Athlete ambulates without aids. All four limbs will usually show functional involvement in sports movements. Class 6 athletes usually have more control problems in upper limbs than Class 5 athletes, although the former usually have better function in lower limbs, especially when running. Lower extremities . Hemiplegia spasticity grade 3 to 2.
Dominant side has better development and good follow-through movement in walking and running.
Persons with moderate to minimal athetosis do not fit into this class. Upper extremities . Arm and hand control is only affected in the non-dominant side. There is good functional control on the dominant side. Cyclic movements however are much better performed, like cycline, running, and freestyle swimming.