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To What Extent Can the Use of a Mobility Assistance Dog Reduce Upper Limb Efforts When Manual Wheelchair Users Ascend a Ramp?
J Appl Biomech. 2016 Apr; 32(2):186-95.JA

Abstract

Biomechanical evidence is needed to determine to what extent the use of a mobility assistance dog (AD(Mob)) may minimize mechanical loads and muscular demands at the upper limbs among manual wheelchair users. This study quantified and compared upper limb efforts when propelling up a ramp with and without an AD(Mob) among manual wheelchair users. Ten manual wheelchair users with a spinal cord injury who own an AD(Mob) ascended a ramp with and without their AD(Mob). The movements of the wheelchair and upper limbs were captured and the forces applied at the pushrims were recorded to compute shoulder mechanical loading. Muscular demand of the pectoralis major, anterior deltoid, biceps, and the triceps was normalized against the maximum electromyographic values. The traction provided by the AD(Mob) significantly reduced the total force applied at the pushrim and its tangential component while the mechanical effectiveness remained similar. The traction provided by the AD(Mob) also resulted in a significant reduction in shoulder flexion, internal rotation, and adduction moments. The muscular demands of the anterior deltoid, pectoralis major, biceps, and triceps were significantly reduced by the traction provided by the AD(Mob). The use of AD(Mob) represents a promising mobility assistive technology alternative to minimize upper limb mechanical loads and muscular demands and optimize performance during wheelchair ramp ascent.

Authors+Show Affiliations

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

Pub Type(s)

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

Language

eng

PubMed ID

26540735

Citation

Martin-Lemoyne, Valérie, et al. "To what Extent Can the Use of a Mobility Assistance Dog Reduce Upper Limb Efforts when Manual Wheelchair Users Ascend a Ramp?" Journal of Applied Biomechanics, vol. 32, no. 2, 2016, pp. 186-95.
Martin-Lemoyne V, Gagnon DH, Routhier F, et al. To What Extent Can the Use of a Mobility Assistance Dog Reduce Upper Limb Efforts When Manual Wheelchair Users Ascend a Ramp? J Appl Biomech. 2016;32(2):186-95.
Martin-Lemoyne, V., Gagnon, D. H., Routhier, F., Poissant, L., Tousignant, M., Corriveau, H., & Vincent, C. (2016). To What Extent Can the Use of a Mobility Assistance Dog Reduce Upper Limb Efforts When Manual Wheelchair Users Ascend a Ramp? Journal of Applied Biomechanics, 32(2), 186-95. https://doi.org/10.1123/jab.2014-0292
Martin-Lemoyne V, et al. To what Extent Can the Use of a Mobility Assistance Dog Reduce Upper Limb Efforts when Manual Wheelchair Users Ascend a Ramp. J Appl Biomech. 2016;32(2):186-95. PubMed PMID: 26540735.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - To What Extent Can the Use of a Mobility Assistance Dog Reduce Upper Limb Efforts When Manual Wheelchair Users Ascend a Ramp? AU - Martin-Lemoyne,Valérie, AU - Gagnon,Dany H, AU - Routhier,François, AU - Poissant,Lise, AU - Tousignant,Michel, AU - Corriveau,Hélène, AU - Vincent,Claude, Y1 - 2015/11/03/ PY - 2015/11/6/entrez PY - 2015/11/6/pubmed PY - 2016/12/28/medline SP - 186 EP - 95 JF - Journal of applied biomechanics JO - J Appl Biomech VL - 32 IS - 2 N2 - Biomechanical evidence is needed to determine to what extent the use of a mobility assistance dog (AD(Mob)) may minimize mechanical loads and muscular demands at the upper limbs among manual wheelchair users. This study quantified and compared upper limb efforts when propelling up a ramp with and without an AD(Mob) among manual wheelchair users. Ten manual wheelchair users with a spinal cord injury who own an AD(Mob) ascended a ramp with and without their AD(Mob). The movements of the wheelchair and upper limbs were captured and the forces applied at the pushrims were recorded to compute shoulder mechanical loading. Muscular demand of the pectoralis major, anterior deltoid, biceps, and the triceps was normalized against the maximum electromyographic values. The traction provided by the AD(Mob) significantly reduced the total force applied at the pushrim and its tangential component while the mechanical effectiveness remained similar. The traction provided by the AD(Mob) also resulted in a significant reduction in shoulder flexion, internal rotation, and adduction moments. The muscular demands of the anterior deltoid, pectoralis major, biceps, and triceps were significantly reduced by the traction provided by the AD(Mob). The use of AD(Mob) represents a promising mobility assistive technology alternative to minimize upper limb mechanical loads and muscular demands and optimize performance during wheelchair ramp ascent. SN - 1543-2688 UR - https://www.unboundmedicine.com/medline/citation/26540735/To_What_Extent_Can_the_Use_of_a_Mobility_Assistance_Dog_Reduce_Upper_Limb_Efforts_When_Manual_Wheelchair_Users_Ascend_a_Ramp L2 - https://journals.humankinetics.com/doi/10.1123/jab.2014-0292 DB - PRIME DP - Unbound Medicine ER -