Handbike Class H 1

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 tri- ceps)
• 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 least grade 3 spasticity in upper limbs and lower limbs.

H 1.2    -    Tetraplegia C7/C8 and severe athetosis/ataxia/dystonia

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•  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 § 1 UCI CYCLING REGULATIONS 14 PARA--CYCLING E0211
• Impaired sympathetic nerve system
• Recumbent position in handbike mandatory (AP-bikes)
• Severe athetosis/ataxia/dystonia and no elbow extension limitation
• Asymmetric or symmetric quadriplegia with at least grade 2 spasticity in upper limb and lower limbs

Handbike Class H 2

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 class H 2.1
• Recumbent position in handbike mandatory (AP-bikes).

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.

Handbike Class H 3

• 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 H3
• 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.

Handbike Class H 4

An athlete who can use the kneeling position must use it and therefore will be classified 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.