Scapular kinematics during manual wheelchair propulsion in able-bodied participants

Michel J Bekker; Riemer J K Vegter; Jan W van der Scheer; Johanneke Hartog; Sonja de Groot; Wiebe de Vries; Ursina Arnet; Lucas H V van der Woude; Dirkjan H E J Veeger

doi:10.1016/j.clinbiomech.2018.03.008

Scapular kinematics during manual wheelchair propulsion in able-bodied participants

Michel J Bekker, Riemer J K Vegter, Jan W van der Scheer, Johanneke Hartog, Sonja de Groot, Wiebe de Vries, Ursina Arnet, Lucas H V van der Woude, Dirkjan H E J Veeger

Research output: Contribution to journal › Article › Academic › peer-review

1 Citation (Scopus)

76 Downloads (Pure)

Abstract

BACKGROUND: Altered scapular kinematics have been associated with shoulder pain and functional limitations. To understand kinematics in persons with spinal cord injury during manual handrim wheelchair propulsion, a description of normal scapular behaviour in able-bodied persons during this specific task is a prerequisite for accurate interpretation. The primary aim of this study is to describe scapular kinematics in able-bodied persons during manual wheelchair propulsion.

METHODS: Sixteen able-bodied, novice wheelchair users without shoulder complaints participated in the study. Kinematic and kinetic data were collected during a standardized pose in the anatomic posture, frontal-plane arm elevation and low-intensity steady-state handrim wheelchair propulsion and upper-body Euler angles were calculated.

FINDINGS: Scapulothoracic joint orientations in a static position were 36.7° (SD 5.4°), 6.4° (SD 9.1°) and 9.1° (SD 5.7°) for respectively protraction, lateral rotation and anterior tilt. At 80° of arm elevation in the frontal plane, the respective values of 33.4° (SD 8.0°), 23.9° (SD 5.4°) and 4.1° (SD 11.3°) were found. During the push phase of manual wheelchair propulsion, the mean scapular rotations were respectively 32.7° (SD 7.1°), 7.1° (SD 9.2°) and 9.8° (SD 8.3°).

INTERPRETATION: The orientation of the scapula in a static pose, during arm elevation and in manual wheelchair propulsion in able-bodied participants showed similar patterns to a previous study in persons with para- and tetraplegia. These values provide a reference for the investigation of the scapular movement pattern in wheelchair-dependent persons and its relation to shoulder complex abnormalities.

Original language	English
Pages (from-to)	54-61
Number of pages	8
Journal	Clinical Biomechanics
Volume	54
Early online date	14-Mar-2018
DOIs	https://doi.org/10.1016/j.clinbiomech.2018.03.008
Publication status	Published - May-2018

Keywords

Scapular kinematics
Biomechanics
Manual wheelchair propulsion
SPINAL-CORD-INJURY
SHOULDER PAIN
IN-VIVO
IMPINGEMENT SYNDROME
MOTION
DYSKINESIS
INDIVIDUALS
RELIABILITY
RANGE
USERS

Access to Document

10.1016/j.clinbiomech.2018.03.008

Scapular kinematics during manual wheelchairFinal publisher's version, 644 KBLicence: Taverne

Handle.net

Persistent link

Cite this

@article{3c7c1e21d0684f5d9b61a30c54d5546a,

title = "Scapular kinematics during manual wheelchair propulsion in able-bodied participants",

abstract = "BACKGROUND: Altered scapular kinematics have been associated with shoulder pain and functional limitations. To understand kinematics in persons with spinal cord injury during manual handrim wheelchair propulsion, a description of normal scapular behaviour in able-bodied persons during this specific task is a prerequisite for accurate interpretation. The primary aim of this study is to describe scapular kinematics in able-bodied persons during manual wheelchair propulsion.METHODS: Sixteen able-bodied, novice wheelchair users without shoulder complaints participated in the study. Kinematic and kinetic data were collected during a standardized pose in the anatomic posture, frontal-plane arm elevation and low-intensity steady-state handrim wheelchair propulsion and upper-body Euler angles were calculated.FINDINGS: Scapulothoracic joint orientations in a static position were 36.7° (SD 5.4°), 6.4° (SD 9.1°) and 9.1° (SD 5.7°) for respectively protraction, lateral rotation and anterior tilt. At 80° of arm elevation in the frontal plane, the respective values of 33.4° (SD 8.0°), 23.9° (SD 5.4°) and 4.1° (SD 11.3°) were found. During the push phase of manual wheelchair propulsion, the mean scapular rotations were respectively 32.7° (SD 7.1°), 7.1° (SD 9.2°) and 9.8° (SD 8.3°).INTERPRETATION: The orientation of the scapula in a static pose, during arm elevation and in manual wheelchair propulsion in able-bodied participants showed similar patterns to a previous study in persons with para- and tetraplegia. These values provide a reference for the investigation of the scapular movement pattern in wheelchair-dependent persons and its relation to shoulder complex abnormalities.",

keywords = "Scapular kinematics, Biomechanics, Manual wheelchair propulsion, SPINAL-CORD-INJURY, SHOULDER PAIN, IN-VIVO, IMPINGEMENT SYNDROME, MOTION, DYSKINESIS, INDIVIDUALS, RELIABILITY, RANGE, USERS",

