F32

Quadriplegic - Severe to moderate involvement. Spasticity Grade 4 to 3 with or without athetosis. Included in this Sport Class are severe athetoid quadriplegics with more function in less affected side and no spasticity. Poor functional strength in all extremities and trunk but able to functionally propel a wheelchair with arms.

Upper extremities - Hand severe to moderate involvement. Spasticity Grade 3. A Class 32 Athlete often has a cylindrical or spherical grasp, and can demonstrate sufficient dexterity to manipulate and throw a ball, but will exhibit poor grasp and release. Throwing motions must be tested for effects on hand function. Wheelchair propulsion with upper extremities is also demonstrable. Active range of movement is moderately to severely impaired, thus hand function is the key.

Trunk - Static trunk control is fair. Dynamic trunk control is poor as demonstrated by the obligatory use of upper extremities and/or head to assist in returning to the mid-line (upright position).

Lower extremities - the Athlete may demonstrate function in the lower extremities sufficient for foot wheelchair propulsion. This includes being able to move with a slow and abnormal gait.

Upper extremity Athletes with athetosis may demonstrate fair trunk rotation during throwing with unreliable release of implement. For Athletes with spasticity or athetosis the trunk makes a very limited contribution to propulsion of the implement.