Abstract:The population of manual wheelchair users is growing; the vast majority of users are due to spinal cord injury, often presenting in young adults. Propulsion forces must be produced by the upper body only; such repetitive forces impact the shoulder and elbow joints, leading to long term pain and injury. This also has an effect on mobility, with consequential socio-economic implications. Training in the style of propulsion, especially from an early age, may lead to more efficient propulsion and reduced injury an… Show more
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