Relation between median and ulnar nerve function and wrist kinematics during wheelchair propulsion

Boninger, ML and Impink, BG and Cooper, RA and Koontz, AM (2004) Relation between median and ulnar nerve function and wrist kinematics during wheelchair propulsion. Archives of Physical Medicine and Rehabilitation, 85 (7). 1141 - 1145. ISSN 0003-9993

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Abstract

Boninger ML, Impink BG, Cooper RA, Koontz AM. Relation between median and ulnar nerve function and wrist kinematics during wheelchair propulsion. Arch Phys Med Rehabil 2004;85:1141-5. Objective To investigate the relation between median and ulnar nerve health and wrist kinematics in wheelchair users. Design Case series. Setting Biomechanics laboratory and electrodiagnostic laboratory at a Veterans Health Administration medical center and a university hospital, respectively. Participants Thirty-five people with spinal cord injury who use manual wheelchairs. Intervention Subjects propelled their own wheelchair on a dynamometer at 0.9 and 1.8m/s. Bilateral biomechanic data were obtained by using force and moment sensing pushrims and a kinematic system. Bilateral median and ulnar nerve conduction studies were also completed. Main outcome measures Wrist flexion, extension, radial and ulnar deviation peaks, and ranges of motion (ROMs) as related to median and ulnar motor and sensory amplitudes. A secondary analysis included peak pushrim forces and moments and stroke frequency. Results There was a significant, positive correlation between flexion and extension ROM and both ulnar motor amplitude (r=.383, P<.05) and median motor amplitude (r=.361, P<.05). Conclusions Contrary to our hypothesis, subjects using a greater ROM showed better nerve function than subjects propelling with a smaller ROM. Subjects using a larger ROM used less force and fewer strokes to propel their wheelchairs at a given speed. It is possible that long, smooth strokes may benefit nerve health in manual wheelchair users. © 2004 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation.

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Details

Item Type:	Article
Status:	Published
Creators/Authors:	Creators Email Pitt Username ORCID Boninger, ML boninger@pitt.edu BONINGER Impink, BG Cooper, RA RCOOPER@pitt.edu RCOOPER Koontz, AM akoontz@pitt.edu AKOONTZ
Centers:	Other Centers, Institutes, Offices, or Units > Human Engineering Research Laboratories
Date:	1 July 2004
Date Type:	Publication
Journal or Publication Title:	Archives of Physical Medicine and Rehabilitation
Volume:	85
Number:	7
Page Range:	1141 - 1145
DOI or Unique Handle:	10.1016/j.apmr.2003.11.016
Schools and Programs:	School of Health and Rehabilitation Sciences > Rehabilitation Science and Technology
Refereed:	Yes
ISSN:	0003-9993
MeSH Headings:	Adolescent; Adult; Biomechanics; Female; Humans; Linear Models; Male; Median Nerve--physiology; Middle Aged; Neural Conduction; Range of Motion, Articular; Spinal Cord Injuries--rehabilitation; Ulnar Nerve--physiology; Wheelchairs; Wrist Joint--physiology
PubMed ID:	15241765
Date Deposited:	25 Sep 2012 14:24
Last Modified:	02 Feb 2019 16:56
URI:	http://d-scholarship-dev.library.pitt.edu/id/eprint/14422

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