Amputee sports classification

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Amputee sports classification is a disability specific sport classification used for disability sports to facilitate fair competition among people with different types of amputations. This classification was set up by International Sports Organization for the Disabled (ISOD), and is currently managed by IWAS who ISOD merged with in 2005. Several sports have sport specific governing bodies managing classification for amputee sportspeople.

Contents

Classification for amputee athletes began in the 1950s and 1960s. By the early 1970s, it was formalized with 27 different classes. This was reduced to 12 in 1976, and then down to 9 in 1992 ahead of the Barcelona Paralympics. By the 1990s, a number of sports had developed their own classification systems that in some cases were not compatible with the ISOD system. This included swimming, table tennis and equestrian as they tried to integrate multiple types of disabilities in their sports. Amputee sportspeople have specific challenges that different from other types of disability sportspeople.

The classes for ISOD's amputee sports classification system are A1, A2, A3, A4, A5, A6, A7, A8 and A9. The first four are for people with lower limb amputations. A5 through A8 are for people with upper limb amputations. A9 is for people with combinations of upper and lower limb amputations. The classification system is largely medical, and generally has four stages. The first is a medical examination. The second is observation at practice or training. The third is observation during competition. The final is being put into a classification group. There is some variance to this based on sport specific needs.

Purpose

The purpose of sport specific amputee classification is to facilitate fair play between people with different types of disabilities, and enable people to compete on equal terms that they are prevented from doing when competing against able-bodied competitors because of their amputation. [1] [2] The classification system was designed for people with "...acquired amputations and dysmelia resembling acquired amputations." [1] Their classification system excludes people with "dysmelia not resembling acquired amputations". [1] The classification system does not use a performance based one as such a system would be unfair. [1]

Governance

This classification was set up by International Sports Organization for the Disabled (ISOD). [2] [3] [4] ISOD also governed les autres, but uses a different and separate classification system for non-amputees. The ISOD classification system for amputees is sometimes called ISOD (amputee) to differentiate between the two systems. [2] IWAS was created following the merger of ISOD and International Stoke Mandeville Games Federation (ISMGF) in 2005. Subsequently, IWAS became the classification governing body for some amputee sports. [5]

The International Paralympic Committee (IPC) is the governing body for a number of sports, and their related sport specific classification systems. These sports, open to people with amputees, include athletics, swimming, biathlon, ice sledge hockey, powerlifting, shooting, Nordic skiing, and wheelchair dance. [6] Other sports are governed by their own international bodies. This includes FITA for archery, UCI for cycling, FEI for para-equestrian, FISA for rowing, ITTF for table tennis, ITF for wheelchair tennis, and the IWBF for wheelchair basketball. [6]

Classification can also be handled on a national level for national level sport. [6] [7]

Disability type and definitions

Locations of amputations Types of amputations.png
Locations of amputations

There are a number of different types of amputations that describe the location of the amputation. A transhumeral amputation is an above the elbow amputation. It is sometimes referred to as AE. A transradial amputation is a below the elbow amputation. A transfemoral amputation is an above the knee amputation, and is sometimes referred to as AK. LEA is sometimes used to refer to lower limb amputations. A bilateral amputee is a person who is missing either both upper limbs or both lower limbs. People who are missing both legs below the knee are sometimes referred to as BK while people missing both arms below the elbow are referred as BE. Transtibial amputation is a below the knee amputation. A forequarter amputation includes the arm, shoulder, clavicle, and scapula. A partial foot amputation is when the metatarsal section of the foot is amputated. This is called a transmetatarsal amputation. A shoulder disarticulation, also called SD, is when an arm is amputated through the shoulder joint. A Symes amputation is an amputation in the foot at the heel that allows for the leg to bear weight. A unilateral amputation is a single amputation that effects only one side of the body. A wrist disarticulation, also called WD, is an amputation of the hand at the wrist. [8]

There are also a number of terms that describe the type of amputation. An acquired amputation is one in which a limb is removed as a result of disease or trauma. Diabetic amputation is a result of diabetes complications. A dysvascular amputation is a result of poor vascular circulation. A traumatic amputation is one resulting from injury. [8]

