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FORTES JEFFERSONPACHECOAMARAL, HOTTA GISELEHARUMI, AGUIAR DÉBORAPINHEIRO, OLIVEIRA VICTORBRUNOSOARESDE, OLIVEIRA FRANCISCOCARLOSDEMATTOSBRITO, SANTOS-JÚNIOR FRANCISCOFLEURYUCHOA. RELIABILITY OF THE ISOMETRIC DYNAMOMETER IN CONTROL, PARAPLEGIC, AND AMPUTEE INDIVIDUALS. ACTA ORTOPEDICA BRASILEIRA 2023; 31:e255829. [PMID: 36844127 PMCID: PMC9949314 DOI: 10.1590/1413-785220233101e255829] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/28/2021] [Accepted: 04/06/2022] [Indexed: 02/22/2023]
Abstract
Objective To determine the Intraclass Correlation Coefficient (ICC), Standard Error of Measurement (SEM), Minimum Detectable Change (MDC), and the Minimum Clinically Important Difference (MCID) of the isometric measurements of muscle strength of trunk extension and of flexion and knee extension at maximum contraction in healthy, paraplegic, and amputee individuals, by using an isometric dynamometer with a belt for stabilization. Methods An observational cross-sectional study was carried out to assess the reliability of a portable isometric dynamometer in the trunk extension and flexion and knee extension movements of each group. Results In all measurements, ICC ranged from 0.66 to 0.99, SEM from 0.11 to 3.73 kgf, and MDC from 0.30 to 10.3 kgf. The MCID of the movements ranged from 3.1 to 4.9 kgf in the amputee group and from 2.2 to 3.66 kgf in the paraplegic group. Conclusion The manual dynamometer demonstrated good intra-examiner reliability, presenting moderate and excellent ICC results. Thus, this device is a reliable resource to measure muscle strength in amputees and paraplegics. Level of Evidence II, Cross-Sectional Study.
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Affiliation(s)
| | - GISELE HARUMI HOTTA
- Lead - Dell Research, Development, and Innovation Center, Fortaleza, CE, Brazil.,Universidade de São Paulo, Ribeirão Preto Medical School, Department of Health Sciences, Ribeirão Preto, SP, Brazil
| | | | | | - FRANCISCO CARLOS DE MATTOS BRITO OLIVEIRA
- Lead - Dell Research, Development, and Innovation Center, Fortaleza, CE, Brazil.,Universidade Estadual do Ceará, Department of Computer Science, Fortaleza, CE, Brazil
| | - FRANCISCO FLEURY UCHOA SANTOS-JÚNIOR
- Lead - Dell Research, Development, and Innovation Center, Fortaleza, CE, Brazil.,Instituto Le Santé, Fortaleza, CE, Brazil.,Universidade de São Paulo, Ribeirão Preto Medical School, Department of Health Sciences, Ribeirão Preto, SP, Brazil
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Chénier F, Alberca I, Marquis E, Gagnon DH, Faupin A. Impact of dribbling on spatiotemporal and kinetic parameters in wheelchair basketball athletes. Clin Biomech (Bristol, Avon) 2022; 91:105545. [PMID: 34915435 DOI: 10.1016/j.clinbiomech.2021.105545] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/24/2021] [Revised: 12/01/2021] [Accepted: 12/06/2021] [Indexed: 02/07/2023]
Abstract
BACKGROUND Wheelchair basketball is one of the most popular Paralympic sports. Dribbling a ball while propelling is a key feature of wheelchair basketball. Very few studies have investigated the biomechanical impact of dribbling. This study aims to analyze the impact of dribbling on the amplitude and symmetry of spatiotemporal and kinetic parameters of wheelchair propulsion. METHODS Ten experienced wheelchair basketball athletes (31.5 ± 10.6 years old; 7 men, 3 women) with various classifications performed eight 9-m sprints along a straight line on a basketball court: four sprints using classic synchronous propulsion, and four sprints while dribbling a ball down the court. FINDINGS Dribbling decreased velocity, mean propulsive moments and the force rate of rise, as well as increased push time, force rate of rise asymmetry and angular impulse asymmetry. All kinetic variables were asymmetric and higher on the dominant limb. INTERPRETATION The combination of reduced velocity and propulsive moments when dribbling indicates that wheelchair basketball athletes may deliberately preserve a safety margin of acceleration to adapt to uncontrolled ball rebounds. Dribbling was not associated with any factors associated with an increased risk of musculoskeletal disorders.
