T52 (classification)

T52 is disability sport classification for disability athletics. People in this class have good shoulder and upper body control, but lack fine motor skills in their arms and hands. They have no to limited trunk and leg function. The class includes people with a number of different types of disabilities including spinal cord injuries and cerebral palsy. People in this class have full use of their arms but have no or limited trunk function. Similar classifications are T51, T53, T54 and T55.

Definition

Functional mobility range for a T52 classified competitor

This classification is for disability athletics.[1] This classification is one of several classifications for athletes with spinal cord injuries. Similar classifications are T51, T52, T53 and T54[2] Jane Buckley, writing for the Sporting Wheelies, describes the athletes in this classification as: " Wheelchair athlete with good shoulder, elbow and wrist function. Limited finger movements. No leg or trunk function. "[1] The Australian Paralympic Committee defines this classification as being for people with "Damage to spinal cord in the higher parts of the back. Substantially impaired or no trunk function; minimal or no leg function. Pushing power comes from elbow extensions, and appears close to normal except for use of modified gloves to compensate for grip." [3] The International Paralympic Committee defined this in 2011 as "These athletes will usually have normal shoulder, elbow and wrist muscle power, poor to normal muscle of the finger flexors and extensors with there being wasting of the intrinsic muscles of the hands. Use shoulders, elbows and wrist for propulsion. Usually have no trunk function. May use gloving techniques similar to the next two classes. Equivalent activity limitation to person with complete cord injury at cord level C7-8" [4]

The International Paralympic Committee defined this classification on their website in July 2016 as, "Athletes use their shoulder, elbow and wrist muscles for wheelchair propulsion. There is poor to full muscle power in the fingers with wasting of the intrinsic muscles of the hands. Muscle power in the trunk is typically absent."[5] For the related field classification, F52, International Paralympic Committee defined this classification on their website in July 2016, "Athletes usually have good shoulder muscles and mildly weak to full elbow and wrist muscles which are required for throwing an implement. Finger flexor and extensor muscles are non-functional making grip of the implement difficult. The non-throwing hand usually requires strapping to the throwing frame." [5]

Disability groups

Cerebral palsy

Disabilities included in this class include people with cerebral palsy, and specifically people classified as CP2 by the CP-ISRA.[6][7][8]

CP2

The spasticity athetosis level and location of a CP2 sportsperson.

In track events, CP2 athletes have poor wheelchair control and may only be able to push their chair forwards using one arm. In field throwing events, CP2 competitors may have poor device release because of spasticity in their hands but still have good upper body rotation.[9][10] Their throwing motion generally is not a typical one owing to the lack of motion control.[11]

People in the CP2 class tend to use electric wheelchairs. They may have controlled shakes and twitches. This bodily activity can spike their metabolic rate.[11][12][13][14] They can operate a manual wheelchair but this is restricted because of motor control issues.[11] Functional control issues effect all or most of their limbs.[8][13][15] CP2 competitors have better upper body control when compared to CP1.[16] When participating in sport, CP2 competitors tend to have low energy expenditure.[12]

Les Autres

People who are Les Autres compete in this class. This includes LAF1 classified athletes.[11][17] In general, Les Autres classes cover sportspeople with locomotor disabilities regardless of their diagnosis.[18][19][20][21][22][23]

LAF1

LAF1 sportspeople are one of the classes that can compete in F51, F52 and F53.[11][17][24] F51, F52 and F53 are wheelchair athletics classes.[11][25] They have functionality issues in throwing events as a result of mobility issues or spasticity in their throwing arm.[26] At the 1984 Summer Paralympics, LAF1, LAF2 and LAF3 track athletes had the 60 meters and 400 meter distances on the program.[27] There was a large range of sportspeople with different disabilities in this class at the 1984 Summer Paralympics.[27]

