CP6 (classification)

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CP6 is a disability sport classification specific to cerebral palsy. In many sports, it is grouped inside other classifications to allow people with cerebral palsy to compete against people with other different disabilities but the same level of functionality. Sportspeople in this class are ambulatory, and able to walk without the use of an assistive device. Their bodies are constantly in motion. The running form of people in this class is often better than their form while walking.

Contents

Some of the sports that CP6 sportspeople are eligible to participate in at the elite level include athletics, cycling, football, skiing, swimming, race running, para-taekwondo, wheelchair tennis, archery, para-equestrian, powerlifting, rowing, sailing, shooting, sledge hockey, table tennis, wheelchair basketball, wheelchair fencing, and table tennis In some of these sports, different classification systems or names for CP6 are used.

Definition and participation

The spasticity athetosis level and location of a CP6 sportsperson. CP6 disability profile.png
The spasticity athetosis level and location of a CP6 sportsperson.

Cerebral Palsy-International Sports and Recreation Association defined this class in January 2005 as, "Athetoid or Ataxic - Moderate involvement The athlete ambulates without assistive devices. Athetosis is the most prevalent factor, although some ambulant spastic quadriplegics (i.e. more arm involvement than in ambulant diplegics), may fit this Class. Athetosis means unsteady (writhing), not having the capability to remain still. All four limbs will usually show functional involvement in sports movements. Class 6 athletes have more control problems in upper limbs than Class 5 athletes, although the former usually have better function in lower limbs particularly when running. Lower Extremities-Function can vary considerably depending on the sports skill involved, from poor, laboured, slow walking to a running gait, which often shows better mechanics. There can be a marked contrast between the walking athetoid with inco-ordinated gait and the smooth even paced co-ordinated running/cycling action. Cyclical movements however are much better performed like cycling, running and free-style swimming Balance-May have good dynamic balance compared with static balance. Spasticity is common in Class 6 athletes and should not be a reason for placement in Class 5. Upper Extremities and Hand Control-Grasp and release can be significantly affected when throwing in the moderate to severe athetoid athlete. The more spasticity present the greater the limits on follow through and maintenance of balance after throwing. " [1]

Performance

CP6 sportspeople are able to walk without the need for an assistive device. [2] They lack coordination in all their limbs, with the greater lack of coordination involving their upper body. [2] [3] [4] [5] [6] Their bodies are often in motion, and they cannot maintain a still state. [4] [6] While CP2, CP3 and CP6 have similar issues with Athetoid or Ataxic, CP6 competitors have "flight" while they are ambulant in that it is possible for both feet to not be touching the ground while walking. CP2 and CP3 are unable to do this. [7]

Sports

Athletics

In athletics events, CP6 competitors participate in T36/F36 classes. [2] [6] [8] [9] In athletics, CP6 competitors have some balance issues in track events and field events that require either running or throwing. [2] Their form in running is often better than their form while walking. [3]

Cycling

People with cerebral palsy are eligible to compete in cycling at the Paralympic Games. [1] [10] [11] CP5 and CP6 competitors may compete using tricycles in the T2 class. [4] [8] Cyclists opting to compete in the T2 class often do so as a result of balance issues, which make riding a standard bicycle or handcycle difficult. [4] Tricyclists are not eligible to compete in track events, only in road events. [4] CP5 and CP6 may also choose to compete on a bicycle in the C3 class. [4] [8]

Football

CP6 sportspeople are eligible to compete in association football in the sport of CP football. [1] [10] CP6 players are classified as FT6. [7] [12] [13] [14] The rules of the sport are such that there must be at least on FT5 or FT6 player on the field at all times. [14] [15] If it is not possible to field an FT5 or FT6 player, the team plays with six players on the field instead of seven. [14] [15] [16]

The extent of their disability is such that CP5 players would unlikely to ever be competitive against able-bodied players. [17] When they do not have the ball, CP6 class players may have problems stopping and changing directions when running. [7] When kicking from a non-stationary position, their accuracy is severely reduced. [7] They may have difficulty when dribbling the ball. [7]