author = "Bekker, {Michel J} and Vegter, {Riemer J K} and {van der Scheer}, {Jan W} and Johanneke Hartog and {de Groot}, Sonja and {de Vries}, Wiebe and Ursina Arnet and {van der Woude}, {Lucas H V} and Veeger, {Dirkjan H E J}",

note = "Copyright {\textcopyright} 2018. Published by Elsevier Ltd.",

year = "2018",

month = may,

doi = "10.1016/j.clinbiomech.2018.03.008",

language = "English",

volume = "54",

pages = "54--61",

journal = "Clinical Biomechanics",

issn = "0268-0033",

publisher = "ELSEVIER SCI LTD",

}

TY - JOUR

T1 - Scapular kinematics during manual wheelchair propulsion in able-bodied participants

AU - Bekker, Michel J

AU - Vegter, Riemer J K

AU - van der Scheer, Jan W

AU - Hartog, Johanneke

AU - de Groot, Sonja

AU - de Vries, Wiebe

AU - Arnet, Ursina

AU - van der Woude, Lucas H V

AU - Veeger, Dirkjan H E J

PY - 2018/5

Y1 - 2018/5

N2 - BACKGROUND: Altered scapular kinematics have been associated with shoulder pain and functional limitations. To understand kinematics in persons with spinal cord injury during manual handrim wheelchair propulsion, a description of normal scapular behaviour in able-bodied persons during this specific task is a prerequisite for accurate interpretation. The primary aim of this study is to describe scapular kinematics in able-bodied persons during manual wheelchair propulsion.METHODS: Sixteen able-bodied, novice wheelchair users without shoulder complaints participated in the study. Kinematic and kinetic data were collected during a standardized pose in the anatomic posture, frontal-plane arm elevation and low-intensity steady-state handrim wheelchair propulsion and upper-body Euler angles were calculated.FINDINGS: Scapulothoracic joint orientations in a static position were 36.7° (SD 5.4°), 6.4° (SD 9.1°) and 9.1° (SD 5.7°) for respectively protraction, lateral rotation and anterior tilt. At 80° of arm elevation in the frontal plane, the respective values of 33.4° (SD 8.0°), 23.9° (SD 5.4°) and 4.1° (SD 11.3°) were found. During the push phase of manual wheelchair propulsion, the mean scapular rotations were respectively 32.7° (SD 7.1°), 7.1° (SD 9.2°) and 9.8° (SD 8.3°).INTERPRETATION: The orientation of the scapula in a static pose, during arm elevation and in manual wheelchair propulsion in able-bodied participants showed similar patterns to a previous study in persons with para- and tetraplegia. These values provide a reference for the investigation of the scapular movement pattern in wheelchair-dependent persons and its relation to shoulder complex abnormalities.

AB - BACKGROUND: Altered scapular kinematics have been associated with shoulder pain and functional limitations. To understand kinematics in persons with spinal cord injury during manual handrim wheelchair propulsion, a description of normal scapular behaviour in able-bodied persons during this specific task is a prerequisite for accurate interpretation. The primary aim of this study is to describe scapular kinematics in able-bodied persons during manual wheelchair propulsion.METHODS: Sixteen able-bodied, novice wheelchair users without shoulder complaints participated in the study. Kinematic and kinetic data were collected during a standardized pose in the anatomic posture, frontal-plane arm elevation and low-intensity steady-state handrim wheelchair propulsion and upper-body Euler angles were calculated.FINDINGS: Scapulothoracic joint orientations in a static position were 36.7° (SD 5.4°), 6.4° (SD 9.1°) and 9.1° (SD 5.7°) for respectively protraction, lateral rotation and anterior tilt. At 80° of arm elevation in the frontal plane, the respective values of 33.4° (SD 8.0°), 23.9° (SD 5.4°) and 4.1° (SD 11.3°) were found. During the push phase of manual wheelchair propulsion, the mean scapular rotations were respectively 32.7° (SD 7.1°), 7.1° (SD 9.2°) and 9.8° (SD 8.3°).INTERPRETATION: The orientation of the scapula in a static pose, during arm elevation and in manual wheelchair propulsion in able-bodied participants showed similar patterns to a previous study in persons with para- and tetraplegia. These values provide a reference for the investigation of the scapular movement pattern in wheelchair-dependent persons and its relation to shoulder complex abnormalities.

KW - Scapular kinematics

KW - Biomechanics

KW - Manual wheelchair propulsion

KW - SPINAL-CORD-INJURY

KW - SHOULDER PAIN

KW - IN-VIVO

KW - IMPINGEMENT SYNDROME

KW - MOTION

KW - DYSKINESIS

KW - INDIVIDUALS

KW - RELIABILITY

KW - RANGE

KW - USERS

U2 - 10.1016/j.clinbiomech.2018.03.008

DO - 10.1016/j.clinbiomech.2018.03.008

M3 - Article

C2 - 29554550

SN - 0268-0033

VL - 54

SP - 54

EP - 61

JO - Clinical Biomechanics

JF - Clinical Biomechanics

ER -

Scapular kinematics during manual wheelchair propulsion in able-bodied participants

Abstract

Keywords

Access to Document

Handle.net

Fingerprint

Cite this