Sportspeople in this class use wheelchairs on a regular basis as a result of reduced muscle function.[28] ACSM's Primary Care Sports Medicine defines LAF1 as a medical class as "[s]evere involvement of the four limbs -- for example, MS, muscular dystrophy (MD), juvenile rheumatoid arthritis (JRA) with contractures" As a functional class, ACSM's Primary Care Sports Medicine defines LAF1 as "use of wheelchair with reduced function of muscle strength and/or spasticity in throwing arm, and poor sitting balance."[29] Medically, this class includes people with severe multiple scleroris, muscular dystrophy, and juvenile rheumatoid arthritis with contractures. This means they have severe issues with all four limbs. In terms of functional classification, this means the sportsperson uses a wheelchair, has poor sitting balance and has reduced strength or spasticity in their throwing arm.[30] Sportspeople with muscular dystrophy in this class have a number of factors that can make sports participation difficult. This includes poor pulmonary function, and potentially having restrictive lung disease values.[29]

Spinal cord injuries

People with spinal cord injuries compete in this class, including F2 sportspeople.[31][32]

F2

Functional profile of a wheelchair sportsperson in the F2 class.

This is wheelchair sport classification that corresponds to the neurological level C7.[31][33] In the past, this class was known as 1B Complete, 1A Incomplete.[31][33] The location of lesions on different vertebrae tend to be associated with disability levels and functionality issues. C7 is associated with elbow flexors. C8 is associated with finger flexors.[34] Disabled Sports USA defined the anatomical definition of this class in 2003 as, ""Have functional elbow flexors and extensors, wrist dorsi-flexors and palmar flexors. Have good shoulder muscle function. May have some finger flexion and extension but not functional."[31] People with lesions at C7 have stabilization and extension of the elbow and some extension of the wrist.[35] People with a lesion at C7 have an impairment that effects the use of their hands and lower arm.[36] They can use a wheelchair using their own power, and do everyday tasks like eating, dressing, and normal physical maintenance.[35] People in this class have a total respiratory capacity of 79% compared to people without a disability.[37]

Under the IPC Athletics classification system, this class competes in F52.[31][38] The class differs from T53 because T53 sportspeople have better trunk function and better function in their throwing arm.[39] Field events open to this class have included shot put, discus and javelin.[31][38] In pentathlon events in the United States, the events for this class have included Shot, Javelin, 100m, Discus, 800m.[31] They throw from a seated position, and use a javelin that weighs .6 kilograms (1.3 lb).[40] The shot put used by women in this class weighs less than the traditional one at 2 kilograms (4.4 lb) .[41] In the United States, people in this class are allowed to use strapping on the non-throwing hand as a way to anchor themselves to the chair.[31] Athletes in this class who good trunk control and mobility have an advantage over athletes in the same class who have less functional trunk control and mobility. This functional difference can cause different performance results within the same class, with discus throwers with more control in a class able to throw the discus further.[42]

Comparing key muscle innervations for spinal cord levels compared to cycling and athletics classifications.

A 1999 study found for people in the F2, F3 and F4 classes in the discuss, elbow flexion and shoulder horizontal abduction are equally important variables in the speed at which they release the discuss. For F2, F3 and F4 discuss throwers, the discus tends to be below shoulder heightand the forearm level is generally above elbow height at the moment of release of the discuss. F2 and F4 discuss throwers have limited shoulder girdle range of motion. F2, F3 and F4 discus throwers have good sitting balance while throwing. F5, F6 and F7 discus throwers have greater anguler speed of the shoulder girdle during release of the discus than the lower number classes of F2, F3 and F4. F2 and F4 discus throwers have greater average angular forearm speed than F5, F6, F7 and F8 throwers. F2 and F4 speed is caused by use of the elbow flexsion to compensate for the shoulder flexsion advantage of F5, F6, F7 and F8 throwers.[42] A study of javelin throwers in 2003 found that F2 throwers have angular speeds of the shoulder girdle less than that of other classes.[40] A study of was done comparing the performance of athletics competitors at the 1984 Summer Paralympics. It found there was little significant difference in performance in distance between women in 1A (SP1, SP2) and 1B (SP3) in the club throw. It found there was little significant difference in performance in distance between men in 1A and 1B in the club throw. It found there was little significant difference in performance in distance between men in 1A and 1B in the discus. It found there was little significant difference in performance in distance between men in 1A and 1B in the javelin. It found there was little significant difference in performance in distance between men in 1A and 1B in the shot put. It found there was little significant difference in performance in times between women in 1A and 1B in the 60 meters. It found there was little significant difference in performance in times between men in 1A and 1B in the 60 meters. It found there was little significant difference in performance in times between women in 1A and 1B in the slalom. It found there was little significant difference in performance in distance between women in 1A, 1B and 1C in the discus. It found there was little significant difference in performance in distance between women in 1A, 1B and 1C in the club throw.[43]

