2020-09-01.0 WG21 Sport Classification Handbook.pdf

01 September 2020 - OFFICIAL Release

2021 SPORT CLASSIFICATION HANDBOOK

DOD Warrior Games Sport Classification Handbook

SPORT CLASSIFICATIONS

TABLE OF CONTENTS

PREFACE

ARCHERY CLASSIFICATION

CYCLING CLASSIFICATION

FIELD CLASSIFICATION

GOLF CLASSIFICATION

INDOOR ROWING CLASSIFICATION

POWERLIFTING CLASSIFICATION

SHOOTING CLASSIFICATION

SITTING VOLLEYBALL CLASSIFICATION

SWIMMING CLASSIFICATION

TRACK CLASSIFICATION

WHEELCHAIR BASKETBALL CLASSIFICATION

WHEELCHAIR RUGBY CLASSIFICATION

WHEELCHAIR TENNIS CLASSIFICATION

SPORTS CLASSIFICATION PROTOCOLS & PROCEDURES

SPORTS CLASSIFICATION FORMS

COMMON MEDICAL ACRONYMS

- 1 -

PREFACE

The DOD Warrior Games Sport Classifications are unique to this annual event.

They are inspired by/similar to those used by other adaptive sporting events and organizations including but not limited to the International Paralympic

Committee (IPC) or the Invictus Games Foundation; however, they are separate, distinct, and ARE NOT under the purview of/oversight of those organizations.

They are governed by the US Services’ Wounded Warrior (W2) Program Directors, managed by the US Services’ W2 Adaptive Sports Program Leads and Warrior

Games Classification Committee, and reviewed/published by the Warrior Games

Sports Director. The DOD Warrior Games Sport Classifications are driven by the collected Uniformed Services athletes’ varied wounds, injuries, or illnesses they have incurred while in the service of this country.

The DOD Warrior Games Classification Handbook has been created exclusively for use by the DOD Warrior Games Classification Committee (WGCC), the collected

Service Teams’ Athlete Classification Personnel, and other members of the DOD

Warrior Games Operational and Support Staff as an official companion reference to the DOD Warrior Games Rules and Regulations Handbook.

Archery Classification - 2 -

ARCHERY CLASSIFICATION

1 OPEN Classification

1.1 Athletes may be classified into one of two categories; OPEN Compound or OPEN Recurve.

1.2 OPEN athletes may have some form of impairment in their arms, legs, or balance/stability challenges.

1.3 OPEN athletes shoot standing or resting on a stool as determined by their impairments.

1.4 OPEN athletes may use adaptive arrow release mechanisms to include but not limited to mouth tab or shoulder release systems.

1.5 OPEN athletes may be authorized an assistant.

2 SEATED Classification

2.1 Athletes may be classified into one of two categories; SEATED Compound or SEATED Recurve.

2.2 SEATED athletes have some form of impairment in their legs and/or spine and require a wheelchair or other assistive device as a primary means of mobility.

2.3 SEATED athletes shoot from a fixed/folding chair or a wheelchair as determined by their impairments.

2.4 SEATED athletes may use adaptive arrow release mechanisms to include but not limited to mouth tab or shoulder release systems.

2.5 SEATED athletes may be authorized an assistant.

3 VI Archery Classification

3.1 VI Archery athletes have a vision impairment.

3.2 VI Archery athletes must wear blindfolds or black-out glasses and use tactile sight systems.

3.3 VI Archery athletes will assume a standing or seated firing position based upon their functional capabilities and/or impairments found within the above Archery classifications and adhere to all authorizations and restrictions defined within them.

3.4 All VI Archery athletes (both Compound and VI Recurve) compete against one another; they do not compete against athletes in the OPEN and SEATED classifications.

3.5 VI Archery athletes may use adaptive arrow release mechanisms to include but not limited to mouth tab or shoulder release systems.

3.6 VI Archery athletes are authorized an assistant/loader.

Cycling Classification - 3 -

CYCLING CLASSIFICATION

1 HANDCYCLE - OPEN Classification

1.1 Includes orthopedic diagnoses limiting the use of lower extremity / foot powered cycles.

2 HANDCYCLE - K5 Classification

2.1 Kneeler Handcycle; Athletes will race in the in H5 category but are scored separately.

3 HANDCYCLE - H5 Classification

3.1 Paraplegia; the loss of motor or sensory function in lower extremities.

3.2 T11-L5 spinal cord injury.

3.3 Partial loss of function in hips and lower limbs.

3.4 Lower extremity amputations; ankle and higher.

3.5 Normal arm and hand function.

3.6 May display decreased trunk function caused by spinal cord injury.

3.7 Normal arm and hand function.

3.8 May utilize assistive device(s) for mobility.

3.9 Mild TBI / delayed movement / processing.

3.10 Grade Spasticity Ashworth Scale.

4 HANDCYCLE - H4 Classification

4.1 Paraplegia; the loss of motor or sensory function in lower extremities.

4.2 T6-T10 spinal cord injury.

4.3 Partial or complete loss of lower limb function.

4.4 Normal arm and hand function.

4.5 Mild TBI / delayed movement / processing.

4.6 Grade 2 Spasticity Ashworth Scale.

4.7 May display decreased trunk function as determined by functional testing. This is evident as the athlete must utilize upper extremities to return to the upright-seated position when in the forward plane.

4.8 Single hemipelvectomy; single side high level pelvic amputation.

4.9 Utilizes assistive device(s) for mobility.

Jarrett Jongema

Cycling Classification - 4 -

5 HANDCYCLE - H3 Classification

5.1 Paraplegia; the loss of motor or sensory function in lower extremities.

5.2 T5-T1 spinal cord injury.

5.3 Complete loss of lower limb function caused by spinal cord injury.

5.4 Normal arm and hand function.

5.5 Will display decreased trunk function caused by level of spinal cord injury. This is evident as the athlete must utilize upper extremities to return to the upright-seated position when in the forward plane.

5.6 Normal arm and hand function.

5.7 Bilateral hemipelvectomy.

5.8 May utilize wheelchair for mobility.

6 HANDCYCLE - H2 Classification

6.1 Tetraplegia; also referred to at quadriplegia and includes partial or total loss of us of all limbs and torso and is usually involves both sensory and motor.

6.2 C7-C8 spinal cord injury.

6.3 Minimal upper body limb impairments to include but not limited to limited handgrip and/or impairments in triceps and biceps.

6.4 Will display decreased trunk function caused by level of spinal cord injury. This is evident as the athlete must utilize upper extremities to return to the upright-seated position when in the forward plane.