History

The early history of amputee sport had concurrent histories, with European and American amputee sports developing during the 1950s and 1960s, largely independent of each other. In Europe, unilateral and bilateral lower limb amputees participated in sports using prosthetic limbs. In the United States, these types of amputees participated in wheelchair sports instead. [7]

International Sports Organization for the Disabled (ISOD) was created in 1964, and created the first formalized system of classification to facilitate organized sporting competition between people with different types of amputations. There were originally 27 different classes of different types of amputations. This system proved untenable because of the large number of classes. [4] In 1976, the total number of classes was reduced to twelve ahead of the 1976 Paralympic Games. [4] [9] In 1992, ahead of the Barcelona hosted Paralympics, the classification system again was changed with the total number of classes reduced to the nine that currently exist today. [3] [4] Despite this, sometimes classes with different levels of performances would compete against each other in the same event for a medal at the Paralympic level. [2] Small changes were formalized in 1993. [2]

Starting in the 1990s, changes in the classification system meant that in athletics and swimming, sportspeople with amputations were competing against sportspeople with disabilities like cerebral palsy. [10] Historically, disability sport has been governed by different sport organizations: Cerebral Palsy-International Sport and Recreation Association (CP-ISRA), International Stoke Mandeville Wheelchair Sports Federation (ISMWSF), and ISOD. [2] Following the 2000 Summer Paralympics, there was a push in the wider disability sport community to move away from disability specific classification systems to a more unified classification system that incorporated multiple disability types. By 2000, swimming, table tennis, and equestrian had already done that with amputees being given sport specific classifications for these sports. The desire was to increase the number of sports doing that integration. [2]

IWAS was created following the merger of ISOD and International Stoke Mandeville Games Federation (ISMGF) in 2005. Subsequently, IWAS became the classification governing body for some amputee sports. [4] [5]

Classes

There are nine classes specifically created for people with amputations. These classes are A1, A2, A3, A4, A5, A6, A7, A8 and A9. [3] [11]

ClassDescriptionsAbbr.AthleticsCyclingSkiingSwimmingComparable classifications in other sportsRef
A1Bilateral above the knee lower limb amputationsA/KT42, F42, T54, F56, F57 C1, H5 LW1, LW12.2 S6, S7, S8Badminton: W3

Lawn bowls: LB1

Powerlifting: Weight specific class

Sitting volleyball: Open

Sitzball: Open

Ten-pin bowling: TPB8

Wheelchair basketball: 3 point player, 3.5 point player

Wheelchair fencing: 3

[3] [4] [11] [12] [13] [14] [15] [16] [17] [18] [19]
A2Unilateral above the knee lower limb amputationsA/KT42, T54, F42, F57 C2, C3, H5 LW 2 S9 Amputee basketball: Open

Amputee football: Field player

Lawn bowls: LB2

Sitting volleyball: Open

Sitzball: Open

Ten-pin bowling: TPB8, TPB9

Wheelchair basketball: 4 point player

Cerebral palsy: CP3

[3] [4] [10] [11] [12] [13] [14] [15] [16] [17]
A3Bilateral below the knee lower limb amputationsB/KT43, F43, T54, F57 C3, H5 LW 3 S8, S9Badminton: W3

Lawn bowls: LB1, LB2

Powerlifting: Weight specific class

Sitting volleyball: Open

Sitzball: Open

Ten-pin bowling: TPB8, TPB9

Cerebral palsy: CP4

Wheelchair basketball: 4 point player, 4.5 point player

[3] [4] [10]

[11] [12] [14] [15] [16] [17] [18]

A4Unilateral below the knee lower limb amputationsB/KT44, F44, T54, F57 C4, H5 LW 4 S10Amputee basketball: Open

