20131201_newport_para-cycling_day_3_560x315British Cycling is recognised by the British Paralympic Association as the UK National Governing Body for Cycle Sport for those with a disability.  British Cycling has a policy of encouraging and supporting the cycling ambitions of anyone with a disability. Disability cycle sport is open to both male and female competitors.

Para-cycling classifications

Handbike: H1 | H2 | H3 | Tricycle: T1 | T2 | Cycling: C1 | C2 | C3 | C4 | C5 | Tandem: Class B

There are three generic categories of competition in disability cycling (as recognised by the UCI), and these refer specifically to physical disabilities. These categories are initially determined by British Cycling. The IPC (International Paralympic Committee) accredit classifications for international competitions.

Handbike Class H1

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

  • 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
  • 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 H2

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 H3

  • 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 H4

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.

Tricycle Class T1

Neurological

  • Hemiplegia/double/quadriplegic hemiplegic, spasticity grade 3 in lower and upper limb
  • Triplegia lower spasticity grade 3 in both legs
  • Severe athetosis, ataxia or dystonia
  • Severe locomotor dysfunction, can be mixed pattern (athetosis, spasticity or ataxia)
  • Insufficient balance for cycling and a tricycle is required
  • Pedalling / cadence is restricted
  • Polio, peripheral neurological lesions incomplete Spinal Cord Lesion, not able to ride a bicycle

Comparable disabilities

  • Multiple impairments (e.g. amputation with neurological impairment)
  • Comparable multiple impaired with a tested point score of 210 points or higher.
  • No amputees.

Tricycle Class T2

Neurological

  • Hemiplegia/double/quadriplegic, spasticity grade 2, lower limb more involved
  • Diplegic, lower spasticity grade 3 in both legs
  • Moderate to severe athetosis / ataxia/ dystonia
  • Decrease in muscle strength
  • Between 160 and 209 Points (Polio, peripheral neurological lesions incomplete Spinal Cord Lesion, not able to ride a bicycle)

Comparable disabilities

  • Multiple impaired (e.g. amputation with neurological impairment), but fluently movement and control of the bike.
  • No amputees.

Cycling Class C1

Neurological

  • Hemiplegia, spasticity grade 3 in lower and upper limb
  • Diplegia, lower spasticity grade 3 in both legs
  • Athetosis or ataxia/dystonia
  • Locomotor dysfunction, can be mixed pattern (athetosis, spasticity or ataxia)
  • Poor functional strength in trunk, and / or in all extremities

Amputation

  • Single amputation of leg, AK, and arm, AE or BE, on same side or diagonal, with or without the use of a prosthesis
  • Double TK amputation with the use of prostheses
  • Double amputation BE + Single amputation AK, no prosthesis.

Comparable disabilities

  • Comparable incomplete spinal cord injury
  • Comparable multiple impaired with a tested point score more than 210 points.

Cycling Class C2

Neurological

  • Hemiplegic, spasticity grade 2, lower limb more involved
  • Diplegic, lower spasticity grade 2 in both legs
  • Moderate to severe athetosis or ataxia

Decrease in muscle strength

  • Between 160 and 209 Points (Polio, peripheral neurological lesions incomplete Spinal Cord Lesion, HMSN, MS)

Amputation:

  • Single AE amputation with or without use of prosthesis + Single TK amputation with the use of prostheses
  • Double amputation BE + Single amputation TK with the use of a lower prosthesis
  • Double BK amputation with the use of prostheses + Single AE amputation without the use of upper limb prosthesis
  • Single amputation AK, no prosthesis, may have a stump support

Comparable impairments:

  • Multiple impairments (e.g. amputation with neurological impairments), but fluently movement and control of the bike.
  • Limited ROM of the hip or knee or muscle weakness such that a functional full revolution of the crank is not possible. In this case, the radius of crank must be limited to 0 cm.

Cycling Class C3

Neurological

  • Hemiplegic with spasticity grade 2, lower limb more involved grade 1 in upper limb
  • Diplegic, lower spasticity grade 2 in both legs
  • Moderate athetosis or ataxia/dystonia.

Limited ROM of the hip or knee such that a normal functional full revolution of the crank is not possible. In this case, it is the cyclist’s option to shorten the crank to the optimal size.

Amputation

  • Single AE amputation, no prosthesis + Single BK amputation with the use of a prosthesis
  • Single TK amputation with the use of a prosthesis + Single BE amputation
  • Single amputation TK, with the use of prosthesis
  • Double amputation BK, with the use of prostheses

Comparable multiple impairments with a tested point score between 110 and 159 points.

Cycling Class C4

Neurological

  • Hemiplegic with spasticity grade 1, lower limb more involved
  • Diplegic, lower spasticity grade 1 in both legs
  • Mild to moderate athetosis or ataxia/dystonia.

Limited ROM of the hip or knee such that a normal functional full revolution of the crank is not possible. In this case, it is the cyclist’s option to shorten the crank to the optimal size.

Amputation

  • Single amputation BK with the use of prosthesis + Single BE amputation with or without the use of prosthesis
  • Single amputation BK, with the use of prosthesis
  • Double amputation BE with or without the use of a prosthesis that allows as much functional contact as possible to the handlebar.

Comparable multiple impairments with a tested point score between 60 and 109 points.

Cycling Class C5

This is the class for athletes with minimum impairments.

Neurological

  • Monoplegia spasticity grade 1 or more in the affected arm Plus clear neurological signs to include
  • Positive uni or bilateral Hoffman
  • Noticeably brisk reflexes or clear differences in reflexes left versus right

Amputation:

  • Single amputation AE, with or without prosthesis, no functional grip
  • Single amputation BE with the use of a prosthesis.

Minimal disability:

Amputation of all fingers and thumb (through MCP) or amputation of more than half foot (forefoot). In the case of a single AE-, BE- amputation or a single upper limb dysmelia, the minimal impairment is met if all fingers and the thumb of one hand is missing through the MCP joint or other impairments who are equivalents, without a functional grip. As a proof of the loss of functional grip, the affected athlete will not be able to operate handle-bar mounted gear and brake levers with the affected or impaired limb.

Comparable multiple impairments with a tested point score between 20 and 59 points.

Tandem Class B
Blind or Visual Impaired (VI)

TCB – from no light perception in either eye up to visual acuity of 6/60 and/or visual field of less than 20 degrees. Classification assessed in the best eye with the best correction (i.e. all athletes who use contact or corrective lenses must wear them for classification, whether they intend to wear them in competition or not). Classification will be provided by a UCI accredited classifier.

Domestic Racing in the UK

As can been seen from the above there are a considerable number of classifications in each disability within Cycle Sport. In domestic competition, this often means that there are too few riders within any specific category to make for meaningful competition. To overcome this, racing is run under an index system to determine the overall winner. Riders are given allowances based on World Best times for the distance and type of event ridden. This produces closely fought racing and relevant individual goals.Guide_to_para-cycling

How Can I Get Involved?

If you have a disability and want to get involved in Cycle Sport, please contact the events team at British Cycling on 0161 274 2021 or email disability@britishcycling.org.uk – We issue regular communications by e-mail including news about disability issues and forthcoming events.

Great Britain Cycling Team

A number of cyclists with a disability have gone on to compete with the Great Britain Team. The GB Team’s World Class Programme supports a very successful Disability Paralympic squad, which is resourced and equipped to the same standard as the remainder of the team’s squads.

British Cycling