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• W1970360526 abstract "Background Biomechanical studies have linked handrim wheelchair propulsion with a prevalence of upper limb musculoskeletal disorders. The purpose of this study was to record upper limb muscle recruitment patterns using surface electromyography during wheelchair propulsion. Recordings were made for various wheelchair configurations to understand the effect of wheelchair configuration on muscle recruitment. Methods Ten paraplegic and ten able-bodied subjects propelled a test wheelchair on a roller ergometer system at a comfortable speed. Twelve wheelchair configurations were tested. Upper limb surface electromyography and kinematics were recorded for each configuration. Based on the hand position relative to the handrim, the propulsion cycle was divided into three phases to explain the activation patterns. Findings Compared to the able-bodied subjects, the paraplegic subjects presented higher activation. This is the case for all muscles in the early push phase, for the triceps brachii, pectoralis major and latissimus dorsi in the late push phase and for the trapezius, triceps brachii and latissimus dorsi during recovery. During early push, activation of nearly all muscles was affected by the axle position, where as seat height only affected biceps brachii and pectoralis major activation. During late push, the deltoid anterior was affected by axle position and the biceps brachii by seat height. During recovery, the trapezius was affected by axle position, the deltoid posterior by seat height and the biceps brachii by both. Interpretation Upper limb muscle recruitment differences highlight that future studies on wheelchair propulsion should only be done with wheelchair experienced paraplegic subjects. Furthermore, this study provides indications on how muscle recruitment is affected by wheelchair configuration." @default.
• W1970360526 created "2016-06-24" @default.
• W1970360526 creator A5016663343 @default.
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• W1970360526 date "2010-11-01" @default.
• W1970360526 modified "2023-10-02" @default.
• W1970360526 title "Surface electromyography activity of upper limb muscle during wheelchair propulsion: Influence of wheelchair configuration" @default.
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• W1970360526 doi "https://doi.org/10.1016/j.clinbiomech.2010.07.002" @default.
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