Upper-limb biomechanical analysis of wheelchair transfer techniques in two toilet configurations
| Autor: | Michael L. Boninger, Sarah R Bass, Alicia M Koontz, Chung-Ying Tsai |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male 030506 rehabilitation Motion analysis Computer science Biophysics Sitting Upper Extremity 03 medical and health sciences Skills training 0302 clinical medicine Wheelchair Transfer (computing) Activities of Daily Living Task Performance and Analysis medicine Humans Orthopedics and Sports Medicine Spinal Cord Injuries Simulation Toilet Shoulder Joint Hand Biomechanical Phenomena Kinetics medicine.anatomical_structure Wheelchairs Bathroom Equipment Upper limb Wheelchair transfer Female 0305 other medical science 030217 neurology & neurosurgery |
| Zdroj: | Clinical Biomechanics. 55:79-85 |
| ISSN: | 0268-0033 |
| Popis: | Using proper technique is important for minimizing upper limb kinetics during wheelchair transfers. The objective of the study was to 1) evaluate the transfer techniques used during toilet transfers and 2) determine the impact of technique on upper limb joint loading for two different toilet configurations.Twenty-six manual wheelchair users (23 men and 3 women) performed transfers in a side and front wheelchair-toilet orientation while their habitual transfer techniques were evaluated using the Transfer Assessment Instrument. A motion analysis system and force sensors were used to record biomechanical data during the transfers.More than 20% of the participants failed to complete five transfer skills in the side setup compared to three skills in the front setup. Higher quality skills overall were associated with lower peak forces and moments in both toilet configurations (-0.68 r -0.40, p 0.05). In the side setup, participants who properly placed their hands in a stable position and used proper leading handgrips had lower shoulder resultant joint forces and moments than participants who did not perform these skills correctly (p ≤ 0.04). In the front setup, positioning the wheelchair within three inches of the transfer target was associated with reduced peak trailing forces and moments across all three upper limb joints (p = 0.02).Transfer skills training, making toilet seats level with the wheelchair seat, positioning the wheelchair closer to the toilet and mounting grab bars in a more ideal location for persons who do sitting pivot transfers may facilitate better quality toilet transfers. |
| Databáze: | OpenAIRE |
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