Development of evidence-based classification for para surfers with physical impairments: A narrative review

The sport of competitive para surfing is growing internationally without established classification procedures. A classification structure is essential for equitable sport competition and worldwide sport progression. This narrative review summarizes the existing knowledge on Paralympic classification and surfing biomechanics. Its primary purpose is to describe the development of an evidence-based para surfing classification structure that follows the International Paralympic Committee (IPC) Classification Code. Two databases-PubMed and Google Scholar-were searched for three themes: "Paralympic classification", "performance determining factors in surfing", and "impact of impairments on surf performance". The IPC Classification Code and IPC regulations were obtained from the IPC website and official publications. Seventy-six relevant articles were utilized to guide the design of this preliminary para surfing classification structure. A conceptual framework on athlete characteristics, adaptive sport characteristics, and use of equipment is presented to build the essential knowledge base for continual growth of para surfing. This classification structure and conceptual framework will support para surfing sport expansion and help pave the way for its inclusion in the Paralympic Games.