6.5 Must utilize a wheelchair for mobility.

6.6 Grade 3 Spasticity Ashworth Scale.

6.7 Moderate TBI / severe delayed processing / delayed movements.

7 HANDCYCLE - H1 Classification

7.1 C1-C6 spinal cord injury.

7.2 Severe upper body limb impairments to include but not limited to limited handgrip, decreased wrist function, and/or impairments in triceps and biceps.

7.3 Complete loss of trunk and lower limb function.

7.4 No active trunk rotation.

7.5 Little to no controlled trunk movements in forward plane.

7.6 Must utilize a wheelchair for mobility.

7.7 Grade 4 Spasticity Ashworth Scale.

7.8 Severe TBI / delayed processing / uncontrollable movements.

Cycling Classification - 5 -

8 RECUMBENT CYCLE - OPEN Classification

8.1 Open recumbent cycling classification includes orthopedic disabilities and/or balance problems that prohibit athletes from riding a two-wheel upright bike or hand cycle and allows the use of the recumbent cycle. Requires medical documentation or less than/equal to 39%.

9 RECUMBENT CYCLE - T2 Classification

9.1 Minimum sitting loss of sitting greater than 40%.

9.2 Moderate loss of static balance; 40% loss on balance functionality test.

10 RECUMBENT CYCLE - T1 Classification

10.1 Severe loss of sitting balance greater than 41%; dynamic and static balance determined by functional testing.

10.2 Severely impaired balance as determined by functional testing. Balance in both forward and sideways directions is significantly impaired; greater than 40% loss of balance on functional test.

11 UPRIGHT BICYCLE - OPEN Classification

11.1 PTSD/TBI with minimal physical impairments.

11.2 Minor orthopedic injuries.

12 UPRIGHT BICYCLE - C5 Classification

12.1 Upper body impairment(s).

12.2 Above or below elbow amputation(s).

12.3 Above or below elbow dysfunction.

12.4 40% loss of strength, mobility, and/or flexibility in wrist(s), shoulder(s), or elbow joint(s).

12.5 Severe nerve damage in upper limb(s).

12.6 1-2 Grade Spasticity Ashworth Scale.

13 UPRIGHT BICYCLE - C4 Classification

13.1 Below knee amputation(s); amputation must be through the ankle.

13.2 Above or below knee dysfunction.

13.3 Impaired muscle power. 40% loss of strength, mobility, or flexibility in two joints; hip, knee, or ankle joint.

13.4 Severe nerve damage to lower limb.

13.5 Athletes with a combination of both upper body and lower body impairments, to include hand and foot amputation, and/or measurable dysfunction.

Cycling Classification - 6 -

14 UPRIGHT BICYCLE - C3 Classification

14.1 Above the knee amputation(s).

15 TANDEM CYCLES - VI/BLIND Classification (VI/B)

15.1 Corrected bilateral visual acuity greater than 20/200 as evidenced through supporting medical documents provided to/by the athlete.

15.2 Above is achieved with the best practical eye correction.

16 TANDEM CYCLES - VI/OPEN Classification (VI/O)

16.1 Corrected visual acuity of 20/70 evidenced through supporting medical documents provided to/by the athlete.

16.2 Visual field cut of greater than 20 degrees in either eye, evidenced through supporting medical documents provided to/by the athlete.

Field Classification - 7 -

FIELD CLASSIFICATION

1 STANDING - 6.0 Classification

1.1 PTSD/TBI with minimal or no physical impairments.

1.2 Slight balance issues.

1.3 Fair dynamic balance.

2 STANDING - 5.5L Classification – Ortho Lower

2.1 Combination of loss of strength or flexibility in at least one lower body joint; hip, knee, or ankle.

2.2 Less than 40% Loss of strength in the hip, knee, or ankle joint evidenced by a functionality test.

2.3 Less than 40% Loss of flexibility in the hip, knee, or ankle joint evidenced by a functionality test.

2.4 Moderate ataxic spasticity grade 1 to 2 in upper extremity.

3 STANDING - 5.5U Classification – Ortho Upper

3.1 Combination of loss of strength or flexibility in at least one upper body joint; shoulder, elbow, or wrist.

3.2 Less than 40% loss of strength in the shoulder, elbow, or wrist joint evidenced by a functionality test.

3.3 Less than 40% Loss of flexibility in the shoulder, elbow, or wrist joint evidenced by functionality.

4 STANDING - 5.0 Classification

4.1 Single arm amputation.

4.2 Single upper extremity impairments to include the following:

4.2.1 Combination of less than 40% loss of strength and flexibility in an upper body joint, wrist, or shoulder.

4.2.2 Less than 40 % Loss of mobility in a limb or joint and 40% loss of flexibility in a limb or joint.

4.2.3 Moderate ataxia movement in upper extremity grade 3.

5 STANDING - 4.5 Classification

5.1 Below knee amputation(s).

5.2 Combination of 40% or greater loss of strength and flexibility/mobility in a joint as determined by functional testing; ankle, knee, and/or hip.

5.3 Requiring use of orthotic such as but not limited to an AFO or knee brace.

Field Classification - 8 -

6 STANDING - 4.0 Classification

6.1 Above knee amputation.

7 STANDING - 3.5 Classification

7.1 Single leg above knee amputation with single below knee amputation.

7.2 Bilateral below knee amputations.

7.3 Dynamic balance moderately impaired; 40% loss of balance.

7.4 No upper extremity impairments.

7.5 May require an assistive device for mobility.

8 STANDING - 3.0 Classification

8.1 Bilateral above knee amputations.

8.2 Dynamic balance moderately impaired; 50% loss of balance.

8.3 No upper extremity impairments.

8.4 May require an assistive device for mobility.

8.5 Hemiplegic impaired upper extremity and lower extremity spasticity 3 to 4 grade.

9 STANDING - 2.0 Classification

9.1 Amputations or decreased strength, function, and mobility in both upper extremities.

9.2 Impairments in either lower extremity.

9.3 Assistive device needed for mobility.

9.4 Rigidity in upper and lower extremities.

10 STANDING - VI OPEN Classification

10.1 May require a device for mobility but not while standing or throwing.

11 SEATED - 6.0 Classification

11.1 Below knee amputation(s).

11.2 Combination of 40 % or greater loss of strength and flexibility/mobility in at least one joint as determined by functional testing; ankle, knee, and/or hip.

