S5, SB4, SM5 are disability swimming classifications used for categorizing swimmers based on their level of disability. The class includes people a moderate level of disability, and includes people with full use of their arms and hands, but limited to no use of their trunk and legs. It also includes people with coordination problems. A variety of disabilities are represented by this class including people with cerebral palsy. The class competes at the Paralympic Games.
This classification is for swimming. In the classification title, S represents Freestyle, Backstroke and Butterfly strokes. SB means breaststroke. SM means individual medley. Swimming classifications are on a gradient, with one being the most severely physically impaired to ten having the least amount of physical disability. Jane Buckley, writing for the Sporting Wheelies, describes the swimmers in this classification as having: "full use of their arms and hands but no trunk or leg muscles; Swimmers with coordination problems."
This class includes people with several disability types include cerebral palsy, short stature and amputations.
ISOD amputee A1, A3 and A9 swimmers may be found in this class. Prior to the 1990s, the A1, A3 and A9 classes were often grouped with other amputee classes in swimming competitions, including the Paralympic Games.
A1 and A3 swimmers in this class have a similar stroke length and stroke rate to able bodied swimmers. A study comparing the performance of swimming competitors at the 1984 Summer Paralympics found there was no significant difference in performance in times between men and women in A2 and A3 in the 50 meter breaststroke, men and women in A2 and A3 in the 50 meter freestyle, men and women in A2, A3 and A4 in the 25 meter butterfly, and men in A2 and A3 in the 50 meter backstroke.
The nature of an A3 swimmers's amputations in this class can effect their physiology and sports performance. Because of the potential for balance issues related to having an amputation, during weight training, amputees are encouraged to use a spotter when lifting more than 15 pounds (6.8 kg). Lower limb amputations effect a person's energy cost for being mobile. To keep their oxygen consumption rate similar to people without lower limb amputations, they need to walk slower. A3 swimmers use around 41% more oxygen to walk or run the same distance as some one without a lower limb amputation. A1 swimmers use around 120% more oxygen to walk or run the same distance as some one without a lower limb amputation.