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Biomechanics of Pediatric Manual Wheelchair Mobility

Currently, there is limited research of the biomechanics of pediatric manual wheelchair mobility. Specifically, the biomechanics of functional tasks and their relationship to joint pain and health is not well understood. To contribute to this knowledge gap, a quantitative rehabilitation approach was...

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Autores principales: Slavens, Brooke A., Schnorenberg, Alyssa J., Aurit, Christine M., Tarima, Sergey, Vogel, Lawrence C., Harris, Gerald F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4564732/
https://www.ncbi.nlm.nih.gov/pubmed/26442251
http://dx.doi.org/10.3389/fbioe.2015.00137
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author Slavens, Brooke A.
Schnorenberg, Alyssa J.
Aurit, Christine M.
Tarima, Sergey
Vogel, Lawrence C.
Harris, Gerald F.
author_facet Slavens, Brooke A.
Schnorenberg, Alyssa J.
Aurit, Christine M.
Tarima, Sergey
Vogel, Lawrence C.
Harris, Gerald F.
author_sort Slavens, Brooke A.
collection PubMed
description Currently, there is limited research of the biomechanics of pediatric manual wheelchair mobility. Specifically, the biomechanics of functional tasks and their relationship to joint pain and health is not well understood. To contribute to this knowledge gap, a quantitative rehabilitation approach was applied for characterizing upper extremity biomechanics of manual wheelchair mobility in children and adolescents during propulsion, starting, and stopping tasks. A Vicon motion analysis system captured movement, while a SmartWheel simultaneously collected three-dimensional forces and moments occurring at the handrim. A custom pediatric inverse dynamics model was used to evaluate three-dimensional upper extremity joint motions, forces, and moments of 14 children with spinal cord injury (SCI) during the functional tasks. Additionally, pain and health-related quality of life outcomes were assessed. This research found that joint demands are significantly different amongst functional tasks, with greatest demands placed on the shoulder during the starting task. Propulsion was significantly different from starting and stopping at all joints. We identified multiple stroke patterns used by the children, some of which are not standard in adults. One subject reported average daily pain, which was minimal. Lower than normal physical health and higher than normal mental health was found in this population. It can be concluded that functional tasks should be considered in addition to propulsion for rehabilitation and SCI treatment planning. This research provides wheelchair users and clinicians with a comprehensive, biomechanical, mobility assessment approach for wheelchair prescription, training, and long-term care of children with SCI.
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spelling pubmed-45647322015-10-05 Biomechanics of Pediatric Manual Wheelchair Mobility Slavens, Brooke A. Schnorenberg, Alyssa J. Aurit, Christine M. Tarima, Sergey Vogel, Lawrence C. Harris, Gerald F. Front Bioeng Biotechnol Bioengineering and Biotechnology Currently, there is limited research of the biomechanics of pediatric manual wheelchair mobility. Specifically, the biomechanics of functional tasks and their relationship to joint pain and health is not well understood. To contribute to this knowledge gap, a quantitative rehabilitation approach was applied for characterizing upper extremity biomechanics of manual wheelchair mobility in children and adolescents during propulsion, starting, and stopping tasks. A Vicon motion analysis system captured movement, while a SmartWheel simultaneously collected three-dimensional forces and moments occurring at the handrim. A custom pediatric inverse dynamics model was used to evaluate three-dimensional upper extremity joint motions, forces, and moments of 14 children with spinal cord injury (SCI) during the functional tasks. Additionally, pain and health-related quality of life outcomes were assessed. This research found that joint demands are significantly different amongst functional tasks, with greatest demands placed on the shoulder during the starting task. Propulsion was significantly different from starting and stopping at all joints. We identified multiple stroke patterns used by the children, some of which are not standard in adults. One subject reported average daily pain, which was minimal. Lower than normal physical health and higher than normal mental health was found in this population. It can be concluded that functional tasks should be considered in addition to propulsion for rehabilitation and SCI treatment planning. This research provides wheelchair users and clinicians with a comprehensive, biomechanical, mobility assessment approach for wheelchair prescription, training, and long-term care of children with SCI. Frontiers Media S.A. 2015-09-10 /pmc/articles/PMC4564732/ /pubmed/26442251 http://dx.doi.org/10.3389/fbioe.2015.00137 Text en Copyright © 2015 Slavens, Schnorenberg, Aurit, Tarima, Vogel and Harris. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Bioengineering and Biotechnology
Slavens, Brooke A.
Schnorenberg, Alyssa J.
Aurit, Christine M.
Tarima, Sergey
Vogel, Lawrence C.
Harris, Gerald F.
Biomechanics of Pediatric Manual Wheelchair Mobility
title Biomechanics of Pediatric Manual Wheelchair Mobility
title_full Biomechanics of Pediatric Manual Wheelchair Mobility
title_fullStr Biomechanics of Pediatric Manual Wheelchair Mobility
title_full_unstemmed Biomechanics of Pediatric Manual Wheelchair Mobility
title_short Biomechanics of Pediatric Manual Wheelchair Mobility
title_sort biomechanics of pediatric manual wheelchair mobility
topic Bioengineering and Biotechnology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4564732/
https://www.ncbi.nlm.nih.gov/pubmed/26442251
http://dx.doi.org/10.3389/fbioe.2015.00137
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