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- W1526803014 abstract "Lateral epicondylitis (LE) is a musculotendinous degenerative disorder of the wrist that affects at least 84,000 manual wheelchair users (MWCU). Previous research suggests that eccentric exercise can be used as a therapeutic method for the rehabilitation of tendinopathy disorders, such as LE. Although wheelchair propulsion is a repetitive and guided motion, excessive strain on the wrist can be avoided if range of motion (ROM) stays within a set of recommended angles (15° flexion and extension, 5° radial deviation, 10° ulnar deviation) provided by ergonomic research. The purpose of this study is to determine if eccentric components of exercise reduce extreme ROM during wrist propulsion to safer, recommended angles. We hypothesized that exercise containing eccentric components would lead to a decrease in ROM for wrist extension and flexion, as well as wrist ulnar and radial deviation. Twenty-seven MWCU (20 males, age: 37.5 ± 13.3 yrs, mass: 85 ± 20.3 kg) were randomly assigned to either an exercise (n=18) or control group (n=9). The exercise group participated in 12 weeks of exercise, using an arm ergometer or row machine, for 30 minutes a day, three times per week. Upper body kinematic data were collected while the subject propelled for two minute intervals at a self-selected speed on a set of stationary rollers. Six subjects (3 exercise, 3 control) have been analyzed to date. We present the changes in ROM of pretest and post-test values for the control and exercise groups respectively (elbow -6.3 ± 18.0, wrist flex/ext -12.5 ± 17.1, wrist deviation 4.1 ± 4.2; elbow -13.0 ± 4.1, wrist flex/ext 12.0 ± 12.4, wrist deviation -0.3 ± 4.4). Regarding wrist ROM, flexion and extension decreased in the control group yet increased in the exercise group. The exercise group also exhibited a decrease in wrist deviation angles. Further analysis of the remaining subjects is required before we can make any conclusions." @default.
- W1526803014 created "2016-06-24" @default.
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- W1526803014 date "2013-05-25" @default.
- W1526803014 modified "2023-09-27" @default.
- W1526803014 title "The Effects of Eccentric Exercise Components on Wrist Kinematics in Manual Wheelchair Users" @default.
- W1526803014 hasPublicationYear "2013" @default.
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