11.3 Complete control of trunk movements.

11.4 Normal function in both upper extremities to include hands.

Field Classification - 9 -

12 SEATED - 5.0 Classification

12.1 Above knee amputation(s).

12.2 Partial loss (60% loss) of function in both lower extremities below the knee.

12.3 Hemipelvectomy.

12.4 Complete control of trunk movements.

12.5 Normal function in both upper extremities to include hands.

13 SEATED - 4.0 Classification

13.1 Complete or partial loss of mobility and function in both lower extremities; greater than 75% loss.

13.2 Minimally impaired trunk control.

13.3 Normal function in both upper extremities to include hands.

13.4 Requires wheelchair for mobility but can self-propel.

13.5 Bilateral hemipelvectomy.

14 SEATED - 3.0 Classification

4.1 Complete loss of all mobility and function in both lower extremities.

4.2 Moderately impaired mobility and function in one upper extremity.

4.3 Decreased trunk movements and controlled movements in all planes.

4.4 May ambulate with assistance or assistive device for short distances.

4.5 Requires wheelchair for long distance mobility but can self-propel.

4.6 Amputations in three limbs.

4.7 Spasticity 2-1 upper Ashworth Scale; dynamic sitting balance.

15 SEATED - 2.0 Classification

15.1 Spinal cord injury at levels C7-C8.

15.2 Moderate upper body limb impairments to include but not limited to limited handgrip and/or impairments in triceps and biceps.

15.3 Partial or complete loss of trunk and lower limb function.

15.4 Partially controlled trunk movements in the forward plane.

15.5 Active upper trunk function but no lower trunk function.

15.6 Utilizes wheelchair for mobility.

Field Classification - 10 -

16 SEATED - 1.0 Classification

16.1 Spinal cord injury at levels C1-C6.

16.2 Severe upper body limb impairments to include but not limited to limited handgrip, decreased wrist function, and/or impairments in triceps and biceps.

16.3 Complete loss of trunk and lower limb function.

16.4 No active trunk rotation.

16.5 Spasticity Grade 4-3.

16.6 Dependent on power wheelchair.

16.7 Flaccidity lower extremity.

16.8 Little to no controlled trunk movements in forward plane.

16.9 Balance in both forward and sideways directions is significantly impaired.

17 SEATED - VI OPEN Classification

17.1 May require a device for mobility but not throwing.

Golf Classification - 11 -

GOLF CLASSIFICATION

1 OPEN Classification

1.1 The OPEN Classification applies to all athletes from all four Physical Impairment Categories.

2 Physical Impairment Categories

2.1 Mobility Impairment

2.1.1 Golf athletes may use a Single Rider Golf Cart to include but not limited to Solo Rider or ParaGolfer.

2.1.2 Golf athletes in this category may also use wheelchairs, crutches, canes, or other assisted devices as a primary means of mobility and/or support.

2.2 Arm Amputee

2.3 Leg Amputee

2.4 Minimum Impairment

2.4.1 Not applicable to above physical impairments categories.

2.4.2 Golf athletes are not authorized the use of adaptive Golf equipment in this Physical Impairment Category.

Indoor Rowing Classification - 12 -

INDOOR ROWING CLASSIFICATION

1 6.0 Classification

1.1 PTSD and/or TBI

1.1.1 Athletes have functional use of their legs, trunk, and arms.

1.1.2 Athletes are able to use the standard sliding seat of the indoor rower and are not required to wear any supportive straps.

1.1.3 Athletes do not have minimal physical disability 10-50% loss in their legs or arms.

2 5.5L Classification

2.1 Trunk and Legs – Physically Disabled

2.1.1 Athletes have functional use of their legs, trunk, and arms.

2.1.2 Athletes are able to use the standard sliding seat of the indoor rower and would not be required to wear any supportive straps.

2.1.3 Athletes have forms of physical disability that are not listed above to include but not limited to below the knee amputation, 60% or greater loss in knee or ankle, or neuromuscular-related ailments.

2.1.4 Athletes wear a prosthetic limb during competition.

3 5.0U Classification

3.1 Trunk and Arms – Physically Disabled

3.1.1 Athletes have functional use of their legs, trunk, and arms.

3.1.2 Athletes are able to use the standard sliding seat of the indoor rower and would not be required to wear any supportive straps.

3.1.3 Athletes have one or more forms of physical disability that are not listed above to include not limited to wrist, below the elbow, 60 percent or greater loss of hand, wrist, and/or neuromuscular-related ailments.

4 4.0 Classification

4.1 Leg, Trunk, and Arms – Single Leg, Above the Knee Amputee

4.1.1 Athletes do not have functional use of their legs.

4.1.2 Athletes are able to use the standard sliding seat of the indoor rower and are not required to wear any supportive straps.

4.1.3 Athletes have a single leg above the knee amputation and/or neuromuscular-related ailments.

4.1.4 Athletes wear a prosthetic limb during competition.

4.1.5 TBI with upper or lower motor impairment rated as Mild to Moderate.

Indoor Rowing Classification - 13 -

5 3.0 Classification

5.1 Legs, Trunk, and Arms

5.1.1 Athletes have functional use of their trunk and legs.

5.1.2 Athletes are able to use the standard sliding seat of the indoor rower and are not required to wear any supportive straps.

5.1.3 Athletes may have one or more forms of physical disability that are not listed above to include but not limited to elbow amputation(s) and/or nerve damage to upper limbs.

5.1.4 If the athlete’s grip is impaired on both hands, an alternate hand grip is allowed.

5.1.5 TBI with upper or lower motor impairment rated as Mild to Moderate.

6 2.0 Classification

6.1 Trunk and Arms

6.1.1 Athletes have functional use of the trunk.

6.1.2 Athletes have fair sitting balance and minimal or no use of their legs.

6.1.3 Athletes with SCI injuries.

6.1.4 Athlete with SCI neurological impairment with a complete lesion at T12 level, or an incomplete lesion at T10. These athletes rely on a wheelchair or other assisted device for mobility.

6.1.5 Athletes with a very high bilateral amputation.

6.1.6 Athletes may not be able to use the sliding seat and require a fixed seat adaptation with upper chest strap support.

6.1.7 If the athlete’s grip is impaired on both hands, an alternate hand grip is allowed.

7 1.0 Classification

7.1 Arms and Shoulders

7.1.1 Athletes have minimal or no trunk function, minimal or no use of their legs, and/or are triple amputees.

7.1.2 Athletes likely have poor sitting balance.

7.1.3 Athletes can only use arms and shoulders.

7.1.4. Athletes are not able to use the sliding seat and require a fixed seat adaptation with upper chest strap support.

7.1.5. If the athlete’s grip is impaired on both hands, an alternate hand grip is allowed.

Indoor Rowing Classification - 14 -

8 VI Classification

8.1 Blind or Visually Impaired

8.1.1 Athletes have functional use of their legs, trunk, and arms.

8.1.2 Athletes are able to use the standard sliding seat of the indoor rower and are not required to wear any supportive straps.