CP footballers are first required to go through national level classification before being eligible for international classification. [7] The first stage of international classification involves a physical assessment. This may involve classifiers who are medical experts. [7] The second stage involves observing the footballer practising their sport specific skills in a non-competitive setting. [7] The third stage involves classifiers observing the player in competition for at least 30 minutes. [7] Following that, the classification panel then assigns the footballer to a class, which may also include "Not Eligible." [7]

Skiing

CP6 are able to compete at the elite Paralympic level. [1] [10] [11] CP6 Nordic skiers compete in LW3 and LW9, [1] while CP6 alpine skiers compete in LW 1 and LW3/2. [1] [15]

In teaching skiers with cerebral palsy, instructors are encouraged to delay the introduction ski poles as skiers may overgrip them. Use of a ski bra is also encouraged as it helps the skier learn correct knee and hip placement. One method of learning to ski for competitors with cerebral palsy in this classification is the American Teaching System. They first thing skiers learn is what their equipment is, and how to put it on and take it off. Next, skiers learn about positioning their body in a standing position on flat terrain. After this, the skier learns how to side step, and then how to fall down and get back up again. The skier then learns how to do a straight run, and then is taught how to get on and off the chair lift. This is followed by learning wedge turns and weight transfers, wedge turns, wide track parallel turns, how to use ski poles, and advanced parallel turns. [18]

While learning to ski, skiers in this class with cerebral palsy may use ski-bras, bungee cords, outriggers, slant boards or toe boards. [19]

Swimming

CP6 swimmers are able to compete at the Paralympic Games. [1] [10] [11] They are often classified as S7. [20]

CP6 swimmers tend to have a passive normalized drag in the range of 0.5 to 0.8. This puts them into the passive drag band of PDB6, PDB7, PDB8, PDB9, and PDB10. [20] Because of their balance issues, swimmers in this class can find the starting block problematic and often have slower times entering the water than other competitors in their class. [21] [22] CP6 swimmers experience swimmers shoulder, a swimming related injury, at rates similar to their able-bodied counterparts. [22] When fatigued, asymmetry in their stroke becomes a problem for swimmers in this class. [22] The integrated classification system used for swimming, where swimmers with CP compete against those with other disabilities, is subject to criticisms has been that the nature of CP is that greater exertion leads to decreased dexterity and fine motor movements. This puts competitors with CP at a disadvantage when competing against people with amputations who do not lose coordination as a result of exertion. [23]

Other sports

People with cerebral palsy in this class are eligible to compete at the elite level in a number of other sports including wheelchair tennis, archery, para-equestrian, powerlifting, rowing, sailing, shooting, sledge hockey, table tennis, wheelchair basketball, wheelchair fencing, and table tennis. [1] [6] [10] [11] [15] Race running is another sport open to this class. CP6 race runners may be classified as RR3 or RR4. [24] Para-Taekwondo is another sport open to CP6 competitors. Early on, the CP6 classification competed as CP6 before a different sport specific classification system was developed. [25]

Related Research Articles

<span class="mw-page-title-main">S7 (classification)</span>

S7, SB6, SM7 are disability swimming classifications used for categorizing swimmers based on their level of disability. Swimmers in this class have use of their arms and trunk. They have limited leg function or are missing a leg or parts of both legs. 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.

S6, SB5, SM6 are disability swimming classifications used for categorising swimmers based on their level of disability. This class includes people with a number of different types of disability including short stature, major limb impairment or loss in two limbs. This includes people with cerebral palsy, people with dwarfism and amputees. The class competes at the Paralympic Games.

S3, SB2, SM3 are disability swimming classifications used for categorising swimmers based on their level of disability. People in this class have decent arm and hand function, but no use of their trunk and legs. They have severe disabilities in all their limbs. Swimmers in this class have a variety of different disabilities including quadriplegia from spinal cord injury, severe cerebral palsy and multiple amputations.

T38 and CP8 are disability sport classification for disability athletics intended for people with cerebral palsy. It includes people who have coordination impairments such as hypertonia, ataxia and athetosis. Runners in this class may appear to have a slight limp when they are running but otherwise have a stride similar to able-bodied runners. Events for this class include 100 meters, 400 meters, 1,500 meters, and the long jump.

