Dolor en individuos con lesión de la médula espinal: un estudio descriptivo

Médola, Fausto Orsi; Pisconti, Fernando; Elui, Valéria Meirelles Carril; Santana, Carla da Silva

doi:10.1016/j.rifk.2011.04.003

Cited by 5 publications

(2 citation statements)

References 24 publications

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“…Gellman, Sie and Waters (1988) found that 68% of wheelchair users report complaints of pain or discomfort. In a study with twentyeight paraplegic and quadriplegic subjects, wheelchair users, Medola et al (2011) found a prevalence of 78% of pain among users, the region of the thoracolumbar spine and shoulders being the areas with the highest incidence.…”

Section: Introductionmentioning

confidence: 99%

Guidelines for a wheelchair ergonomic adaptation based on dynamometry and surface electromyography

Silva¹,

Merino²,

Cunha³

et al. 2018

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The aim of this study was to define design guidelines for an ergonomic adaptation in wheelchairs based on the upper limbs myoelectric activity evaluation of an experient manual wheelchair user, in flat and inclined grounds (ramp). The wheelchair use activity was carried out in a pre-established route that involved flat and inclined grounds (ascending). The data collection procedures were: socio-demographic questionnaire, hand grip dynamometry and surface electromyography. Therefore, the results found indicate, specifically, greater activity in the Flexor Digitorum Superficialis muscle groups bilaterally, which are the muscle groups responsible for assisting the manual grip on the wheel rim. In addition to this, there was a decrease in Medium Frequency values associated with an increase in the muscle use percentage, which may represent fatigue and inadequate physiological recovery of the muscle groups studied and may lead to severe musculoskeletal disorders. From the analysis of the physiological and biomechanical data, it was possible to identify biomechanical factors that may represent risks to the health of the wheelchair user, thus, design guidelines were suggested for an ergonomic adaptation that can reduce physical effort, mainly on inclined ground, aiming, specifically, to reduce the Flexor Digitorum Superficialis fatigue and increase the propulsion efficiency.

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Section: Introductionmentioning

confidence: 99%

Guidelines for a wheelchair ergonomic adaptation based on dynamometry and surface electromyography

Silva¹,

Merino²,

Cunha³

et al. 2018

Product (São Carlos, Online)

View full text Add to dashboard Cite

show abstract

“…Entretanto, propulsionar uma cadeira de rodas com os membros superiores demanda grande esforço muscular, representando um modo ineficiente de locomoção (Groot et al, 2014). Como resultado, a prevalência de dor e lesões nos membros superiores entre usuários de cadeira de rodas é elevada, e isto é fortemente associado ao estresse biomecânico ao qual são expostos os membros superiores durante a propulsão manual (Boninger et al, 2004;Morrow et al, 2010;Miyahara et al, 1998;Medola et al, 2010).…”

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