BC1

Athletes who are diagnosed with a Neurological Impairment affecting the CNS; Spastic Hypertonic Quadriplegia or Athetosis or who may have a mixed picture including those with severe Ataxia.

84.1 BC1 Profile

84.1.1 Topography: Neurological Impairment(s) affecting all four limbs and trunk (Quadriplegia)

84.1.2 Impairment: Spasticity/Hypertonia The Athlete has at least Grade 3 spasticity (ASAS Scale) in muscle group(s) that affects the propulsion of the ball into the field of play

84.1.3 Impairment: Athetosis/Dystonia Athetosis/Dystonia is mostly present throughout range greater than 50% and less than 90% duration and throughout submaximal range of motion greater than 50% and less than 90% amplitude in the limb propelling the ball into the field of play (Adapted from Dyskinesia Impairment Scale) scoring 3-4 and mostly 4's on the DIS on functional tests.

84.1.4 Impairment: Ataxia The Athlete is involved in proximal and distal joints, as observed in SARA assessments, which create incoordination that affects all aspects of the throw (Ataxia impacts on the preparation, during and follow through) scoring 3-4 on the SARA scale in functional tests.

84.2 BC1 in summary: 84.2.1 Severe Neurological Impairment affecting all four limbs. 84.2.2 Spasticity ASAS Grade 3-4 with or without Athetosis. 84.2.3 An athlete with severe Athetosis or Dystonia with limited functional strength and control (scores 3-4) 84.2.4 Severe Ataxia limiting coordination, grasp and release (score 3-4) 84.2.5 Limited functional range of movement and/or limited functional strength in all extremities and trunk. 84.2.6 Dependent on a powered wheelchair or assistance for everyday mobility and is unlikely to use a manual wheelchair for any length of time unless pushed by someone. 84.2.7 Athletes with severe Athetosis may play from a manual wheelchair; often propelled using their lower limbs. 84.2.8 Athletes with a primary impairment of Athetosis/Dystonia may have the ability to walk, unlike those with spasticity.

84.11 BC 1 Foot player 84.11.1 Athletes, who fit the above physical profile but demonstrate that they are unable to consistently throw the ball into the field of play using their hands and have no sustained grasp and/or functional release, can be considered as a BC1 foot player.