SPORT-PHSICALTHERAPY

PERAN FISIOTERAPI
DI MULTI EVENT DIFABEL
 The International Paralympic Committee
The classification requires a sufficient number of classification teams each
comprising at least :
a. A doctor
b. A physiotherapist
c. A technical person (a former athlete, a coach)

TUJUAN KLASIFIKASI =
‘FAIRPLAY’
Dengan klasifikasi kemampuan yang sama pada tipe disabilitas yang
berbeda.
> 62% = TUNA DAKSA
DATA 2012
TOP SCORE
 1952
1. Rehabilitation Center
2. Rehab through physical
activity

1962
1. Competition in Netherlands
2. Under leadership of Manurung
3. An “eye-opening” experience
4. YPOC was then established
National Para Games
Pekan Paralimpiade Nasional
PEPARNAS
67 athletes in 9 sports
 David Jacobs Ni Nengah Widiasih

Men's Individual C10 Powerlifting Women's 41 kg

AR ARCHERY PO PARA POWERLIFTING
AT PARA ATHLETICS SH SHOOTING PARA SPORT
BA BADMINTON SW PARA SWIMMING
BO BOCCIA TB TENPIN BOWLING
CH CHESS TT TABLE TENNIS
CY CYCLING VS SITTING VOLLEYBALL
GB GOALBALL WB WHEELCHAIR BASKETBALL
JU JUDO WC WHEELCHAIR FENCING
LB LAWN BOWL WT WHEELCHAIR TENNIS

18 SPORTS
18 Sports
•
• ARCHERY
• (PANAHAN)
•
• ATHLETICS
• (ATLETIK)
 •
• BADMINTON
• (BULU TANGKIS)
•
• BOCCIA
•
• CHESS
• (CATUR)
•
• GOALBALL
•
• LAWNBALL
•
• JUDO
 •
• POWERLIFTING
•
• SHOOTING
•
• SWIMMING
 •
• TENPIN BOWLING
 •
• TABLE TENNIS
•
• SITTING
VOLLEYBALL
(VOLI DUDUK
 •
• WHEELCHAIR
• BASKETBALL
 •
• WHEELCHAIR
• FENCING
 •
• WHEELCHAIR
• TENNIS
 CLASSIFICATION
1. Provides a structure for competition
2. Ensure fairness and competitiveness
3. Skill, fitness, power, endurance, tactical ability and
mental focus
INSTRUMEN PEMERIKSAAN
 DISABILITY

Impaired Muscle Function

• Spinal Cord Injuries, Spina Bifida, Poliomyelitis

Permanent Impaired Passive Range of Movement

• NOT joint instability, NOT acute conditions e.g. arthritis

Limb Deficiency
• Absence of bone/joint e.c. Trauma (e.g. accident) a or Illness (e.g. cancer)

Leg Length Difference

• Birth or trauma, amputation

Short Stature
• e.g. Achondroplasia or Growth Hormone Deficiency
 DISABILITY
Hypertonia
• Abnormal increase in muscle tension, e.c. injury or illness CP

Ataxia
• Lack of coordination due to neurological disease e.g. CP, brain injury,
multiple sclerosis

Athetosis
• Unbalanced, uncontrolled movements, difficulty to maintain balanced
posture

Visual Impairment
• Eye structure, optic nerve, or brain

Intellectual Impairment
• Impairment of intellectual function & adaptive behavior
• IQ < 75, all impairment must present before age of 18
 VI
Visual Impairment

B1 = Low visual acuity and/or NO light perception Total

Blind
B2 = higher visual acuity than B1 and/or a visual field
less then 10 degree radius
Partial
B3 = least visual impairment and/or a visual field less Blind
then 40 degree radius
 VI
Visual Impairment

GB JU
Goalball Judo

AT CY TB SW
Para-Athletics Cycling Tenpin Bowling Para-Swimming
AR
ARCHERY
 W1 Open
Sitting position Previously W2 & ST
Disability in leg & trunk Sitting or Standing with some support
Some degree of arm disability e.g. Paraplegia, Tetraplegia
e.g. Tetraplegia
AT
PARA ATHLETICS
T = Track, F = Field
 T/F 11 Total Blind Use Eyeshade + Guide Runner
Visual Impairment
(11-13) T/F 12 & 13 Partial Blind Guide Runner

