| Titre : | Handrim Wheelchair Propulsion Training Effect on Overground Propulsion Using Biomechanical Real-Time Visual Feedback (2013) |
| Auteurs : | Ian Rice ; Ryan Pohlig ; Jerri Gallagher ; et al. |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (2013/2, 2013) |
| Article en page(s) : | pp. 256-263 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Biomécanique ; Rééducation et réadaptation ; Rétroaction |
| Mots-clés: | Biomechanics ; Kinetics ; Cinétique ; Wheelchairs ; Fauteuils roulants |
| Résumé : |
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. |
| Disponible en ligne : | Oui |
| En ligne : | http://www.archives-pmr.org/article/S0003-9993%2812%2900988-4/abstract |
Bibliothèques HE Vinci
