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Classification of Athletes
with Amputations, Dwarfism,
and Les Autres Conditions

Athletes with amputations, dwarfism, and les autres conditions are grouped together for this discussion of classification because they all are governed by the same international disability sports organization, namely the International Sports Organization for the Disabled (ISOD).

Athletes with Amputations

There are two major ways in which athletes with amputations are classified for sport.  The first method considers the site of amputation.

Class Description
A1 Double above-knee (AK) amputation
A2 Single above-knee (AK) amputation
A3 Double below-knee (BK) amputation
A4 Single below-knee (BK) amputation
A5 Double above-elbow (AE) amputation
A6 Single above-elbow (AE) amputation
A7 Double below-elbow (BE) amputation
A8 Single below-elbow (BE) amputation
A9 Combinations of amputations of the upper and lower extremities

The second method involves a precise measurement of the stump length and gives consideration to the use of the affected limb or limbs in the particular sport. Classifiers refer to charts of body segment parameters to determine the predicted length of the complete limb (as if an amputation did not occur). For example, according to these charts, the leg length of a typical male is 0.489 x standing height. The classifier could use these data to determine whether the person's leg is ¼, ½, or ¾ of normal length.  Points are awarded based upon stump length. 

Athletes with Dwarfism

In Paralympic athletics and swimming competition, dwarf athletes are classified according to height measurements. For example, a male dwarf swimmer is eligible to compete in Class S6 if he is 137 cm or less in height, and a female dwarf swimmer is eligible for Class S6 if she is is 130 cm or less in height.

Athletes with Les Autres Conditions

The "les autres" classification accommodates athletes with physical disabilities not covered by other sports organizations and classification systems. Athletes with amputations, spinal injuries, and cerebral palsy are not eligible for les autres competition. There are two major ways in which athletes with les autres conditions are classified for sport.  The first method considers the number of affected limbs and the severity of the condition.

Class Brief Description
L1 Athletes with severe involvement of all four extremities (e.g., severe multiple sclerosis, muscular dystrophy, juvenile rheumatoid arthritis with contractions, etc.)
L2 Athletes with severe involvement of three or four extremities whose limitations are less severe than those of L1 (e.g., severe hemiplegia, paralysis of one extremity with deformity of two other extremities, less severe cases of multiple sclerosis and comparable diseases).
L3 Athletes with limited functioning of at least two extremities (e.g., hemiparesis, hip and knee stiffness on one side with deformation of one arm)
L4 Athletes with limited functioning in two or more extremities whose limitations are less severe than those of L3 (e.g., ankylosis or orthodesis in the joints of one limb with limited functioning in the other)
L5 Athletes with limited functioning of at least one extremity or comparable disability (e.g., contractions or ankylosis of hip or knee joint, paresis in one arm, kyphoscoliosis)
L6 Athletes with slight limitations (e.g., arthritis and osteoporosis, ankylosis of the knee)

The second method of classification involves an assessment of the athlete's range of motion. Many athletes with les autres conditions have limitations to range of movement. When judging limitations in ROM, classifiers use two pieces of information: (a) the athlete's functional ROM and (b) the normal ROM for that joint.  The athlete's functional range is then expressed as a percentage of the normal ROM. A score of "0" refers to no functional ROM, "1" to slight functional ROM, "2" to 25% functional ROM, "3" to 50% functional ROM, "4" to 75% functional ROM, and "5" to normal functional ROM for the sport. Range of motion scores are added across the joints which are tested.

Disability Sports Web Site                        © Michigan State University                        Revised 12/12/2007