Authors’ response to “Comments on ‘Validation of a musculoskeletal model of wheelchair propulsion and its application to minimizing shoulder joint forces’”

Pain throughout wheelchair (WC) propulsion is a very real fact of life for individuals who use a manual WC as their primary means of locomotion. A number of studies have reported the prevalence of shoulder pain in manual wheelchair users (MWU’s) ranging between 30–73% [1, 2]. Questions exist as to what may cause the extent of such shoulder pain. It is possible that a lack of education on proper propulsion techniques leads to poor propulsion habits that can be detrimental to overall shoulder health. It is also possible that such acquired techniques translate into shoulder joint forces whose repetition and magnitude may be so high that they are injurious to the user.

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The effect of level of spinal cord injury on shoulder joint kinetics during manual wheelchair propulsion

Clinical Biomechanics ◽

10.1016/s0268-0033(01)00066-3 ◽

2001 ◽

Vol 16 (9) ◽

pp. 744-751 ◽

Cited By ~ 48

Author(s):

Kornelia Kulig ◽

Craig J Newsam ◽

Sara J Mulroy ◽

Sreesha Rao ◽

JoAnne K Gronley ◽

...

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Shoulder Joint ◽

Wheelchair Propulsion ◽

Joint Kinetics ◽

Manual Wheelchair ◽

Cord Injury

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Echographic and Kinetic Changes in the Shoulder Joint after Manual Wheelchair Propulsion Under Two Different Workload Settings

Frontiers in Bioengineering and Biotechnology ◽

10.3389/fbioe.2014.00077 ◽

2014 ◽

Vol 2 ◽

Cited By ~ 3

Author(s):

Ãngel Gil-Agudo ◽

Marta SolÃs-Mozos ◽

Beatriz Crespo-Ruiz ◽

Antonio J. del-Ama Eng ◽

...

Keyword(s):

Shoulder Joint ◽

Wheelchair Propulsion ◽

Manual Wheelchair

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Soft Robotic Shoulder Assist Device: Towards Prevention of Shoulder Overuse Syndrome in Wheelchair Users

2018 Design of Medical Devices Conference ◽

10.1115/dmd2018-6808 ◽

2018 ◽

Author(s):

Saivimal Sridar ◽

Ripujit Gindam Narasimha ◽

Amogh Maharudra Gadagi ◽

Vishwarath Taduru ◽

Courtney Strzelczyk ◽

...

Keyword(s):

Shoulder Joint ◽

Assistive Devices ◽

Wheelchair Propulsion ◽

Upper Limbs ◽

Assist Device ◽

Related Condition ◽

Repetitive Motion ◽

Wheelchair Users ◽

Overuse Syndrome ◽

Shoulder Pathologies

Shoulder overuse syndrome (SOS) is a fatigue-related condition caused by repetitive motion or excessive practice, common amongst wheelchair users. Diagnostic treatment methods for SOS include physiotherapy sessions, kinesiology tapes and few other measures. Many commercial devices available in the market targeting rehabilitation and recovery of shoulder pathologies are expensive and inaccessible for in-home treatment. A detailed survey of the rehabilitative devices for upper limbs is given in [1]. Although, prognostic measures to avoid SOS in wheelchair users such as taking smoother strides and altering wheel stroke mechanics have been suggested [2], [3], there is a clear lack of assistive devices that augment the shoulder joint muscles during wheelchair propulsion.

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