A2 (classification)

A2 is an amputee sport classification used by the International Sports Organization for the Disabled (ISOD).for people with acquired or congenital amputations. A2 sportspeople have one leg amputated above the knee. Their amputations impact their sport performance, including having balance issues, increased energy costs, higher rates of oxygen consumption, and issues with their gait.

Sports people in this class are eligible to participate in include athletics, swimming, sitting volleyball, archery, weightlifting, wheelchair basketball, cycling, amputee basketball, amputee football, lawn bowls, and sitzball.

Definition

Type of amputation for an A2 classified sportsperson.

This class is for people who have one leg amputated above the knee.[1] This classification is sometimes abbreviated as A/K.[2] In competing in other sports, this class may have a different name:

Class	Abbr	Athletics	Cycling	Skiing	Swimming	Comparable classifications in other sports	Ref
A2	A/K	T42, T54, F42, F58	LC2, LC3	LW 2	S7, S8	Amputee basketball: Open. Amputee football: Field player. Lawn bowls: LB2. Sitting volleyball: Open. Sitzball: Open. Ten-pin bowling: TPB8, TPB9 Wheelchair basketball: 4 point player. Cerebral palsy: CP3.	[1][2][3][4][5][6][7][8][9][10]

Performance and physiology

The nature of a person's amputations in this class can effect their physiology and sports performance.[1][11][12] Prosthetic fitting and functionality in this class can differ depending on where, between the knee and hip, the amputation exists. The lower the amputation, the greater the lever the prosthetic user has using prosthesis and the more control they have in its usage. The higher the amputation, the less control they have. This can result in problems with balance.[11]

People in this class can have a number of problems with their gait when walking. There are a number of different causes for these issues, and suggested ways to modify them. For a gait that involves the knee buckling, there are a number of causes including the heel being too firm, excessive heel leverage, incorrect alignment of the prosthetic knee or weak hip extensions. All but the last can be fixed by making adjustments to the prosthetic. The last is fixed by doing more gait training. If the prosthetic foot is rotating at heel strike, the cause is likely a poor socket fit or rotation. This is fixed by adjusting the socket.[11]

Lower limb amputations effect a person's energy cost for being mobile. To keep their oxygen consumption rate similar to people without lower limb amputations, they need to walk slower.[12] People in this class use around 87% more oxygen to walk or run the same distance as some one without a lower limb amputation.[12]

Because of the potential for balance issues related to having an amputation, during weight training, amputees are encouraged to use a spotter when lifting more than 15 pounds (6.8 kg).[1]

Governance

This classification was set up by ISOD, with the current version adopted in 1992 and then modified in 1993.[1][13] IWAS was created following the merger of ISOD and International Stoke Mandeville Games Federation (ISMGF) in 2005. Subsequently, IWAS became the classification governing body for some amputee sports.[2][14] In a few cases for wheelchair events run by IWAS, CP-ISRA parallel classes may be used to allow wheelchair using amputees to compete in these events. In the case of A2, this means that CP3 sportspeople from CP-ISRA may be in their class.[15]

Sports

Athletics

For athletics competitions that use the IPC athletics classification system, this class competes in T42, F42, T54 and F58.[1][4][16][17][18]

People in this class use a prosthetic limb when competing in athletics. It has four parts: a socket, a knee, a shank and a foot.[1] In shot put, people in this class often plant their left leg against the toe board when they begin the glide stage of their throw.[1] Above the knee amputees have difficulty using standard able-bodied spint actions because of the differences in their functional muscle mass. As a result, they often use a specialized sprinting technique called “Leg-Over-Leg”. This technique involves using hip extensions to avoid deceleration caused by the prosthetic leg hitting the ground.[1] Use of a specially made carbon fibre running prosthetic leg assists runners in this class in lowering their heart rate compared to using a prosthetic not designed for running.[19] Runners in this class can have lower metabolic costs compared to elite runners over middle and long distances.[19] In general, track athletes with amputations should be considerate of the surface they are running on, and avoid asphalt and cinder tracks.[1]

