BIOMECHANICS OF WHEELCHAIR PROPULSION

With progress of modern technology, manually-propelled wheelchairs are still of importance for individuals with mobility impairments. The repeated wheelchair propulsion and strenuous daily activities cause high loads and thus injuries on the upper extremity joints. Over the past few years, a considerable number of studies have been made on biomechanical analysis of wheelchair propulsion and wheelchair-related activities. Thorough investigation of biomechanics during wheelchair propulsion enhances comprehension of mechanism of injuries and provides information to improve wheelchair design and fitting. Numerous investigations have been made to demonstrate factors which cause low effectiveness of force application and inefficiency of movements. Emphasis was also placed on developing analytical models to simulate wheelchair propulsion.

[1]  P J Nichols,et al.  Wheelchair user's shoulder? Shoulder pain in patients with spinal cord lesions. , 1979, Scandinavian journal of rehabilitation medicine.

[2]  R H Rozendal,et al.  Wheelchair ergonomics and physiological testing of prototypes. , 1986, Ergonomics.

[3]  C B Sledge,et al.  The weight-bearing shoulder. The impingement syndrome in paraplegics. , 1987, The Journal of bone and joint surgery. American volume.

[4]  H E Veeger,et al.  Manual wheelchair propulsion: effects of power output on physiology and technique. , 1988, Medicine and science in sports and exercise.

[5]  H E Veeger,et al.  Wheelchair racing: effects of rim diameter and speed on physiology and technique. , 1988, Medicine and science in sports and exercise.

[6]  H E Veeger,et al.  Within-cycle characteristics of the wheelchair push in sprinting on a wheelchair ergometer. , 1991, Medicine and science in sports and exercise.

[7]  L. Twomey,et al.  The weight-bearing upper extremity in women with long term paraplegia , 1991, Paraplegia.

[8]  R. Waters,et al.  Shoulder pain and functional disability in spinal cord injury patients. , 1991, Clinical orthopaedics and related research.

[9]  C E Brubaker,et al.  Biomechanics of wheelchair propulsion as a function of seat position and user-to-chair interface. , 1992, Archives of physical medicine and rehabilitation.

[10]  R. Waters,et al.  Upper extremity pain in the postrehabilitation spinal cord injured patient. , 1992, Archives of physical medicine and rehabilitation.

[11]  R. Burnham,et al.  Shoulder pain in wheelchair athletes , 1993, The American journal of sports medicine.

[12]  JoAnne K. Gronley,et al.  Electromyographic activity of shoulder muscles during wheelchair propulsion by paraplegic persons. , 1996, Archives of physical medicine and rehabilitation.

[13]  J Perry,et al.  Three-dimensional kinematics of wheelchair propulsion. , 1996, IEEE transactions on rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society.

[14]  R N Robertson,et al.  Pushrim forces and joint kinetics during wheelchair propulsion. , 1996, Archives of physical medicine and rehabilitation.

[15]  H E Veeger,et al.  Quasi-static analysis of muscle forces in the shoulder mechanism during wheelchair propulsion. , 1996, Journal of biomechanics.

[16]  R N Robertson,et al.  Wrist biomechanics during two speeds of wheelchair propulsion: an analysis using a local coordinate system. , 1997, Archives of physical medicine and rehabilitation.

[17]  S. D. Shimada,et al.  Three-dimensional pushrim forces during two speeds of wheelchair propulsion. , 1997, American journal of physical medicine & rehabilitation.

[18]  K N An,et al.  Three-dimensional kinematics of the shoulder complex during wheelchair propulsion: a technical report. , 1998, Journal of rehabilitation research and development.

[19]  H E Veeger,et al.  Wrist motion in handrim wheelchair propulsion. , 1998, Journal of rehabilitation research and development.

[20]  H E Veeger,et al.  Effectiveness of force application in manual wheelchair propulsion in persons with spinal cord injuries. , 1998, American journal of physical medicine & rehabilitation.

[21]  M. Kolber,et al.  Shoulder pain in wheelchair users with tetraplegia and paraplegia. , 1999, Archives of physical medicine and rehabilitation.

[22]  K. Curtis,et al.  Shoulder pain in female wheelchair basketball players. , 1999, The Journal of orthopaedic and sports physical therapy.

[23]  D. Cardenas,et al.  Upper extremity pain after spinal cord injury , 1999, Spinal Cord.

[24]  J. Perry,et al.  Three dimensional upper extremity motion during manual wheelchair propulsion in men with different levels of spinal cord injury. , 1999, Gait & posture.

