SL3

Coordination Impairments (Hypertonia/Spasticity, Motor Ataxia, Dyskinesia): The following four criteria should apply: (1) Spastic/ataxic/athetoid hemiplegia/diplegia/quadriplegia with marked involvement of lower limb but with no or only mild impairment of upper limbs. (2) Demonstrate a limitation in function based on spasticity, ataxia, athetosis or dystonic movements while performing during match or training. The Player walks or runs with a limp due to spasticity in the lower limb. (3) Clear evidence must include spasticity grade 2-3 in the affected lower limb. A clear difference needs to be demonstrated between active ranges of motion vs. passive. In addition, a clear difference between fast PROM against slow PROM needs to be demonstrated. (4) The Player has difficulty walking on his heel on the impaired side and has significant difficulty with hopping and balancing and side stepping on the impaired leg or side. Plus ONE of these signs: 1) Upper motor neuron reflex pattern must be demonstrated (one of the following signs): Positive unilateral Babinski. Clear unilateral clonus four beats or more. Noticeably brisk reflexes or clear difference in reflexes left vs. right leg. 2) Irregular migrating contraction (chorea) and/or writhing movements (athetoid). 3) Leg length difference and/or difference of muscle bulk of more than 2 cm. 4) Dysmetria and/or dyssynergia. For ataxia and athetosis, the Player must have clear signs of cerebellar dysfunction with incoordination of the lower limb. Shows marked difficulty in stopping, starting, turning, balance and explosive movements.

Limb Deficiency: 1) Unilateral amputation through or above the knee (AK amputation). OR 2) Double below knee (BK) amputation. OR 3) Congenital Limb Deficiency or dysmelia equivalent to (1) or (2) above.

Leg Length Difference: Leg length difference equivalent to single above knee amputation.

Impaired Passive Range of Movement: Impairment of PROM that meets FOUR 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. OR THREE criteria of PROM and ONE criterion of Impaired Muscle Power or Leg Length Deficiency of at least 4 cm.

Impaired Muscle Power: Impairment of Muscle Power that meets FOUR of the following criteria in one or both limbs: 1) Hip flexion loss of 3 muscle grade points (muscle grade of two). 2) Hip extension loss of 3 muscle grade points (muscle grade of two). 3) Hip Abduction loss of 3 muscle grade points (muscle grade of two). 4) Hip Adduction loss of 3 muscle grade points (muscle grade of two). 5) Knee flexion loss of 3 muscle grade points (muscle grade of two). 6) Knee extension loss of 3 muscle grade points (muscle grade of two). 7) Ankle plantar flexion loss of 3 muscle grade points (muscle grade of two). 8) Ankle dorsiflexion loss of 3 muscle grade points (muscle grade of two). OR THREE criteria of PROM and ONE criterion of Impaired Muscle Power or Leg Length Deficiency of at least 4 cm.