Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 4 , Pages 510-515 , April 2006

The Effect of Visual Biofeedback on the Propulsion Effectiveness of Experienced Wheelchair Users

  • Brian R. Kotajarvi, PT

      Affiliations

    • Orthopedic Biomechanics Lab, Mayo Clinic, Rochester, MN
    • ,
  • Jeffrey R. Basford, MD, PhD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN
    • ,
  • Kai-Nan An, PhD

      Affiliations

    • Orthopedic Biomechanics Lab, Mayo Clinic, Rochester, MN
    • Corresponding Author InformationReprint requests to Kai-Nan An, PhD, Orthopedic Biomechanics Lab, Guggenheim 128, Mayo Clinic, Rochester, MN 55905.
    • ,
  • Duane A. Morrow, MS

      Affiliations

    • Orthopedic Biomechanics Lab, Mayo Clinic, Rochester, MN
    • ,
  • Kenton R. Kaufman, PhD

      Affiliations

    • Orthopedic Biomechanics Lab, Mayo Clinic, Rochester, MN

References 

  1. Sie IH , Waters RL , Adkins RH , Gellman H . Upper extremity pain in the post rehabilitation spinal cord injured patient . Arch Phys Med Rehabil . 1992;73:44–48
  2. Subbarao JV , Klopfstein J , Turpin R . Prevalence and impact of wrist and shoulder pain in patients with spinal cord injury . J Spinal Cord Med . 1995;18:9–13
  3. Silfverskiold J , Waters RL . Shoulder pain and functional disability in spinal cord injury patients . Clin Orthop Rel Res . 1991;272:141–145
  4. Nichols PJ , Norman PA , Ennis JR . Wheelchair user’s shoulder? Shoulder pain in patients with spinal cord lesions . Scand J Rehabil Med . 1979;11:29–32
  5. Curtis KA , Black K . Shoulder pain in female wheelchair basketball players . J Orthop Sports Phys Ther . 1999;29:225–231
  6. Curtis KA , Drysdale GA , Lanza RD , Kolber M , Vitolo RS , West R . Shoulder pain in wheelchair users with tetraplegia and paraplegia . Arch Phys Med Rehabil . 1999;80:453–457
  7. van der Woude LH , de Groot G , Hollander AP , van Ingen Schenau GJ , Rozendal RH . Wheelchair ergonomics and physiological testing of prototypes . Ergonomics . 1986;29:1561–1573
  8. van der Woude LH , Hendrich KM , Veeger HE , et al.   Manual wheelchair propulsion (effects of power output on physiology and technique) . Med Sci Sports Exerc . 1988;20:70–78
  9. van der Woude L , Veeger D , Rozendal R , van Ingen Schenau G , Rooth F , van Nierop P . Wheelchair racing (effects of rim diameter and speed on physiology and technique) . Med Sci Sports Exerc . 1988;20:492–500
  10. Sawka MN . Physiology of upper body exercise . Exerc Sport Sci Rev . 1986;14:175–211
  11. Martel G , Noreau L , Jobin J . Physiological responses to maximal exercise on arm cranking and wheelchair ergometer with paraplegics . Paraplegia . 1991;29:447–456
  12. Boninger ML , Cooper RA , Robertson RN , Shimada SD . Three-dimensional pushrim forces during two speeds of wheelchair propulsion . Am J Phys Med Rehabil . 1997;76:420–426
  13. Boninger ML , Souza AL , Cooper RA , Fitzgerald SG , Koontz AM , Fay BT . Propulsion patterns and pushrim biomechanics in manual wheelchair propulsion . Arch Phys Med Rehabil . 2002;83:718–723
  14. Brubaker CE , Ross S , McLaurin CA . Effect of seat position on hand rim force . Proceedings of the 5th Annual Conference on Rehabilitation Engineering . 1982; June; Houston (TX)
  15. Cooper RA , Robertson RN , VanSickle DP , Boninger ML , Shimada SD . Methods for determining three-dimensional wheelchair pushrim forces and moments (a technical note) . J Rehabil Res Dev . 1997;34:162–170
  16. Dallmeijer AJ , van der Woude LH , Veeger HE , Hollander AP . Effectiveness of force application in manual wheelchair propulsion in persons with spinal cord injuries . Am J Phys Med Rehabil . 1998;77:213–221
