Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 2 , Pages 271-278 , February 2009

Kinematic and Electromyographic Analysis of Wheelchair Propulsion on Ramps of Different Slopes for Young Men With Paraplegia

Presented to the American Society of Biomechanics, October 21-23, 1999, Pittsburgh, PA; the Congress of the International Society of Biomechanics, August 8-13, 1999, Calgary, Canada; and the American College of Sports Medicine, May 31-June 3, 2000, Indianapolis, IN.

  • John W. Chow, PhD

      Affiliations

    • Center for Neuroscience and Neurological Recovery, Methodist Rehabilitation Center, Jackson, MS
    • Corresponding Author InformationReprint requests to John W. Chow, PhD, Center for Neuroscience and Neurological Recovery, Methodist Rehabilitation Center, 1350 E Woodrow Wilson, Jackson, MS 39216
    • ,
  • Tim A. Millikan, MS

      Affiliations

    • Division of Rehabilitation Education, University of Illinois at Urbana-Champaign, Urbana, IL
    • ,
  • Les G. Carlton, PhD

      Affiliations

    • Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Urbana, IL
    • ,
  • Woen-sik Chae, PhD

      Affiliations

    • Department of Physical Education, Kyung Pook National University, Daegu, Korea
    • ,
  • Young-tae Lim, PhD

      Affiliations

    • Division of Sport Science, Konkuk University, Chungju, Korea
    • ,
  • Marty I. Morse, MS

      Affiliations

    • Division of Rehabilitation Education, University of Illinois at Urbana-Champaign, Urbana, IL

References 

  1. Architectural and Transportation Barriers Compliance Board. Americans with Disabilities Act accessibility guidelines for buildings and facilities (ADAAG). Washington (DC): US Access Board; 1998;
  2. Lehmann JF, Warren CG, Halar E, Stonebridge JE, DeLateur BJ. Wheelchair propulsion in the quadriplegic patient. Arch Phys Med Rehabil. 1974;55:183–186
  3. Steinfeld E, Schroeder S, Bishop M. Accessible buildings for people with walking and reaching limitations. Washington (DC): US Department of Housing and Urban Development; 1979;
  4. Sweeney GM, Clark AK, Harrison RA, Bulstrode SJ. An evaluation of portable ramps. Br J Occup Ther. 1989;52:473–475
  5. Sweeney GM, Harrison RA, Clarke AK. Portable ramps for wheelchair users–an appraisal. Int Disab Studies. 1989;11:68–70
  6. Templer J. Provisions for elderly and handicapped pedestrians: Vol. 1, executive summary. Washington (DC): Department of Transportation, Federal Highway Administration; 1979;
  7. Templer JA, Wineman J, Zimring CM. Guidelines for accommodating the handicapped on overpasses. Washington (DC): Department of Transportation, Federal Highway Administration; 1982;
  8. Koontz AM, Cooper RA, Boninger ML, Yang Y, Impink BG, van der Woude LH. A kinetic analysis of manual wheelchair propulsion during start-up on select indoor and outdoor surfaces. J Rehabil Res Dev. 2005;42:447–458
  9. 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
  10. Richter WM, Rodriguez R, Woods KR, Axelson PW. Stroke pattern and handrim biomechanics for level and uphill wheelchair propulsion at self selected speeds. Arch Phys Med Rehabil. 2007;88:81–87
  11. 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
  12. Veeger HE, van der Woude LH, Rozendal RH. Wheelchair propulsion technique at different speeds. Scand J Rehabil Med. 1989;21:197–203
  13. Cerquiglini S, Figura F, Marchetti M, Ricci B. Biomechanics of wheel chair propulsion. In:  Cerquiglini S,  Venerando A,  Wartenweiler J editor. Biomechanics III. Basel: Karger AG; 1973;p. 410–419
  14. Kulig K, Rao SS, Mulroy SJ, et al. Shoulder joint kinetics during the push phase of wheelchair propulsion. Clin Orthop Relat Res. 1998;354:132–143Sep
  15. Harburn KL, Spaulding SJ. Muscle activity in the spinal cord-injured during wheelchair ambulation. Am J Occup Ther. 1986;40:629–636
  16. Mâsse LC, Lamontagne M, O'Riain MD. Biomechanical analysis of wheelchair propulsion for various seating positions. J Rehab Res Dev. 1992;29:12–28
  17. Rodgers MM, Gayle GW, Figoni SF, Kobayashi M, Lieh J, Glaser RM. Biomechanics of wheelchair propulsion during fatigue. Arch Phys Med Rehabil. 1994;75:85–93
  18. Veeger HE, van der Woude LH, Rozendal RH. Load on the upper extremity in manual wheelchair propulsion. J Electromyo Kines. 1991;4:270–280
  19. Veeger HE, van der Woude LH, Rozendal RH. Within-cycle characteristics of the wheelchair push in sprinting on a wheelchair ergometer. Med Sci Sports Exerc. 1991;23:264–271
  20. Mulroy SJ, Gronley JK, Newsam CJ, Perry J. Electromyographic activity of shoulder muscles during wheelchair propulsion by paraplegic persons. Arch Phys Med Rehabil. 1996;77:187–193
  21. 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
  22. Boninger ML, Koontz AM, Sisto SA, et al. Pushrim biomechanics and injury prevention in spinal cord injury: recommendations based on CULP-SCI investigations. J Rehabil Res Dev. 2005;42:343–351
  23. Dyson-Hudson TA, Kirshblum SC. Shoulder pain in chronic spinal cord injury, part I: epidemiology, etiology, and pathomechanics. J Spinal Cord Med. 2004;27:4–17
  24. Lal S. Premature degenerative shoulder changes in spinal cord injury patients. Spinal Cord. 1998;36:186–189
  25. Cram J, Kasman G, Holtz J. Introduction to surface electromyography. Gaithersburg: Aspen Publisher; 1998;
  26. Chow JW, Millikan TA, Carlton LG, Chae W, Morse MI. Effect of resistance load on biomechanical characteristics of racing wheelchair propulsion over a roller system. J Biomech. 2000;33:601–608
  27. Chow JW, Millikan TA, Carlton LG, Morse MI, Chae WS. Biomechanical comparison of two racing wheelchair propulsion techniques. Med Sci Sports Exerc. 2001;33:476–484
  28. Rudins A, Laskowski ER, Growney ES, Cahalan TD, An KN. Kinematics of the elbow during wheelchair propulsion: a comparison of two wheelchairs and two stroking techniques. Arch Phys Med Rehabil. 1997;78:1204–1210
  29. Koontz AM, Cooper RA, Boninger ML, Souza AL, Fay BT. Shoulder kinematics and kinetics during two speeds of wheelchair propulsion. J Rehabil Res Dev. 2002;39:635–649
  30. Sanderson DJ, Sommer III HJ. Kinematic features of wheelchair propulsion. J Biomech. 1985;18:423–429

 Supported by the Mary Jane Neer Research Fund.

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.

PII: S0003-9993(08)01585-2

doi: 10.1016/j.apmr.2008.07.019

Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 2 , Pages 271-278 , February 2009

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