Intellectual 1500 m – difficulties in pacing

T/F 20 Long jump – anticipate take off
Impairment (20)
 F31, T/F 32-34 Seated position Wheelchair Racing
Ataxia, athetosis, Throwing Seat
hypertonia (31-38)
35-38 Standing
Short Stature T40/F40, T41/F41 41 taller

42-44 Lower Amputations, dysmelia

Limb Deficiency T42/F42 – T46/F46, T47
45-47 Upper
 T51-54 51,52 no trunk function

51-53 no trunk & leg function,

Impaired Muscle & limited arm
ROM 54 no trunk & leg function, normal
F51-57
arm
55-57 trunk & leg function
BA
Badminton
 MEN/WOMEN/MIXED
SINGLE – DOUBLE – TEAM

WH1 • Impairment lower limb and trunk

• Limited ability to maneuver

WH2 • Impairment lower limb, normal trunk

SL3 • Lower limb

• Half-court

SL4 • Play full court

• Mild Cerebral Palsy, unilateral polio

SU5 • Impairment in upper limbs

• Mild impairment in playing arms: lost thumb
BO
BOCCIA
 MIXED
INDIVIDUAL – PAIRS – TEAM

B1 • No Leg, arm, trunk control

• Good grasp, NO assistive device

B2 • Better arm and trunk control

• Good control: underhand and overhand

B3 • Limited leg, arm, trunk

• Poor grasp, use assistive device

B4 • Non-cerebral origins
• Muscular dystrophy, spinal cord injury, etc.
CH
CHESS
 Visual Physical
Impairment Impairment
CY
CYCLING
 • C1 most severe, C5 least severe
C1-C5 • Amputations, ROM, ataxia, athetosis

• Tandem Blind
TB • Sighted cycler (pilot) in front
GB
GOALBALL
Goalball

• Combine B1, B2, B3 with blindfold

• Ball with rings
• Three on three
• Men’s & Women’s Team
JU
JUDO
Judo
PO
PARA POWERLIFTING
• impairment in their lower limbs
or hips  on bench press
• Sports-technical rules for safety
e.g.
• safe grip of the lifting bar
• the ability of the athlete to
extend fully the upper limb
SW
PARA SWIMMING
S: Freestyle, butterfly 1-10: Physical Impairment
and backstroke events
11-13: Visual Impairment
SB: Breaststroke
14: Intellectual Impairment
SM: Individual Medley.
SH
SHOOTING PARA SPORT
 SH1 •Support the full weight of the pistol themselves
•Impairment on arm and/or leg
(Pistol) •Seating or standing

•Support the full weight of the rifle themselves

SH1 •Rifle is held with both hands, athletes in this sport
class have an impairment in their legs, for example
(Rifle) amputations or paraplegia

•Affects their arms, meaning they are NOT able to

SH2 support the full weight of the rifles themselves
•shooting stand to support the weight of the rife
(Rifle) •Majority in seating position
TB
TENPIN BOWLING
TB1
TB2
TB3

Visual Impairment
Class
TB4
Intellectual Impairment
Class

TB5-10
Physical Impairment
Class
TT
TABLE TENNIS
Sitting Class
TT1-5

Standing Class
TT6-10

Intellectual Impairment
Class TT11
VS
SITTING VOLLEYBALL
D = Disabled
MD = Minimally Disabled

• 5 D + 1 MD
• Court 10 m x 6 m
• Net
• Men 1.15 m
• Women 1.05 m
WB
WHEELCHAIR BASKETBALL
• Same ring height
• Same court size
• Almost the same rules
1.0 • Most severe. No trunk control
• Higher backrest and strapped to wheelchair
Sports Technical Rules
2.0 • Able to lean forward and rotate body to certain extent
• Higher backrest and strapped to wheelchair
14 points
3.0 • Fully rotate and lean forward, but cannot lean sideways
• Lower backrest On the field play
at the same times
4.0 • Lean forward + rotate + lean sideways

4.5 • No restriction in trunk

• Foot amputation or a 6 cm leg length difference.
WF
WHEELCHAIR FENCING
A •Good Trunk & Arm Function
•Lower limb impairment

B •Impaired Trunk & Arm

•Lower limb impairment
WT
WHEELCHAIR TENNIS
Open • Lower limb impairment

• Lower limb impairment

Quad • Upper limb impairment

Singles Doubles
SUMMARY

01. Para Sport is competitive & elite

competition
02. Sports & Events + Classification
THANK YOU
TERIMA KASIH
ANY QUESTIONS?