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Comparison of muscle activity during hand rim and lever wheelchair propulsion over flat terrain

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Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The aim of this study was to compare the activity of upper limb muscles during hand rim wheelchair propulsion and lever wheelchair propulsion at two different velocity levels. Methods: Twenty male volunteers with physical impairments participated in this study. Their task was to push a lever wheelchair and a hand rim wheelchair on a mechanical wheelchair treadmill for 4 minutes at a speed of 3.5 km/h and 4.5 km/h in a flat race setting (conditions of moving over flat terrain). During these trials, activity of eight muscles of upper limbs were examined using surface electromyography. Results: The range of motion in the elbow joint was significantly higher in lever wheelchair propulsion (59.8 ± 2.43°) than in hand rim wheelchair propulsion (43.9 ± 0.26°). Such values of kinematics resulted in a different activity of muscles. All the muscles were more active during lever wheelchair propulsion at both velocity levels. The only exceptions were extensor and flexor carpi muscles which were more active during hand rim wheelchair propulsion due to the specificity of a grip. In turn, the examined change in the velocity (by 1 km/h) while moving over flat terrain also caused a different EMG timing of muscle activation depending on the type of propulsion. Conclusions: Lever wheelchair propulsion seems to be a good alternative to hand rim wheelchair propulsion owing to a different movement technique and a different EMG timing of muscle activity. Therefore, we believe that lever wheelchair propulsion should serve as supplement to traditional propulsion.
Rocznik
Strony
67--74
Opis fizyczny
Bibliogr. 25 poz., rys., tab., wykr.
Twórcy
  • Józef Piłsudski University of Physical Education, Faculty of Rehabilitation, Warsaw, Poland
  • USA University of Central Florida,Industrial Engineering & Management Systems, USA
autor
  • Józef Piłsudski University of Physical Education, Faculty of Physical Education, Warsaw, Poland
  • Józef Piłsudski University of Physical Education, Faculty of Rehabilitation, Warsaw, Poland
  • Józef Piłsudski University of Physical Education, Faculty of Physical Education, Warsaw, Poland
  • Józef Piłsudski University of Physical Education, Faculty of Rehabilitation, Warsaw, Poland
  • Józef Piłsudski University of Physical Education, Faculty of Rehabilitation, Warsaw, Poland
Bibliografia
  • [1] BARTUZI P., ROMAN-LIU D., Assessment of muscle load and fatigue with the usage of frequency and time-frequency analysis of the EMG signal, Acta Bioeng. Biomech., 2014, 16, 31–39.
  • [2] BEEKMAN C.E., MILLER-PORTER L., SCHONEBERGER M., Energy cost of propulsion in standard and ultralight wheelchairs in people with spinal cord injuries, Phys. Ther., 1999, 79, 146–158.
  • [3] CHAE S.-Y., Comparison of Cardiopulmonart Function Changes during Wheelchair Propulsion: Backrest Angle, Journal of Physical Therapy Science, 2012, 24, 355–357.
  • [4] COWAN R.E., BONINGER M.L., SAWATZKY B.J., MAZOYER B.D., COOPER R.A., Preliminary outcomes of the SmartWheel Users' Group database: a proposed framework for clinicians to objectively evaluate manual wheelchair propulsion, Arch. Phys. Med. Rehabil., 2008, 89, 260–268, DOI: 10.1016/j.apmr.2007.08.141.
  • [5] ENGEL P., HILDEBRANDT G., Wheelchair design – technological and physiological aspects, Proc. R. Soc. Med., 1974, 67, 409–413.
  • [6] ENGEL P., NEIKES M., BENNEDIK K., HILDEBRANDT G., RODE F.W., Work physiological studies performed to optimate the lever propulsion and the seat position of a lever propelled wheelchair (author’s transl), Rehabilitation (Stuttg.), 1976, 15, 217–228.
  • [7] FINLEY M.A., RODGERS M.M., Prevalence and identification of shoulder pathology in athletic and nonathletic wheelchair users with shoulder pain: A pilot study, J. Rehabil. Res. Dev., 2004, 41, 395–402.
  • [8] FIOK K., MROZ A., How does lever length and the position of its axis of rotation influence human performance during lever wheelchair propulsion?, J. Electromyogr. Kinesiol., 2015, 25, 824–832, DOI: 10.1016/j.jelekin.2015.06.007.
  • [9] GOOSEY-TOLFREY V.L., ALFANO H., FOWLER N., The influence of crank length and cadence on mechanical efficiency in hand cycling, Eur. J. Appl. Physiol., 2008, 102, 189–194, DOI: 10.1007/s00421-007-0576-7.
  • [10] KOONTZ A.M., COOPER R.A., BONINGER M.L., SOUZA A.L., FAY B.T., Shoulder kinematics and kinetics during two speeds of wheelchair propulsion, J. Rehabil. Res. Dev., 2002, 39, 635–649.