A study comparing the performance of athletics competitors at the 1984 Summer Paralympics found there was no significant difference in performance in times between women in A1, A2 and A3 in the discus, women in A2 and A3 in the discus, women in A1 and A2 in the javelin, women in A2 and A3 in the shot put, women in A2, A3 and A4 in the long jump, women in A1 and A2 in the 100 meter race, women in A2 and A3 in the 100 meter race, men in A1, A2 and A3 in the discus, men in A2, A3 and A4 in the discus, men in A1, A2, A3, A4, A5, A6, A7, A8 and A9 in the javelin, men in A2, A3 and A4 in the javelin, men in A1, A2 and A3 in the shot put, men in A2, A3 and A4 in the shot put, men in A2, A3 and A4 in the high jump, men in A1 and A2 in the 100 meter race, men in A2 and A3 in the 100 meter race, men in A1, A2, A3 and A4 in the 400 meter race, and men in A2 and A3 in the 400 meter race.[20] From the 2004 Summer Paralympics to the 2012 Summer Paralympics, there was no significant changes in performance times put up by male sprinters in 100 meter, 200 meter and 400 meter events.[16]

When CP4 athletes who are world record holders in their class have been put into a parallel athletics class with amputee athletes from this class because of comparable disability types, they have under-performed.[15][21]

One of the more well known racers in this class is Canadian Earle Connor.[21]

Basketball

Wheelchair basketball profile of an A2 player

For wheelchair basketball, sportspeople in this class tend to be classified a 4-point players, especially if the amputation type is a hip disarticulation. In wheelchair basketball, this class can have issues with controlling their sideways movements.[6][9] Despite wheelchair basketball having been around since the first Paralympic Games, amputee players from this class were first allowed to be classified and participate internationally in 1983 following the creation of a functional classification system in Cologne, Germany by Horst Strokhkendl. Players from this class first competed at the 1983 Gold Cup Championships.[22]

There is a basketball variant called amputee basketball. It uses the ISOD classification system as to whom is eligible to participate, but it is open in terms of all eligible classes, including this one, can play. There is no point system for who is allowed on the floor at any given time like there is in wheelchair basketball.[23]

Cycling

People in this class tend to be classified in cycling events as LC2 or LC3. LC2 is for cyclists with an impairment in one leg but who can pedal normally. LC3 is for cyclists with an impairment in one leg, and who cannot pedal normally. They generally can only pedal with one leg.[6]

Football

One of the sports available to people in this class is amputee football. There are two variants of the game, one with 4 players a side and one with 7 players a side. In both variants, A2 and A4 players must be field players while A6 and A8 players must be goalkeepers. In the 4 person variant, there are two halves of 15 minutes each. In the 7 person variant, there are two halves of 25 minutes each. Players in this class cannot use their residual stumps to kick the ball as it would give them an unfair advantage.[6]

Skiing

This class was one of the first to be involved in alpine skiing. Early in the sports history, skiers in this class did not use prosthesis.[11] They currently tend to be classified as LW2 skiers.[10]

Swimming

People with amputations are eligible to compete in swimming at the Paralympic Games.[19][24] A2 swimmers may be found in several classes. These include S7 and S8.[25] Prior to the 1990s, this class was often grouped with other amputee classes in swimming competitions, including the Paralympic Games.[20]

S8 swimmers in this class have similar start times to people with arm amputations in S8 to S10 classes.[26] Because they have only a single leg, they have less area on a swimming starting block. The balance issues associated with this can make it more challenging to use a traditional starting position to enter the water.[27] Swimmers in this class have a similar stroke length and stroke rate comparable to able bodied swimmers.[26]

A study of was done comparing the performance of swimming competitors at the 1984 Summer Paralympics. It found there was no significant difference in performance in times between men and women in A2 and A3 in the 50 meter breaststroke, men and women in A2 and A3 in the 50 meter freestyle, men and women in A2, A3 and A4 in the 25 meter butterfly, and men in A2 and A3 in the 50 meter backstroke.[20]

