− 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. 

## 16.5.005.3 Sport Class: H3 

(text modified on 01.02.10; 01.02.11; 01.02.14; 01.02.18; 01.01.21). 

## Impaired Muscle Power 

− Paraplegic with impairments corresponding to a motor complete lesion from Th1 to Th10; 

− Trunk stability varies from very limited trunk stability (Nil to minimal muscle strength in abdominals) to limited trunk stability (reduced to normal upper and lower abdominal strength) with a muscle grade of 0-4; 

− Non-spinal cord injury/incomplete spinal cord injury with a sport specific activity limitation equivalent to sport class H3. 

## Hypertonia 

− Asymmetric or symmetric bilateral involvement with at least grade 2 spasticity in lower limb/s and at least spasticity grade 1 in upper limb. Hypertonia on activity affecting trunk or legs and 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, 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 H3, making it impossible to ride a bicycle or tricycle. 

(text modified on 01.02.10; 01.02.11; 01.02.14; 01.05.16; 01.02.18; 01.01.21) 

