These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: Handrim wheelchair propulsion training effect on overground propulsion using biomechanical real-time visual feedback.
    Author: Rice IM, Pohlig RT, Gallagher JD, Boninger ML.
    Journal: Arch Phys Med Rehabil; 2013 Feb; 94(2):256-63. PubMed ID: 23022092.
    Abstract:
    OBJECTIVE: To compare the effects of 2 manual wheelchair propulsion training programs on handrim kinetics, contact angle, and stroke frequency collected during overground propulsion. DESIGN: Randomized controlled trial comparing handrim kinetics between 3 groups: a control group that received no training, an instruction-only group that reviewed a multimedia presentation, and a feedback group that reviewed the multimedia presentation and real-time visual feedback. SETTING: Research laboratory. PARTICIPANTS: Full-time manual wheelchair users (N=27) with spinal cord injury living in the Pittsburgh area. INTERVENTIONS: Propulsion training was given 3 times over 3 weeks, and data were collected at baseline, immediately after training, and at 3 months. MAIN OUTCOME MEASURES: Contact angle, stroke frequency, peak resultant force, and peak rate of rise of resultant force. RESULTS: Both feedback and instruction-only groups improved their propulsion biomechanics across all surfaces (carpet, tile, and ramp) at both target and self-selected speeds compared with the control group. While controlling for velocity, both intervention groups showed long-term reductions in the peak rate or rise of resultant force, stroke frequency, and increased contact angle. CONCLUSIONS: Long-term wheelchair users in both intervention groups significantly improved many aspects of their propulsion technique immediately after training and 3 months from baseline. Furthermore, training with a low-cost instructional video and slide presentation was an effective training tool alone.
    [Abstract] [Full Text] [Related] [New Search]