Manual wheelchair biomechanics while overcoming various environmental barriers: A systematic review
During manual wheelchair (MWC) locomotion, the user's upper limbs are subject to heavy stresses and fatigue because the upper body is permanently engaged to propel the MWC. These stresses and fatigue vary according to the environmental barriers encountered outdoors along a given path. This stud...
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Published in | PloS one Vol. 17; no. 6; p. e0269657 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
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United States
Public Library of Science
23.06.2022
Public Library of Science (PLoS) |
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Abstract | During manual wheelchair (MWC) locomotion, the user's upper limbs are subject to heavy stresses and fatigue because the upper body is permanently engaged to propel the MWC. These stresses and fatigue vary according to the environmental barriers encountered outdoors along a given path. This study aimed at conducting a systematic review of the literature assessing the biomechanics of MWC users crossing various situations, which represent physical environmental barriers. Through a systematic search on PubMed, 34 articles were selected and classified according to the investigated environmental barriers: slope; cross-slope; curb; and ground type. For each barrier, biomechanical parameters were divided into four categories: spatiotemporal parameters; kinematics; kinetics; and muscle activity. All results from the different studies were gathered, including numerical data, and assessed with respect to the methodology used in each study. This review sheds light on the fact that certain situations (cross-slopes and curbs) or parameters (kinematics) have scarcely been studied, and that a wider set of situations should be studied. Five recommendations were made at the end of this review process to standardize the procedure when reporting materials, methods, and results for the study of biomechanics of any environmental barrier encountered in MWC locomotion: (i) effectively reporting barriers' lengths, grades, or heights; (ii) striving for standardization or a report of the approach conditions of the barrier, such as velocity, especially on curbs; (iii) reporting the configuration of the used MWC, and if it was fitted to the subject's morphology; (iv) reporting rotation sequences for the expression of moments and kinematics, and when used, the definition of the musculoskeletal model; lastly (v) when possible, reporting measurement uncertainties and model reconstruction errors. |
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AbstractList | During manual wheelchair (MWC) locomotion, the user's upper limbs are subject to heavy stresses and fatigue because the upper body is permanently engaged to propel the MWC. These stresses and fatigue vary according to the environmental barriers encountered outdoors along a given path. This study aimed at conducting a systematic review of the literature assessing the biomechanics of MWC users crossing various situations, which represent physical environmental barriers. Through a systematic search on PubMed, 34 articles were selected and classified according to the investigated environmental barriers: slope; cross-slope; curb; and ground type. For each barrier, biomechanical parameters were divided into four categories: spatiotemporal parameters; kinematics; kinetics; and muscle activity. All results from the different studies were gathered, including numerical data, and assessed with respect to the methodology used in each study. This review sheds light on the fact that certain situations (cross-slopes and curbs) or parameters (kinematics) have scarcely been studied, and that a wider set of situations should be studied. Five recommendations were made at the end of this review process to standardize the procedure when reporting materials, methods, and results for the study of biomechanics of any environmental barrier encountered in MWC locomotion: (i) effectively reporting barriers' lengths, grades, or heights; (ii) striving for standardization or a report of the approach conditions of the barrier, such as velocity, especially on curbs; (iii) reporting the configuration of the used MWC, and if it was fitted to the subject's morphology; (iv) reporting rotation sequences for the expression of moments and kinematics, and when used, the definition of the musculoskeletal model; lastly (v) when possible, reporting measurement uncertainties and model reconstruction errors. |
Audience | Academic |
Author | Louessard, Aude Pillet, Hélène Hybois, Samuel Pontonnier, Charles Rouvier, Théo Bascou, Joseph Sauret, Christophe Simonetti, Emeline |
AuthorAffiliation | 1 Institut de Biomécanique Humaine Georges Charpak, Arts et Métiers Institute of Technology, Paris, France 4 Université de Rennes, Centre National de la Recherche Scientifique, Institut National de Recherche en Informatique et en Automatique, Institut de Recherche en Informatique et Systèmes Aléatoires–Unité Mixte de Recherche 6074, Rennes, France 2 Centre d’Études et de Recherche sur l’Appareillage des Handicapés, Institution Nationale des Invalides, Créteil, France 3 Complexité Innovation Activités Motrices et Sportives, Faculté des Sciences du Sport, Université Paris-Saclay, Orsay, France Rijksuniversiteit Groningen, NETHERLANDS |
