Impaired Passive Range of Movement

Equivalent activity limitation to below elbow amputation.

Arthrodesis of knee and hip on the same side.

Impaired PROM – Lower Limb. Met if one lower limb meets one or more of the 5 primary criteria, OR two or more of the 5 secondary criteria: Primary: 1. Hip flexion deficit of ≥ 60°. 2. Hip extension deficit of ≥ 40°. 3. Knee flexion deficit of ≥ 75°. 4. Knee extension deficit of ≥ 35°. 5. ≤ 10° ankle dorsi/plantar flexion available in the range between 10° dorsiflexion and 25° plantar flexion. Secondary: 1. Hip flexion deficit of ≥ 45° but < 60°. 2. Hip extension deficit of ≥ 25° but < 40°. 3. Knee flexion deficit of ≥ 55° but < 75°. 4. Knee extension deficit of ≥ 25° but < 35°. 5. ≤ 20° ankle dorsi/plantar flexion available in the range between 10° dorsiflexion and 25° plantar flexion.

Impaired PROM – Upper Limb, eligible for all running (100m–marathon) and jumping Events. Meet one or more: 1. ≤ 15° shoulder extension available in the range between neutral and 50° extension. 2. Elbow flexion deficit of ≥ 130° OR ankylosis in any position in the range 0-30° flexion. (Wrist and fingers are not assessed; an impairment only affecting PROM of the wrist is not eligible.)

Impaired PROM – Upper Limb, eligible ONLY for running Events from 100m to 400m and jumping Events (meets these but not Section 2.1.5.2.1). Meet one or more: 1. ≤ 45° shoulder flexion available in the range between neutral and 90° flexion. 2. Elbow extension deficit of ≥ 70° or ankylosis of the elbow ≥ 80° flexion.

Unilateral upper limb Impaired Passive Range of Movement, eligible for throwing Events (criteria differ from running/jumping Events). Meet one or more of the following: 1. Shoulder abduction ≤ 60° available in the range between 0° and 90° abduction. 2. Elbow extension deficit of ≥ 70°, or ankylosis of the elbow in ≥ 80° flexion.

Bilateral upper limb Impaired Passive Range of Movement, eligible for throwing Events (criteria differ from running/jumping Events; both upper limbs must separately meet one or more of the following). 1. Shoulder abduction ≤ 60°. 2. Shoulder horizontal flexion ≤ 40° (if PROM is between 60° and 90°, the Athlete must not be able to actively horizontally flex through available PROM to 60°; if horizontal flexion PROM is <60°, must not be able to actively flex through available PROM). 3. Shoulder horizontal extension ≤ 20°. 4. Elbow extension deficit of ≥ 45°, or ankylosis of the elbow in any position. 5. Wrist ankylosed in ≥ 50° flexion or extension. 6. Any four digits with ≤ 10° of flexion/extension available at the metacarpophalangeal joint.

Non-playing arm: A unilateral upper limb impairment of PROM that meets THREE of the following criteria: 1) Shoulder abduction of 60 degrees available in the range. 2) Shoulder limitation of PROM in the plane of forward flexion (60 degrees). 3) Shoulder limitation of PROM in the plane of extension (20 degrees). 4) Elbow extension deficit of 70 degrees. 5) Ankylosis of the elbow of 80 degrees flexion. Wrist arthrodesis or ankylosis is not eligible on the non-playing arm side.

Impairment of PROM that meets TWO of the following criteria in one or both lower limbs: 1) Hip flexion deficit of 45 degrees. 2) Hip Extension deficit of 25 degrees. 3) Knee Flexion deficit of 60 degrees. 4) Knee Extension deficit of 30 degrees. 5) 10-degree ankle dorsiflexion and a maximal ankle PROM of 10 degrees. 6) 20-degree plantar flexion and a maximal ankle PROM of 10 degrees.

Impairment of PROM that meets FIVE of the following criteria in one lower limb: 1) Hip flexion deficit of 45 degrees. 2) Hip Extension deficit of 25 degrees. 3) Knee Flexion deficit of 60 degrees. 4) Knee Extension deficit of 30 degrees. 5) 10-degree ankle dorsiflexion and a maximal ankle PROM of 10 degrees. 6) 20-degree plantar flexion and a maximal ankle PROM of 10 degrees.

Athletes must demonstrate Impaired Passive Range of Movement in at least (1) one joint in at least one (1) limb. This impairment must be significant enough to score them a score of six (6) using the weighted value of ROM impairments as it applies to climbing performance.

Loss of Passive Range of Movement with comparable effect on function as described for Impaired Muscle Power. Upper Limb - Full loss of grip in one hand, inability to form and maintain a cylindrical grasp - no functional hand movement due to Impaired Passive Range of Movement Lower Limb - Inability to heel raise tested in single leg stance due to Impaired Passive Range of Movement

An Athlete will be allocated a total point score for the Physical Assessment (based on individual point scores awarded in the Physcial Assessment tests). An Athlete must lose a minimum of fifteen (15) points in the Physical Assessment (scoring resulting from Sections 4-7 of this Appendix) to continue to the Technical Assessment. If fifteen (15) points are not lost after the Physical Assesement the Athlete must be allocated Not Eligible (NE) and the Technical Assessment will not be conducted. If following the Technical Assessment, the Athlete loses less than fifteen (15) points, the Athlete is deemed Not Eligible (NE).

A player meets MIC if they comply with one of the following in one leg: Maximum passive range of motion less than the Primary criteria in one or more joint movements (Hip flexion 75°, Hip extension -15°, Hip abduction 20°, Hip adduction -10°, Hip internal rotation 5°, Hip external rotation 0°, Knee flexion 65°, Knee extension -25°, Ankle plantarflexion 10°, Ankle dorsiflexion 15°). OR Maximum passive range of motion less than the Secondary criteria in two or more joint movements.

For Wheelchair Curling, only lower-limb Impaired Passive Range of Motion is considered in Athlete Evaluation. Minimum Impairment Criteria: Permanent loss of joint range of 50% or more across 2 or more of the large joints (hip, knee, ankle) in each leg.