DCRM 2020: Innovation with impact; Rehabilitation in the near future

  • Rick Klerk, de (Speaker)
  • Janssen, R. (Speaker)
  • Thomas Rietveld (Speaker)

    Activity: Talk and presentationAcademic presentationAcademic


    A2. Workshop: ‘Wheel-I’ 2.0: the Esseda, wheelchair ergometry and performance monitoring

    Worldwide an estimated 1% of the population is depending on any form of wheeled mobility. A vast majority will use manually propelled wheelchairs. In the Western world hand rim wheelchairs are by far the preferred mode of manual propulsion due to size, weight, manoeuvrability and transportability, as well as its natural integration into human movement behavior and body scheme.

    Science-informed regular wheeled mobility rehabilitation makes a difference with the use of reliable and valid individualized systematic monitoring, testing and training, as well as with ergonomic optimization of vehicle mechanics and wheelchair-user interface. The Esseda is a dual roller computer-controlled and instrumented wheelchair ergometer. Following Wheel-I 2.0, wheelchair ergometry in an individual’s own wheelchair on the Esseda ergometer allows submaximal, maximal aerobic and anaerobic testing and training, while observing physiology and biomechanics with a cardiometabolic cart and simple 2D kinematics. On-screen or head-mounted virtual reality can further support wheelchair motor learning and skill. This will all help maintain the thin balance between power production and power requirements of healthy, safe, efficient and comfortable everyday wheeled mobility and athletics. The workshop will showcase wheelchair ergometry and performance monitoring with the Esseda ergometer in a ‘Wheel-I 2.0’ environment.


    Dr Riemer Vegter, Center for Human Movement Sciences, University Medical Center Groningen, University of Groningen
    Prof Lucas HV van der Woude, Center for Human Movement Sciences, University Medical Center Groningen, University of Groningen
    Workshop partners: Rick de Klerk, Riemer Vegter, Thomas Rietveld, Rowie Janssen (UMCG-UoG)

    Outline session:

    Hand rim wheelchair propulsion is indeed also straining for the upper body, the cardiorespiratory and musculoskeletal systems. Consequently, it may lead to upper body overuse problems, especially in shoulders and wrists, and fatigue and discomfort-based inactivity. An inactive lifestyle in turn may lead to cardiometabolic diseases in the long run.

    PhDs Rick de Klerk, Thomas Rietveld and Rowie Janssen will showcase wheelchair ergometry essentials with the dual-roller computer controlled wheelchair ergometer, Esseda.

    Examples of standardized submaximal and peak (an)aerobic exercise testing and their outcomes (processing and presentation) will be highlighted on the Esseda.

    Individualized repeated wheelchair testing over time provides a knowledge base of instruction and advise.

    It can also assist in a further refinement of wheelchair mechanics details as well as the interfacing between user and wheelchair (e.g. seat-height and for-aft position, camber angle, hand rim size and form).

    Learning objective(s):
    To recognize the importance of wheeled mobility training, monitoring and testing within a knowledgeable context and specific testing environment. Standardised testing involves individualized re-calibration and goal-setting. Power output (W) is the prime outcome measure in wheeled mobility testing and training.
    Event titleDCRM 2020: Innovation with impact; Rehabilitation in the near future
    Event typeConference
    LocationUtrecht, NetherlandsShow on map
    Degree of RecognitionNational


    • wheeled mobility
    • Physiology
    • biomechanics
    • ergonomics, human functioning,
    • motor learning
    • ergometry