or
below
· Double below or Double through knee amputee
· Single leg amputation (AK), minimal disability below knee amputation (BK)
· Incomplete loss of lower limb function, with other disabilities, which prevent
the save use of a conventional bicycle or tricycle
· Kneeling Position (HK-bike), in case of mobility reduction if prevents kneeling,
the athlete can use a recumbent bike in H3
· Hemiplegic with spasticity Grade 2, lower limb more involved
· Diplegic, lower spasticity Grade 2 in both legs
· Mild to moderate athetosis or ataxia

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