Quotation of upper limb risk musculoskeletal disorders by fuzzy logic: Particular case of manual wheelchair propulsion and curb ascent

Manual wheelchair propulsion results in physical demand of the upper limb extremities that, because of its repetitive nature, can lead to chronic pathologies on spinal cord injury patients. The aim of this study was to design and test a methodology to compare kinematic and kinetic variables of the upper limb joints when propelling different wheelchairs. Moreover, this methodology was used to analyze the differences that may exist between paraplegic and tetraplegic patients when propelling two different wheelchairs. Five adults with paraplegia and five adults with tetraplegia performed several propulsion tests. Participants propelled two different wheelchairs for three minutes at 0.833 m/s (3 km/h) with one minute break between the tests. Kinematic and kinetic variables of the upper limb as well as variables with respect to the propulsion style were recorded. Important differences in the kinetic and kinematic variables of the joints of the upper limb were found when comparing paraplegic and tetraplegic patients. Nevertheless, this difference depends on the wheelchair used. As expected, in all tests, the shoulder shows to be the most impacted joint.

Download Full-text

Upper limb joint dynamics during manual wheelchair propulsion

Clinical Biomechanics ◽

10.1016/j.clinbiomech.2009.12.011 ◽

2010 ◽

Vol 25 (4) ◽

pp. 299-306 ◽

Cited By ~ 24

Author(s):

Guillaume Desroches ◽

Raphaël Dumas ◽

Didier Pradon ◽

Philippe Vaslin ◽

François-Xavier Lepoutre ◽

...

Keyword(s):

Upper Limb ◽

Wheelchair Propulsion ◽

Manual Wheelchair ◽

Joint Dynamics

Download Full-text

Upper Limb Dynamics during Manual Wheelchair Propulsion with Different Resistances

IFMBE Proceedings - 6th World Congress of Biomechanics (WCB 2010). August 1-6, 2010 Singapore ◽

10.1007/978-3-642-14515-5_161 ◽

2010 ◽

pp. 632-635

Author(s):

S. H. Hwang ◽

H. Y. Lee ◽

Y. H. Kim

Keyword(s):

Upper Limb ◽

Wheelchair Propulsion ◽

Manual Wheelchair ◽

Limb Dynamics

Download Full-text

The influence of axle position and the use of accessories on the activity of upper limb muscles during manual wheelchair propulsion

International Journal of Occupational Safety and Ergonomics ◽

10.1080/10803548.2017.1294369 ◽

2017 ◽

Vol 24 (2) ◽

pp. 311-315 ◽

Cited By ~ 6

Author(s):

Guilherme da Silva Bertolaccini ◽

Idinei Francisco Pires de Carvalho Filho ◽

Gustavo Christofoletti ◽

Luis Carlos Paschoarelli ◽

Fausto Orsi Medola

Keyword(s):

Upper Limb ◽

Wheelchair Propulsion ◽

Manual Wheelchair ◽

Limb Muscles

Download Full-text

Simulator for Optimal Wheelchair Design

Journal of Robotics and Mechatronics ◽

10.20965/jrm.2008.p0854 ◽

2008 ◽

Vol 20 (6) ◽

pp. 854-862 ◽

Cited By ~ 11

Author(s):

Makoto Sasaki ◽

◽

Takumi Kimura ◽

Kiyomi Matsuo ◽

Goro Obinata ◽

...

Keyword(s):

Upper Limb ◽

Angular Position ◽

Wheelchair Propulsion ◽

Optimal Position ◽

Manual Wheelchair ◽

Body Function ◽

Limb Load

This paper presents an adaptive simulator for a manual wheelchair to reduce the user's upper limb load during wheelchair manipulation and to increase the efficiency of wheelchair propulsion. The proposed simulator provides an optimal position of the handrim/lever and the desired angular position of the seat and backrest of the wheelchair based on the user's body function.

Download Full-text