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Pushrim biomechanics and injury prevention in spinal cord injury: recommendations based on CULP-SCI investigations.

Boninger, Michael L and Koontz, Alicia M and Sisto, Sue Ann and Dyson-Hudson, Trevor A and Chang, Michael and Price, Robert and Cooper, Rory A (2005) Pushrim biomechanics and injury prevention in spinal cord injury: recommendations based on CULP-SCI investigations. Journal of rehabilitation research and development, 42 (3 Supp). 9 - 19. ISSN 0748-7711

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Over 50 percent of manual wheelchair users with spinal cord injury (SCI) are likely to develop upper-limb pain and injury. The majority of studies related to pain have implicated wheelchair propulsion as a cause. This paper draws from a large multisite trial and a long-standing research program to make specific recommendations related to wheelchair propulsion that may decrease the risk of upper-limb injury. The studies include over 60 subjects over 1 yr after a traumatic SCI below the second thoracic level. Specific aspects of the propulsive stroke that may relate to injury include cadence, magnitude of force, and the pattern of the hand during the nonpropulsive part of the stroke. Lower peak forces, slower cadence, and a circular propulsive stroke in which the hand falls below the pushrim during recovery may help prevent injury. In addition, wheelchair users should use the lightest weight adjustable wheelchair possible. Future work should include interventional trials and larger studies that allow for more complex statistical models that can further detail the relationship between wheelchair propulsion, user characteristics, and upper-limb injuries.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Boninger, Michael Lboninger@pitt.eduBONINGER
Koontz, Alicia Makoontz@pitt.eduAKOONTZ
Sisto, Sue Ann
Dyson-Hudson, Trevor A
Chang, Michael
Price, Robert
Cooper, Rory ARCOOPER@pitt.eduRCOOPER
Centers: Other Centers, Institutes, Offices, or Units > Human Engineering Research Laboratories
Date: 2005
Date Type: Publication
Journal or Publication Title: Journal of rehabilitation research and development
Volume: 42
Number: 3 Supp
Page Range: 9 - 19
Schools and Programs: School of Health and Rehabilitation Sciences > Rehabilitation Science and Technology
Refereed: Yes
ISSN: 0748-7711
Article Type: Research Article
MeSH Headings: Adult; Arm Injuries--etiology; Arm Injuries--prevention & control; Biomechanics; Female; Humans; Male; Practice Guidelines as Topic; Spinal Cord Injuries--physiopathology; Spinal Cord Injuries--rehabilitation; Wheelchairs--adverse effects
PubMed ID: 16195959
Date Deposited: 25 Sep 2012 14:23
Last Modified: 30 Oct 2018 12:58


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