Evidenced Based Education Interventions to Preserve Upper Limb Function Among Full Time Manual Wheelchair Users

Rice, Laura A.; Rice, Ian

doi:10.18103/mra.v5i3.1038

Cited by 6 publications

(5 citation statements)

References 24 publications

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“…54 The manual wheelchair users (MWUs) constantly depend on the upper limbs to provide independent mobility. 41 Daily life activities, weight relief, transfers, and the repetitive load induced by the propulsion of the manual wheelchair cause considerable stress on the upper limbs, especially on the shoulders. 29,50,54 Consequently, shoulder pain is prevalent among MWUs.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of resistance programs in wheelchair users shoulder function: A systematic review

Piernas¹,

Davó²,

Maia³

et al. 2022

Lat. Americ. J. of Develop.

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Literature presents promising results regarding exercise programs to reduce shoulder pain in manual wheelchair users. However, there is a lack of systematization and specific usefulness of resistance training programs. Thus, the study objective was to analyze the effectiveness of resistance training programs in reducing shoulder pain, and to increase shoulder strength and function in manual wheelchair users (MWUs). A Boolean search strategy adapted for Pubmed, Ebsco, Scopus, Web of Science and Scielo Science databases was undertaken (up to February 2021) to identify all studies measuring changes in shoulder strength, pain, and/or function after implementing a resistance training program in MWUs. Two independent reviewers selected articles based on following criteria: MWUs, participants' age, study design and intervention types. Also, reviewers performed the study quality assessment, risk-of-bias analysis and data extraction. Of the 124 obtained publications, a total of 9 studies met the inclusion criteria, being evaluated through PEDro Scale (mean quality score in four or below) and uncertain risk of bias according to Cochrane Scale assessment. The studies shows that: one-repetition maximum (12-60%), isometric peak force (25-36%) and isokinetic muscle strength (10-30%) increased following resistance training interventions. Significant reductions (22-85%) in shoulder pain (WUSPI score) were found after resistance training interventions. In addition, shoulder function (evaluated by DASH questionnaire) improved (12-60%) following resistance training. The present review highlights the usefulness of resistance training programs to improve muscular strength and shoulder function and to reduce shoulder pain in MWUs. These results have significant practical applications to improve the quality of life of MWUs.

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Section: Introductionmentioning

confidence: 99%

Effectiveness of resistance programs in wheelchair users shoulder function: A systematic review

Piernas¹,

Davó²,

Maia³

et al. 2022

Lat. Americ. J. of Develop.

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“…13,24,25 Based on the kinematic and kinetic evidence, clinical practice guidelines (CPG) have been issued to suggest efficient propulsion to prevent upper limb injuries. 15,26…”

Section: Introductionmentioning

confidence: 99%

“…5,[7][8][9][10] Numerous examples from the biomechanics literature show that WP is a high-force daily task with a repetitive nature. [11][12][13][14][15] Shoulder pain and other upper limb injuries induce functional decline, 16,17 impede mobility and independence, 18 and reduce quality of life. 16,19,20 To prevent upper limb injuries and pain, researchers have theorized that reducing the amount of repetition and increasing the force efficiency in WP may reduce upper limb pain and injuries.…”

Section: Introductionmentioning

confidence: 99%

“…13,24,25 Based on the kinematic and kinetic evidence, clinical practice guidelines (CPG) have been issued to suggest efficient propulsion to prevent upper limb injuries. 15,26 Ecological validity of previous WP evidence is being challenged. Laboratory-based research assumes that wheelchair performance will most often reflect performance in the real world and that chronic overuse of the WP patterns performed in the laboratory is associated with upper limb injuries.…”

Section: Introductionmentioning

confidence: 99%

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Toward community-based wheelchair evaluation with machine learning methods