AuthorAffiliation_xml | – name: 1 Institut de Biomécanique Humaine Georges Charpak, Arts et Métiers Institute of Technology, Paris, France – name: 2 Centre d’Études et de Recherche sur l’Appareillage des Handicapés, Institution Nationale des Invalides, Créteil, France – name: 3 Complexité Innovation Activités Motrices et Sportives, Faculté des Sciences du Sport, Université Paris-Saclay, Orsay, France – name: 4 Université de Rennes, Centre National de la Recherche Scientifique, Institut National de Recherche en Informatique et en Automatique, Institut de Recherche en Informatique et Systèmes Aléatoires–Unité Mixte de Recherche 6074, Rennes, France – name: Rijksuniversiteit Groningen, NETHERLANDS |
Author_xml | – sequence: 1 givenname: Théo orcidid: 0000-0003-0474-8326 surname: Rouvier fullname: Rouvier, Théo organization: Institut de Biomécanique Humaine Georges Charpak, Arts et Métiers Institute of Technology, Paris, France – sequence: 2 givenname: Aude orcidid: 0000-0001-8371-0937 surname: Louessard fullname: Louessard, Aude organization: Institut de Biomécanique Humaine Georges Charpak, Arts et Métiers Institute of Technology, Paris, France – sequence: 3 givenname: Emeline surname: Simonetti fullname: Simonetti, Emeline organization: Centre d'Études et de Recherche sur l'Appareillage des Handicapés, Institution Nationale des Invalides, Créteil, France – sequence: 4 givenname: Samuel surname: Hybois fullname: Hybois, Samuel organization: Complexité Innovation Activités Motrices et Sportives, Faculté des Sciences du Sport, Université Paris-Saclay, Orsay, France – sequence: 5 givenname: Joseph surname: Bascou fullname: Bascou, Joseph organization: Centre d'Études et de Recherche sur l'Appareillage des Handicapés, Institution Nationale des Invalides, Créteil, France – sequence: 6 givenname: Charles surname: Pontonnier fullname: Pontonnier, Charles organization: Université de Rennes, Centre National de la Recherche Scientifique, Institut National de Recherche en Informatique et en Automatique, Institut de Recherche en Informatique et Systèmes Aléatoires-Unité Mixte de Recherche 6074, Rennes, France – sequence: 7 givenname: Hélène surname: Pillet fullname: Pillet, Hélène organization: Institut de Biomécanique Humaine Georges Charpak, Arts et Métiers Institute of Technology, Paris, France – sequence: 8 givenname: Christophe surname: Sauret fullname: Sauret, Christophe organization: Centre d'Études et de Recherche sur l'Appareillage des Handicapés, Institution Nationale des Invalides, Créteil, France |
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CitedBy_id | crossref_primary_10_57197_JDR_2024_0041 crossref_primary_10_1115_1_4063274 crossref_primary_10_1016_j_clinbiomech_2023_106167 crossref_primary_10_3389_fspor_2023_1127514 |
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ContentType | Journal Article |
Copyright | COPYRIGHT 2022 Public Library of Science 2022 Rouvier et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. Distributed under a Creative Commons Attribution 4.0 International License 2022 Rouvier et al 2022 Rouvier et al |
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DocumentTitleAlternate | Barrier crossing in manual wheelchairs: A review |
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Keywords | Curb, Cross-slope, Slope, Ground type, Kinematics, Spatio-temporal parameters, Kinetics, Electromyography |
Language | English |
License | Distributed under a Creative Commons Attribution 4.0 International License: http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Creative Commons Attribution License |
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Snippet | During manual wheelchair (MWC) locomotion, the user's upper limbs are subject to heavy stresses and fatigue because the upper body is permanently engaged to... During manual wheelchair (MWC) locomotion, the user’s upper limbs are subject to heavy stresses and fatigue because the upper body is permanently engaged to... |
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SubjectTerms | Architectural Accessibility Biology and Life Sciences Biomechanical Phenomena Biomechanics Fatigue Handicapped accessibility Humans Kinematics Kinetics Literature reviews Locomotion Mathematical models Mechanics Medicine and Health Sciences Muscle function Muscles Parameters Physical Sciences Physics Properties Research and Analysis Methods Research methodology Slopes Standardization Stresses Systematic review Wheelchairs |
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Title | Manual wheelchair biomechanics while overcoming various environmental barriers: A systematic review |
URI | https://www.ncbi.nlm.nih.gov/pubmed/35737733 https://www.proquest.com/docview/2686270469 https://search.proquest.com/docview/2680237458 https://inria.hal.science/hal-03703872 https://pubmed.ncbi.nlm.nih.gov/PMC9223621 https://doaj.org/article/bbf7454ea8404227bacd3b908f3cb163 http://dx.doi.org/10.1371/journal.pone.0269657 |
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