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  4. Effects of Seated Postural Stability and Trunk and Upper Extremity Strength on Performance during Manual Wheelchair Propulsion Tests in Individuals with Spinal Cord Injury: An Exploratory Study

Effects of Seated Postural Stability and Trunk and Upper Extremity Strength on Performance during Manual Wheelchair Propulsion Tests in Individuals with Spinal Cord Injury: An Exploratory Study

Rehabilitation Research and Practice, 2016 · DOI: http://dx.doi.org/10.1155/2016/6842324 · Published: June 23, 2016

Spinal Cord InjuryAssistive TechnologyRehabilitation

Simple Explanation

This study explores how trunk and arm strength, along with balance while sitting, affect how well people with spinal cord injuries can move a manual wheelchair. The research looked at different tests that measure wheelchair movement, like how fast someone can go or how well they can navigate a course. The findings help understand what physical abilities are most important for wheelchair use, which can guide therapists in creating better rehabilitation plans.

Study Duration
Not specified
Participants
15 individuals with a spinal cord injury
Evidence Level
Not specified

Key Findings

  • 1
    Shoulder adductor strength on the weaker side significantly predicts performance in the 20-meter propulsion test, explaining 53% of the variance.
  • 2
    Shoulder adductor strength on the stronger side and forward seated reaching distance together predict 71% of the variance in the slalom test.
  • 3
    Handgrip strength is a significant predictor of performance in the 6-minute propulsion test, accounting for 52% of the variance.

Research Summary

This study investigated the relationship between trunk and upper extremity strength, seated postural stability, and manual wheelchair propulsion performance in individuals with spinal cord injury. The results indicated that shoulder adductor and handgrip strength, as well as forward seated reaching capacity, are key factors in explaining performance during wheelchair propulsion tests. The findings suggest that rehabilitation interventions should focus on improving these specific strength and stability aspects to optimize manual wheelchair propulsion performance.

Practical Implications

Targeted Rehabilitation

Rehabilitation programs should focus on strengthening shoulder adductors and improving handgrip strength to enhance wheelchair propulsion.

Balance Training

Include exercises that improve forward reaching capability to enhance dynamic postural control during wheelchair use.

Performance Assessment

Use performance-based wheelchair propulsion tests at maximal velocity to assess the effectiveness of rehabilitation interventions.

Study Limitations

  • 1
    Small sample size limits the generalizability of the findings.
  • 2
    Study population limited to individuals with recent SCI undergoing inpatient rehabilitation.
  • 3
    Unexplained variance suggests other factors influence wheelchair propulsion performance.

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