8.1.3 These athletes are blind or visually impaired.

Powerlifting Classification - 15 -

POWERLIFTING CLASSIFICATION

1 OPEN Classification

1.1 The OPEN Classification applies to all athletes regardless of impairment.

2 Powerlifting Mandatory Physical Requirements

2.1 Athletes must have 20-100 degrees AROM in both elbows. If impairment(s) exists, it must be annotated on Powerlifting athlete’s lifter card.

2.2 Athletes must have both thumbs and at least two intact fingers on each hand. If impairment(s) exists, it must be annotated on athlete’s lifter card.

2.3 All impairments which could adversely affect an athlete’s overall safety require DOD Warrior Games Classification Committee verification/approval to compete, equipment check validation, and annotation on Powerlifting athlete’s lifter card.

3 Powerlifting Restrictions

3.1 Athletes with Arm and Hand Amputations

3.1.1 Athletes with arm and hand amputations are not authorized to participate in the Powerlifting Event.

3.1.2 A medical exception is not authorized for Powerlifting Classification Rule 3.1.1 due to the high risks associated with prosthetic mount and/or function failures.

3.2 Athletes with Arm and Hand Impairments

3.2.1 Athletes with arm and hand impairments are authorized to participate in the Powerlifting Event provided they meet the mandatory physical requirements IAW Powerlifting Classification Rules Section 2.

3.2.2 Athletes with arm and hand impairments are not authorized use of Active Hands/General Purpose Gripping Aids.

Shooting Classification - 16 -

SHOOTING CLASSIFICATION

1 OPEN Classification

1.1 PTSD/TBI with minimal or no physical impairments.

1.2 Minimal static balance issues.

1.3 Orthopedic injuries resulting in minimal physical impairments.

1.4 Tremors that do not result in loss of strength.

1.5 Minimum Spasticity Grade Ashworth Scale 1/Fair fine motor movements.

2 SH1 Classification

2.1 Spinal Cord Injury/Paraplegia (The loss of motor or sensory function in lower extremities).

2.2 Single or bilateral amputation in lower extremities.

2.3 Combination of loss of strength and flexibility in the ankle(s), knee(s), and/or hip joints. (c1) Minimum of 40% loss of mobility in the ankle(s), knee(s), and/or hip joints.

2.4 Minimum of 40% loss of flexibility in the ankle(s), knee(s), and/or hip joints.

2.5 May use a fixed/folding chair or wheelchair due to balance or standing/walking disability.

2.6 Spasticity Grade 2-3 Ashworth Scale lower extremities/poor lower extremities coordination.

2.7 Athletes in this classification that also have an upper body impairment that impacts their ability to load their own equipment may ask the Shooting Sport Manager to allow for an assistant to load the air rifle during competition.

3 SH2 Classification

3.1 Upper body impairments causing the athlete to be unable to support the weight of the air rifles with their arms, and therefore requiring a spring stand.

3.2 Single or bilateral amputations in upper extremities.

3.3 Spinal cord injury/Tetraplegia (Also referred to as quadriplegia and includes partial or total loss of use of all limbs and torso and usually involves both sensory and motor).

3.4 Combination of loss of strength and flexibility in the wrist(s), elbow(s) and/or shoulder joints (d1) Minimum of 40% loss of mobility in the wrist(s), elbow(s), or shoulder joints. (d2) Minimum of 40% loss of flexibility in the wrist(s), elbow(s), and/or shoulder joints. (d3) Spasticity Grade 3-4 Ashworth Scale upper extremity.

3.5 Athletes in this classification are authorized an assistant to load the air rifle during competition.

3.6 SH2 athletes are authorized an assistant/loader.

Shooting Classification - 17 -

4 SH3 (VI) Classification

4.1 SH3 athletes are either blind or have a vision impairment

4.2 SH3 athletes must wear blindfolds or black-out glasses and use ISSF-approved VI laser sighting systems.

4.3 SH3 athlete’s will assume a standing or seated firing position based upon their functional capabilities and/or impairments found within the above Shooting classifications and adhere to all authorizations and restrictions defined within them.

4.4 SH3 athletes only compete against other SH3 athletes; they do not compete against athletes in the Open, SH1, and SH2 Classifications.

4.5 SH3 athletes are authorized an assistant/loader.

Sitting Volleyball Classification - 18 -

SITTING VOLLEYBALL CLASSIFICATION

1 MINIMUM Classification

1.1 This category is for athletes with minimal/mild or non-permanent physical disabilities and other illnesses (e.g. PTSD, TBI, minor orthopedic injuries) including but not exclusively:

1.1.1 A measurable and combined loss of strength in an ankle, knee, hip, shoulder, elbow, or wrist that is less than 50% when compared to an opposing or fully functional joint.

1.1.2 A measurable and combined loss of range of motion in an ankle, knee, hip, shoulder, elbow, or wrist that is less than 50% when compared to an opposing or fully functional joint.

1.1.3 A measurable and combined loss of strength and range of motion in an ankle, knee, hip, shoulder, elbow, or wrist joint that is less than 60% when compared to an opposing or fully functional joint. To determine the total combination of measured loss of strength and loss of range of motion, simply add the two scores of functional loss together. (i.e.

10% loss of range of motion + 40% loss of strength = 50% combined measured loss).

1.1.4 Minor or no balance issues.

2 MODERATE Classification

2.1 This category includes athletes with one of the following physical/functional impairments, including moderate TBI: Classification - Fair bilateral coordination, fair motor planning.

2.2.1 Loss of one thumb and at least two additional fingers on one hand.

2.2.2 Loss of minimum of seven total fingers.

2.2.3 Lisfranc amputation; mid foot or higher.

2.2.4 A measurable loss of strength in an ankle, knee, hip, shoulder, elbow, or wrist joint that is greater than or equal to 50% when compared to an opposing or fully functional joint.

2.2.5 A measurable and combined loss of strength and loss of range of motion in an ankle, knee, hip, shoulder, elbow, or wrist joint that is greater than or equal to 60% when compared to an opposing or fully functional joint. To determine the total combination of measured loss of strength and loss of range of motion, simply add the two scores of functional loss together. (i.e. 30% loss of range of motion + 30% loss of strength = 60% combined measured loss).