Amputee football: Field player

Lawn bowls: LB2

Rowing: LTA

Sitting volleyball: Open

Sitzball: Open

Ten-pin bowling: TPB8, TPB9

Wheelchair basketball: 4 point player, 4.5 point player

[3] [4] [11] [12] [13] [14] [15] [16] [17] [20]
A5Bilateral above the elbow upper limb amputationsA/ET45, F45 LW5/7-1, LW5/7-2S6Lawn bowls: LB3

Sitzball: Open

[3] [4] [11] [12] [13] [15] [17]
A6Unilateral above the elbow upper limb amputationsA/ET46, F46 C5 LW6/8.1 S8 Amputee basketball: Open

Amputee football: Goalkeeper

Lawn bowls: LB3

Sitzball: Open

Ten-pin bowling: TPB10

[3] [4] [11] [12] [13] [14] [15] [17]
A7Bilateral below the elbow upper limb amputationsB/ET45, F45 C4 LW 5/7-3S7, S8Lawn bowls: LB3

Sitzball: Open

[3] [4] [11] [12] [13] [14] [15] [17]
A8Unilateral below the elbow upper limb amputationsB/ET46, F46 C5 LW 6/8.2 S9 Amputee basketball: Open

Amputee football: Goalkeeper

Badminton: STU5

Lawn bowls: LB3

Rowing: LTA

Sitzball: Open

Ten-pin bowling: TPB10

[3] [4] [11] [12] [13] [14] [15] [17] [21]
A9Combination of amputations of the upper and lower limbsT42, T43, T44, F42, F43,

F44, F56, F57

C1–5 LW9.1, LW9.2S1-S8Amputee basketball: Open

Lawn bowls: LB1, LB2

Sitting volleyball: Open

Sitzball: Open

Ten-pin bowling: TPB8, TPB9

Wheelchair basketball: 2 point player, 3 point player, 4 point player

[3] [4] [11] [12] [13] [14] [15] [16]

Some sports have their own classification systems, including athletics, swimming, table tennis, and equestrian. [2] [9] Classification for athletics is handled by IPC Athletics. Lower limb amputees are generally classified into T42 to T44. [9] Wheelchair basketball classification does not use the ISOD system. The sport takes into account the length of the amputation beyond just above or below the knee when assigning a player to a class. It also takes into account any amputations that may occur in the upper limbs. Amputee players in this sport are then generally classified as 2, 2.5, 3, 3.5, 4 or 4.5 point players [16] Powerlifting is open only to people in classes A1 and A3 as an open class based on weight. No other classes are eligible. [18]

Other sports are inclusive of all people with certain types of amputations. Sitting volleyball is one example, which is open to A1 to A4 and A9, and where everyone competes on the same team. [4] [13] Archery is another example where amputees have traditionally all competed in the same class. [22] Amputee basketball uses the ISOD classification system [14]

Because people with other types of disabilities also use wheelchairs, sometimes their classification systems have recognition with a parallel class using the IWAS system. This is the case for cerebral palsy sport, where CP-ISRA's CP3 competitors compete as IWAS A2 and CP-ISRA's CP4 competitors compete as IWAS A3. [10]

Performance

Amputee sportspeople have some sport specific issues related to their bodies when participating in sports. Because of the potential for balance issues related to having an amputation, during weight training, amputees are encouraged to use a spotter when lifting more than 15 pounds (6.8 kg). [3]

Amputees in this class who are amputees as a result of a traumatic amputation have a cardiopulmonary physiology similar to able-bodied athletes. [23] Lower limb amputations affect a person's energy cost for being mobile. To keep their oxygen consumption rate similar to people without lower limb amputations, they need to walk more slowly. [23] Lower limb amputees with longer shanks can walk further, expend less energy while walking and have increased strength in their thighs compared to lower limb amputees with shorter shanks. [24]

Because they are missing a limb, amputees are more prone to overuse injuries in their remaining limbs. [23]

Prosthetic limbs

In some sports and specific classes, amputees can use prosthetic limbs. This is true in athletics for leg amputees. These have different designs based on where the amputation occurs. Blades for above the knee amputees have four parts: a socket, a knee, a shank and a foot, while blades for below the knee amputees have three: a socket, a shank and a foot. [3]

