Upper limb joint kinetics during manual wheelchair propulsion in patients with different levels of spinal cord injury
| Autor: | Ángel Gil-Agudo, Soraya Pérez-Nombela, E. Pérez-Rizo, Luis Rodriguez-Rodriguez, Antonio del Ama-Espinosa |
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| Rok vydání: | 2010 |
| Předmět: |
Wrist Joint
musculoskeletal diseases medicine.medical_specialty Elbow Biomedical Engineering Biophysics Wrist Quadriplegia Models Biological Upper Extremity Wheelchair medicine Humans Orthopedics and Sports Medicine Exercise Tetraplegia Spinal cord injury Spinal Cord Injuries Paraplegia Shoulder Joint business.industry Rehabilitation medicine.disease Biomechanical Phenomena body regions Kinetics medicine.anatomical_structure Wheelchairs Physical therapy Upper limb Joints Shoulder joint business |
| Zdroj: | Journal of Biomechanics. 43:2508-2515 |
| ISSN: | 0021-9290 |
| DOI: | 10.1016/j.jbiomech.2010.05.021 |
| Popis: | The purpose of this study was to compare the forces and moments of the whole upper limb, analyzing forces and moments at the shoulder, elbow and wrist joints simultaneously during manual wheelchair propulsion of persons with different levels of spinal cord injury (SCI) on a treadmill. Fifty-one people participated in this study and were grouped by their level of SCI: C6 tetraplegia (G1), C7 tetraplegia (G2), high paraplegia (G3), and low paraplegia (G4). An inverse dynamic model was defined to compute net joint forces and moments from segment kinematics, the forces acting on the pushrim, and subject anthropometrics. Right side, upper limb kinematic data were collected with four camcorders (Kinescan-IBV). Kinetic data were recorded by replacing the wheels with SmartWheels (Three Rivers Holdings, LLC). All participants propelled the wheelchair at 3km/h for 1min. The most noteworthy findings in both our tetraplegic groups in relation to paraplegic groups were increased superior joint forces in the shoulder (G1 and G2 vs G3 p |
| Databáze: | OpenAIRE |
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