Manual wheelchair propulsion on ramp slopes encountered when boarding public transit buses

Bertocci, Gina; Smalley, Craig; Page, Amanda; DiGiovine, Carmen

doi:10.1080/17483107.2018.1465602

Cited by 8 publications

(10 citation statements)

References 15 publications

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“…One study investigated the kinetics of both wheels using only one instrumented wheel mounted separately on the right and left sides in different trials [ 49 ]. Two of the ten studies which used only one instrumented wheel reported having mounted a matching "dummy" wheel on the opposite side to ensure inertial symmetry [ 7 , 13 ].…”

Section: Resultsmentioning

confidence: 99%

“…overground), MWC speed was found to decrease with increasing slope. Contradictory results were obtained on cycle frequency: MWU tended to increase their cycle frequency with slope on a long ramp [ 24 ], whereas AB decreased cycle frequency with slope on a short ramp [ 7 , 48 ]. Moreover, when the MWC speed was constant across the different slope inclinations (speed imposed by the treadmill belt), cycle frequency tended to increase with increasing slope in SCI subjects [ 28 , 29 ], but was not affected with AB subjects [ 13 ].…”

Section: Resultsmentioning

confidence: 99%

“…on a motorized treadmill), the push phase duration was not modified [ 13 , 28 , 29 ] by slope. On the opposite, in overground and stationary ergometer studies, where speed was self-selected, push phase duration increased with the grade [ 7 , 24 , 30 , 36 , 45 , 48 , 49 ]. All studies reported a decrease in recovery phase duration with the increase of slope inclination.…”

Section: Resultsmentioning

confidence: 99%

“…However, the regulations are mainly based on the aspects of required space and maximum slope inclination [ 5 ]. Despite the improvement of the overall accessibility of public areas, these regulations remain unsatisfactory for a large proportion of MWC users [ 5 – 7 ].…”

Section: Introductionmentioning

confidence: 99%

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Manual wheelchair biomechanics while overcoming various environmental barriers: A systematic review

et al. 2022

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During manual wheelchair (MWC) locomotion, the user’s upper limbs are subject to heavy stresses and fatigue because the upper body is permanently engaged to propel the MWC. These stresses and fatigue vary according to the environmental barriers encountered outdoors along a given path. This study aimed at conducting a systematic review of the literature assessing the biomechanics of MWC users crossing various situations, which represent physical environmental barriers. Through a systematic search on PubMed, 34 articles were selected and classified according to the investigated environmental barriers: slope; cross-slope; curb; and ground type. For each barrier, biomechanical parameters were divided into four categories: spatiotemporal parameters; kinematics; kinetics; and muscle activity. All results from the different studies were gathered, including numerical data, and assessed with respect to the methodology used in each study. This review sheds light on the fact that certain situations (cross-slopes and curbs) or parameters (kinematics) have scarcely been studied, and that a wider set of situations should be studied. Five recommendations were made at the end of this review process to standardize the procedure when reporting materials, methods, and results for the study of biomechanics of any environmental barrier encountered in MWC locomotion: (i) effectively reporting barriers’ lengths, grades, or heights; (ii) striving for standardization or a report of the approach conditions of the barrier, such as velocity, especially on curbs; (iii) reporting the configuration of the used MWC, and if it was fitted to the subject’s morphology; (iv) reporting rotation sequences for the expression of moments and kinematics, and when used, the definition of the musculoskeletal model; lastly (v) when possible, reporting measurement uncertainties and model reconstruction errors.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Manual wheelchair biomechanics while overcoming various environmental barriers: A systematic review

et al. 2022

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“…In daily life, power output in wheelchair propulsion is the sum of internal and rolling resistance, gravitational force (up an incline or slope), and air friction. Recently, Bertocci et al presented a biomechanical delineation of different slopes for public buses and their effects on push biomechanics in seven novice non-wheelchair users [45].…”

Section: Environmental Ramp Design: a Simple Case For Supportive Techmentioning

confidence: 99%

Rehabilitation: mobility, exercise & sports; a critical position stand on current and future research perspectives

Woude

Houdijk

Janssen

et al. 2020

Disability and Rehabilitation

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Background: Human movement, rehabilitation, and allied sciences have embraced their ambitions within the cycle of "RehabMove" congresses over the past 30 years. This combination of disciplines and collaborations in the Netherlands has tried to provide answers to questions in the fields of rehabilitation and adapted sports, while simultaneously generating new questions and challenges. These research questions help us to further deepen our understanding of (impaired) human movement and functioning, with and without supportive technologies, and stress the importance of continued multidisciplinary (inter)national collaboration. Methods: This position stand provides answers that were conceived by the authors in a creative process underlining the preparation of the 6th RehabMove Congress. Results: The take-home message of the RehabMove2018 Congress is a plea for continued multidisciplinary research in the fields of rehabilitation and adapted sports. This should be aimed at more individualized notions of human functioning, practice, and training, but also of performance, improved supportive technology, and appropriate "human and technology asset management" at both individual and organization levels and over the lifespan. Conclusions: With this, we anticipate to support the development of rehabilitation sciences and technology and to stimulate the use of rehabilitation notions in general health care. We also hope to help ensure a stronger embodiment of preventive and lifestyle medicine in rehabilitation practice. Indeed, general health care and rehabilitation practice require a healthy and active lifestyle management and research agenda in the context of primary, secondary, and tertiary prevention. ä IMPLICATIONS FOR REHABILITATION Continued multidisciplinary (international) collaboration will stimulate the development of rehabilitation and human movement sciences. Notions from "human and technology asset management and ergonomics" are fundamental to rehabilitation practice and research. The rehabilitation concept will further merge into general health care and the quality there-off.

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A systematic review of public transport accessibility for people using mobility devices

Unsworth

Chua

et al. 2019

Disability and Rehabilitation

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Manual wheelchair propulsion on ramp slopes encountered when boarding public transit buses

Cited by 8 publications

References 15 publications

Manual wheelchair biomechanics while overcoming various environmental barriers: A systematic review

Manual wheelchair biomechanics while overcoming various environmental barriers: A systematic review

Rehabilitation: mobility, exercise & sports; a critical position stand on current and future research perspectives

A systematic review of public transport accessibility for people using mobility devices

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