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Affiliation(s)
- Félix Chénier
- Université du Québec à Montréal, Faculty of Sciences, Department of Physical Activity Sciences, Montreal, Canada; Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, Canada.
| | - Ilona Alberca
- Université de Toulon, Impact de l'Activité Physique sur la Santé (UR IAPS n°201723207F), Campus de La Garde, CS60584, F-83041 Toulon, France
| | - Etienne Marquis
- Université du Québec à Montréal, Faculty of Sciences, Department of Physical Activity Sciences, Montreal, Canada; Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, Canada
| | - Dany H Gagnon
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, Canada; Université de Montréal, Faculty of Medicine, School of Rehabilitation, Montreal, Canada
| | - Arnaud Faupin
- Université de Toulon, Impact de l'Activité Physique sur la Santé (UR IAPS n°201723207F), Campus de La Garde, CS60584, F-83041 Toulon, France
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Paula SD, Griebeler KC, Bez MR, Rocha CFKD. Effects of exergames on trunk balance control in paraplegic patients. FISIOTERAPIA EM MOVIMENTO 2020. [DOI: 10.1590/1980-5918.033.ao36] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Abstract Introduction: Due to motivation and immediate feedback during activities, exergame-based physical therapy may improve trunk balance and functionality in individuals with spinal cord injury (SCI). Objective: evaluate the effects of exergames on the trunk control of paraplegics with spinal cord injury or meningomyelocele. Method: case series involving four paraplegic patients, with SCI or meningomyelocele. Participants underwent a rehabilitation protocol using the exergame Nintendo Wii®, attending one weekly session for 4 weeks. Patients were encouraged to perform trunk movements in the sitting position using the Swordplay and Canoeing games. Data were collected before and after the intervention by applying the functional reach test adapted for trunk control evaluation, and transfer time and propulsion tests for functional assessment. Results: The intervention increased trunk control in 75% of the patients, with improvement varying between 6.4 and 25%. In the propulsion test, the intervention led to a decrease in half of the patients. For the cadence variable, in the same test, there was a reduction in the number of propulsions in 75% of the cases. In the transfer test, the intervention led to reduced chair-to-bed transfer time in all patients. Conclusion: Rehabilitation of paraplegics with the use of exergames can be considered viable, innovative and effective. However, future research with greater methodological rigor should be conducted in order to analyze the clinical applicability of this approach.
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Proposing a new index to quantify instantaneous symmetry during manual wheelchair propulsion. J Biomech 2017; 51:137-141. [DOI: 10.1016/j.jbiomech.2016.11.069] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2016] [Revised: 11/29/2016] [Accepted: 11/29/2016] [Indexed: 11/24/2022]
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Effects of Seated Postural Stability and Trunk and Upper Extremity Strength on Performance during Manual Wheelchair Propulsion Tests in Individuals with Spinal Cord Injury: An Exploratory Study. Rehabil Res Pract 2016; 2016:6842324. [PMID: 27635262 PMCID: PMC5007374 DOI: 10.1155/2016/6842324] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2016] [Revised: 04/17/2016] [Accepted: 06/23/2016] [Indexed: 11/17/2022] Open
Abstract
Objectives. To quantify the association between performance-based manual wheelchair propulsion tests (20 m propulsion test, slalom test, and 6 min propulsion test), trunk and upper extremity (U/E) strength, and seated reaching capability and to establish which ones of these variables best predict performance at these tests. Methods. 15 individuals with a spinal cord injury (SCI) performed the three wheelchair propulsion tests prior to discharge from inpatient SCI rehabilitation. Trunk and U/E strength and seated reaching capability with unilateral hand support were also measured. Bivariate correlation and multiple linear regression analyses allowed determining the best determinants and predictors, respectively. Results. The performance at the three tests was moderately or strongly correlated with anterior and lateral flexion trunk strength, anterior seated reaching distance, and the shoulder, elbow, and handgrip strength measures. Shoulder adductor strength-weakest side explained 53% of the variance on the 20-meter propulsion test-maximum velocity. Shoulder adductor strength-strongest side and forward seated reaching distance explained 71% of the variance on the slalom test. Handgrip strength explained 52% of the variance on the 6-minute propulsion test. Conclusion. Performance at the manual wheelchair propulsion tests is explained by a combination of factors that should be considered in rehabilitation.
