LW9-2

LW9 Ipsilateral or Contralateral Upper Limb and Lower Limb Impairment LW 9-2 Impaired Muscle Power: Lower limb: Total score of 30 or less (normal = 40) in one leg on the Oxford Scale Upper Limb: Equivalent activity limitation to that of either an Athlete with unilateral above elbow, or below elbow amputation. Limb Deficiency: Lower limb: At minimum unilateral through ankle amputation (Symes amputation) or Impairments that cause a similar loss of limb Upper Limb: Unilateral above elbow, or below elbow amputation. Hypertonia, Ataxia, Athetosis (hemiplegic involvement): Lower limb: May present with Athetosis or Ataxia Will present with Babinski, Clonus and/or Brisk/Different reflexes Spasticity = grade 2-1 on impaired side Ambulant without assistive devices, but will present with a limp. Single leg stance on impaired side greater than 3 sec. Able to hop on impaired side, but difficulty remaining on one spot Side step towards impaired side more labored than intact side. Able to heel walk, approx. 2m Upper limb: Spasticity = grade 2-1 on impaired side Impairment noted on upper limb co-ordination tests compared to non-affected side. Equivalent activity limitation to either above or below elbow amputation Technical: 2 skis, 1 pole or outrigger Upper and lower limb prosthesis or orthosis must comply with the FIS Para Snow Sports Equipment Specifications.