Chen

Morgan

2018

Journal of Rehabilitation and Assistive Technologies Engineerin

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Introduction Upper extremity pain among manual wheelchair users induces functional decline and reduces quality of life. Research has identified chronic overuse due to wheelchair propulsion as one of the factors associated with upper limb injuries. Lack of a feasible tool to track wheelchair propulsion in the community precludes testing validity of wheelchair propulsion performed in the laboratory. Recent studies have shown that wheelchair propulsion can be tracked through machine learning methods and wearable accelerometers. Better results were found in subject-specific machine learning method. To further develop this technique, we conducted a pilot study examining the feasibility of measuring wheelchair propulsion patterns. Methods Two participants, an experienced manual wheelchair user and an able-bodied individual, wore two accelerometers on their arms. The manual wheelchair user performed wheelchair propulsion patterns on a wheelchair roller system and overground. The able-bodied participant performed common daily activities such as cooking, cleaning, and eating. Results The support vector machine built from the wrist and arm acceleration of wheelchair propulsion pattern recorded on the wheelchair roller system predicted the wheelchair propulsion patterns performed overground with 99.7% accuracy. The support vector machine built from additional rotation data recorded overground predicted wheelchair propulsion patterns (F1 = 0.968). Conclusions These results further demonstrate the possibility of tracking wheelchair propulsion in the community.

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“…In this line, Larsen, Bruun, Hansen, Hansen and Juul-Kristensen, 2015developed the translation and cross-cultural adaptation of the Danish version of the WUSPI. This questionnaire has been used in different studies, also in a sample of WB players (Curtis & Black, 1999;Finley & Rogers, 2004;Samuelsson et al, 2004;Yildirim et al, 2010;Van Straaten et al, 2014;Tsunoda et al 2016;Rice & Rice, 2017). Previous studies (Arroyo & González, 2009;Curtis et al, 1995;Park & Cho, 2013;Vij, Kataria, & Bansal, 2015) not include specific items to assess SP in concrete sport specific skills during WB competition and training.…”

Section: Validity and Reliability Of The Shoulder Pain Index For Wheementioning

confidence: 99%

Effects of a therapeutic exercise program for injuries prevention in wheelchair basketball (WB) players = Efectividad de un programa de ejercicios terapéutico para la prevención de lesiones de jugadores de baloncesto en silla de ruedas (BSR)

Gómez¹

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Como no agradecer al equipo CD Ilunion, conformado por sus directivos, jugadores, personal técnico y familias, quienes con la participación en los entrenamientos y diferentes campeonatos me permitieron conocer más a fondo el Baloncesto en Silla de Ruedas no sólo a nivel técnico sino también a nivel humano. A los jugadores de baloncesto en silla de la selección nacional femenina, masculina y sub 23, así como los jugadores de CD Ilunion, han sido una parte fundamental en todo este proceso, la amabilidad y la disposición de todos hizo más fácil el trabajo que se llevó a cabo, fue un placer conocer a magníficas personas. Al profesor Rubén Barakat porque de manera desinteresada puso a nuestra disposición sus conocimientos para enriquecer este proyecto. Al Hospital Parapléjicos de Toledo, en especial a todos los que forman parte de la Unidad de Biomecánica y Ayudas Técnicas (Ana, Vicente, Miriam, Antonio y Enrique), al Dr. Ángel Gil, de quien aprendí que con disciplina, ética y esfuerzo se puede conseguir la meta que te propongas.

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Evidenced Based Education Interventions to Preserve Upper Limb Function Among Full Time Manual Wheelchair Users

Cited by 6 publications

References 24 publications

Effectiveness of resistance programs in wheelchair users shoulder function: A systematic review

Effectiveness of resistance programs in wheelchair users shoulder function: A systematic review

Toward community-based wheelchair evaluation with machine learning methods

Effects of a therapeutic exercise program for injuries prevention in wheelchair basketball (WB) players = Efectividad de un programa de ejercicios terapéutico para la prevención de lesiones de jugadores de baloncesto en silla de ruedas (BSR)

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