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  4. Influence of Varying Level Terrain on Wheelchair Propulsion Biomechanics

Influence of Varying Level Terrain on Wheelchair Propulsion Biomechanics

Am J Phys Med Rehabil, 2008 · DOI: 10.1097/PHM.0b013e31818a52cc · Published: December 1, 2008

Spinal Cord InjuryRehabilitationBiomechanics

Simple Explanation

This study investigates how different level ground surfaces affect the way people in wheelchairs propel themselves. It looks at smooth and rough concrete, tile, and carpet. Researchers measured the forces and timing of wheelchair propulsion on these surfaces to understand how the terrain impacts the effort required. The findings can help in designing homes and communities that reduce the strain on wheelchair users' upper bodies, potentially preventing injuries.

Study Duration
Not specified
Participants
14 individuals (13 with spinal cord injury [SCI], 1 with spina bifida)
Evidence Level
Not specified

Key Findings

  • 1
    Propulsion frequency was significantly greater during both concrete conditions than either tile or carpet ground conditions.
  • 2
    Forces and moments were greatest during the aggregate concrete ground condition and lowest during propulsion across tile flooring.
  • 3
    There were no side-to-side differences for any of the temporal or kinetic variables.

Research Summary

The study evaluated manual wheelchair propulsion across different level ground conditions to understand the impact of terrain on propulsion biomechanics. The results showed that propulsion forces and moments varied significantly across terrain, with aggregate concrete requiring the greatest force. The findings suggest that environmental demands, particularly the rolling resistance of different surfaces, can be a significant factor in wheelchair propulsion and potential injury risk.

Practical Implications

Terrain Design

Consider terrain during home and community design to minimize physical demands.

Injury Prevention

Recognize the impact of environmental conditions on upper extremity health for wheelchair users.

Future Research

Incorporate varied terrain in studies evaluating wheelchair propulsion to better understand joint-specific pathology risks.

Study Limitations

  • 1
    Single testing session with uninjured participants.
  • 2
    Lack of motion capture data to assess trunk and upper extremity motions.
  • 3
    Rolling resistance of different ground conditions was not measured.

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