2.2.6 VI athletes are not permitted to compete in Sitting Volleyball.

2.2.7 Significant balance issues (athlete must walk with assisted device).

Sitting Volleyball Classification - 19 -

3 MAXIMUM Classification

3.1 This category includes athletes with the following or more significant physical/functional impairments:

3.3.1 Complete loss of motor function in an ankle, knee, hip, shoulder, elbow, or wrist joint.

3.3.2 The inability to move one of the listed joints whether from amputation, paralysis, fusion, or other factor is considered a complete loss of function.

3.3.3 Severe TBI, inability to follow complex movements. Classification - Poor bilateral coordination, poor motor planning, inability to complete movements during play.

Swimming Classification - 20 -

SWIMMING CLASSIFICATION

1 6.0 Classification

1.1 PTSD/TBI with minimal or no physical impairments.

1.2 Mild, moderate and severe TBI, pattern recognition, sequencing, and memory or slower reaction time which that can impact on sport performance.

2 5.5 Classification

2.1 Combination of loss of strength and flexibility in hip, knee, or ankle joints as evidenced through a functionality test.

2.2 Athletes who lose 7.5 to 14 points on the functionality and strength testing.

2.3 Measurable loss of mobility in the hip, knee, or ankle joint evidenced by a functionality test.

2.4 Combination of loss of strength and flexibility in shoulder, elbow, and or wrist joints, or in the hip, knee, and or ankle joints as evidenced through a functionality test. (Athletes who lose 7.5-14 points on the functionality and strength test).

3 5.0 Classification

3.1 Loss of one hand.

3.2 Single below knee amputation (BKA).

3.3 Combination of loss (40% combined score) of strength and flexibility in one hip joint as evidenced through a functional test.

3.4 Athletes who lose 15 to 34 points on the functional and strength test.

3.5 25-39% or less loss of strength in the hip joint evidenced by a functionality test.

3.6 25-39% or less loss of flexibility in the hip joint evidenced by a functionality test.

4 4.5 Classification

4.1 Single above knee amputation (AKA).

4.2 Double below knee amputations (BKA) with greater than 1/3 of the residual limbs remaining.

4.3 Single below elbow amputation (BEA).

4.4 Combination of severe (60% combined score) loss of strength and flexibility in at least two (2) joints: the hip, knee, or ankle joint in one (1) lower extremity as evidenced through a functionality test.

4.5 Athletes who lose 35 to 59 points on the functional and strength test.

4.5.1 Loss of 40% mobility in the hip, knee or ankle joints evidenced by a functionality test.

4.5.2 Loss of 40% flexibility in the hip, knee or ankle joints evidenced by a functionality test.

Swimming Classification - 21 -

5 4.0 Classification

5.1 Single above elbow amputation (BEA) or comparable functionally complete Brachial Plexus lesion.

5.2 Loss of both hands.

5.3 Double below knee amputation (BKA), with less than 1/3 of the residual limbs remaining.

5.4 Joint in both lower extremities as evidenced through a functional test. (Athletes who lose 60-84 points on the functional and strength test).

5.4.1 Loss of 40% mobility in the hip, knee or ankle in both lower extremities evidenced by functionality test.

5.4.2 Loss of 40% flexibility in the hip, knee or ankle joints evidenced by functionality test.

6 3.0 Classification

6.1 Athletes who lose 85-109 points on the functionality and strength test. Bilateral leg impairments and lack of function due to paralysis.

6.2 Amputations in one upper extremity and amputation in the opposite side lower extremity.

6.3 Bilateral above the knee amputations.

6.4 Paralysis in one upper body extremity and one lower body extremity on the same side of the body.

6.5 No trunk impairments.

6.6 Minimal to no trunk control issues evidenced by forward, sideways, and vertical plane testing.

6.7 Utilizes wheelchair for mobility.

7 2.5 Classification

7.1 Athletes who lose 110 to 134 points on the functionality and strength test.

7.2 Bilateral upper extremity amputations.

7.3 Ataxia- lack of voluntary muscle movement and coordination.

7.4 Minimum loss in trunk control evidenced by lack of control in forward, sideways, and vertical planes evidenced by functionality test

8 2.0 Classification

8.1 Athletes who lose 135-159 points on the functionality and strength test.

8.2 Complete loss of one (1) side of the body due to paralysis or amputations.

8.3 Moderate loss in trunk control evidenced by lack of control in forward, sideways, and vertical

Swimming Classification - 22 -

9 1.5 Classification

9.1 Athletes who lose 160 to 184 points on the functionality and strength test.

9.2 Amputations in four (4) limbs.

9.3 Moderate loss in trunk control evidenced by lack of control in forward, sideways, and vertical

10 1.0 Classification

10.1 Athletes who lose 185 or greater points on the functionality and strength test.

10.2 Severe loss in trunk control evidenced by lack of control in forward, sideways, and vertical planes evidenced by functionality test.

10.2.1 Little to no controlled trunk movements in forward plane.

10.2.2 No active trunk rotation.

10.2.3 Balance in both forward and sideways direction is significantly impaired.

10.2.4 Rely on arms to return to upright position.

10.2.5 Tetraplegia comparable to complete lesion at C7 or incomplete Tetraplegia below C6.

10.2.6 Utilizes wheelchair for mobility.

11 VI/BLIND (VI/B) Classification

11.1 From best corrected visual acuity greater than 20/200 evidenced through supporting medical documents.

11.2 VI Blind wear black-out swim googles and required/assisted by Tappers.

11.3 Blind athletes with no light perception in either eye up to partial light perception, and inability to recognize the shape of a hand at any distance or in any direction are equivalent to 4.0 classification athletes.

12 VI/OPEN (VI/O) Classification

12.1 Up to best corrected visual acuity of 20/70 evidenced through supporting medical documents.

12.2 Visual field cut of greater than 20 degrees in either eye evidenced through supporting medical documents.

12.3 For relay point total purposes only; VI open swimmers are equivalent to 5.5 classification athletes.

12.4 VI athletes with visual acuity above 20/200 to 20/600 and/or a visual field of less than 20 degrees and more than 5 degrees in either eye is equivalent to 5.0 classification athletes.

12.5 VI athletes are able to recognize the shape of hand to a visual acuity of 20/600 and/or a visual field of less than 5 degrees in either eye is equivalent to 4.5 classification athletes.

Track Classification - 23 -

TRACK CLASSIFICATION

1 6.0 Classification

1.1 PTSD/TBI with minimal or no physical impairments.

2 5.5L Classification – Ortho Lower

2.1 Combination of loss of strength or flexibility in the hip, knee, or ankle.

2.2 20-40% Loss of strength in the hip, knee, or ankle joint evidenced by a functionality test.

