H2

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 C7/C8 or above; - Complete loss of trunk stability and lower limb function; - Triceps and biceps strength at least muscle grade 3; - Bilateral impaired handgrip with a muscle grade of less than or equal to 3 in one hand and less than 3 in the other hand; - Non-spinal cord injury/incomplete spinal cord injury with a sport specific activity limitation equivalent to sport class H2;

Hypertonia - Asymmetric or symmetric bilateral involvement with at least grade 2 spasticity in upper limb and lower limbs, trunk control impacted by hypertonia - Hypertonia on activity making it impossible to ride a bicycle or tricycle.

Ataxia/Athetosis/Dystonia - Severe athetosis/ dystonia (E.g. large amplitude of excessive motion and long durations of excessive motions) in the lower limbs and trunk, with upper limbs less affected, making it impossible to ride a bicycle or tricycle; - A comparable mixture of ataxia/athetosis/dystonia and hypertonia/spasticity with a sport specific activity limitation equivalent to sport class H2, making it impossible to ride a bicycle or tricycle.