Definitions of impairments enabling participation in USDGA tournaments:

Amputee, blind, cerebral palsy, Wounded Veterans, short stature, muscular dystrophy, mental (Special Olympics), and many others.

These definitions have been created to give a proper and fair evaluation for participation. The general idea is that a person who has a severe difficulty to play golf due to physical impairments is eligible to compete in a USDGA events.

Full list of definitions of impairments enabling participation in USDGA events.

Locomotor Disabilities

From a medical standpoint in general, diagnoses determine the treatment. The diagnosis in itself is of minor interest in determining the physical restrictions in daily life. Therefore, the magnitude of physical restrictions must be the qualifying factor for participation in tournaments for “ golf for the disabled.” The conventional handicap system in golf provides a good and fair way to compare different individuals with different impairments with regard to results, so they can play in one class. The only requirement is to decide whether the impairment meet the minimal disability criteria to qualify for tournaments. The physical impairment has to be either stationary (conform status) or variable, status (review status) evaluation contains a physical examination, a functional golf profile golf status and an observation during competition.

  • Leg, range of motion, strength and length
  • Limb deficiency
  • Grip
  • Arm length
  • Shoulder range of motion  and strength
  • Elbow range of motion and strength
  • Back range of motion
  • Vision
  • Neurological function

Major impairment in any of above mentioned functions, or a combination, will qualify for participation according to the following criteria:

Methods of Measuring Functional Range of Motion in Golf

Upper extremity
  • The extended joint is in general measure as 0
  • The midway position between pronation and supination of the wrist is measured as 0
  • Shoulder in standing neutral position is 0
  • Maximal abduction and elevation is measured as 180
  • The position between internal and external rotation is measured as 0
Lower Extremity
  • The hip joint is extended position is measured as 0
  • The knee joint in extended position is measured as 0
  • The movements of the ankle are measured as follows: the position between Dorsal flexion and plantar flexion and between supination and pronation is measured as 0.
Spine
  • The neutral starting position is the generally accepted anatomic position with the body upright. This is measured as 0
  • The range of motion of the spine is from this starting point lateral bending of the spine to the left and right, rotation, flexion, and extension

Measurement of the amputated limb

The measurement must be done from the most distal point of the amputated limb to the next Anatomical point above. The relevant part of the other arm or leg must also be measured.

Muscle testing (power testing)

  • total lack of voluntary contraction
  • faint contraction without any movement of the limb (trace, flicker)
  • contraction with very weak movement through full range of motion when gravity is eliminated (poor)
  • contraction with movement through the complete joint range against gravity
  • contraction with full range of movement against gravity and some resistance (good)
  • contraction of normal strength through full range of movement against full resistance
  • Grades 4- 4 4+ may be used to indicate movement against slight, moderate and strong resistance respectively.

Australian Spasticity Assessment Scale

  • 0 no catch on rapid movement
  • 1 catch occurs on RPM followed by release; there is no resistance to RPM throughout rest of range
  • 2 catch occurs in second half of available range ( after halfway point) during RPM and is followed by resistance throughout the remaining range
  • 3. catch occurs in first half of available range (up to and including halfway point) during Rpm and is followed by resistance throughout the remaining range.
  • 4. When attempting Rpm, the body part appears fixed but moves on slow passive movement.

Neurological Coordination test/ataxia

  • Finger to nose test: the classifier presents his index finger and ask the player to touch his nose With his index finger from the crucifix position with closed eyes.
  • Finger to nose test: the classifier presents his index fingers and asks the players to touch his index fingers with eyes closed.
  • Finger to toe test: the classifier presents his index finger and ask the player to touch his toe with his index finger with eyes closed
  • Heel draw test: draw the heel of one leg along the length of the contralateral leg, from ankle to knee and then in the reverse direction.
  • Romberg Test: the player stands with his feet together and both arms in horizontal position in extension. When the player closes his eyes and is not able to stand still the Romberg sign is positive
  • Tandem Romberg: straight line heel to toe walking

Impaired functional passive range of motion in golf. (fromg)

Lower Limb
Hip
(fromg)
Full flexion 130* Full extension 20* = eligible
Extension-flexion 0-35-130*
Knee
(fromg)
Full Flexion 135* Full extension 0* = eligible
Extension-flexion 0-30-135*
Ankle: Dorsal flexion 20* Plantar Flexion 40*
Upper Limb
Shoulder: Full flexion *150 Full extension 50*
Full ext. rotation 60* Full int. rotation 95*
Full abduction 180* Full adduction 60*

The FROMG is always measured including movements between scapula n thorax

FROMG
  • Adduction or abduction < 30* = eligible
  • Rotation < 45* = eligible
  • Flexion < 20* = eligible

Impaired shoulder extension is not eligible

Elbow: Full flexion 150* Full extension 0*
Full pronation 90* Full supination 90*
FROMG
  • Flexion-extension in the traject  > 45 to 150* = eligible
  • Pronation and supination < 45 (at least on one side) = Eligible
Right-handed players
  • Flex the right elbow < 90* = eligible
  • Flex the left elbow < 60* = eligible

(reverse for left handed players)

 

Wrist Dorsal Flexion 60* Palmar flexion 75*
Total radio-and ulnar deviation 70*  
Righthanded players R side
  • Dorsal Flexion < 10* AND  Radio-ulnar Deviation < 5* eligible

(Reverse for left handed players)

Back and cervical spine

Measurement has to be taken with a fixed pelvis

Rotation of the back is fundamental in a golf swing.

  • Rotation thoraco-lumbar < 10* = eligible
  • Rotation Cervical spine < 20* = eligible

Other impairments such as extension and flexion and side movements of the thoraco-lumbar spine Do not qualify

Leg length Difference

 Leg length difference should be at least 20cm to qualify.

Arm length difference should be at least 15cm to qualify.

Short Stature

When both legs are short the length of the person and the legs are to be given in the report in CM Measured as described on the measurement of the amputated Limb form.

The leg length has to be measured between the trochanter major and the medial malleolus.

When both arms are short the length of the person and the arms are to be given in the report in cm, Measured as described on the measurement of amputated limb form.

Limb deficiency

Lower limb
  • An amputation on Syme level or above on at least one side will be eligible.
Upper limb

Amputation of any part of the upper limb to be eligible as follows:

  • 2 digits of 4 fingers amputated in one hand
  • 2 digits of 6 fingers in two hands
  • 3 fingers of one hand amputated including the thumb

Hearing impaired, cardiopulmonary disorders, impairments due to aging Are NOT allowed to play.

Mental Disabilities If you are qualified for the special Olympics will be allowed to play.

Those with changed impairment has to be examined once a year(Physical) prior to competing. And Reported to the committee to make sure the athlete remain eligible.

Permanently wheelchair bound

The player permanently in a wheelchair with a normal grip and swing in at least one hand and arm is eligible for golf. The player must have a helper to push him between the shots.

Golf club aids

The provided aids, support and assistance have to be in accordance with the modification of the rules of golf for golfers with disabilities.

Impaired hearing does not qualify

Blindness ( legally blind) does qualify after compensation with lens (Eye exams)

Final decisions will be made by the committee. Before you are granted a spot in tournament. You will know your eligible. If somehow you were allowed to play in the event and you do not meet the guidelines you will not be able to participate in future events unless change in you condition.

In order to compete for the net competition you must have a valid handicap. The committee has the authority to check your handicap base on performance over the past 2 years and has the discretion to adjust the handicap accordingly prior to competition. Oversees players used their own handicap system will apply.

Note, for future event (s) The US players will be made to provide tournaments scores. In order for the handicaps would be granted, and in order to compete for net competition.