創立20年史 財団法人日本身体障害者スポーツ協会

No.47

注１・クラス分け

1. 切断（Amputec）―ＩＳＯＤによる―
   Class Ａ１＝Double ＡＫ Class Ａ２＝Single ＡＫ
   Class Ａ３＝Double ＢＫ Class Ａ４＝Single ＢＫ
   Class Ａ５＝Double ＡＥ Class Ａ６＝Single ＡＥ
   Class Ａ７＝Double ＢＥ Class Ａ８＝Single ＢＥ
   Class Ａ９＝Combined lower plus upper limb amputations
   AK=Above or through knee joint BK=Below knee, but through or above talo-crural joint
   AE=Above or through elbow joint BE=Below elbow, but through or above wrist joint
2. その他の障害（Les Autres）―ＩＳＯＤによる―
   1. General
      The system is a functional classification system applicable to locomotor disabilities regardless of diagnoses. Athletes belonging to the categories of amputees, cerebral palsied and spinal cord affected(para-tetra-polio) are allowed to participate in certain events in the Les Autres classification. Therefore the classification code is uniquely defined for each sport.
   2. Basic provisions
      The participants in the Les Autres classification must be able to demonstrate a locomotor disability which clearly gives the competitor a disadvantage compared to ablebodied in the particular sport.
   3. Minimal permanent handicap for Les Autres category
      The handicap must be permanent(stationary or progressive).
      a) Partial or total paralysis of lower limbs:
      At least a decrease in muscle strenght of 10 points in the lower extremities when testing on the 0.5 scale grade system(not counting grade 1 and 2). A normal person obtains 40 points in each lower limb. The following muscle functions shall be tested in lower limbs:
      

      -	-	Maximum
      Hip	Flexion	5
      Hip	Extension	5
      Hip	Adduction	5
      Hip	Abduction	5
      Knee	Flexion	5
      Knee	Extension	5
      Ankle	Dorsiflexion	5
      Ankle	Plantarflexion	5
      Total sum each lower limb=		40

      b) Partial or total paralysis of upper limbs:
      At least a decrease in muscle strength of 20 points in the upper extremities when testing on the 0.5 scale grade system(not counting grade 1 and 2). A normal person obtains 60 points each upper limb. The following muscle functions in the arm and hand shall be tested:
      

      -	-	Maximum
      Shoulder	Flexion	5
      Shoulder	Extension	5
      Shoulder	Abduction	5
      Shoulder	Adduction	5
      Elbow	Flexion	5
      Elbow	Extension	5
      Wrist	Dorsiflexion	5
      Wrist	Volarflexion	5
      Finger	Flexion(finger2-5) at the metacarpo-phalangeal joints	5
      Finger	Extension(finger 2-5) at the metacarpo-phalangeal joints	5
      Thumb	Opposition	5
      Thumb	Extension	5
      Total sum each upper limb=		60

