PARACYCLING: HEALTHCARE CONSIDERATIONS Erik Moen PT BikePT / Corpore - - PowerPoint PPT Presentation

PARACYCLING: HEALTHCARE CONSIDERATIONS

Erik Moen PT BikePT / Corpore Sano Physical Therapy UCI and USA Paracycling Classifier

What is Parasport?

• International Paralympic Committee (IPC)
• www.Paralympic.org
• Vision: Make for an inclusive world through Para sport.
• Mission: To lead the Paralympic Movement, oversee the delivery of the

Paralympic Games and support members to enable Para athletes to achieve sporting excellence.

• International rules and standards for parasport participation and competition.
• Athlete CLASSIFICATION standards

International Cycling Union (UCI)

• International Governing Body for Competitive

Cycling

• https://www.uci.org/para‐cycling
• Racing: Road and Track
• Events: World Cups and World Championships
• Officiating
• Classification
• https://www.uci.org/para‐cycling/classification
• Amends rules on the paralympic quadrennial

US Paracycling

• United States Olympic and Paralympic

Committee (USOPC)

• www.TeamUSA.org
• www.teamusa.org/usparacycling
• Participation/competition rules mirror UCI
• Not currently directly affiliated with USA Cycling

Minimum Inclusion Criteria (MIC)

The UCI has set Minimum Impairment Criteria (MIC) to ensure that an Athlete’s Eligible Impairment affects the extent to which an Athlete is able to execute the specific tasks and activities fundamental to Para‐cycling.

ELIGIBLE IMPAIRMENTS

• Impaired power
• Impaired passive range of motion
• Limb deficiency
• Leg length difference
• Hypertonia
• Ataxia
• Athetosis
• Vision impairment

INELIGIBLE IMPAIRMENTS

• Pain
• Hearing impairment
• Low muscle tone
• Hypermobility of joints
• Joint instability
• Impaired muscle endurance
• Impaired motor reflex functions
• Impaired cardiovascular functions
• Impaired respiratory functions
• Impaired metabolic functions
• Tics and mannerisms, stereotypes

and motor perseverations

• Short stature

SPORT CLASS PROFILES

“The UCI defines a Sport Class in which athletes are grouped based on the impact of their Eligible Impairment

• n their ability to execute the specific tasks and activities

fundamental to Para‐cycling.”

“VI” is for Vision Impairment

• Impairment is evaluated by Ophthalmic Doctor
• Does not go through other classification
• Uses tandem bicycle
• VI athlete is stoker
• Pilot elite amateur

“C” IS FOR CYCLE

C1 – C5

C1

• Limb Deficiencies
• Athetoid
• Impaired power
• Hypertonia

C2

• Most typical is above the knee amputation

without use of prosthesis

• Impaired power: CMT (progressive)

C3

Bilateral below the knee amputation Hyper/hypotonia; loss of use of lower extremity. Combination of power impairment and limb deficiency

C4

Typical and most competitive is the below the knee amputation Grade 1 hypertonia in bilateral limbs

C5

• Nonfunctional foot or hand
• Above elbow amputee
• Hypertonia grade 1 in extremity with clear

neurological signs

“H” IS FOR HANDCYCLE

H1 – H5

H1

Tetraplegic with impairments corresponding to a motor complete cervical lesion at C6 or above Complete loss of trunk stability and lower limb function Limited triceps Bilateral loss of handgrip

H2

Tetraplegic with impairments corresponding to a motor complete cervical lesion at C7/C8 or above Complete loss of trunk stability and lower limb function Triceps and biceps strength at least muscle grade 3 Bilateral impaired handgrip

H3

• Paraplegic with impairments corresponding to

a motor complete lesion from Th1 to Th10

• Trunk stability varies from very limited to

limited trunk stability with a muscle grade of 0‐4

H4

• Eligible impairment(s) which prevent an athlete

from using a bicycle, tricycle or kneeling/sitting position on a hand‐cycle due to underlying health conditions

• Paraplegic with impairments corresponding to

a complete lesion from Th11 or below

• Normal or almost normal trunk stability

H5

Eligible impairment(s) which prevent an athlete from using a bicycle or tricycle and who can use the kneeling/sitting position must use this position Typical is complete spinal cord lesion Th11 or below Normal abdominal strength, and normal trunk extension strength

“T” IS FOR TRIKE

Unable to ride a bicycle due to lack of balance and/or severe restriction in pedaling due to spasticity/ataxia/athetosis/dystonia

T1 –T2

T1

Hypertonia − Spasticity grade 3 in affected lower and upper limb(s) Bilateral or unilateral involvement, symmetrical and asymmetrical (2, 3 or 4 limbs strongly affected) Poor functional strength in trunk Hypertonia on activity in the lower and upper limbs as well as trunk affects posture and balance on tricycle Ataxia − Shows constant clear severe signs Athetosis/Dystonia − Severe: Constant signs with large amplitude of movement or extreme intensity

• f posturing

T2

More fluent movement pattern and better control of tricycle Hypertonia − Spasticity grade 2 in affected lower and upper limb(s) Hypertonia on activity can be seen Ataxia − frequent and moderate Athetosis/Dystonia − Frequent to intermittent signs with maximum to moderate intensity of posturing or amplitude of movement

The Role of the Healthcare Provider

• Recruitment of athletes
• Completion of Medical

Diagnosis Form (MDF)

• Become a classifier

Paracycling Classification: Your Role

• www.teamusa.org/usparacycling/classification
• Completion of MDF
• National and International
• Chose an impairment that best

describes athlete

• Refer to UCI Rule 16.5.002
• Evaluations and tests to verify the

selected impairment

Thank You!

• Erik Moen PT
• USAParacycling and UCI Classifier
• Erik@BikePT.com
• www.BikePT.com
• www.CorporeSanoPT.com
• Kenmore, WA USA