Criticism

There has been some criticism of the classification system because of groupings of sportspeople with different types of amputations. This is because of a perception and some research that supports the idea that in some events, such as 200 meter and 400 meter track events, double below the knee amputee prostheses give the runner a competitive advantage over single below the knee amputees. Grouping double and single below the knee amputees together is seen as disadvantaging single below the knee amputees. [9] [25] [26]

Classification process

Classification is often based on the anatomical nature of the amputation. [4] [7] The classification system takes several things into account when putting people into this class. These include which limbs are affected, how many limbs are affected, and how much of a limb is missing. [1] [2]

For this class, classification generally has four phases. The first stage of classification is a health examination. For amputees, this is often done on site at a sports training facility or competition. The second stage is observation in practice, the third stage is observation in competition and the last stage is assigning the sportsperson to a relevant class. [27] Sometimes the health examination may not be done on site because the nature of the amputation could cause alterations to the body which are not physically visible. This is especially true for lower limb amputees, as it relates to how their limbs align with their hips, the impact this has on their spine and how their skull sits on their spine. [28]

The classification process can be sport specific. In the case of athletics and lower limb amputees, they are assessed based on their functional ability. [7] [9] [29] For wheelchair basketball, part of the classification process involves observing a player during practice or training. This often includes observing them go one on one against someone who is likely to be in the same class the player would be classified into. [16]

Related Research Articles

<span class="mw-page-title-main">S8 (classification)</span> Para-swimming classification

S8, SB7, SM8 are para-swimming classifications used for categorizing swimmers based on their level of disability. This class includes a number of different disabilities including people with amputations and cerebral palsy. The classification is governed by the International Paralympic Committee, and competes at the Paralympic Games.

<span class="mw-page-title-main">4.5-point player</span>

4.5-point player is a disability sport classification for wheelchair basketball. Players in this class tend to have normal trunk movement, few problems with side-to-side movements, and ability to reach to the side of their chair. Players generally have a below-knee amputation, or some other partial single-leg dysfunction. This classification is for players with minimal levels of disability. In some places, there is a class beyond this called 5-point player for players with no disabilities.

T43 is a disability sport classification for disability athletics, applying to athletes with "Double below knee amputation or similar disability." It includes ISOD classified athletes from the A4 and A9 classes.

<span class="mw-page-title-main">T44 (classification)</span> Para-athletics classification

T44 is a disability sport classification for disability athletics, applying to "Single below knee amputation or an athlete who can walk with moderately reduced function in one or both legs." It includes ISOD A4 and A9 classes.

Disability sports classification is a system that allows for fair competition between people with different types of disabilities.

F57 is a disability sport classification for disability athletics for people who compete in field events from a seated position. This class is for people with limb deficiencies not covered by other classes. It includes people who are members of the ISOD A1 and A9 classes. Events open to people in this class include the shot put, discus and javelin.

F56 is a disability sport classification for disability athletics for people who compete in field events from a seated position. The seating field event class used to be known as lower 4, upper 5. Different disability groups compete in this class, including people with amputations and spinal cord injuries. Events that may be on the program for F56 competitors include the discus throw, shot put and javelin.

A2 is an amputee sport classification used by the International Sports Organization for the Disabled (ISOD).for people with acquired or congenital amputations. A2 sportspeople have one leg amputated above the knee. Their amputations impact their sport performance, including having balance issues, increased energy costs, higher rates of oxygen consumption, and issues with their gait.

A3 is an amputee sport classification used by the International Sports Organization for the Disabled (ISOD) for people with acquired or congenital amputations. A3 classified sportspeople have both legs amputated below knee. Their amputations impact their sport performance, including having balance issues, increased energy costs, higher rates of oxygen consumption, and issues with their gait. Sports people in this class are eligible to participate in include athletics, swimming, sitting volleyball, archery, weightlifting, badminton, lawn bowls, sitzball and wheelchair basketball.

