Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 1 , Pages 76-80 , January 2007

Consequences of a Cross Slope on Wheelchair Handrim Biomechanics

  • W. Mark Richter, PhD

      Affiliations

    • MAX Mobility LLC, Nashville, TN
    • Beneficial Designs Inc, Nashville, TN
    • Corresponding Author InformationReprint requests to W. Mark Richter, PhD, MAX Mobility LLC, 3301 Cobble St, Ste B2, Nashville, TN 37211.
  • ,
  • Russell Rodriguez, ME

      Affiliations

    • Beneficial Designs Inc, Nashville, TN
    • College of Engineering, Technology and Computer Science, Tennessee State University, Nashville, TN.
  • ,
  • Kevin R. Woods, ME

      Affiliations

    • Beneficial Designs Inc, Nashville, TN
    • College of Engineering, Technology and Computer Science, Tennessee State University, Nashville, TN.
  • ,
  • Peter W. Axelson, MS

      Affiliations

    • Beneficial Designs Inc, Nashville, TN

References 

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  2. Kirschbaum JB, Axelson PW, Longmuir PE, Mispagel MS, Stein BA, Yamada DA. Designing sidewalks and trails for access: Part II of II, best practices design guide. Washington (DC): U.S. Department of Transportation, Federal Highway Administration; 2001;Publication no. FHWA-EP-01-027.
  3. Brubaker CE, McLaurin CA, McClay IS. Effects of side slope on wheelchair performance. J Rehabil Res Dev. 1986;23:55–57
  4. Boninger ML, Dicianno BE, Cooper RA, Towers JD, Koontz AM, Souza AL. Shoulder magnetic resonance imaging abnormalities, wheelchair propulsion, and gender. Arch Phys Med Rehabil. 2003;84:1615–1620
  5. Boninger ML, Cooper RA, Baldwin MA, Shimada SD, Koontz AM. Wheelchair pushrim kinetics: body weight and median nerve function. Arch Phys Med Rehabil. 1999;80:910–915
  6. Finley MA, Rasch EK, Keyser RE, Rodgers MM. The biomechanics of wheelchair propulsion in individuals with and without upper-limb impairment. J Rehabil Res Dev. 2004;41:385–394
  7. Boninger ML, Impink BG, Cooper RA, Koontz AM. Relation between median and ulnar nerve function and wrist kinematics during wheelchair propulsion. Arch Phys Med Rehabil. 2004;85:1141–1145
  8. Koontz AM, Boninger ML, Towers J, Cooper RA, Baldwin M. Propulsion forces and MRI evidence of shoulder impairment. In: Proceedings of the American Society of Biomechanics 23rd Annual Meeting. 1999;p. 296–297Oct 21-23; Pittsburgh (PA).
  9. Sie IH, Waters RL, Adkins RH, Gellman H. Upper extremity pain in the postrehabilitation spinal cord injured patient. Arch Phys Med Rehabil. 1992;73:44–48
  10. Gellman H, Sie I, Waters RL. Late complications of the weight-bearing upper extremity in the paraplegic patient. Clin Orthop Relat Res. 1988;(233):132–135
  11. Lal S. Premature degenerative shoulder changes in spinal cord injured patients. Spinal Cord. 1998;36:186–189
  12. Davidoff G, Werner R, Waring W. Compressive mononeuropathies of the upper extremity in chronic paraplegia. Paraplegia. 1991;29:17–24
  13. Dalyan M, Cardenas DD, Gerard B. Upper extremity pain after spinal cord injury. Spinal Cord. 1999;37:191–195
  14. Consortium for Spinal Cord Medicine (Preservation of upper limb function following spinal cord injury: a clinical practice guideline for health-care professionals). Washington (DC): Paralyzed Veterans of America; 2005;
  15. DiGiovine CP, Cooper RA, Robertson RN, Boninger ML, Shimada SD. Frequency domain analysis of wheelchair pushrim forces and moments. In: Proceedings of the Rehabilitation Engineering and Assistive Technology Society of North America (RESNA) 1996 Annual Conference. Arlington (VA): RESNA Pr; 1996;p. 238–2401996 Jun 7-12; Salt Lake City (UT).
  16. Woods KR, Richter WM, Rodriguez R, Axelson PW. Removal of dynamic offset signal from load cell instrumented wheels. In: Proceedings of the RESNA 27th Annual Conference. 2004;June 18-22; Orlando (FL).
  17. Cooper RA, DiGiovine CP, Boninger ML, Shimada SD, Koontz AM, Baldwin MA. Filter frequency selection for manual wheelchair biomechanics. J Rehabil Res Dev. 2002;39:323–336
  18. Rodriguez R, Richter WM, Woods KR, Axelson PW. Reducing variability in wheelchair propulsion outcomes. In: Proceedings of the RESNA 27th Annual Conference. 2004;June 18-22; Orlando (FL).
  19. Kotajarvi BR, Sabick MB, An KN, Zhao KD, Kaufman KR, Basford JR. The effect of seat position on wheelchair propulsion biomechanics. J Rehabil Res Dev. 2004;41:403–413

 Supported by the National Center for Medical Rehabilitation Research, National Institute of Child Health and Human Development, National Institutes of Health (grant no. 2 R44 HD36533-02A2) and College of Engineering, Technology and Computer Science, Tennessee State University.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 author(s) or upon any organization with which the author(s) is/are associated.

PII: S0003-9993(06)01347-5

doi: 10.1016/j.apmr.2006.09.015

Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 1 , Pages 76-80 , January 2007