      c) joint mobility: At least a permanent restricted movement of 30 degrees in shoulder ,elbow, wrist, hip, knee or ankle joint.
      d) Amputation Minimum 4 fingers amputated.
      Note: In amputee based classification minimum amputation is through wrist joint.
      e) Anisomelia: At least 7 cm.
      f) Back and torso:
      Severly reduced mobility or disfiguration of a permanent nature as in idiopatic scoliosis, dwarfism or ankylosis of the spine.
   4. Special medical condition This general minimal handicap might be different in certain events and will be further specified under the actual spotrs event. I.e. anisomelia in swimming 10 cm not 7 cm; a person with reduced sensibility in buttocks are not allowed to take part in sitting volleyball.
      NOTE 1: Examples of eligible Les Autres competitors:
      In principle all persons with a locomotor disability confirming to article 4.3.1 to 4.3.4 are eligible for competitions.
      The following are some examples: Ankylosis, arthrodesis or arthrosis as a major joints. Bechte rew disease(spondylitis ankylopoetca) of severe degree. Barre-Guillain syndrome with permanent paresis/paralysis. Brachial plexus lesions with arm paresis/paralysis. Many congenital conditions affecting the locomotor apparatus for example:
      Arthrogryposis, chondrodystrophy (dwarfs), luxatio coxa congenita, dysmelia, phocomelia (if not classifiable according to amputee) or multiple other malformations. Locomotor disabilities caused by any kind of combustions, fractures, injuries to musculoskeletal or nervous system with a permanent disability obs. be aware of minimal handicap cfr. Article 4.3.3.
      Further idiopathic scoliosis or spinal ankylosis, partially mutilated hand or feet, multiple sclerosis, muscular dystrophy like Charcot Marie Tooth disease, myotonia. Neoplasms causing a permanent locomotor disability. Para-and tetraplegics and polios. Polyneurotes, syringomyelia, polyarthritis(e.g. juvenile). Locomotor disabilities caused by tuberculosis or other infectious diseases. Hemophilia with locomotor involvement.
      Remark The list is meant to indicate the type of competitors that fit into the Les Autres category and is by no means extensive.
      NOTE 2 : Example of conditions not eligible for Les Autres:
      Down syndrome or mongolism or persons with severely reduced mental capacity. Further persons with heart, chest, abdominal, skin, ear and eye disease without locomotor disability. Competitors not being able to obtain a doctor's certificate to compete because of acute or chronic disease(e.g. infection, hypertension, or using anti-coagulants) rendering sporting activities unadvisable.
3. 視覚障害（Ｂｌｉｎｄ）―ＩＢＳＡによる―
   1. class 1 : No light perception at all in either eye up to light perception, but inability to recognize objects or contours in any direction and at any distance.
   2. class 2 : Ability to recognize objects or contours up to a visual acuity of 2/60 and / or a limitation of field of vision of 5 degrees.
   3. class 3 : 2/60 to 6/60 vision and /or field of vision between 5 and 20 degrees.
4. 脳性麻痺（Ｃｅｒｅｂｒａｌ Ｐａｌｓｙ）―ＣＰ ＩＳＲＡによる―
   1. class 1.
      1. Severe spasticity or athetosis in all four limbs
      2. Poor functional strength in upper extremities and torso, necessitating the use of an electric wheelchair or personal assistance for regular daily use.
      3. Can not push a manual wheelchair with their arms or legs at all.
   2. class 2
      Severe to moderate quadriplegic, normally able to propel wheelchair with legs or able to propel wheelchair very slowly with arms. Better upper extremity range of motion than class 1, usually more athetosis prevelent.
      1. Moderate to severe involvement in all four limbs.
      2. Normally wheelchair bound, can not ambulate without assistance or with extreme difficulty.
      3. Have poor functional strength and severe control problems in the upper extremities and torso.
      4. Because of the varying functional abilities within this class, separate track and field events have been developed for the upper extremities and the lower extremities.
   3. class 3
      Moderate quadriplegic or triplegic or severe hemiplegic in wheelchair.
      1. Moderate to severe involvement in two, three or all four limbs, able to propel wheelchair with one or two arms alowly. Consult Class 3 qualifying times for track events.
