Gymnastik- och idrottshögskolan, GIH

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Para-cycling classification in the bicycle and tricycle divisions: A Delphi study
Swedish School of Sport and Health Sciences, GIH, Department of Physiology, Nutrition and Biomechanics. Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women’s and Children’s Health, Uppsala University, Uppsala, Sweden.ORCID iD: 0000-0001-8297-3268
Swedish School of Sport and Health Sciences, GIH, Department of Physiology, Nutrition and Biomechanics. Department of Clinical Science, Intervention and Technology, Karolinska Institute, Stockholm, Sweden.ORCID iD: 0000-0002-1210-6449
Swedish School of Sport and Health Sciences, GIH, Department of Physiology, Nutrition and Biomechanics.ORCID iD: 0000-0003-0146-9292
Swedish School of Sport and Health Sciences, GIH, Department of Physiology, Nutrition and Biomechanics. Karolinska Institute, Department of Neuroscience, Stockholm, Sweden.ORCID iD: 0000-0002-4901-0010
2026 (English)In: American Journal of Physical Medicine & Rehabilitation, ISSN 0894-9115, E-ISSN 1537-7385Article in journal (Refereed) Epub ahead of print
Abstract [en]

The current classification system in para-cycling needs to be investigated in order to comply with requirements of the International Paralympic Committee of providing evidence-based classification in all Paralympic sports. The aim was to investigate consensus on issues within the current para-cycling classification system and identify future research priorities within para-cycling classification.

Design:Three rounds of online questionnaires were sent to an international expert-panel (n=51, representing six continents) consisting of para-cyclists (n=27, 52.9%), para-cycling coaches and team managers (n=5, 9.8%), classifiers (n=8, 15.7%), para-sport researchers (n=5, 9.8%), and other roles in para-cycling (n=6, 11.7%). Each new round was based on the responses of the previous round.

Results:Consensus was reached on the following main issues: adjust current muscle strength assessment in classification (76%), redefine the minimum impairment criteria for the lower (97%) and upper (76%) body, athletes cycling with one leg should compete separately from athletes cycling with two legs (81%), athletes with musculoskeletal impairments should compete separately from athletes with coordination impairments (77%).

Conclusions:The panel’s views revealed directions to revise the para-cycling classification system, and that future para-cycling research should focus on leg muscle strength assessments, upper-body impairments, and the cut-off between bicycling and tricycling (C and T-divisions).

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2026.
Keywords [en]
Para sport; Paralympics; Disability Sport; Impairment
National Category
Sport and Fitness Sciences
Research subject
Medicine/Technology
Identifiers
URN: urn:nbn:se:gih:diva-7049DOI: 10.1097/PHM.0000000000002972Scopus ID: 2-s2.0-105035513983OAI: oai:DiVA.org:gih-7049DiVA, id: diva2:1657364
Note

At the time of Johanna Liljedahl's dissertation this was a manuscript.

Available from: 2022-05-10 Created: 2022-05-10 Last updated: 2026-09-10
In thesis
1. Towards evidence-based classification in para-cycling
Open this publication in new window or tab >>Towards evidence-based classification in para-cycling
2022 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The aim of classification in Paralympic sport is to minimize the impact of impairment on the outcome of competition. The aim of this thesis was to investigate the impact of different types of impairments on para-cycling performance to develop an evidence-based classification system in the para-cycling C (bicycling) and T (tricycling) divisions.

This thesis is based on four articles. The first article examined differences in race performance between para-cycling classes by comparing track race results. The second article evaluated leg strength measures in para-cyclists with musculoskeletal impairments. The third article investigated leg coordination and leg strength and the association with para-cycling performance in para-cyclists with hypertonia, ataxia, or athetosis. The fourth article aimed to gather consensus on para-cycling classification issues and to identify research priorities within para-cycling, by consulting a panel with expertise within para-cycling and para-sport.

This thesis has identified performance characteristics in para-cyclists with musculoskeletal and coordination impairments, and suggested tests with potential to be used in para-cycling classification to assess muscle strength and coordination. The results indicate that the classes for athletes with the least impairments, as well as the classes for athletes with impaired coordination, need to be further investigated.

Place, publisher, year, edition, pages
Stockholm: Gymnastik- och idrottshögskolan, GIH, 2022. p. 102
Series
Avhandlingsserie för Gymnastik- och idrottshögskolan ; 24
Keywords
cycling, para sport, Paralympics, performance, impairment
National Category
Sport and Fitness Sciences
Research subject
Medicine/Technology
Identifiers
urn:nbn:se:gih:diva-7047 (URN)978-91-986490-5-5 (ISBN)
Public defence
2022-06-10, Aulan, Lidingövägen 1, Stockholm, 09:00 (English)
Opponent
Supervisors
Available from: 2022-05-10 Created: 2022-05-10 Last updated: 2025-09-16Bibliographically approved

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Liljedahl, JohannaArndt, AntonNooijen, Carla F JBjerkefors, Anna

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