2.3 20-40% Loss of flexibility in the hip, knee, or ankle joint evidenced by a functionality test.

2.4 Fair dynamic balance, spasticity Grade 2 Ashworth Scale.

3 5.5U Classification – Ortho Upper

3.1 Combination of loss of strength or flexibility in the shoulder, elbow, or wrist.

3.2 20-40% Loss of strength in the shoulder, elbow, or wrist joint evidenced by a functionality test.

3.3 20-40% Loss of flexibility in the shoulder, elbow, or wrist joint evidenced by a functionality test.

3.4 Mild ataxic movement in upper extremities.

4 5.0 Classification

4.1 Upper body impairments.

4.2 Above or below elbow amputation.

4.3 Limited function in one or both upper extremities evidenced by the following:

4.3.1 Combination of loss of strength and flexibility in a joint- wrist, elbow, or shoulder. (must meet at least one primary criteria).

4.3.2 Greater than 40 % Loss of mobility in a limb or wrist, elbow, or shoulder joints determined by a functionality test.

4.3.3 Greater than 40 % Loss of flexibility in a limb or wrist, elbow, or shoulder joints determined by a functionality test.

4.3.4 Moderate ataxic movement upper extremities, Grade 3 spasticity Ashworth Scale.

5 4.5A Classification

5.1 Lower body impairments.

5.2 Below knee amputations through the mid-foot.

Track Classification - 24 -

6 4.5B Classification

6.1 Lower body impairments.

6.2 Below knee impairment needing a brace.

6.3 Limited function in one lower extremity evidenced by the following:

6.4 Greater than 40 % Loss of mobility in a limb or hip, knee, or ankle joints determined by a functionality test.

6.5 Moderate ataxic movement, athetosis, and poor dynamic movement.

7 4.0A Classification

7.1 Above knee amputation(s).

8 4.0B Classification

8.1 Above knee impairment needing a brace.

8.2 Limited function in one lower extremity evidenced by a combination of loss of strength and flexibility/mobility in multiple joints greater than 60% (Knee and Hip) as determined by a functionality test.

8.3 Hemiplegic, spasticity 3 to 4 Ashworth Scale, upper extremity and lower extremity combined.

8.4 Severe ataxic movement, athetosis, and poor dynamic movement.

9 3.0 Classification

9.1 Wheelchair racing athletes.

9.2 Athletes with injuries that prevent them from ambulatory running.

9.3 Spinal Cord Injuries- Paraplegia or Tetraplegia with trunk/abdominal function (T6 or below).

9.4 Ability to control functional movements in legs, trunk, arms, and/or hands is impaired.

9.5 Lower body amputations.

10. 2.0 Classification

10.1. Wheelchair racing athletes.

10.2. Spinal cord injuries – Paraplegia or tetraplegia without trunk/abdominal function (T5 or higher)

10.3. Ataxia or hypertonia where athlete requires use of a wheelchair for everyday living.

10.4. Spinal cord injuries- Paraplegia or tetraplegia with trunk/abdominal function (T6 or below).

10.5. Inability to control functional movements in legs, trunk, arms, and/or hands.

Track Classification - 25 -

11 VI Classification

11.1 From visual acuity above 20/200 evidenced through supporting medical documents provided to/from athlete (Required to have guide runner).

11.2 Up to visual acuity of 20/70 evidenced through supporting medical documents provided to/from athlete (Guide runner optional).

11.3 Visual field cut of greater than 20 degrees in either eye evidenced through supporting medical documents provided to/from athlete (Required to have guide runner.)

11.4 Above is achieved with the best practical eye correction.

Wheelchair Basketball Classification - 26 -

WHEELCHAIR BASKETBALL CLASSIFICATION

1 MINIMUM Classification

1.1 PTSD with minimal or no physical impairments.

1.2 Traumatic Brain Injury (TBI) with minimal or no physical or cognitive impairments (unable to follow four or more step commands).

1.3 No impairment in trunk control or mobility.

1.4 Cognitive impairments may include but not limited to memory loss, and/or decreased organizational skills.

1.5 Minimal (fair or below sitting balance) physical impairments may be evident caused by brain injury.

2.1 Moderate to severe cognitive ability (moderate level: unable to follow three or more step commands).

2.2 Normal to decreased trunk movements in forward, sideways, and vertical planes as evidenced by a functionality test.

2.3 Lower limb amputations meeting the following criteria:

2.3.1 Single below the knee amputation (BKA)

2.3.2 Single below the knee amputation (AKA)

2.3.3 Bilateral BKA with or without knee sockets

2.3.4 Single BKA with knee socket with opposing limb AKA

2.3.5 Single hip disarticulation

2.3.6 Bilateral AKA with greater than 2/3 in both residual limbs

3.1 Complete to no controlled trunk movements in the forward and vertical planes evidenced by a functionality test.

3.2 Severe cognitive impairment with physical manifestations. i.e. Ataxic, dyskinesia movements (can only follow one-step command).

3.3 May present with decreased or no trunk control in the sideways plane evidenced by a functional test.

3.4 Athletes rely on their arms to return to the upright position when unbalanced

3.5 Active rotation in both upper and lower trunk

3.6 Active upper rotation but no lower trunk function

3.7 Upper limb amputations or dysfunction meeting the following criteria:

3.7.1 Below and bilateral below the elbow amputation

Wheelchair Basketball Classification - 27 -

3.7.2 Below and bilateral below the elbow dysfunction in the elbow and/or wrist joints

3.7.3 Above and bilateral above the elbow amputation

3.7.4 Above and bilateral above the elbow dysfunction in the elbow and/or wrist joints

3.8 Lower limb amputations meeting the following criteria:

3.8.1 Single hemipelvectomy

3.8.2 Single AKA with greater than 2/3 residual limb and single AKA with less than 2/3 residual limb.

3.8.3 Hemipelvectomy with single BKA without knee socket.

3.8.4 Single hemipelvectomy and single BKA with knee socket.

3.8.5 Bilateral hip disarticulation

4 Classification Adjustment

4.1 Female athletes will drop one classification level for play.

Wheelchair Rugby Classification - 28 -

WHEELCHAIR RUGBY CLASSIFICATION

1 MINIMUM Classification

1.1 Open and MFI competitors

1.1.1 Minimal physical or sensory impairment.

1.1.2 Amputation of less than 5 digits on one hand.

1.1.3 Lower limb amputations distal to Lisfranc or affected foot length less than half unaffected foot.

1.1.4 SCI below L3 level.

1.1.5 Muscle strength greater than 3 MMT at hip, knee, shoulder, elbow.

1.1.6 PROM loss of less than 55 at hip, knee, shoulder, elbow.

1.1.7 Combined MMT and PROM less than 70% at hip, knee, shoulder, elbow.

1.1.8 Other physical impairments not comparable with lost listed in Maximum/Moderate categories.

2.1 Lower limb impairment or moderate upper limb/trunk impairment

2.1.1 One limb significantly impaired (MMT less than 3).

2.1.2 Amputation at the mid-hand or loss of all 5 digits.

2.1.3 Single hemi-pelvectomy with other leg/limbs unaffected.

2.1.4 Bilateral above knee amputations.

2.1.5 Bilateral through knee amputations.

2.1.6 Bilateral below knee amputations.

2.1.7 Single AKA and single BKA.

2.1.8 Single AKA, though knee OR BKA.

2.1.9 Impairment consistent to L3 and above.

2.1.10 Measurable loss of muscle strength at hip, knee, shoulder or elbow greater than 55% when compared to apposing limb.