A4 is an amputee sport classification used by the International Sports Organization for the Disabled (ISOD).for people with acquired or congenital amputations. People in this class have one leg amputated below the knee. Their amputations impact their sport performance, including having balance issues, increased energy costs, higher rates of oxygen consumption, and issues with their gait. Sports people in this class are eligible to participate in include athletics, swimming, sitting volleyball, archery, weightlifting, wheelchair basketball, amputee basketball, amputee football, lawn bowls, and sitzball.

A7 is an amputee sport classification used by the International Sports Organization for the Disabled (ISOD) for people with acquired or congenital amputations. A7 sportspeople have both arms amputated below the elbow, but through or above the wrist joint. Their amputations impact their sport performance, including being more prone to overuse injuries. Sports people in this class are eligible to participate in include athletics, swimming, cycling, lawn bowls, and sitzball.

A8 is an amputee sport classification used by the International Sports Organization for the Disabled (ISOD).for people with acquired or congenital amputations. People in this class have one arm amputated below the elbow, but through or above the wrist joint. Their amputations impact their sport performance, including being more prone to overuse injuries. Sports people in this class are eligible to participate in include athletics, swimming, cycling, amputee basketball, amputee football, lawn bowls, and sitzball.

A9 is an amputee sport classification used by the International Sports Organization for the Disabled (ISOD).for people with acquired or congenital amputations. People in this class have combination of amputations of the upper and lower extremities. Their amputations impact their sport performance, including energy costs, balance and potential for overuse of muscles. Sports people in this class are eligible to participate in include athletics, swimming, sitting volleyball, amputee basketball, lawn bowls, sitzball and wheelchair basketball.

A1 is an amputee sport classification used by the International Sports Organization for the Disabled (ISOD) for people with acquired or congenital amputations. This class is for sportspeople who have both legs amputated above the knee. Their amputations impact their sport performance, including having balance issues, increased energy costs, higher rates of oxygen consumption, and issues with their gait. Sports people in this class are eligible to participate in include athletics, swimming, sitting volleyball, archery, weightlifting, badminton, lawn bowls, sitzball and wheelchair basketball.

Les Autres sport classification is system used in disability sport for people with locomotor disabilities not included in other classification systems for people with physical disabilities. The purpose of this system is to facilitate fair competition between people with different types of disabilities, and to give credibility to disability sports. It was designed and managed by International Sports Organization for the Disabled (ISOD) until the 2005 merger with IWAS, when management switched to that organization. Classification is handled on the national level by relevant sport organizations.

LA3 is a Les Autres sport classification is a wheelchair sport classification for a sportsperson with a disability that impacts their locomotor function. People in this class have normal trunk function, good sitting balance, and functional upper limbs. They have limited use of their lower limbs.

LA4 is a Les Autres sport classification is an ambulatory sport classification for a sportsperson with a disability that impacts their locomotor function. People in this class may or may not uses crutches and/or braces on a daily basis. They have some issues with balance and reduced function in their upper limbs.

LA5 is a Les Autres sport classification is an ambulatory sport classification for a sportsperson with a disability that impacts their locomotor function. People in this class have normal upper limb functionality, but have problems with balance or use of their lower limbs. Generally, limb problems are confined to one limb.

LA6 is a Les Autres sport classification is an ambulatory sport classification for a sportsperson with a disability that impacts their locomotor function. People in this class have a minimal locomotor disability that tends to impact one of their upper limbs or knees. The class includes people with arthritis and osteoporosis, or ankylosis of the knee.

Wheelchair sport classification is a system designed to allow fair competition between people of different disabilities, and minimize the impact of a person's specific disability on the outcome of a competition. Wheelchair sports is associated with spinal cord injuries, and includes a number of different types of disabilities including paraplegia, quadriplegia, muscular dystrophy, post-polio syndrome and spina bifida. The disability must meet minimal body function impairment requirements. Wheelchair sport and sport for people with spinal cord injuries is often based on the location of lesions on the spinal cord and their association with physical disability and functionality.

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