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Upper extremity kinematics and kinetics during the performance of a stationary wheelie in manual wheelchair users with a spinal cord injury.
J Appl Biomech. 2014 Aug; 30(4):574-80.JA

Abstract

No comprehensive biomechanical study has documented upper extremity (U/E) kinematics and kinetics during the performance of wheelchair wheelies among manual wheelchair users (MWUs). The aim of this study was to describe movement strategies (kinematics), mechanical loads (kinetics), and power at the nondominant U/E joints during a wheelie among MWUs with spinal cord injury (SCI). During a laboratory assessment, 16 MWUs with SCI completed four wheelie trials on a rigid surface. Each participant's wheelchair was equipped with instrumented wheels to record handrim kinetics, while U/E and wheelchair kinematics were recorded with a 3D motion analysis system. The greatest mean and peak total net joint moments were generated by the shoulder flexors (mean = 7.2 ± 3.5 N·m; peak = 20.7 ± 12.9 N·m) and internal rotators (mean = 3.8 ± 2.2 N·m; peak = 11.4 ± 10.9 N·m) as well as by the elbow flexors (mean = 5.5 ± 2.5 N·m; peak = 14.1 ± 7.6 N·m) during the performance of wheelies. Shoulder flexor and internal rotator efforts predominantly generate the effort needed to lift the front wheels of the wheelchair, whereas the elbow flexor muscles control these shoulder efforts to reach a state of balance. In combination with a task-specific training program that remains essential to properly learn how to control wheelies among MWUs with SCI, rehabilitation professionals should also propose a shoulder flexor, internal rotator, and elbow flexor strengthening program.

Authors+Show Affiliations

Pathokinesiology Laboratory, Center for Interdisciplinary Research in Rehabilitation of Greater Montreal, Institut de réadaptation Gingras-Lindsay-de-Montréal, Montreal, QC, Canada.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

24610281

Citation

Lalumiere, Mathieu, et al. "Upper Extremity Kinematics and Kinetics During the Performance of a Stationary Wheelie in Manual Wheelchair Users With a Spinal Cord Injury." Journal of Applied Biomechanics, vol. 30, no. 4, 2014, pp. 574-80.
Lalumiere M, Gagnon DH, Routhier F, et al. Upper extremity kinematics and kinetics during the performance of a stationary wheelie in manual wheelchair users with a spinal cord injury. J Appl Biomech. 2014;30(4):574-80.
Lalumiere, M., Gagnon, D. H., Routhier, F., Bouyer, L., & Desroches, G. (2014). Upper extremity kinematics and kinetics during the performance of a stationary wheelie in manual wheelchair users with a spinal cord injury. Journal of Applied Biomechanics, 30(4), 574-80. https://doi.org/10.1123/jab.2013-0333
Lalumiere M, et al. Upper Extremity Kinematics and Kinetics During the Performance of a Stationary Wheelie in Manual Wheelchair Users With a Spinal Cord Injury. J Appl Biomech. 2014;30(4):574-80. PubMed PMID: 24610281.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Upper extremity kinematics and kinetics during the performance of a stationary wheelie in manual wheelchair users with a spinal cord injury. AU - Lalumiere,Mathieu, AU - Gagnon,Dany H, AU - Routhier,François, AU - Bouyer,Laurent, AU - Desroches,Guillaume, Y1 - 2014/03/05/ PY - 2014/3/11/entrez PY - 2014/3/13/pubmed PY - 2015/5/23/medline SP - 574 EP - 80 JF - Journal of applied biomechanics JO - J Appl Biomech VL - 30 IS - 4 N2 - No comprehensive biomechanical study has documented upper extremity (U/E) kinematics and kinetics during the performance of wheelchair wheelies among manual wheelchair users (MWUs). The aim of this study was to describe movement strategies (kinematics), mechanical loads (kinetics), and power at the nondominant U/E joints during a wheelie among MWUs with spinal cord injury (SCI). During a laboratory assessment, 16 MWUs with SCI completed four wheelie trials on a rigid surface. Each participant's wheelchair was equipped with instrumented wheels to record handrim kinetics, while U/E and wheelchair kinematics were recorded with a 3D motion analysis system. The greatest mean and peak total net joint moments were generated by the shoulder flexors (mean = 7.2 ± 3.5 N·m; peak = 20.7 ± 12.9 N·m) and internal rotators (mean = 3.8 ± 2.2 N·m; peak = 11.4 ± 10.9 N·m) as well as by the elbow flexors (mean = 5.5 ± 2.5 N·m; peak = 14.1 ± 7.6 N·m) during the performance of wheelies. Shoulder flexor and internal rotator efforts predominantly generate the effort needed to lift the front wheels of the wheelchair, whereas the elbow flexor muscles control these shoulder efforts to reach a state of balance. In combination with a task-specific training program that remains essential to properly learn how to control wheelies among MWUs with SCI, rehabilitation professionals should also propose a shoulder flexor, internal rotator, and elbow flexor strengthening program. SN - 1543-2688 UR - https://www.unboundmedicine.com/medline/citation/24610281/Upper_extremity_kinematics_and_kinetics_during_the_performance_of_a_stationary_wheelie_in_manual_wheelchair_users_with_a_spinal_cord_injury_ L2 - https://journals.humankinetics.com/doi/10.1123/jab.2013-0333 DB - PRIME DP - Unbound Medicine ER -