Comparison of Shoulder Muscle Electromyographic Activity During Standard Manual Wheelchair and Push-Rim Activated Power Assisted Wheelchair Propulsion in Persons With Complete Tetraplegia
Autor: | JoAnne K. Gronley, Jacquelin Perry, Philip S. Requejo, Ernest L. Bontrager, Craig J. Newsam, Sara J. Mulroy, Lisa Lighthall-Haubert |
---|---|
Rok vydání: | 2009 |
Předmět: |
Adult
Male Shoulder medicine.medical_specialty medicine.medical_treatment Poison control Physical Therapy Sports Therapy and Rehabilitation Electromyography Quadriplegia Electric Power Supplies Wheelchair Physical medicine and rehabilitation medicine Humans Muscle Skeletal Spinal cord injury Tetraplegia Rehabilitation medicine.diagnostic_test business.industry Repeated measures design Equipment Design Middle Aged medicine.disease Wheelchairs Physical therapy Female business Cadence |
Zdroj: | Archives of Physical Medicine and Rehabilitation. 90:1904-1915 |
ISSN: | 0003-9993 |
DOI: | 10.1016/j.apmr.2009.05.023 |
Popis: | Lighthall-Haubert L, Requejo PS, Mulroy SJ, Newsam CJ, Bontrager E, Gronley JK, Perry J. Comparison of shoulder muscle electromyographic activity during standard manual wheelchair and push-rim activated power assisted wheelchair propulsion in persons with complete tetraplegia. Objectives To compare spatio-temporal propulsion characteristics and shoulder muscle electromyographic activity in persons with cervical spinal cord injury propelling a standard pushrim wheelchair (WC) and a commercially available pushrim-activated power assisted wheelchair (PAPAW) design on a stationary ergometer. Design Repeated measures. Setting Motion analysis laboratory within a rehabilitation hospital. Participants Men (N=14) with complete (American Spinal Injury Association grade A or B) tetraplegia (C6=5; C7=9). Intervention Participants propelled a standard pushrim WC and PAPAW during 3 propulsion conditions: self-selected free and fast and simulated 4% or 8% graded resistance propulsion. Main Outcome Measures Median speed, cycle length, cadence, median and peak electromyographic activity intensity, and duration of electromyographic activity in pectoralis major, anterior deltoid, supraspinatus, and infraspinatus muscles were compared between standard pushrim WC and PAPAW propulsion. Results A significant ( P Conclusions For participants with complete tetraplegia, push phase shoulder muscle activity was decreased in the PAPAW compared with standard pushrim WC, indicating a reduction in demands when propelling a PAPAW. |
Databáze: | OpenAIRE |
Externí odkaz: |