A Systematic Methodology to Analyze the Impact of Hand-Rim Wheelchair Propulsion on the Upper Limb
Manual wheelchair propulsion results in physical demand of the upper limb extremities that, because of its repetitive nature, can lead to chronic pathologies on spinal cord injury patients. The aim of this study was to design and test a methodology to compare kinematic and kinetic variables of the u...
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MDPI AG
2019-10-01
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| Series: | Sensors |
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| Online Access: | https://www.mdpi.com/1424-8220/19/21/4643 |
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| author | Blanca Larraga-García Vicente Lozano-Berrio Álvaro Gutiérrez Ángel Gil-Agudo Antonio J. del-Ama |
| author_facet | Blanca Larraga-García Vicente Lozano-Berrio Álvaro Gutiérrez Ángel Gil-Agudo Antonio J. del-Ama |
| author_sort | Blanca Larraga-García |
| collection | DOAJ |
| description | Manual wheelchair propulsion results in physical demand of the upper limb extremities that, because of its repetitive nature, can lead to chronic pathologies on spinal cord injury patients. The aim of this study was to design and test a methodology to compare kinematic and kinetic variables of the upper limb joints when propelling different wheelchairs. Moreover, this methodology was used to analyze the differences that may exist between paraplegic and tetraplegic patients when propelling two different wheelchairs. Five adults with paraplegia and five adults with tetraplegia performed several propulsion tests. Participants propelled two different wheelchairs for three minutes at 0.833 m/s (3 km/h) with one minute break between the tests. Kinematic and kinetic variables of the upper limb as well as variables with respect to the propulsion style were recorded. Important differences in the kinetic and kinematic variables of the joints of the upper limb were found when comparing paraplegic and tetraplegic patients. Nevertheless, this difference depends on the wheelchair used. As expected, in all tests, the shoulder shows to be the most impacted joint. |
| first_indexed | 2024-04-11T21:41:14Z |
| format | Article |
| id | doaj.art-9066a588047345128e8d99f763cfa129 |
| institution | Directory Open Access Journal |
| issn | 1424-8220 |
| language | English |
| last_indexed | 2024-04-11T21:41:14Z |
| publishDate | 2019-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Sensors |
| spelling | doaj.art-9066a588047345128e8d99f763cfa1292022-12-22T04:01:35ZengMDPI AGSensors1424-82202019-10-011921464310.3390/s19214643s19214643A Systematic Methodology to Analyze the Impact of Hand-Rim Wheelchair Propulsion on the Upper LimbBlanca Larraga-García0Vicente Lozano-Berrio1Álvaro Gutiérrez2Ángel Gil-Agudo3Antonio J. del-Ama4Escuela Técnica Superior de Ingenieros de Telecomunicación, Universidad Politéncia de Madrid, Av. Complutense 30, 28040 Madrid, SpainBiomechanics and Technical Aids Unit, National Hospital for Paraplegics, Finca La Peraleda, 45071 Toledo, SpainEscuela Técnica Superior de Ingenieros de Telecomunicación, Universidad Politéncia de Madrid, Av. Complutense 30, 28040 Madrid, SpainBiomechanics and Technical Aids Unit, National Hospital for Paraplegics, Finca La Peraleda, 45071 Toledo, SpainBiomechanics and Technical Aids Unit, National Hospital for Paraplegics, Finca La Peraleda, 45071 Toledo, SpainManual wheelchair propulsion results in physical demand of the upper limb extremities that, because of its repetitive nature, can lead to chronic pathologies on spinal cord injury patients. The aim of this study was to design and test a methodology to compare kinematic and kinetic variables of the upper limb joints when propelling different wheelchairs. Moreover, this methodology was used to analyze the differences that may exist between paraplegic and tetraplegic patients when propelling two different wheelchairs. Five adults with paraplegia and five adults with tetraplegia performed several propulsion tests. Participants propelled two different wheelchairs for three minutes at 0.833 m/s (3 km/h) with one minute break between the tests. Kinematic and kinetic variables of the upper limb as well as variables with respect to the propulsion style were recorded. Important differences in the kinetic and kinematic variables of the joints of the upper limb were found when comparing paraplegic and tetraplegic patients. Nevertheless, this difference depends on the wheelchair used. As expected, in all tests, the shoulder shows to be the most impacted joint.https://www.mdpi.com/1424-8220/19/21/4643methodologyspinal cord injurybiomechanicswheelchairsupper limb |
| spellingShingle | Blanca Larraga-García Vicente Lozano-Berrio Álvaro Gutiérrez Ángel Gil-Agudo Antonio J. del-Ama A Systematic Methodology to Analyze the Impact of Hand-Rim Wheelchair Propulsion on the Upper Limb Sensors methodology spinal cord injury biomechanics wheelchairs upper limb |
| title | A Systematic Methodology to Analyze the Impact of Hand-Rim Wheelchair Propulsion on the Upper Limb |
| title_full | A Systematic Methodology to Analyze the Impact of Hand-Rim Wheelchair Propulsion on the Upper Limb |
| title_fullStr | A Systematic Methodology to Analyze the Impact of Hand-Rim Wheelchair Propulsion on the Upper Limb |
| title_full_unstemmed | A Systematic Methodology to Analyze the Impact of Hand-Rim Wheelchair Propulsion on the Upper Limb |
| title_short | A Systematic Methodology to Analyze the Impact of Hand-Rim Wheelchair Propulsion on the Upper Limb |
| title_sort | systematic methodology to analyze the impact of hand rim wheelchair propulsion on the upper limb |
| topic | methodology spinal cord injury biomechanics wheelchairs upper limb |
| url | https://www.mdpi.com/1424-8220/19/21/4643 |
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