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C4 is a para-cycling classification. It includes people with lower limb impairments or issues with lower limb functionality. Disability groups covered by this classification include people with cerebral palsy, amputations and other lower limb impairments. The responsibility for this classification passed from the IPC to the UCI in September 2006.
Athletes with cerebral palsy or similar impairments who wish to compete in para-athletics competition must first undergo a classification assessment. During this, they both undergo a bench test of muscle coordination and demonstrate their skills in athletics, such as pushing a racing wheelchair and throwing.
C3 is a para-cycling classification. The class includes people with moderate upper or lower limb dysfunctions and includes cyclists with cerebral palsy, limb impairments and amputations. The UCI recommends this be coded as MC3 or WC3. The class competes at the Paralympic Games.
Spastic cerebral palsy is the type of cerebral palsy characterized by spasticity or high muscle tone often resulting in stiff, jerky movements. [110] Itself an umbrella term encompassing spastic hemiplegia , spastic diplegia , spastic quadriplegia and – where solely one limb or one specific area of the body is affected – spastic monoplegia.
Cerebral palsy is an umbrella term with several different subtypes, especially spastic; some of them (and the concepts directly involved with them) are grouped here. Still, no form of CP is to be confused with paralytic syndromes such as Quadriplegia or with nerve disorders that don't involve CP such as Tardive dyskinesia .
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The spasticity athetosis level and location of a CP3 sportsperson. Cerebral Palsy-International Sports and Recreation Association (CP-ISRA) defined this class in January 2005 as, "Quadriplegic (Tetraplegic), Severe Hemiplegic - Moderate (asymmetric or symmetric) quadriplegic or severe hemiplegic in a wheelchair with almost full functional strength in dominant upper extremity.
In Para-athletics competitions, athletes are given a class depending on the type and extent of their disability. The classes are as follows: [1] 11–13: Blind and visually impaired; 20: Intellectually disabled; 32–38: Athletes with cerebral palsy; classes 32–34 compete in wheelchairs, while 35–38 are ambulant