2.1.11 PROM loss of greater than 55% at hip, knee, shoulder, or elbow.

2.1.12 Combined MMT and PROM loss greater than 70% at hip, knee, shoulder, or elbow.

2.1.13 Significant loss of balance (ataxia and/or athetosis) with routine ambulation using gait aid or wheelchair.

Wheelchair Rugby Classification - 29 -

3.1 Upper limb, tripe amputation or trunk impairment.

3.1.1 Two or more limbs significantly impaired (MMT less than 3) and if lower limbs, either (a) or (b) below:

3.1.1.1 Single hemi-pelvectomy + single AKA.

3.1.1.2 Bilateral AKA.

3.1.2 One upper limb through or above elbow amputation or comparable injury.

3.1.3 Trunk impairment consistent to SCI T12 complete or above – severe balance impairment.

4 Classification Adjustment

4.1 Female athletes will drop one classification level for play.

Wheelchair Tennis Classification - 30 -

WHEELCHAIR TENNIS CLASSIFICATION

1 OPEN Classification

1.1 Wheelchair Tennis is an OPEN classification/category sport.

1.2 The Open category applies to all athletes from all physical impairment groups.

Sport Classification Protocols & Procedures - 31 -

CLASSIFICATION TESTING PROTOCOLS

1 Recommended Assessments

1.1 Each athlete who is not OPEN or 6.0 is required to have a physical and technical assessment and may require an observational assessment.

2 Physical Assessment

2.1 The classification panel may/will conduct a physical assessment of the athlete to establish they have an eligible impairment that meets the minimum disability criteria.

2.2 Physical assessment tests are conducted in order to provide a measurement of impairment against a nominal athlete who does not have any relevant impairment; a relevant impairment being one that would fall within the classification categories.

2.3 The physical assessment tests will address the following:

2.3.1 Impaired Passive Range of Motion (PROM)

2.3.2 Impaired Muscle Power

2.3.3 Balance Testing

2.3.4 Measurement of level of amputation

3 Technical Assessment

3.1 The classification panel may/will conduct a technical assessment of the athlete which include the following:

3.1.1 The athlete’s ability to perform in a non-competitive environment.

3.1.2 Specific tasks and activities that are integral to the athlete’s sport(s).

4 Observation Assessment

4.1 The classification panel may/will conduct an observation assessment which includes the following:

4.1.1 Observation of the athlete performing the specific skills for their respective sport(s).

4.1.2 The observation assessment should be conducted if the classification panel believes they cannot complete the athlete’s evaluation without observing them in action.

4.1.3 The observation assessment cannot provide a fair classification without observing the athlete in action.

5 Athlete Testing

5.1 Prior to any examinations or testing, the classification panel is expected to explain to the athlete in layman’s terms:

5.1.1 Why they are performing classification testing.

5.1.2 What tests will be conducted.

Sport Classification Protocols & Procedures - 32 -

5.1.3 Some of the movements during the testing may be slightly painful.

5.2 The classification panel should expect the athlete to complete as much of the range of motion or muscle test as possible.

5.2.1 Additionally, even if the athlete thinks they cannot complete the requested test, the athlete must attempt the movement.

5.2.2 The athlete will also be instructed to comply with all instructions and do the best they can with all tests.

5.3 The classification panel will:

5.3.1 Conduct testing in the prescribed order.

5.3.2 Complete the DOD Warrior Games Classification Forms on each athlete tested.

5.3.3 Protect the information entered on the DOD Warrior Games Classification Forms on each athlete.

5.3.4 Provide a copy of the DOD Warrior Games Classification Forms on each athlete tested to their Service Team Lead.

5.3.5 Maintain a copy of the DOD Warrior Games Classification Forms on each athlete tested.

Sport Classification Protocols & Procedures - 33 -

SPORT CLASSIFICATION PROTOCOLS AND PROCEDURES

CLASSIFIER DOCUMENTATION AND REFERENCES

1 Impaired Passive Range of Motion/Movement (PROM)

1.1 PROM requires the athlete to relax completely while medical personnel attempt to move the joint being tested through the available range.

1.2 The athlete should be relaxed and not attempting voluntary movement during these tests.

1.3 Criteria for impaired lower body PROM will include the following:

1.3.1 Hip flexion deficit of greater than 60 degrees

1.3.2 Hip extension deficit of greater than 40 degrees

1.3.3 Knee flexion deficit of greater than 75 degrees

1.3.4 extension deficit of greater than 35 degrees

1.3.5 10 degrees ankle dorsi/plantar flexion available in the range between 10 degrees dorsiflexion and 25 degrees plantar flexion

1.4 Secondary criteria for impaired lower body PROM will include the following:

1.4.1 Hip flexion deficit of greater than 45 degrees but less than 60 degrees.

1.4.2 extension deficit of greater than 25 but less than 40 degrees

1.4.3 Knee flexion deficit of greater than 55 degrees but less than 75 degrees

1.4.4 Knee extension deficit of greater than 25 degrees but less than 35 degrees

1.4.5 Less than 20 degrees ankle dorsi/plantar flexion available in the range between 10 degrees dorsiflexion and 25 degrees plantar flexion

