The relationship between independent transfer skills and upper limb kinetics in wheelchair users (original) (raw)
2014, BioMed research international
Transfers are one of the most physically demanding wheelchair activities. The purpose of this study was to determine if using proper transfer skills as measured by the Transfer Assessment Instrument (TAI) is associated with reduced loading on the upper extremities. Twenty-three wheelchair users performed transfers to a level-height bench while a series of forces plates, load cells, and a motion capture system recorded the biomechanics of their natural transferring techniques. Their transfer skills were simultaneously evaluated by two study clinicians using the TAI. Logistic regression and multiple linear regression models were used to determine the relationships between TAI scores and the kinetic variables on both arms across all joints. The results showed that the TAI measured transfer skills were closely associated with the magnitude and timing of joint moments (P < .02, model R(2) values ranged from 0.27 to 0.79). Proper completion of the skills which targeted the trailing arm...
Related papers
A Systematic Methodology to Analyze the Impact of Hand-Rim Wheelchair Propulsion on the Upper Limb
Sensors, 2019
Manual wheelchair propulsion results in physical demand of the upper limb extremities that, because of its repetitive nature, can lead to chronic pathologies on spinal cord injury patients. The aim of this study was to design and test a methodology to compare kinematic and kinetic variables of the upper limb joints when propelling different wheelchairs. Moreover, this methodology was used to analyze the differences that may exist between paraplegic and tetraplegic patients when propelling two different wheelchairs. Five adults with paraplegia and five adults with tetraplegia performed several propulsion tests. Participants propelled two different wheelchairs for three minutes at 0.833 m/s (3 km/h) with one minute break between the tests. Kinematic and kinetic variables of the upper limb as well as variables with respect to the propulsion style were recorded. Important differences in the kinetic and kinematic variables of the joints of the upper limb were found when comparing paraple...
Kinematics of Lateral Transfers: A Pilot Study
People with spinal cord injuries (SCI) must transfer many times daily. Despite the importance of proper transfers, researchers have not completely described the kinematics of lateral transfers. In this study, 19 male adults with SCI who transfer independently or with minimal assistance were recruited to perform three lateral transfers to and from a therapy mat. On average, subjects elevated their sacroiliac joints (buttocks) 11 inches above the therapy mat and lowered the tempromandibular joint (head) to 21 inches above the mat. Subjects used a variety of strategies to complete the transfer that differed by their timing, the number of lifts performed, and their body positioning during transfers. Transfers from the wheelchair to the mat were more consistent within subjects.
Loading Preview
Sorry, preview is currently unavailable. You can download the paper by clicking the button above.