F3

Functional profile of a wheelchair sportsperson in the F3 class.

This is wheelchair sport classification that corresponds to the neurological level C8.[31][44] In the past, this class was known as 1C Complete, and 1B Incomplete.[31][44] Disabled Sports USA defined the anatomical definition of this class in 2003 as, "Have full power at elbow and wrist joints. Have full or almost full power of finger flexion and extension. Have functional but not normal intrinsic muscles of the hand (demonstrable wasting)."[31] People with a lesion at C8 have an impairment that effects the use of their hands and lower arm.[45] Disabled Sports USA defined the functional definition of this class in 2003 as, "Have nearly normal grip with non-throwing arm."[31] They have full functional control or close to full functional control over the muscles in their fingers, but may have issues with control in their wrist and hand.[31][46] People in this class have a total respiratory capacity of 79% compared to people without a disability.[37]

Under the IPC Athletics classification system, this class competes in F53.[31][47] The class differs from T54 because T54 sportspeople have better trunk function and better function and more strength in their throwing arm.[48] A person in this class with an additional impairment in the elbow of their throwing arm may find themselves classified as F52 instead.[49] Athletes in this class who good trunk control and mobility have an advantage over athletes in the same class who have less functional trunk control and mobility. This functional difference can cause different performance results within the same class, with discus throwers with more control in a class able to throw the discus further.[42] Wheelchair racers in this class frequently are much faster than their able-bodied counterparts.[50]

Field events open to this class have included shot put, discus and javelin.[31][47] In pentathlon, the events for this class have included Shot, Javelin, 100m, Discus, 800m.[31] They throw from a seated position. The javelin they throw weighs .6 kilograms (1.3 lb).[40] The shot put used by women in this class weighs less than the traditional one at 3 kilograms (6.6 lb).[41] In the United States, people in this class are allowed to use strapping on the non-throwing hand as a way to anchor themselves to the chair.[31]

There are performance differences and similarities between this class and other wheelchair classes. A study of javelin throwers in 2003 found that F3 throwers have angular speeds of the shoulder girdle similar to that of F4, F5, F6, F7, F8 and F9 throwers.[40] A 1999 study found for people in the F2, F3 and F4 classes in the discuss, elbow flexion and shoulder horizontal abduction are equally important variables in the speed at which they release the discuss. For F2, F3 and F4 discuss throwers, the discus tends to be below shoulder height and the forearm level is generally above elbow height at the moment of release of the discuss. F2 and F4 discuss throwers have limited shoulder girdle range of motion. F2, F3 and F4 discus throwers have good sitting balance while throwing. F5, F6 and F7 discus throwers have greater anguler speed of the shoulder girdle during release of the discus than the lower number classes of F2, F3 and F4.[42]

