IWAS Classification Seminar-2

1. IWAS Classification Seminar-2 Jane Freebody MCSP IWAS accredited international classifier

2. Content • Explanation of system • Assessment • theory

3. Scope of Course • Explain the system • teach the testing procedure • classification handbook • certificate of attendance

4. Facilities • Part 0ne • space • private area • couch • screens

5. Equipment • Manual • notebook pen and pencil • goniometer • patella hammer • tape measure -metal • pin • binoculars

6. Process- paperwork • Athletes identification-first • Consent • representative • interpreter

7. Process- paperwork • Family Name • ……………………………………….. • First Name • ……………………………………….. • Date of birth • ……………………………………….. • Male …… Female ……. • Country ………………………. • I certify that the information given by me is correct. I agree to be classified and to abide by the rules of the competition. • Signature • ……………………………………….. • Date • ………………………………………..

8. Process- paperwork • class ……. • Track class …… • Field class …… • Split class Shot …… • Discus …… • Javelin …… • Permanent …… • Review …… • Notes / comments • ……………………………………………… • ……………………………………………… • ……………………………………………… • Date ……………….. • Signature classifiers • ………………………… • ………………………… • …………………………

9. Classification • Observation • question • objective measurements • functional tests

10. Observation • Manner • entry • walk aids used • wheelchair • undress • balance • trunk function

11. Questions • Disability • Age at injury/onset • years competing • class • function • orthoses • These questions decide what you need to do next

12. Minimal disability • The athlete must have a medically diagnosed disease or impairment that causes a permanent physical disability involving loss of movement potential, either range or power. • Resulting in substantial loss of function in at least part of one limb.

14. Ineligibility • Must meet minimal disability criterion • cannot classify immeasurable (subjective) parameters e.g.pain • an athlete who fails to cooperate with the exam process can be deemed ineligible

15. Objective measures • Trunk, upper and lower limbs • muscle power • joint range • degree of spasticity • level of amputation-measure

16. Record • If required: • -Muscle bulk • -muscle wasting • -Skin colour, temperature • -Spasm • -surgical scars • -kyphosis/scoliosis/arthrodesis/contractures • -amputations levels • -Leg shortening

17. What to measure • Choose the most significant disability • power • range • coordination

18. Amputee • Record • Level and type of amputation • stump length • contracture • significant muscle loss/transfers/scarring

19. Functional tests • Trunk function -4 tests • Performed in sitting • upward • rotation • forwards, backwards • side to side • Balance

20. Functional tests scoring • Russel Hansen system -sports specific tests • 0-1 nil • 2-3 some • 4-5 good

21. Muscle Power • MRC Scale • 0-nil • 1-flicker • 2-less than gravity • 3-against gravity • 4-gravity plus resistance • 5- normal • Only point 3-5 are counted in points score

22. Assessment SCI & Polio • Record • range of movement • muscle power • contracture • balance • transfer technique • spasm

23. Incomplete lesions • Athletes with incomplete spinal lesions will go at least one class lower than their disability suggests due to the advantages of balance and sensation over those with complete lesions.

24. Assigning a class • majority of athletes will fit easily into system • a few will be borderline and require much thought.

25. Borderline decisions • where doubt exists as to an athletes class the athlete must be allocated to the less disabled class. • Reason: if the class is incorrect it will disadvantage only the one athlete and not all those in the class.

30. Recording on the form • First personal information checked with ID • Fill in all required boxes • complete in pen • date and sign