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Gagnon DH, Roy A, Verrier MC, Duclos C, Craven BC, Nadeau S. Do Performance-Based Wheelchair Propulsion Tests Detect Changes Among Manual Wheelchair Users With Spinal Cord Injury During Inpatient Rehabilitation in Quebec? Arch Phys Med Rehabil 2016; 97:1214-8. [PMID: 26987621 DOI: 10.1016/j.apmr.2016.02.018] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2015] [Revised: 01/19/2016] [Accepted: 02/25/2016] [Indexed: 11/27/2022]
Abstract
OBJECTIVE To quantify and compare the responsiveness and concurrent validity of 3 performance-based manual wheelchair propulsion tests among manual wheelchair users with subacute spinal cord injury (SCI) undergoing inpatient rehabilitation. DESIGN Quasi-experimental repeated-measures design. SETTING Publicly funded comprehensive inpatient SCI rehabilitation program. PARTICIPANTS Consenting adult manual wheelchair users with a subacute SCI admitted and discharged from inpatient rehabilitation (N=14). INTERVENTION Participants performed 20-m propulsion at both self-selected natural and maximal speeds, the slalom, and the 6-minute propulsion tests at rehabilitation admission and discharge. MAIN OUTCOME MEASURES Time required to complete the performance-based wheelchair propulsion tests. Standardized response means (SRMs) were computed for each performance test and Pearson correlation coefficients (r) were calculated to explore the associations between performance tests. RESULTS The slalom (SRM=1.24), 20-m propulsion at maximum speed (SRM=.99), and 6-minute propulsion tests (SRM=.84) were the most responsive. The slalom and 20-m propulsion at maximum speed were strongly correlated at both admission (r=.93) and discharge (r=.92). CONCLUSIONS The slalom and 6-minute propulsion tests best document wheelchair propulsion performance change over the course of inpatient rehabilitation. Adding the 20-m propulsion test performed at maximal speed provides a complementary description of performance change.
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Affiliation(s)
- Dany H Gagnon
- Pathokinesiology Laboratory, Center for Interdisciplinary Research in Rehabilitation of Greater Montreal, Institut de réadaptation Gingras-Lindsay-de-Montréal, Montreal, QC, Canada; School of Rehabilitation, Université de Montréal, Montreal, QC, Canada.
| | - Audrey Roy
- Pathokinesiology Laboratory, Center for Interdisciplinary Research in Rehabilitation of Greater Montreal, Institut de réadaptation Gingras-Lindsay-de-Montréal, Montreal, QC, Canada
| | - Molly C Verrier
- Brain and Spinal Cord Rehabilitation Program, Toronto Rehabilitation Institute-University Health Network, Lyndhurst Center, Toronto, ON, Canada; Department of Physical Therapy and Graduate Department of Rehabilitation Sciences, Faculty of Medicine, University of Toronto, Toronto, ON, Canada
| | - Cyril Duclos
- Pathokinesiology Laboratory, Center for Interdisciplinary Research in Rehabilitation of Greater Montreal, Institut de réadaptation Gingras-Lindsay-de-Montréal, Montreal, QC, Canada; School of Rehabilitation, Université de Montréal, Montreal, QC, Canada
| | - B Cathy Craven
- Brain and Spinal Cord Rehabilitation Program, Toronto Rehabilitation Institute-University Health Network, Lyndhurst Center, Toronto, ON, Canada; Division of Physiatry, Faculty of Medicine, University of Toronto, Toronto, ON, Canada
| | - Sylvie Nadeau
- Pathokinesiology Laboratory, Center for Interdisciplinary Research in Rehabilitation of Greater Montreal, Institut de réadaptation Gingras-Lindsay-de-Montréal, Montreal, QC, Canada; School of Rehabilitation, Université de Montréal, Montreal, QC, Canada
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Collinger JL, Foldes S, Bruns TM, Wodlinger B, Gaunt R, Weber DJ. Neuroprosthetic technology for individuals with spinal cord injury. J Spinal Cord Med 2013; 36:258-72. [PMID: 23820142 PMCID: PMC3758523 DOI: 10.1179/2045772313y.0000000128] [Citation(s) in RCA: 48] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
CONTEXT Spinal cord injury (SCI) results in a loss of function and sensation below the level of the lesion. Neuroprosthetic technology has been developed to help restore motor and autonomic functions as well as to provide sensory feedback. FINDINGS This paper provides an overview of neuroprosthetic technology that aims to address the priorities for functional restoration as defined by individuals with SCI. We describe neuroprostheses that are in various stages of preclinical development, clinical testing, and commercialization including functional electrical stimulators, epidural and intraspinal microstimulation, bladder neuroprosthesis, and cortical stimulation for restoring sensation. We also discuss neural recording technologies that may provide command or feedback signals for neuroprosthetic devices. CONCLUSION/CLINICAL RELEVANCE Neuroprostheses have begun to address the priorities of individuals with SCI, although there remains room for improvement. In addition to continued technological improvements, closing the loop between the technology and the user may help provide intuitive device control with high levels of performance.
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Lemay V, Routhier F, Noreau L, Phang SH, Martin Ginis KA. Relationships between wheelchair skills, wheelchair mobility and level of injury in individuals with spinal cord injury. Spinal Cord 2011; 50:37-41. [DOI: 10.1038/sc.2011.98] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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