A study of was done comparing the performance of athletics competitors at the 1984 Summer Paralympics. It found there was little significant difference in performance in distance between women in 1A (SP1, SP2) and 1B (SP3) in the club throw. It found there was little significant difference in performance in distance between men in 1A (SP1, SP2) and 1B (SP3) in the club throw. It found there was little significant difference in performance in distance between men in 1A (SP1, SP2) and 1B (SP3) in the discus. It found there was little significant difference in performance in distance between men in 1A (SP1, SP2) and 1B (SP3) in the javelin. It found there was little significant difference in performance in distance between men in 1A (SP1, SP2) and 1B (SP3) in the shot put. It found there was little significant difference in performance in times between women in 1A (SP1, SP2) and 1B (SP3) in the 60 meters. It found there was little significant difference in performance in times between men in 1A (SP1, SP2) and 1B (SP3) in the 60 meters. It found there was little significant difference in performance in times between women in 1A (SP1, SP2) and 1B (SP3) in the slalom. It found there was little significant difference in performance in distance between women in 1B (SP3) and 1C (SP3, SP4) in the shot put. It found there was little significant difference in performance in time between women in 1B (SP3) and 1C (SP3, SP4) in the 60 meter dash. It found there was little significant difference in performance in distance between women in 1A (SP1, SP2), 1B (SP3) and 1C (SP3, SP4) in the discus. It found there was little significant difference in performance in distance between women in 1A (SP1, SP2), 1B (SP3) and 1C (SP3, SP4) in the club throw. It found there was little significant difference in performance in time between women in 1C (SP3, SP4) and 2 (SP4) in the 60 m dash. It found there was little significant difference in performance in distance between men in 1C (SP3, SP4) and 2 (SP4) in the shot put. It found there was little significant difference in performance in time between men in 1C (SP3, SP4) and 2 (SP4) in the slalom. It found there was little significant difference in performance in distance between women in 1C (SP3, SP4), 2 (SP4) and 3 (SP4, SP5) in the javelin. It found there was little significant difference in performance in time between women in 1C (SP3, SP4), 2 (SP4) and 3 (SP4, SP5) in the 60 meters.[51]

Performance and rules

Wheelchairs used by this class have three wheels, with a maximum rear height of 70 centimetres (28 in) and maximum front height of 50 centimetres (20 in). Chairs cannot have mirrors or any gears. They are not allowed to have anything protruding from the back of the chair. Officials can check for this by placing the chair against a wall, where the rear wheels should touch it without obstruction. As opposed to wearing hip numbers, racers in this class wear them on the helmet. Instead of wearing bibs, these numbers are put on the back of the racing chair and the racer.[52]

The verbal starting commands for this class are different because it is a wheelchair class. For "On your marks" should be used to indicate that the athlete should approach or be at the starting line. "Set" means the athlete should take their final starting position. At this time, the front wheel should be touching the ground behind the starting line. At this stage, no further movement is allowed until the starting gun is fired. Movement is then allowed at "Go" or when the starting pistol is fired.[52] Because this is a wheelchair class, different rules apply for overtaking with the responsibility lying with the racer coming from behind. They must be completely clear of the front wheel of the racer they are overtaking before cutting in front of them. The racer being overtaken cannot deliberately obstruct or impede the racer doing the overtaking. If a crash occurs within the first 50 meters of a race that is 800 meters or longer, the starting official has the option of recalling the race. In races in the United States, a race official's job for a crash is only to direct other racers around the accident 30 meters ahead of the accident.[52]

In relay events involve this class, each team has two lanes. Racers don't use a baton, but instead transfer via touch of the body in the exchange zone. The incoming racer cannot use their momentum to push and give the ongoing racer any acceleration. The acceleration zone is 20 meters, with the take over zone being 20 meters.[52]

In wheelchair races, the winner and time is determined by when the center of the front axle goes across the finish line.[52]

