Preprint has been published in a journal as an article
DOI of the published article https://doi.org/10.1016/j.jbiomech.2023.111779
Preprint / Version 2

Moving forward: A review of continuous kinetics and kinematics during wheelchair and handcycling propulsion

##article.authors##

  • Kellie M Halloran University of Illinois Urbana-Champaign
  • Michael Focht
  • Alexander Teague
  • Joseph Peters, MS
  • Ian Rice, PhD
  • Mariana E Kersh, PhD

DOI:

https://doi.org/10.31224/2236

Keywords:

Exercise, Physical Activity, Racing, Cardiovascular Disease, Propulsion, Shoulder, Handrim, Handcrank

Abstract

Wheelchair users (WCUs) face high rates of shoulder overuse injuries. As exercise is recommended to reduce cardiovascular disease prevalent among WCUs, it is becoming increasingly important to understand the mechanisms behind shoulder soft-tissue injury in WCUs. Understanding the kinetics and kinematics during upper-limb propulsion is the first step toward evaluating soft-tissue injury risk in WCUs. This paper examines continuous kinetic and kinematic data available in the literature. Two everyday modes (everyday wheelchair use and attach-unit handcycling) are examined, as well as two athletic modes (wheelchair racing and recumbent handcycling). These athletic modes are important considering the higher contact forces, speed, and power outputs experienced during these activities that could be putting users at increased risk of injury. Understanding the underlying kinetics and kinematics during various propulsion modes can lend insight into shoulder loading, and therefore injury risk, during these activities and inform future exercise guidelines for WCUs.

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Posted

2022-03-26 — Updated on 2023-05-11

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