Other sports

Other sports people in this class are eligible to compete in include sitting volleyball, archery, and weightlifting.[2][20] In both archery and sitting volleyball, different classes of amputees have historically competed against each other as one class for people with amputations or people who have a minimal disability level.[2][20] In the case of weightlifting, amputees have also traditionally been grouped together, with divisions being based on weight instead.[20] Another sport open to people in this class is lawn bowls. A2 competitors can be classified as LB2. This is a standing class.[28] Ten pin bowling is also open to people in this class. They compete in the TPB8 class and TPB9 class.[29] Rowing is another sport open to people with amputations. In 1991, the first internationally accepted adaptive rowing classification system was established and put into use. People from this class were initially classified as A1 for people with single limb amputations.[30]

Sitzball, the precursor to sitting volleyball, is another option. It is open to A1 to A9 classified players along with anyone who might be classified as "les autres" or who have lesser amputations that would not qualify them for ISOD classification. It is not open to people with spinal cord injuries. Play is open, with no requirements as to which types of disabilities are on the court at any time.[28]

Becoming classified

Classification is often based on the anatomical nature of the amputation.[2][11] The classification system takes several things into account when putting people into this class. These includes which limbs are effected, how many limbs are effected, and how much of a limb is missing.[31][32]

For this class, classification generally has four phase. The first stage of classification is a health examination. For amputees, this is often done on site at a sports training facility or competition. The second stage is observation in practice, the third stage is observation in competition and the last stage is assigning the sportsperson to a relevant class.[33] Sometimes the health examination may not be done on site because the nature of the amputation could cause not physically visible alterations to the body. This is especially true for lower limb amputees as it relates to how their limbs align with their hips and the impact this has on their spine and how their skull sits on their spine.[34]

For wheelchair basketball, part of the classification process involves observing a player during practice or training. This often includes observing them go one on one against some one who is likely to be in the same class the player would be classified into.[9]

