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Expert Opinion on Handcycling Classification: A Delphi Study Based on Scientific Evidence.

Rafael Muchaxo1, Sonja de Groot, Lucas van der Woude2

  • 1From the Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, the Netherlands.

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Summary
This summary is machine-generated.

Expert consensus was reached on including upper-limb, shoulder, and lower-limb function for handcycling classification. Further research is needed on trunk function, hand function, and equipment settings for evidence-based Paralympic sport classification.

Keywords:
DisabilityEvidence BasedParalympicSports for Persons With Disabilities

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Area of Science:

  • Sports Science
  • Paralympic Classification
  • Biomechanics

Background:

  • Paralympic sport classification systems strive to ensure fair competition by minimizing impairment effects.
  • Recent scientific advancements offer opportunities to refine handcycling classification criteria.

Purpose of the Study:

  • To achieve expert panel consensus on scientific findings impacting handcycling classification.
  • To identify areas of agreement and disagreement for future classification development.

Main Methods:

  • An international expert panel (n=53) participated in three rounds of online questionnaires.
  • The panel included para-cyclists, coaches, managers, classifiers, and researchers.
  • Questionnaire rounds were iterative, incorporating feedback from previous rounds.

Main Results:

  • Consensus achieved on incorporating upper-limb, shoulder, and lower-limb function in classification.
  • No consensus reached regarding the role of trunk function, hand function, or equipment settings.
  • Identified key areas for future research and refinement in handcycling classification.

Conclusions:

  • Handcycling classification requires integrating recent findings and achieving consensus.
  • Further research into trunk function, hand function, and equipment is necessary.
  • Developing an evidence-based system necessitates addressing remaining controversial topics to reduce subjective decision-making.