  • [11] KURUP B., PUCHINGER M., GFOEHLER M., A preliminary muscle activity analysis: Handle based and push-rim wheelchair propulsion, Journal of Biomechanics, 2019, 89, 119–122, DOI: 10.1016/j.jbiomech.2019.04.011.
  • [12] MARSZALEK J PHD P.T., KOSMOL A.P., MROZ A.P., WISZOMIRSKA I PHD P.T., FIOK K.P., MOLIK B PHD P.T., Physiological parameters depending on two different types of manual wheelchair propulsion, Assist. Technol., 2018, 1–7, DOI: 10.1080/10400435.2018.1529005.
  • [13] MERCER J.L., BONINGER M., KOONTZ A., REN D., DYSON-HUDSON T., COOPER R., Shoulder joint kinetics and pathology in manual wheelchair users, Clin. Biomech. (Bristol, Avon), 2006, 21, 781–789, DOI: 10.1016/j.clinbiomech.2006.04.010.
  • [14] MULROY S.J., FARROKHI S., NEWSAM C.J., PERRY J., Effects of spinal cord injury level on the activity of shoulder muscles during wheelchair propulsion: an electromyographic study, Arch. Phys. Med. Rehabil., 2004, 85, 925–934.
  • [15] POOYANIA S., KIRBY R.L., SMITH C., Wheelchair – related thumb injury of multifactorial etiology: a case report, Arch. Phys. Med. Rehabil., 2006, 87, 1656–1657, DOI: 10.1016/j.apmr.2006.09.014.
  • [16] REQUEJO P.S., LEE S.E., MULROY S.J., HAUBERT L.L., BONTRAGER E.L., GRONLEY J.K., et al., Shoulder muscular demand during lever-activated vs pushrim wheelchair propulsion in persons with spinal cord injury, J. Spinal Cord. Med., 2008, 31, 568–577.
  • [17] RICHTER W.M., The effect of seat position on manual wheelchair propulsion biomechanics: a quasi-static model-based approach, Medical Engineering and Physics, 2001, 23, 707–712.
  • [18] SCHWARTZ C., TUBEZ F., WANG F.C., CROISIER J.L., BRULS O., DENOEL V., et al., Normalizing shoulder EMG: An optimal set of maximum isometric voluntary contraction tests considering reproducibility, J. Electromyogr. Kinesiol., 2017, 37, 1–8, DOI: 10.1016/j.jelekin.2017.08.005.
  • [19] VAN DER LINDEN M.L., VALENT L., VEEGER H.E., VAN DER WOUDE L.H., The effect of wheelchair handrim tube diameter on propulsion efficiency and force application (tube diameter and efficiency in wheelchairs), IEEE Transactions on Rehabilitation Engineering : a publication of the IEEE Engineering in Medicine and Biology Society, 1996, 4, 123–132.
  • [20] VAN DER WOUDE L.H., BOSMANS I., BERVOETS B., VEEGER H.E., Handcycling: different modes and gear ratios, Journal of Medical Engineering & Technology, 2000, 24, 242–249.
  • [21] VAN DER WOUDE L.H., BOTDEN E., VRIEND I., VEEGER D., Mechanical advantage in wheelchair lever propulsion: effect on physical strain and efficiency, J. Rehabil. Res. Dev., 1997, 34, 286–294.
  • [22] VAN DER WOUDE L.H., DALLMEIJER A.J., JANSSEN T.W., VEEGER D., Alternative modes of manual wheelchair ambulation: an overview, Am. J. Phys. Med. Rehabil., 2001, 80, 765–777.
  • [23] VAN DER WOUDE L.H., VEEGER H.E., DE BOER Y., ROZENDAL R.H., Physiological evaluation of a newly designed lever mechanism for wheelchairs, J. Med. Eng. Technol., 1993, 17, 232–240.
  • [24] VEEGER D., VAN DER WOUDE L.H., ROZENDAL R.H., The effect of rear wheel camber in manual wheelchair propulsion, Journal of Rehabilitation Research and Development, 1989, 26, 37–46.
  • [25] ZUKOWSKI L.A., ROPER J.A., SHECHTMAN O., OTZEL D.M., BOUWKAMP J., TILLMAN M.D., Comparison of metabolic cost, performance, and efficiency of propulsion using an ergonomic hand drive mechanism and a conventional manual wheelchair, Archives of Physical Medicine and Rehabilitation, 2014, 95, 546–551, DOI: 10.1016/j.apmr.2013.08.238.
Uwagi
This research was supported by the State Fund for Rehabilitation of Disabled Persons number BEA/000036/BF/D.
Opracowanie rekordu ze środków MNiSW, umowa Nr 461252 w ramach programu "Społeczna odpowiedzialność nauki" - moduł: Popularyzacja nauki i promocja sportu (2020).
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-ca26a6b0-0930-4726-8dab-e9c7e12c2c9b
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