European Handcycling Federation

HANDBIKE CLASSIFICATION

The following sport profiles determine the sport class in which the athlete will compete.

Handbike Class H 1

H 1.1

• Tetraplegic with impairments corresponding to a complete cervical lesion at C6 or above
• Complete loss of trunk and lower limb function
• Limited extension of the elbow with a muscle score of 6 (total of both triceps)
• Limited handgrip
• Thermo-regulatory system limitations
• Impaired sympathetic nerve system
• Non-spinal cord injury, but functional ability profile equivalent to class H 1.1
• Recumbent position in handbike mandatory (AP-bikes)
• Severe spastic quadriplegic with/without athetosis/ataxic and elbow extensionlimitation (poor head and very poor trunk control)

H 1.2

• Tetraplegic with impairments corresponding to a complete cervical lesion atC7/C8 or above
• Complete loss of trunk and lower limb function
• Thermo-regulatory system limitations
• Impaired sympathetic nerve system
• Non-spinal cord injury, but functional ability profile equivalent to class H 1.2
• Recumbent position in handbike mandatory (AP-bikes)
• Severe spastic quadriplegic with/without athetosis/ataxic and no elbow extensionlimitation (poor to fair head and very poor trunk control)

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)
• Moderate quadriplegia with/without athetosis/ataxic. Poor trunk control, asymmetry in upper limbs

H 2.2

• Paraplegic with impairments corresponding to a complete lesion from Th4 to Th9/Th10
• Limited trunk stability
• Non-spinal cord injury, but functional ability profile equivalent to class H 2.2
• Recumbent position in handbike mandatory (AP-bikes)
• Moderate quadriplegia with/without athetosis/ataxic. Poor trunk control, symmetrical upper limbs, severe hemiplegia (non-ambulant), severe diplegia (non-ambulant) and athetosis/ataxic (moderate upper limb involvement, severe lower limb involvement)
  
  

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, but functional ability profile equivalent to class H 3
• Incomplete loss of lower limb function, functional ability profile equivalent to classH3 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-bike)
• Severe diplegia and athetosis/ataxic (almost normal trunk and upper limb function, severe lower limb involvement), hemiplegic with spasticity Grade 2-3, lower limb more involved
  
  

Handbike Class H 4

• 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 (ATP-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, mild to moderate diplegia or athetoids with almost normal trunk and upper limb function
  
  

• all other athletes (including the able bodied and unclassified athletes)