[25]  L A Rozendaal,et al.  Force direction in manual wheel chair propulsion: balance between effect and cost. , 2000, Clinical biomechanics.

[26]  W M Richter The effect of seat position on manual wheelchair propulsion biomechanics: a quasi-static model-based approach. , 2001, Medical engineering & physics.

[27]  L. A. Rozendaal,et al.  Load on the shoulder in low intensity wheelchair propulsion. , 2002, Clinical biomechanics.

[28]  Aaron L. Souza,et al.  Shoulder kinematics and kinetics during two speeds of wheelchair propulsion. , 2002, Journal of rehabilitation research and development.

[29]  H E J Veeger,et al.  Consequence of feedback-based learning of an effective hand rim wheelchair force production on mechanical efficiency. , 2002, Clinical biomechanics.

[30]  Aaron L. Souza,et al.  Propulsion patterns and pushrim biomechanics in manual wheelchair propulsion. , 2002, Archives of physical medicine and rehabilitation.

[31]  K D Zhao,et al.  A 2-D model of wheelchair propulsion. , 2003, Disability and rehabilitation.

[32]  Fong-Chin Su,et al.  Mechanical energy and power flow of the upper extremity in manual wheelchair propulsion. , 2003, Clinical biomechanics.

[33]  Fong-Chin Su,et al.  Moment generation in wheelchair propulsion , 2003, Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine.

[34]  Mary M Rodgers,et al.  Upper-limb fatigue-related joint power shifts in experienced wheelchair users and nonwheelchair users. , 2003, Journal of rehabilitation research and development.

[35]  L A Rozendaal,et al.  The push force pattern in manual wheelchair propulsion as a balance between cost and effect. , 2003, Journal of biomechanics.

[36]  Kai-Nan An,et al.  A new method to quantify demand on the upper extremity during manual wheelchair propulsion. , 2004, Archives of physical medicine and rehabilitation.

[37]  Frédérique Hintzy,et al.  Mechanical efficiency during hand-rim wheelchair propulsion: effects of base-line subtraction and power output. , 2004, Clinical biomechanics.

[38]  Alicia M Koontz,et al.  Manual wheelchair pushrim dynamics in people with multiple sclerosis. , 2004, Archives of physical medicine and rehabilitation.

[39]  Kai-Nan An,et al.  Muscle forces analysis in the shoulder mechanism during wheelchair propulsion , 2004, Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine.

[40]  Margaret A. Finley,et al.  The biomechanics of wheelchair propulsion in individuals with and without upper-limb impairment. , 2004, Journal of rehabilitation research and development.

[41]  Kenton R Kaufman,et al.  The effect of seat position on wheelchair propulsion biomechanics. , 2004, Journal of rehabilitation research and development.

[42]  L. V. D. van der Woude,et al.  Mechanical load on the upper extremity during wheelchair activities. , 2005, Archives of physical medicine and rehabilitation.

[43]  Rory A Cooper,et al.  A kinetic analysis of manual wheelchair propulsion during start-up on select indoor and outdoor surfaces. , 2005, Journal of rehabilitation research and development.

[44]  Kenton R Kaufman,et al.  The effect of visual biofeedback on the propulsion effectiveness of experienced wheelchair users. , 2006, Archives of physical medicine and rehabilitation.

[45]  Agnès Roby-Brami,et al.  Shoulder movements during the initial phase of learning manual wheelchair propulsion in able-bodied subjects. , 2006, Clinical biomechanics.

[46]  M. Boninger,et al.  Shoulder joint kinetics and pathology in manual wheelchair users. , 2006, Clinical biomechanics.

[47]  Fong-Chin Su,et al.  Effect of handrim diameter on manual wheelchair propulsion: mechanical energy and power flow analysis. , 2006, Clinical biomechanics.

[48]  J. Collinger,et al.  Shoulder biomechanics during the push phase of wheelchair propulsion: a multisite study of persons with paraplegia. , 2008, Archives of physical medicine and rehabilitation.

[49]  Rachid Aissaoui,et al.  The Effect of Resultant Force at the Pushrim on Shoulder Kinetics During Manual Wheelchair Propulsion: A Simulation Study , 2008, IEEE Transactions on Biomedical Engineering.

[50]  Rachid Aissaoui,et al.  Relationship between resultant force at the pushrim and the net shoulder joint moments during manual wheelchair propulsion in elderly persons. , 2008, Archives of physical medicine and rehabilitation.

[51]  D J J Bregman,et al.  Is effective force application in handrim wheelchair propulsion also efficient? , 2009, Clinical biomechanics.