Spasticity is a Grade 3 to 4. Some demonstrable function can be observed during transfer. May be able to ambulate with assistance or assistive devices. Some trunk movement can be noted also in throwing for postural correction, but throwing motions are mostly from the arm. This is a major factor in non-ambulatory capability.
Rotation is limited or non-existent.
Upper Extremlties Moderate limitation. Rapid grasp and release hand movements are usually slow and laboured. Dominant hand may demonstrate cylindrical and spherical grasp, but release of objects is noticeably less than a Class 4 athlete. Usually some difficulty arises with individuals who show wheelchair mobility which falls between Class 3 and 4. The key is trunk mobility in propulsion of the chair, and hand function.