Athletes in this class used secure frames for throwing events. The frame can be only one of two shapes: A rectangle or square. The sides must be at least 30 centimetres (12 in) long. The seat needs to be lower at the back or level, and it cannot be taller than 75 centimetres (30 in). This height includes any cushioning or padding.[52] Throwers can have footplates on their frames, but the footplate can only be used for stability. It cannot be used to push off from. Rests can be used on the frame but they need to be present only for safety reasons and to aide in athlete stability. They need to be manufactured from rigid materials that do not move. These materials may include steel or aluminum. The backrest can have cushioning but it cannot be thicker than 5 centimetres (2.0 in). It cannot have any movable parts. The frame can also have a holding bar. The holding bar needs to be round or square, and needs to be a single straight piece. Athletes are not required to use a holding bar during their throw, and they can hold on to any part of the frame during their throw.[52] Throwing frames should be inspected prior to the event. This should be done either in the call room or in the competition area.[52] In general, people in this class should be allocated around 3 minutes to set up their chair.[52]

Athletes need to throw from a seated position. They cannot throw from an inclined or other position. Doing so could increase the contribution of their legs and benefit their performance. Their legs must be in contact with the seat during the throw. If an athlete throws from a non-seated position, this is counted as a foul.[52] People in this class can put tape on their non-throwing hand to assist in gripping the holding bar.[52] All straps used to hold the athlete to the frame must be non-elastic. While in the process of throwing, an athlete cannot touch a tie-down for the frame. Because of visibility issues for officials, athletes cannot wear lose clothing and they can ask athletes to tuck in clothing if they feel there is any issue with visibility. In throwing events at the Paralympic Games and World Championships, athletes get three trial throws. After that, the top 8 throwers get an additional three throws. For other events, organizers generally have the option to use that formula to give all throwers six consecutive throws. The total number of warm-up throws is at the discretion of the meet director.[52]

Events

Relay events available to this class internationally include the 4 x 100 meters and the 4 x 400 meters. The 4 x 100 meters and the 4 x 400 meters are also available in national competitions in the United States. Junior relays in the United States include the 4 x 100 meters, the 4 x 400 meters, and the 800 meter medley of 100, 100, 200 and 400 meters.[52]

History

The classification was created by the International Paralympic Committee and has roots in a 2003 attempt to address "the overall objective to support and co-ordinate the ongoing development of accurate, reliable, consistent and credible sport focused classification systems and their implementation."[53]

Historically, CP2 and CP3 athletes were more active in track events in this class. Changes in the classification during the 1980s and 1990s led to most track events for CP3 racers being dropped and replaced exclusively with field events.[54][55] This has been criticized, because with the rise of commercialization of the Paralympic movement, there has been a reduction of classes in more popular sports for people with the most severe disabilities as these classes often have much higher support costs associated with them.[56][57][58]

For the 2016 Summer Paralympics in Rio, the International Paralympic Committee had a zero classification at the Games policy. This policy was put into place in 2014, with the goal of avoiding last minute changes in classes that would negatively impact athlete training preparations. All competitors needed to be internationally classified with their classification status confirmed prior to the Games, with exceptions to this policy being dealt with on a case by case basis.[59] In case there was a need for classification or reclassification at the Games despite best efforts otherwise, athletics classification was scheduled for September 4 and September 5 at Olympic Stadium. For sportspeople with physical or intellectual disabilities going through classification or reclassification in Rio, their in competition observation event is their first appearance in competition at the Games.[59]

Becoming classified

Wheelchair athletes who wish to compete in para-athletics competition must first undergo a classification assessment. During this, they both undergo a bench test of muscle strength and demonstrate their skills in athletics, such as pushing a racing wheelchair and throwing. A determination is then made as to what classification an athlete should compete in. Classifications may be Confirmed or Review status. For athletes who do not have access to a full classification panel, Provisional classification is available; this is a temporary Review classification, considered an indication of class only, and generally used only in lower levels of competition.[60]

World records

In the 100m event, the men's world record is held by Beat Boesch and the women's world record is held by Michelle Stilwell.[61]

Competitors

Notable competitors in the T52 class include Raymond Martin (USA), Tomoya Ito (JPN),[62][63][64] Michelle Stilwell (CAN) and Marieke Vervoort (BEL).[65][66]

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