Shoulder Biomechanics During the Push Phase of Wheelchair Propulsion: A Multisite Study of Persons With Paraplegia

Collinger, Jennifer L.; Boninger, Michael L.; Koontz, Alicia M; Price, Robert; Sisto, Sue Ann; Tolerico, Michelle; Cooper, Rory A.

doi:10.1016/j.apmr.2007.09.052

Cited by 111 publications

(137 citation statements)

References 21 publications

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“…11,17,18,21,22 Our findings coincided with most studies in that the shoulder joint net forces and moments depended strongly on the propulsion speed. In this study with a treadmill, shoulder joint net forces and moments increased when speed increased from 3 to 4 km h À1 , as previously reported with a dynamometer 17,22 or ergometer. 18 Groups that used a roller ergometer and groups that used a dynamometer find that the vertical component of the force in the push phase changes direction, passing from inferior to discretely superior.…”

Section: Shoulder Kinetics During Wheelchair Propulsionsupporting

confidence: 89%

“…With regard to the frontal plane of the trunk, we observed that the moment of abduction of the push phase decreased in magnitude but did not reach the moment of adduction, in contrast with other studies. 3,11,17,18,22 Internal rotation predominated in our series, but the values were of lower magnitude than in other studies. 17,18,22 We consider that the lower magnitude of our results may be due to two factors.…”

Section: Shoulder Kinetics During Wheelchair Propulsioncontrasting

confidence: 72%

“…3,11,17,18,22 Internal rotation predominated in our series, but the values were of lower magnitude than in other studies. 17,18,22 We consider that the lower magnitude of our results may be due to two factors. On the one hand, the treadmill may produce less friction than the other devices reviewed and, on the other hand, the wheelchair propulsion was more conservative to avoid striking against the side bars of the treadmill.…”

Section: Shoulder Kinetics During Wheelchair Propulsioncontrasting

confidence: 72%

“…18 Groups that used a roller ergometer and groups that used a dynamometer find that the vertical component of the force in the push phase changes direction, passing from inferior to discretely superior. 3,22 No superior forces were obtained in this study. This finding, together with the predominance of the posterior force in the push phase, indicates that pushing occurred as the result of a predominantly posterior action on the shoulder.…”

Section: Shoulder Kinetics During Wheelchair Propulsionmentioning

confidence: 57%

“…17,22 A previous study indicates that some forces acting on the shoulder in the recovery phase can be larger than those of the push phase in moderate propulsion conditions. 22 It was confirmed with our results because higher anterior force peak was found during the recovery phase than posterior force peak found during the push phase. Then, it is important to study and analyze the recovery phase also, because different mechanical action can happen at the joints with some times, higher peaks than during the push phase.…”

Section: Shoulder Kinetics During Wheelchair Propulsionmentioning

confidence: 96%

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Shoulder joint kinetics during wheelchair propulsion on a treadmill at two different speeds in spinal cord injury patients

et al. 2009

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Study design: Prospective study using biomechanics patient data. Objectives: To analyze shoulder joint kinetics while propelling a wheelchair placed on a treadmill and compare shoulder joint net forces and moments when changing the speed of wheelchair propulsion on the treadmill. Setting: National Hospital for Spinal Cord Injury, Toledo, Spain. Methods: Sixteen subjects with thoracic spinal cord injury participated. A kinematic analysis system consisting of four camcorders (Kinescan-IBV) and a kinetic device that registered the contact force of the hand on the pushrim (SMART Wheel ) were used. The wheelchair was propelled at 3 and 4 km h À1 without any ramp. An inverse dynamic model allowed shoulder joint net forces and moments to be calculated from the contact force of the hand on the pushrim and kinematic data. Results: Increasing propulsion speed increased most of the temporal parameters of propulsion and pushrim kinetics and shoulder joint net forces and moments. Compared with other studies that used an ergometer or dynamometer at the same speed, the magnitude of the shoulder joint net forces and moments elicited by wheelchair propulsion on the treadmill were lower than obtained by wheelchair propulsion on other devices. Conclusion: Lower magnitude of shoulder joint forces and moments found on the treadmill may be due to the lower friction compared with the other devices reviewed. Shoulder joint forces and moments depended strongly on the propulsion speed, increasing in magnitude when speed increased from 3 to 4 km h À1 .

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Section: Shoulder Kinetics During Wheelchair Propulsionsupporting

confidence: 89%

Section: Shoulder Kinetics During Wheelchair Propulsioncontrasting

confidence: 72%

Section: Shoulder Kinetics During Wheelchair Propulsioncontrasting

confidence: 72%

Section: Shoulder Kinetics During Wheelchair Propulsionmentioning

confidence: 57%

Section: Shoulder Kinetics During Wheelchair Propulsionmentioning

confidence: 96%

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Shoulder joint kinetics during wheelchair propulsion on a treadmill at two different speeds in spinal cord injury patients

et al. 2009

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Manual wheelchair use leads to a series of failed shoulder replacements: A case report and literature review

Skedros

Cronin

Finlinson

et al. 2022

Clinical Case Reports

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The effects on sports performance of technologic advances in sports prostheses and wheelchairs

De Luigi

2024

PM&R

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The field of medicine continues to advance as new technologies emerge. These technological advancements include the science of sports prostheses and wheelchairs, in which there have been significant advancements over the past decades. The world of adaptive sports continues to expand, largely due to a combination of the increase in awareness, inclusion, and technology. As participation in sports for people with impairments increases, there has been an associated demand for new, innovative adaptive sporting equipment designs that help accommodate the physical deficits of the individual. Controversy has risen as persons with disabilities advance their skills with adaptive sports equipment to compete with individuals without disabilities. The controversy leads to the question: is the adaptive equipment allowing athletes with disability to regain the lost function from their baseline or does it allow them to exceed prior ability level? This narrative review provides information regarding the performance effects of advances in technology and biomechanics of adaptive sports equipment to help answer these questions.

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Shoulder Biomechanics During the Push Phase of Wheelchair Propulsion: A Multisite Study of Persons With Paraplegia

Cited by 111 publications

References 21 publications

Shoulder joint kinetics during wheelchair propulsion on a treadmill at two different speeds in spinal cord injury patients

Shoulder joint kinetics during wheelchair propulsion on a treadmill at two different speeds in spinal cord injury patients

Manual wheelchair use leads to a series of failed shoulder replacements: A case report and literature review

The effects on sports performance of technologic advances in sports prostheses and wheelchairs

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