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Expert opinion on handcycling classification: A Delphi study based on scientific evidence
Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, The Netherlands.
Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Netherlands;; Amsterdam Rehabilitation Research Center | Reade, Amsterdam, Netherlands;; University of Groningen, University Medical Center Groningen, Center for Human Movement Sciences, Groningen, Netherlands.ORCID iD: 0000-0001-8463-2563
University of Groningen, University Medical Center Groningen, Center for Human Movement Sciences, Groningen, Netherlands.
Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Netherlands.
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2025 (English)In: American Journal of Physical Medicine & Rehabilitation, ISSN 0894-9115, E-ISSN 1537-7385, Vol. 104, no 12, p. 1155-1161Article in journal (Refereed) Published
Abstract [en]

Objective A Paralympic sport classification system aims to minimize the impact of the athlete’s impairment on performance, thus contributing to a fair competition. The aim of this study was to investigate consensus among an expert panel regarding statements on recent scientific findings and their implications for handcycling classification.

Design Three rounds of online questionnaires were sent to an international panel (n = 53) consisting of para-cyclists, para-cycling coaches and team managers, classifiers, and researchers within para-sport or Paralympic classification. The second and third questionnaire rounds were based on insights gathered from the previous round.

Results Consensus was reached on the inclusion of upper-limb function, shoulder function, and lower-limb function in the classification assessment of athletes competing in recumbent handcycling positions. In contrast, topics related to the role of trunk function, hand function, and equipment settings did not achieve consensus within the panel.

Conclusion The future of handcycling classification requires consideration of these recent findings and consensus. Nevertheless, to continuously develop its system toward an evidence-based classification, the handcycling sport should further research the remaining questions and controversial topics to rely less on subjective decisions.

Place, publisher, year, edition, pages
Wolters Kluwer, 2025. Vol. 104, no 12, p. 1155-1161
Keywords [en]
Disability, Evidence based, Paralympic, Sports for Persons with Disabilities
National Category
Sport and Fitness Sciences
Research subject
Medicine/Technology
Identifiers
URN: urn:nbn:se:gih:diva-8823DOI: 10.1097/phm.0000000000002789ISI: 001628387200006Scopus ID: 2-s2.0-105014532233OAI: oai:DiVA.org:gih-8823DiVA, id: diva2:2000695
Note

Copyright © 2025 The Author(s). Published by Wolters Kluwer Health, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

Available from: 2025-09-24 Created: 2025-09-24 Last updated: 2025-12-17

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Nooijen, Carla F J

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