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Shoulder kinematics and kinetics during two speeds of wheelchair propulsion

Koontz, AM and Cooper, RA and Boninger, ML and Souza, AL and Fay, BT (2002) Shoulder kinematics and kinetics during two speeds of wheelchair propulsion. Journal of Rehabilitation Research and Development, 39 (6). 635 - 649. ISSN 0748-7711

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Abstract

The primary objective of this study was to examine the kinematics and kinetics of the shoulder during wheelchair propulsion at a slow and moderate speed. Twenty-seven individuals with paraplegia propelled their wheelchairs at speeds of 0.9 m/s and 1.8 m/s while a motion analysis system captured movements of their upper limbs and SMARTWheelS simultaneously recorded their pushrim kinetics. Intraclass R correlation and Cronbach's coefficient alpha statistics revealed that all shoulder parameters were stable and consistent between strokes and speeds. The shoulder exhibited a greater range of motion, and forces and moments at the shoulder were 1.2 to 2.0 times greater (p < 0.05) during the 1.8 m/s speed trial. Peak posterior forces occurred near the end of the propulsion phase, and at the same time, the shoulder was maximally flexed and minimally abducted (p > 0.1). Shoulder positioning and the associated peak shoulder loads during propulsion may be important indicators for identifying manual wheelchair users at risk for developing shoulder pain and injury.


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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Koontz, AMakoontz@pitt.eduAKOONTZ
Cooper, RARCOOPER@pitt.eduRCOOPER
Boninger, MLboninger@pitt.eduBONINGER
Souza, AL
Fay, BT
Centers: Other Centers, Institutes, or Units > Human Engineering Research Laboratories
Date: 1 November 2002
Date Type: Publication
Journal or Publication Title: Journal of Rehabilitation Research and Development
Volume: 39
Number: 6
Page Range: 635 - 649
Schools and Programs: School of Health and Rehabilitation Sciences > Rehabilitation Science and Technology
Refereed: Yes
ISSN: 0748-7711
MeSH Headings: Adult; Aged; Biomechanics; Female; Humans; Locomotion--physiology; Lumbar Vertebrae; Male; Middle Aged; Posture--physiology; Range of Motion, Articular--physiology; Shoulder Joint--physiopathology; Spinal Cord Injuries--physiopathology; Thoracic Vertebrae; Wheelchairs
PubMed ID: 17943666
Date Deposited: 15 Oct 2012 14:08
Last Modified: 02 Feb 2019 16:56
URI: http://d-scholarship.pitt.edu/id/eprint/15767

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