T36 is a disability sport classification for disability athletics. It includes people who have coordination impairments such as hypertonia, ataxia and athetosis. It includes people with cerebral palsy. T36 is used by the International Paralympic Committee. This classification competes at the Paralympic Games.

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

BC1 is a Paralympic boccia classification. The class is open to people with several different types of disabilities, including cerebral palsy. BC1 players have events open to them in boccia on the Paralympic Games program.

BC2 is a Paralympic boccia classification. The class is open to people with several different types of disabilities, including cerebral palsy. BC2 players have events open to them in boccia on the Paralympic Games program.

C3 is a para-cycling classification. The class includes people with moderate upper or lower limb dysfunctions and includes cyclists with cerebral palsy, limb impairments and amputations. The UCI recommends this be coded as MC3 or WC3. The class competes at the Paralympic Games.

Para-alpine skiing classification is the classification system for para-alpine skiing designed to ensure fair competition between alpine skiers with different types of disabilities. The classifications are grouped into three general disability types: standing, blind and sitting. Classification governance is handled by International Paralympic Committee Alpine Skiing. Prior to that, several sport governing bodies dealt with classification including the International Sports Organization for the Disabled (ISOD), International Stoke Mandeville Games Federation (ISMWSF), International Blind Sports Federation (IBSA) and Cerebral Palsy International Sports and Recreation Association (CP-ISRA). Some classification systems are governed by bodies other than International Paralympic Committee Alpine Skiing, such as the Special Olympics. The sport is open to all competitors with a visual or physical disability. It is not open to people with intellectual disabilities.

LTA-PD is an adaptive rowing classification for people with physical disabilities that was developed in March 2011. It includes people with spinal cord injuries generally at around the S1 level. It also includes people with cerebral palsy. People in this class have issues with their legs, arms and trunk.

CP1 is a disability sport classification specific to cerebral palsy. In many sports, it is grouped inside other classifications to allow people with cerebral palsy to compete against people with other different disabilities but the same level of functionality. CP1 classified competitors are the group who are most physically affected by their cerebral palsy. They are quadriplegics.

CP2 is a disability sport classification specific to cerebral palsy. In many sports, it is grouped inside other classifications to allow people with cerebral palsy to compete against people with other different disabilities but the same level of functionality. People in this class tend to use electric wheelchairs and are quadriplegic. CP2 competitors have better upper body control when compared to CP1.

CP3 is a disability sport classification specific to cerebral palsy. In many sports, it is grouped inside other classifications to allow people with cerebral palsy to compete against people with other different disabilities but the same level of functionality. Compared higher number CP classes, they have increased issues with head movement and trunk function. They tend to use wheelchairs on a daily basis though they may be ambulant with the use of assistive devices.

CP4 is a disability sport classification specific to cerebral palsy. In many sports, it is grouped inside other classifications to allow people with cerebral palsy to compete against people with other different disabilities but the same level of functionality. Compared lower number CP classes, they have fewer issues with head movement and trunk function. They tend to use wheelchairs on a daily basis though they may be ambulant with the use of assistive devices.

CP5 is a disability sport classification specific to cerebral palsy. In many sports, it is grouped inside other classifications to allow people with cerebral palsy to compete against people with other different disabilities but the same level of functionality. Sportspeople in this class have greater functional control of their upper body, and are generally ambulant with the use of an assistive device. Quick movements can upset their balance.

CP7 is a disability sport classification specific to cerebral palsy. In many sports, it is grouped inside other classifications to allow people with cerebral palsy to compete against people with other different disabilities but with the same level of functionality. Sportspeople in this class can walk but may appear to have a limp as half their body is affected by cerebral palsy.

CP8 is a disability sport classification specific to cerebral palsy. In many sports, it is grouped inside other classifications to allow people with cerebral palsy to compete against people with other different disabilities but the same level of functionality.

Cerebral palsy sport classification is a classification system used by sports that include people with cerebral palsy (CP) with different degrees of severity to compete fairly against each other and against others with different types of disabilities. In general, Cerebral Palsy-International Sports and Recreation Association (CP-ISRA) serves as the body in charge of classification for cerebral palsy sport, though some sports have their own classification systems which apply to CP sportspeople.

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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