H1

Athletes classified in Hand-cycle classes H1- 4 compete using an arm powered or arm trunk power handcycle where a recumbent position is mandatory. Athletes classified in the Handcycle class H5 compete from a kneeling/sitting position.

Impaired Muscle Power - Tetraplegic with impairments corresponding to a motor complete cervical lesion at C6 or above; - Complete loss of trunk stability and lower limb function; - Limited extension of the elbow with a muscle score of 6 (total of both triceps) - Bilateral loss of handgrip with a muscle grade 1 or a flicker; - Non-spinal cord injury/incomplete spinal cord injury with sport specific activity limitation, equivalent to sport class profile H1;

Hypertonia - Bilateral involvement (quadriplegia) symmetrical or asymmetrical (e.g. both sides equally affected or one side more than the other) with at least grade 3 spasticity in both lower and upper limbs;

Ataxia/Athetosis/Dystonia - Severe athetosis/dystonia and (e.g. large amplitude of excessive motion and long durations of excessive motions); - A comparable mixture of ataxia/athetosis/dystonia and hypertonia/spasticity with a sport specific activity limitation equivalent to sport class H1, making it impossible to ride a bicycle or tricycle.