  17. Robertson RN , Boninger ML , Cooper RA , Shimada SD . Pushrim forces and joint kinetics during wheelchair propulsion . Arch Phys Med Rehabil . 1996;77:856–864
  18. Rozendaal LA , Veeger DE . Force direction in manual wheel chair propulsion (balance between effect and cost) . Clin Biomech (Bristol, Avon) . 2000;15(Suppl 1):S39–S41
  19. Veeger HE , van der Woude LH , Rozendal RH . Load on the upper extremity in manual wheelchair propulsion . J Electromyogr Kinesiol . 1991;1:270–280
  20. Veeger H , van der Woude L , Rozendal R . Within-cycle characteristics of the wheelchair push in sprinting on a wheelchair ergometer . Med Sci Sports Exerc . 1991;23:264–271
  21. Veeger HE , Lute EM , Roeleveld K , van der Woude LH . Differences in performance between trained and untrained subjects during a 30-s sprint test in a wheelchair ergometer . Eur J Appl Physiol Occup Physiol . 1992;64:158–164
  22. Veeger HE , Hadj Yahmed M , van der Woude LH , Charpentier P . Peak oxygen uptake and maximal power output of Olympic wheelchair-dependent athletes . Med Sci Sports Exerc . 1991;23:1201–1209
  23. Dallmeijer AJ , Kappe YJ , Veeger DH , Janssen TW , van der Woude LH . Anaerobic power output and propulsion technique in spinal cord injured subjects during wheelchair ergometry . J Rehabil Res Dev . 1994;31:120–128
  24. Dallmeijer AJ , van der Woude LH , Pathuis CS . Adaptations in wheelchair propulsion technique after training in able-bodied subjects . In:  van der Woude LH ,  Hopman TE ,  van Kemenade CH editor. Biomedical aspects of manual wheelchair propulsion (the state of the art II) . Amsterdam: IOS Pr; 1999;p. 224–226
  25. de Groot S , Veeger HE , Hollander AP , van der Woude LH . Consequence of feedback-based learning of an effective hand rim wheelchair force production on mechanical efficiency . Clin Biomech . 2002;17:219–226
  26. de Groot S , Veeger HE , Hollander AP , van der Woude LH . Adaptations in physiology and propulsion techniques during the initial phase of learning manual wheelchair propulsion . Am J Phys Med Rehabil . 2003;82:504–510
  27. Sabick MB , Kotajarvi BR , An KN . A new method to quantify demand on the upper extremity during manual wheelchair propulsion . Arch Phys Med Rehabil . 2004;85:1151–1159
  28. Wu H , Berglund L , Su F , et al.   An instrumented wheel for kinetic analysis of wheelchair propulsion . J Biomech Eng . 1998;120:533–535
  29. Boninger ML , Cooper RA , Baldwin MA , Shimada SD , Koontz A . Wheelchair pushrim kinetics (body weight and median nerve function) . Arch Phys Med Rehabil . 1999;80:910–915
  30. Boninger ML , Baldwin M , Cooper RA , Koontz A , Chan L . Manual wheelchair pushrim biomechanics and axle position . Arch Phys Med Rehabil . 2000;81:608–613
  31. de Groot S , Veeger HE , Hollander AP , van der Woude LH . Influence of task complexity on mechanical efficiency and propulsion technique during learning of hand rim wheelchair propulsion . Med Eng Physics . 2005;27:41–49
  32. van der Linden ML , Valent L , Veeger HE , van der Woude LH . The effect of wheelchair handrim tube diameter on propulsion efficiency and force application (tube diameter and efficiency in wheelchairs) . IEEE Trans Rehabil Eng . 1996;4:123–132
  33. van der Woude LH , Veeger HE , Dallmeijer AJ , Janssen TW , Rozendaal LA . Biomechanics and physiology in active manual wheelchair propulsion . Med Eng Physics . 2001;23:713–733

 Supported by the Jacob and Valeria Langeloth Foundation.No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.

PII: S0003-9993(05)01532-7

doi: 10.1016/j.apmr.2005.12.033

Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 4 , Pages 510-515 , April 2006

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