A kinetic analysis of manual wheelchair propulsion during start-up on select indoor and outdoor surfaces

J Rehabil Res Dev. 2005 Jul-Aug;42(4):447-58. doi: 10.1682/jrrd.2004.08.0106.

Abstract

The objective of this study was to conduct a kinetic analysis of manual wheelchair propulsion during start-up on select indoor and outdoor surfaces. Eleven manual wheelchairs were fitted with a SMART(Wheel) and their users were asked to push on a course consisting of high- and low-pile carpet, indoor tile, interlocking concrete pavers, smooth level concrete, grass, hardwood flooring, and a sidewalk with a 5-degree grade. Peak resultant force, wheel torque, mechanical effective force, and maximum resultant force rate of rise were analyzed during start-up for each surface and normalized relative to their steady-state values on the smooth level concrete. Additional variables included peak velocity, distance traveled, and number of strokes in the first 5 s of the trial. We compared biomechanical data between surfaces using repeated-measures mixed models and paired comparisons with a Bonferroni adjustment. Applied resultant force (p = 0.0154), wheel torque (p < 0.0001), and mechanical effective force (p = 0.0047) were significantly different between surfaces. The kinetic values for grass, interlocking pavers, and ramp ascent were typically higher compared with tile, wood, smooth level concrete, and high- and low-pile carpet. Users were found to travel shorter distances up the ramp and across grass (p < 0.0025) and had a higher stroke count on the ramp (p = 0.0124). While peak velocity was not statistically different, average velocity was slower for the ramp and grass, which indicates greater wheelchair/user deceleration between strokes. The differences noted between surfaces highlight the importance of evaluating wheelchair propulsion ability over a range of surfaces.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adult
  • Amputation, Surgical / rehabilitation
  • Architectural Accessibility
  • Equipment Design
  • Ergometry
  • Female
  • Floors and Floorcoverings / classification*
  • Humans
  • Kinetics
  • Male
  • Materials Testing*
  • Middle Aged
  • Multiple Sclerosis / rehabilitation
  • Spinal Cord Injuries / rehabilitation
  • Surface Properties
  • Torque*
  • Wheelchairs*