References

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2. Pasquina, Paul F.; Cooper, Rory A. (2009-01-01). Care of the Combat Amputee. Government Printing Office. ISBN 9780160840777.
3. Tim-Taek, Oh; Osborough, Conor; Burkett, Brendan; Payton, Carl (2015). "Consideration of Passive Drag in IPC Swimming Classification System" (PDF). VISTA Conference. International Paralympic Committee. Retrieved July 24, 2016.
4. "CLASSIFICATION SYSTEM FOR STUDENTS WITH A DISABILITY". Queensland Sport. Queensland Sport. Archived from the original on April 4, 2015. Retrieved July 23, 2016.
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6. Bressan, ES (2008). "Striving for fairness in Paralympic sport-Support from applied sport science". Continuing Medical Education.
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8. KOCCA (2011). "장애인e스포츠 활성화를 위한 스포츠 등급분류 연구" [Activate e-sports for people with disabilities: Sports Classification Study] (PDF). KOCCA (in Korean). Archived from the original (PDF) on 2016-08-17.
9. DE PASQUALE, DANIELA (2009–2010). "VALUTAZIONE FUNZIONALE DELLE CAPACITA' FISICHE NEL GIOCATORE DI BASKET IN CARROZZINA D'ALTO LIVELLO" [FUNCTIONAL EVALUATION OF THE CAPACITY 'PHYSICAL IN WHEELCHAIR BASKETBALL PLAYER OF HIGH LEVEL] (PDF). Thesis: UNIVERSITÀ DEGLI STUDI DI ROMA (in Italian).
10. Alpine Skiing Technical Manual. Salt Lake City, Utah: Salt Lake Organizing Committee. 2002. p. 23. Archived from the original on 2016-03-08. Retrieved 2016-07-26. This is included as an appendix in the media guide, but it is not published by the APC.
11. DeLisa, Joel A.; Gans, Bruce M.; Walsh, Nicholas E. (2005-01-01). Physical Medicine and Rehabilitation: Principles and Practice. Lippincott Williams & Wilkins. ISBN 9780781741309.
12. Miller, Mark D.; Thompson, Stephen R. (2014-04-04). DeLee & Drez's Orthopaedic Sports Medicine. Elsevier Health Sciences. ISBN 9781455742219.
13. Tweedy, Sean M. (2002). "Taxonomic Theory and the ICF: Foundations for a Unified Disability Athletics Classification" (PDF). Adapted Physical Activity Quarterly. 19 (2): 220–237. doi:10.1123/apaq.19.2.220. PMID 28195770. Archived from the original (PDF) on August 17, 2016. Retrieved July 25, 2016.
14. DePauw, Karen P. and Gavron, Susan J. (2005) Disability Sport. Human Kinetics Publishers. ISBN 978-0-7360-4638-1 (Google Books)
15. Howe, P. David; Jones, Carwyn (2006). "Classifi cation of Disabled Athletes: (Dis)Empowering the Paralympic Practice Community" (PDF). Sociology of Sport Journal. 23: 29–46. doi:10.1123/ssj.23.1.29.
16. Hassani, Hossein; Ghodsi, Mansi; Shadi, Mehran; Noroozi, Siamak; Dyer, Bryce (2015-06-16). "An Overview of the Running Performance of Athletes with Lower-Limb Amputation at the Paralympic Games 2004–2012". Sports. 3 (2): 103–115. doi:10.3390/sports3020103.
17. Albrecht, Gary L. (2005-10-07). Encyclopedia of Disability. SAGE Publications. ISBN 9781452265209.
18. Consejo Superior de Deportes (2011). Deportistas sin Adjectivos (PDF) (in Spanish). Spain: Consejo Superior de Deportes. Archived from the original (PDF) on 2016-11-04. Retrieved 2016-07-25.
19. Broad, Elizabeth (2014-02-06). Sports Nutrition for Paralympic Athletes. CRC Press. ISBN 9781466507562.
20. van Eijsden-Besseling, M. D. F. (1985). "The (Non)sense of the Present-Day Classification System of Sports for the Disabled, Regarding Paralysed and Amputee Athletes". Paraplegia. International Medical Society of Paraplegia. 23. Retrieved July 25, 2016.
21. Howe, David (2008-02-19). The Cultural Politics of the Paralympic Movement: Through an Anthropological Lens. Routledge. ISBN 978-1134440825.
22. Labanowich, Stan; Thiboutot, Armand (2011-01-01). Wheelchairs can jump!: a history of wheelchair basketball : tracing 65 years of extraordinary Paralympic and World Championship performances. Boston, MA.: Acanthus Publishing. ISBN 9780984217397. OCLC 792945375.
23. Consejo Superior de Deportes (2011). Deportistas sin Adjectivos (PDF) (in Spanish). Spain: Consejo Superior de Deportes. Archived from the original (PDF) on 2016-11-04. Retrieved 2016-07-25.
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26. Vanlandewijck, Yves C.; Thompson, Walter R. (2011-07-13). Handbook of Sports Medicine and Science, The Paralympic Athlete. John Wiley & Sons. ISBN 9781444348286.
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29. KOCCA (2011). "장애인e스포츠 활성화를 위한 스포츠 등급분류 연구" [Activate e-sports for people with disabilities: Sports Classification Study] (PDF). KOCCA (in Korean). Archived from the original (PDF) on 2016-08-17.
30. Stichting Roeivalidatie (1991). International Symposium Adaptive Rowing Amsterdam June, 26-27 1991. Rotterdam, Netherlands: Stichting Roeivalidatie. p. 21. OCLC 221080358.
31. Tweedy, Sean M. (2002). "Taxonomic Theory and the ICF: Foundations for a Unified Disability Athletics Classification" (PDF). Adapted Physical Activity Quarterly. 19 (2): 220–237. doi:10.1123/apaq.19.2.220. PMID 28195770. Archived from the original (PDF) on August 17, 2016. Retrieved July 25, 2016.
32. International Sports Organization for the Disabled. (1993). Handbook. Newmarket, ON: Author. Available Federacion Espanola de Deportes de Minusvalidos Fisicos, c/- Ferraz, 16 Bajo, 28008 Madrid, Spain.
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34. Gilbert, Keith; Schantz, Otto J.; Schantz, Otto (2008-01-01). The Paralympic Games: Empowerment Or Side Show?. Meyer & Meyer Verlag. ISBN 9781841262659.