      2. Have fair functional strength and moderate control problems in the upper extremities and torso.
      3. Need. To use wheelchair for regular daily activities but may be able to ambulate with assistive devices over very short distances.
   4. class 4
      1. Moderate to severe diplegic. Good functional strength and minimal control problems in the upper extremities and trunk.
      2. Lower limbs have moderate to severe spasticity.
      3. May be able to walk short distances with use of aids, but need wheelchair for regular daily activities.
   5. class 5
      Moderate diplegic, severe to moderate hemiplegic who ambulates without wheelchair in regular daily activities. May or may not use devices to assist ambulation. CP-ISRA defines assistive devices as ambulatory support devices such as crutch(es), walker(s) or cane(s)
      Braces are not considered assistive devices.
      1. Both lower limbs have moderate spasticity causing difficulty with walking.
      2. Right or left arms or legs may have moderate spasticity causing difficulty with walking.
      3. Diplegics have good functional strength and minimal control problems in upper extremities.
   6. class 6
      Moderate to severe quadriplegic athetoid, ambulating without walking aids. Athetosis is present in this class.
      There are also instances of spasticity being present.
      1. Moberate to severe control problems in three or all four limbs.
      2. Walk without assistive devices during daily activities.
      3. Please note that Class 6 always have more control problems in upper extremities than a Class 5, while Class 6 competitors have better function in lower extremities.
   7. class 7
      Moderate to minimal hemiplegic or moderate to minimal triplegic or quadriplegic.
      1. Moderate to minimal spasticity in one half of body, or moderate to minimal spasticity in three or four limbs.
      2. Walks without assistive devices but spasticity in lower limbs may cause limp when walking.
      3. Good functional ability in non-affected side of hemiplegic.
      4. Split classes do occur occasionally in field events depending upon the degree of involvement of lower extremity in relation to the degree of involvement in upper extremities.
   8. class 8
      Minimal handicapped group
      1. May include a minimally affected hemiplegic, monoplegic, or very minimally involved quadriplegic.
      2. If an abnormality in a limb is only detectable upon a detailed neurological examination and there is no impairment of function obviously present, then this person does not quality for CP-ISRA Games.
      3. Able to run and jump freely. c. May have minimal loss of full function caused by incoordination.
5. 麻痺（Ｐａｒａｐｌｅｇｉａ）―ＩＳＭＧＦ―
   Competitors in the I.S.M.G.F. games and games held under their patronage or under their rules are divided into classes according to the level of their lesion as follows:
   1. CLASS 1A Upper cervical lesions with triceps not functional against resistance(i.e. test grades 0-3 inclusive)
   2. CLASS 1B Lower cervical lesions with good or normal triceps power (i.e. test grades 4-5), wrist extensors and flexors, but having no finger flexors or extensors of functional value(i.e.below grade 3 on the muscle test scale).
   3. CLASS 1C Lower cervical lesions with good or normal triceps, strong finger flexors and extensors to power 4 on the muscle test scale but having no interosseous or lumbrical musculaure of functional value(T1 inervation).
   4. CLASS 2 Below T1 to T5 inclusive having no useful balance when sitting.
   5. CLASS 3 Below T5 to T10 inclusive, with abiliy to maintain balance when sitting, ignoring lower abdominal muscles of non functional strength (grade 1 and 2 on muscle test scale).
   6. CLASS 4 Below T10 to L3 inclusive, provided that quadriceps power is non functional (muscle grade 1 and 2).
      Point score lower limbs 1 to 20 inclusive (Traumatic).
      Point score lower limbs 1 to 15 inclusive (Polio).
   7. CLASS 5 Below L3 to S2 inclusive provided that quadriceps power is grade 3 and above.
      Point score lower limbs 21-40 inclusive (Traumatic).
      Point score lower limbs 16-35 inclusive (Polio).
   8. CLASS 6 Point score lower limbs 41-60 inclusive(Traumatic).
      Point score lower limbs 36-50 inclusive (Polio).
      