2 Reference

2.1 PROM testing based on Norkin and White: Measurement of Joint Motion 4th Ed. Published 2009.

Sport Classification Protocols & Procedures - 34 -

TESTING MEASUREMENTS FOR LOWER BODY PROM TESTING

Figure 1. – Hip Flexion

Reference Range: 0 to 120 Degrees

Left: __________ Right: __________

Figure 2. – Hip Extension

Reference Range: 0 to 20 Degrees

Left: __________ Right: __________

Figure 3. – Hip Internal Rotation

Reference Range: 0 to 45 Degrees

Figure 4. – Hip External Rotation

Reference Range: 0 to 45 Degrees

Figure 5. – Hip Abduction

Reference Range: 0 to 40 Degrees

Left: __________ Right: __________

Figure 6. – Hip Adduction

Reference Range: 0 to 20 Degrees

Sport Classification Protocols & Procedures - 35 -

Figure 7. – Knee Flexion

Reference Range: 0° to 140°

Left: __________ Right: __________

Figure 8. – Hip Extension

Reference Range: 0° to 120°

Figure 9. – Ankle Dorsiflexion

Reference Range: 0° to 20°

Left: __________ Right: __________

Figure 10. – Ankle Plantar Flexion

Reference Range: 0° to 50°

Figure 11. – Ankle Inversion

Reference Range: 0° to 35°

Left: __________ Right: __________

Figure 12. – Ankle Eversion

Reference Range: 0° to 15°

Sport Classification Protocols & Procedures - 36 -

TESTING MEASUREMENTS FOR UPPER BODY PROM TESTING

Figure 13. – Shoulder Extension

Reference Range: 0° to 60°

Left: __________ Right: __________

Figure 14. – Shoulder Flexion

Reference Range: 0° to 180°

Figure 15. – Shoulder Abduction

Reference Range: 0° to 180°

Figure 16. – Shoulder Horizontal Adduction

Reference Range: 0° to 120°

Figure 17. – Shoulder Internal Rotation

Reference Range: 0° to 70°

Left: __________ Right: __________

Figure 18. – Shoulder External Rotation

Reference Range: 0° to 90°

Sport Classification Protocols & Procedures - 37 -

Figure 19. – Shoulder External Rotation

Reference Range: 0° to 90°

Left: __________ Right: __________

Figure 20. – Elbow Extension

Reference Range: 0° to 150°

Figure 21. – Elbow Extension

Reference Range: 0°

Left: __________ Right: __________

Figure 22. – Wrist Flexion

Reference Range: 0° to 60°

Figure 23. – Wrist Extension

Reference Range: 0° to 70°

Left: __________ Right: __________

Figure 24. – Wrist Supination and Pronation

SUP-Left: ______ of 5 SUP-Right: ______ of 5

PRO-Left: ______ of 5 PRO-Right: ______ of 5

Sport Classification Protocols & Procedures - 38 -

TESTING MEASUREMENTS FOR TRUNK STRENGTH TESTING

Figure 25. – Trunk Extension: Upper Back

Score: _______ of 5

Figure 26. – Trunk Extension: Lower Back

Figure 27. – Trunk Lateral Flexion

Figure 28. – Trunk Rotation

Figure 29. – Trunk Flexion: Upper Abdominals

Figure 30. Trunk Flexion: Lower Abdominals

Sport Classification Forms - 39 -

SPORT CLASSIFICATION FORMS

ATHLETE DEMOGRAPHIC INFORMATION

Athlete Name: ___________________ Athlete Contact Number: (____)____________

Gender: □ Male □ Female

Athlete Team: □USAF □USA □USMC □USN □USSOCOM □UK □AUS □NETH □DEN □COL □CAN

Disability Diagnosis/Diagnoses: ________________________________________________

_____________________________________________________________________________ Prior Participation in Warrior Games: □ No □ Yes: (list years) ______________________

Prior Classification(s): ________________________________________________________

Next of Kin Contact Information: ☐ Spouse ☐ Mother ☐ Father ☐ Sibling

☐ Other: __________________ Name: _____________________________ Telephone: (____)__________

CLASSIFICATION DATE: _____________________________

Classifier 1 Name: ___________________________ Title: ☐ MD ☐ DO ☐ PT ☐ OT ☐ BM (Last, First)

Classifier 1 Name: ___________________________ Title: ☐ MD ☐ DO ☐ PT ☐ OT ☐ BM (Last, First)

Recorder Name: _____________________________ Title: ____________________________________ (Last, First)

ATHLETE REGISTERED SPORTING EVENTS

COMPETING

SPORTING

EVENT

Classifier Observation (if applicable) and Comments

Athlete Specific Sport Final Classification *filled in by team classification POC

☐ Yes ☐ No

ARCHERY

☐ Yes ☐ No

Comments:

CYCLING

FIELD

GOLF

INDOOR ROWING

POWERLIFTING

SHOOTING

☐ Yes ☐ No SITTING

VOLLEYBALL

SWIMMING

☐Yes ☐ No

TRACK

☐Yes ☐ No WHEELCHAIR

BASKETBALL

Sport Classification Forms - 40 -

ATHLETE REGISTERED SPORTING EVENTS

COMPETING

SPORTING

EVENT

Classifier Observation (if applicable) and Comments

Athlete Specific Sport Final Classification *filled in by team classification POC

☐Yes ☐ No WHEELCHAIR

RUGBY

☐Yes ☐ No WHEELCHAIR

TENNIS

1. *this page should be the front page; attach subsequent pages

ADA Equipment

Comments:

Active Hands Yes: ☐ UE ☐ LE; ☐ No

Comments:

Tennis Racquet Length ☐ 27”

☐ 29”

1. DESCRIPTION OF DISABILITY

When did the Injury/Illness occur? (year)

Is the Injury/Illness Permanent? ☐ Yes ☐ No

How did the Injury/Illness happen? ____________________________________________________

Progress since Injury/Illness: ☐ Unchanged ☐ Improvement ☐ Worse

Additional Information: _____________________________________________________________

2. AMPUTATION(S) DESCRIPTION

Amputation Anatomical Site Amputation Site Residual Limb Length

Hand ☐Right ☐Left ☐Bilateral cm(s)

Arm: Above the Elbow ☐Right ☐Left ☐Bilateral cm(s)

Arm: Below the Elbow

Foot ☐Right ☐Left ☐Bilateral cm(s)

Leg: Below the Knee (BKA) ☐Right ☐Left ☐Bilateral cm(s)

Leg: Above the Knee (AKA) ☐Right ☐Left ☐Bilateral cm(s)

Arm & Leg (Opposing side) ☐ Yes ☐ No cm(s)

Arm & Leg (Same side) ☐ Yes ☐ No cm(s)

Amputations in 3 limbs ☐ Yes ☐ No cm(s)

Amputations in 4 limbs ☐ Yes ☐ No cm(s)

DISABILITY/INJURY/ILLNESS

Sport Classification Forms - 41 -

3. SPINAL CORD INJURY OR DISABILITY

ANATOMICAL LOCATION OF

SPINAL CORD INJURY DEGREE OF…