WH2

Coordination Impairments (Hypertonia/Spasticity, Motor Ataxia, Dyskinesia): Spastic/ataxic/athetoid hemiplegia/diplegia/quadriplegia with severe involvement of lower limb but with no or mild involvement of upper limbs or trunk. Demonstrate a limitation in function based on spasticity, ataxia, athetosis or dystonic movements on the legs requiring the use of assistive devices in walking. A shift of centre of gravity may lead to loss of balance e.g. attempting to pivot or stop and start. Clear evidence must include spasticity grade 3 on the legs usually rendering them non-functional for ambulation over a long distance without the use of assistive devices.

Limb Deficiency: A wheelchair is usually the choice for sport. Player must have ONE of the following criteria: 1) Unilateral amputation above the knee with a stump length not more than half of the upper leg measured on the non-amputated leg from the spina iliaca anterior superior (ASIS) to the medial knee (mid joint on medial site) articulation. Stump should be measured from ASIS to the end of the bony part on the medial side (by palpation). OR 2) Bilateral amputation: one amputation through or above the knee and the other below the knee (ankle completely missing). OR Congenital Limb Deficiency equivalent to condition (1) or (2) above.

Leg Length Difference: Comparable to Limb Deficiency.

Impaired Passive Range of Movement: 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.

Impaired Muscle Power: Impairment of Muscle power that meets either 1) FIVE of the following criteria in one lower limb OR 2) FOUR in one leg and TWO in the other leg: 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 extension loss of 3 muscle grade points (muscle grade of two). 6) Knee flexion loss of 3 muscle grade points (muscle grade 2). 7) Ankle plantar flexion loss of 3 muscle grade points (muscle grade of two). 8) Ankle dorsi flexion loss of 3 muscle grade points (muscle grade of two). OR Complete paraplegia L2 and below (neurological L2).