      a.NOT ELIGIBLE FOR ENTRY INTO THE COMPETITIONS
      Point score lower limbs 61 and above (Traumatic).
      Point score lower limbs 51 and above (Polio).
      b.Classes 5 and 6 will compete together as Class 5 for all events except swimming.

４ 第３回 身体障害者冬季オリンピック大会記録

1984．１．14～20
オーストリア インスブルック

ＬＷクラス
大回転
　スタート1,180m ゴール940m 標高差250m 全長1,300m 旗門数28

滑降
スタート1,180m・・ゴール930m・・標高差250m・・全長不明・旗門22

回転
スタート地点1,740m・ゴール地点1,610m・標高差130m・全長（不明）
旗門・一走目31・二走目37

ブラインドクラス
滑降 スタート1,600m ゴール1,310m 標高差290m 全長1,450m 旗門24

大回転
スタート1,550mゴール1,310m 標高差240m （全長不明） 旗門35

総合

ノルディック

リレー

アイススパイキング

障害クラス分類説明

1. 肢体障害者
   ＡＫ＝Ａｂｏｖｅ・Ｋｎｅｅ・（膝上）
   ＢＫ＝Ｂｅｌｏｗ・Ｋｎｅｅ・（膝下）
   ＡＥ＝Ａｂｏｖｅ・Ｅｌｂｏｗ・（肘上）
   ＢＥ＝Ｂｅｌｏｗ・Ｅｌｂｏｗ・（肘下）
   アルペン用分類
   ＬＷ１（ダブルＡＫ）両足に障害のある者
   1. ダブルＡＫで片足に義足をつけアウトリガー
   2. ２本スキーを一緒に結び、アウトリガー又は、両義足のＡＫ
   3. 片足ＢＫ義足、片足ＡＫで１本スキーにアウトリガー
   4. 切断以外の両足障害者で２本スキーにアウトリガー
   ＬＷ２（シングルＡＫ）片足に障害のある者、１本スキーにアウトリガー
   1. シングルＡＫ
   2. 片足障害
   3. 障害のある方足に補装具をつけている。
   4. 障害のある片足に何もつけていない。
   5. シングルＢＫで義足なしですべる。
   ＬＷ３（ダブルＢＫ）両足に障害があり、２本スキーとストックで滑る。
   1. ダブルＢＫ
   2. 両足の筋力テストが36～65ポイント。
   ＬＷ４（シングルＢＫ）片足に障害があり２本スキーとストックで滑る。
   1. シングルＢＫで義足
   2. シングルＡＫで義足
   3. 片足ポリオで筋力テスト40～65ポイント
   4. 片足障害で補装具の必要とする者 ｅ）・膝の固定（完全に固まっている）
   ＬＷ５／７（ダブルＡＥ、ＢＥ）冬季スポーツでは５と７は一緒。
   両足の障害で２本スキーでストックなし。 ストックが使える障害の人は入れない。
   1. 両腕切断
   2. 両腕マヒもしくは先天性奇形
   ＬＷ６／８（シングルＡＥ、ＢＥ）冬季スポーツでは６と８は一緒。片腕の障害で２本スキーと１本ストック。１本以上のストックが使用できない障害の者。
   1. 片腕切断
   2. 片腕マヒもしくは先天性奇形
   ＬＷ９ 片足に障害のあるもので好みの用具で滑る。
   1. 同じ側の片腕、片足障害
   2. 相対する側の片腕、片足障害
   ノルディック用分類
   ＬＷ２片下肢障害で２本スキーとストック
   1. シングルＡＫで義足
   2. 片下肢障害で補装具の要る人
   ＬＷ３両下肢障害で２本スキーとストック
   1. ダブルＢＫ
   2. 両下肢障害で（補装具は要しない）筋力テスト36～65ポイント
   ＬＷ４片下肢障害で２本スキーとストック
   1. シングルＢＫ
   2. 片足ポリオで筋力テスト40～65ポイント
   3. 両足首より先の切断
   4. 下肢障害で補装具を必要とするもの。
   5. 股関節固定
   6. 膝関節固定
   ＬＷ５／７両上肢の障害でストックの使用が不可能の人、２本スキーのみ
   1. 両上肢切断
   2. 両上肢マヒ又は先天性奇形
   3. 両手首より先の切断
   ＬＷ６／８１本以上のストック使用が不可能な人で片上肢に障害のある人、２本スキーに１本ストック
   1. 片上肢切断
   2. 片上肢切断マヒ又は先天性奇形
   3. 片手首より先部分切断
   ＬＷ９片上肢、片下肢の障害、アルペンと同じ
2. ブラインド（視力障害）アルペン・ノルディック共通
   Ｂ１ 全盲 Ｂ２ 弱視
3. ＧＲ（グループ）分類は不明
   肢体障害でノルディック、アイススパイキングに適用されている。

編集後記
　協会の20年の歴史をとりまとめることとして準備を開始したのは、丁度国際障害者年の昭和56年の末でありました。今日までの20年の記録を中心にとりまとめたらどうかとの会長の編集方針を承り乍ら順調に仕事を進めてまいりました。昔の貴重な記録を主として編集したつもりですが、内容には精疎があるなど多々不十分な点があると思います。
・身体障害者のスポーツは今日まで皇太子殿下、同妃殿下の有難いご配慮によって隆盛を来たしたことは忘れてはならないことであると思います。20年史の制作にあたっても常にこのことを思い乍ら仕事を進めてまいりました。
・記録を重点にとりまとめたこともあって、やはり近年になるに従って分量が増加してしまったことや広く関係者から資料を集めればもっと充実したものが出来たのではないかとの反省がしきりといたしますが何卒ご容赦を賜りたいと思います。
・ご多忙中の皆様から原稿を賜り誌上をかざらせて頂いたことは20年史にうるおいをもたせるものと厚く御礼申し上げます。本協会の創立以来ご尽力を賜わった協会理事の斎藤勇一氏及び堀場平八郎氏並びに我が国身体障害者スポーツの創設者の１人である中村裕氏が逝去されたことはまことに残念でなりません。ご冥福を祈る次第であります。
・最後になりましたが、この20年史の制作にご承認を賜り全面的な資金のご援助をいただいた清水基金に感謝を申し上げ御礼といたします。
（常務理事・井手精一郎・記）

主題：
創立20年史　No.47

発行者：
財団法人日本身体障害者スポーツ協会

発行年月：
昭和60年3月31日

文献に関する問い合わせ先：
〒162
東京都新宿区戸山１－２２－１
戸山サンライズ内
ＴＥＬ　０３－２０４－３９９３