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Girona, 7-10 October 2015
Introduction
Medical Classification
Systems
Functional Classification
Systems
Sport Specific and Evidence Based
Classification
1948 1988 1992 2003
Classification Strategy
adapted from Hart (2014)
2007 2015
1978
Research Problem
-
+
WHEELCHAIR
STANDING
FUNCTIONAL CRITERIA
“MEDICAL” CRITERIA
Reina, Steele-Mils, Nogueira & Sharp (2012)
Tim
e (s
)
Research Problem
Men´s 100 m
To develop measurable, objective criteria which can be incorporated into the current class profiles for classes in
order to improve the reliability of the decision-making.
Functional/Medical Classification
System
Research Problem
T38
T35
T37 T36
FT8
FT5
FT7 FT6 The Cut-Point Problem
Research Aim
Participants IPC Athletics = 11 CP Football = 7
Methods
16 Motor Test 5 Football Test
Categories Design Pilot Study (n=3)
Participants Recruitment 28 Athletes Observed Data Collection
Results Legend
a. Coordination, defined as the ability to voluntarily execute fluid, accurate movements rapidly.
b. Balance, defined as the ability to maintain the line of gravity (vertical line from centre of mass) of a body within the base of support with minimal postural sway.
c. Symmetry, defined as the correspondence and/or movement similarity on opposite sides of a dividing line or plane.
d. Range of movement, defined as the full movement or optimal potential of a joint, usually its range of flexion and extension.
e. Arm impairment, defined as the contribution of the arms to perform the whole movement.
S
B
C
R
A
Results Legend
> 1.4 < > < 0.7
Bicici, Tweedy & Vanlandewijck (2012)
Results: T35 / FT5
Side-Step test 51.47 % MAT Test 64.71 %
Rapid Heel-Toe Placement 54.41 % Hexagon Hop
Test 64.71 %
Split Jumps 50.00 % Triple Hop for Distance 64.71 %
Side-Stepping 47.05 % Four Bounds for Distance 62.69 %
Running in place 47.06 % 10m Speed
Skip 64.71 %
Tandem Walk 40.91 % Stop and go 69.12 %
Standing Broad Jump 50.77 % 40 m Sprint 56.07 %
R B
C R
R C
R S
C S
B S
R B
R S
R C
R B
R S
R C
R C
A R
MAT Test
Triple Hop
RHT
70.18%
Results: T36 / FT6
Side-Step test 47.93 % MAT Test 44.12 %
Rapid Heel-Toe Placement 42.98 % Hexagon Hop
Test 47.50 %
Split Jumps 60.33 % Triple Hop for Distance 48.76 %
Side-Stepping 39.83 % Four Bounds for Distance 41.74 %
Running in place 44.54 % 10m Speed
Skip 31.94 %
Tandem Walk 42.85 % Stop and go 42.86 %
Standing Broad Jump 54.08 % 40 m Sprint 20.69 %
B
C R
C
S
C S
B S
B
S
C
B
C
A
R
Tandem W
Triple Hop
RHT
47.47%
A
C
C
C
B
C
C B
A
A B
A
Split Jumps
Hexagon
Results: T37 / FT7
Side-Step test 85.52 % MAT Test 73.51 %
Rapid Heel-Toe Placement 90.13 % Hexagon Hop
Test 76.32 %
Split Jumps 76.97 % Triple Hop for Distance 86.71 %
Side-Stepping 80.79 % Four Bounds for Distance 75.83 %
Running in place 70.00 % 10m Speed
Skip 82.55 %
Tandem Walk 61.84 % Stop and go 80.13 %
Standing Broad Jump 83.33 % 40 m Sprint 66.67 %
B
C R
R
S
C S
B S
R
R S
R
R B
R S
R
A
One Leg Stance
Triple Hop
RHT
86.02%
A
S
S
S
S
R S
R S
Results: T38 / FT8
Side-Step test 68.18 % MAT Test 82.00 %
Rapid Heel-Toe Placement 68.18 % Hexagon Hop
Test 82.26 %
Split Jumps 61.90 % Triple Hop for Distance 76.98 %
Side-Stepping 92.56 % Four Bounds for Distance 82.61 %
Running in place 84.62 % 10m Speed
Skip 81.45 %
Tandem Walk 86.40 % Stop and go 82.64 %
Standing Broad Jump 83.33 % 40 m Sprint 86.55 %
B
C R
C
R S
C S
B S
R S
C
R B
S
R
A R
MAT Test Triple Hop
RHT
86.96%
A
A
S A
S
A
A
S A
T38 / FT8
T35 / FT5
T37 / FT7 T36 / FT6 C
R
S R
Project Outcome
Project Outcome
Project Outcome
MAT Test
Triple Hop
RHT
Limited ROM in hips (needed to turn the whole body.
Poor dynamic running pattern (particularly when running backward)
Presence of scissor running pattern: Hip and knee flexion Hip adduction and internal rotation
Performance: Difficulty for stopping and
accelerating Difficulty assisting movements of
the upper limbs when running Poor agility level.
R
Conclusions
Positive feedback from participants to improve current classification profiles. Triple Hop and RHT are reported as the best tests for decision-making. Lower consensus in cut-point T36/FT6 v T38/FT8 with regard current class. Ratio-Scaled and Observation Categories could be applied to check activity limitation.
Beckman & Tweedy (2009); Reina (2014)
