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Upper limb kinetic analysis of three sitting pivot wheelchair transfer techniques

Koontz, AM and Kankipati, P and Lin, YS and Cooper, RA and Boninger, ML (2011) Upper limb kinetic analysis of three sitting pivot wheelchair transfer techniques. Clinical Biomechanics, 26 (9). 923 - 929. ISSN 0268-0033

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Abstract

Background: The objective of this study was to investigate differences in shoulder, elbow and hand kinetics while performing three different SPTs that varied in terms of hand and trunk positioning. Methods: Fourteen unimpaired individuals (8 male and 6 female) performed three variations of sitting pivot transfers in a random order from a wheelchair to a level tub bench. Two transfers involved a forward flexed trunk (head-hips technique) and the third with the trunk remaining upright. The two transfers involving a head hips technique were performed with two different leading hand initial positions. Motion analysis equipment recorded upper body movements and force sensors recorded hand reaction forces. Shoulder and elbow joint and hand kinetics were computed for the lift phase of the transfer. Findings: Transferring using either of the head hips techniques compared to the trunk upright style of transferring resulted in reduced superior forces at the shoulder (P < 0.002), elbow (P < 0.004) and hand (P < 0.013). There was a significant increase in the medial forces in the leading elbow (P = 0.049) for both head hip transfers and the trailing hand for the head hip technique with the arm further away from the body (P < 0.028). The head hip techniques resulted in higher shoulder external rotation, flexion and extension moments compared to the trunk upright technique (P < 0.021). Interpretation: Varying the hand placement and trunk positioning during transfers changes the load distribution across all upper limb joints. The results of this study may be useful for determining a technique that helps preserve upper limb function overtime. © 2011 Elsevier Ltd.


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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Koontz, AMakoontz@pitt.eduAKOONTZ
Kankipati, Ppak33@pitt.eduPAK33
Lin, YS
Cooper, RARCOOPER@pitt.eduRCOOPER
Boninger, MLboninger@pitt.eduBONINGER
Centers: Other Centers, Institutes, Offices, or Units > Human Engineering Research Laboratories
Date: 1 November 2011
Date Type: Publication
Journal or Publication Title: Clinical Biomechanics
Volume: 26
Number: 9
Page Range: 923 - 929
DOI or Unique Handle: 10.1016/j.clinbiomech.2011.05.005
Schools and Programs: School of Health and Rehabilitation Sciences > Rehabilitation Science and Technology
Refereed: Yes
ISSN: 0268-0033
MeSH Headings: Activities of Daily Living; Adult; Biomechanics; Elbow--anatomy & histology; Elbow Joint--anatomy & histology; Equipment Design; Female; Hand--anatomy & histology; Hip--anatomy & histology; Humans; Kinetics; Male; Motion; Posture; Shoulder Joint--anatomy & histology; Spinal Cord Injuries--rehabilitation; Upper Extremity--anatomy & histology; Wheelchairs
PubMed ID: 21664733
Date Deposited: 04 Oct 2012 14:00
Last Modified: 02 Feb 2019 16:56
URI: http://d-scholarship.pitt.edu/id/eprint/14741

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