Measurement System of Transfer Motion for Patients With Spinal Cord Injuries

Tanimoto, Y.; Nanba, K.; Tokuhiro, Akihiro; Ukida, Hiroyuki; Yamamoto, Hideki

doi:10.1109/tim.2007.909501

Cited by 25 publications

(13 citation statements)

References 9 publications

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“…Several researchers reported that individuals with thoracic SCI have coordinated flexion movement between the head and trunk so as to lift their buttocks. [6][7][8][9] In the present study, one subject (D) showed a similar coordinated flexion movement to lift his buttock. Only subject-D had a higher motor score for upper extremities (Table 1).…”

Section: Discussionsupporting

confidence: 54%

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Movement strategies during car transfers in individuals with tetraplegia: a preliminary study

et al. 2012

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Study design: Three-dimensional kinematic analysis of car transfer (CT) movement in four adult males with C6 tetraplegia. Objectives: The aim of the present study was to assess the normal transfer technique movement from a wheelchair to a car (that is, CT) in subjects with tetraplegia. A better understanding of CT movement is invaluable knowledge for spinal cord injury rehabilitation. This type of knowledge will improve rehabilitation programs so that patients with tetraplegia will have greater societal participation. Setting: School of Comprehensive Rehabilitation, Osaka Prefecture University, Osaka, Japan. Methods: Four adult males with C6 tetraplegia, an impairment grade of A according to the American Spinal Injury Association guidelines, took part in the study. The subjects used their own wheelchair and car in our assessments of their CT movement technique. Movements were assessed using a three-dimensional video analysis system with six digital video cameras. CT data, which included lateral displacement of the head and buttocks, and angular displacement of neck flexion and trunk forward inclination, were collected and correlation coefficients were calculated.Results: All four subjects demonstrated negative correlations in lateral displacements greater than 0.70. As for correlation coefficients of angular displacement, two subjects demonstrated negative correlations (r¼À0.98 and r¼À0.77) and one subject demonstrated a positive correlation (r¼0.75). The neck flexion and trunk forward inclination strategy was different among the four subjects. Conclusions: Each subject with C6 tetraplegia demonstrated different strategies during CT movement.

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Section: Discussionsupporting

confidence: 54%

“…4,5 Additionally, several other studies reported on the kinematic characteristics of posterior long sitting and sitting pivot transfers in individuals with SCI (C7 to L1). [6][7][8][9][10] These studies indicated that the coordinated flexion movement between the head and trunk assist the buttocks to lift off the seat.…”

Section: Introductionmentioning

confidence: 99%

Movement strategies during car transfers in individuals with tetraplegia: a preliminary study

et al. 2012

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“…We found that the LE's bore close to 25% of BW, which corroborates with previous literature. 1,31,32 These results reiterate the importance of the LE's to reducing UE joint loading and to achieving dynamic postural stability (e.g. enlarged base of support) during transfers.…”

Section: Other Technique Differencesmentioning

confidence: 53%

Upper limb joint kinetics of three sitting pivot wheelchair transfer techniques in individuals with spinal cord injury

Kankipati¹,

Boninger

Gagnon

et al. 2014

The Journal of Spinal Cord Medicine

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Study design: Repeated measures design.Objective: This study compared the upper extremity (UE) joint kinetics between three transfer techniques. Setting: Research laboratory. Methods: Twenty individuals with spinal cord injury performed three transfer techniques from their wheelchair to a level tub bench. Two of the techniques involved a head-hips method with leading hand position close (HH-I) and far (HH-A) from the body, and the third technique with the trunk upright (TU) and hand far from body. Motion analysis equipment recorded upper body movements and force sensors recorded their hand and feet reaction forces during the transfers. Results: Several significant differences were found between HH-A and HH-I and TU and HH-I transfers indicating that hand placement was a key factor influencing the UE joint kinetics. Peak resultant hand, elbow, and shoulder joint forces were significantly higher for the HH-A and TU techniques at the trailing arm (P < 0.036) and lower at the leading arm (P < 0.021), compared to the HH-I technique. Conclusion: Always trailing with the same arm if using HH-A or TU could predispose that arm to overuse related pain and injuries. Technique training should focus on initial hand placement close to the body followed by the amount of trunk flexion needed to facilitate movement.

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“…The transfer method (from wheelchair to the toilet seat, etc.) differs widely among SCI patients [1], [2]. In particular, medical staff should propose a remodeling method for the bath or restroom in accordance with the patient's transfer ability.…”

Section: Introductionmentioning

confidence: 99%

Measurement of wheelchair turn radius for SCI patient's remodeling house

Tanimoto¹,

Nanba²,

Tokuhiro³

et al. 2009

2009 IEEE Intrumentation and Measurement Technology Conference

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In remodeling the house of an SCI (Spinal Cord injury) patient, it is necessary to accurately determine and carry out changes that are suitable with regard to the patient's ability. In our rehabilitation center, house remodeling is demonstrated for patients and family members through the use of threedimensional computer graphic images before the remodeling occurs. We have proposed an evaluation system that can show whether there is sufficient space in the remodeled house for a wheelchair to be moved or turned using a computer graphic image. The turn space is calculated using only a wheelchair size. Especially, the wheelchair turning radius determined by the physical limitation of each patient is different among SCI patients. In this study, the turning radius is calculated by measuring the moving speed of right and left wheelchair rear wheel using the rotary encoder in order to estimate the actual turn space of wheelchair for SCI patient's remodeling house.

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Measurement System of Transfer Motion for Patients With Spinal Cord Injuries

Cited by 25 publications

References 9 publications

Movement strategies during car transfers in individuals with tetraplegia: a preliminary study

Movement strategies during car transfers in individuals with tetraplegia: a preliminary study

Upper limb joint kinetics of three sitting pivot wheelchair transfer techniques in individuals with spinal cord injury

Measurement of wheelchair turn radius for SCI patient's remodeling house

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