Comparison between the isokinetics parameters of shoulder joint and independence functional level in manual wheelchair users
DOI:
https://doi.org/10.11606/issn.2317-0190.v29i3a194292Keywords:
Shoulder Pain, Wheelchairs, Disabled Persons, Quality of LifeAbstract
Shoulder pain is a common complaint in the wheelchair user’s population. This condition brings loss of independence and quality of life. Objective: The aim of this paper is to correlate shoulder joint isokinetic parameters and independence level of manual wheelchair users with or without pain. We hypothesize that users more independent are exposed to overuse injury of shoulder joints. Method: This is an explorative cross-sectional study with a quantitative approach. Community patients attended at a Rehabilitation Center. Manual wheelchair users. Twenty-four patients participated, we used the Functional Independence Measurement (FIM) to investigate the independent level of wheeled patients and isokinetic parameters of internal/external rotators and flexion/extension muscles of shoulder joint was collected using Biodex System 4 Pro. Statistical analyses were made by Fisher Test, Spiro-Wilk Test, Pearson Correlation test, Spearman test and the Coefficient of correlation’s value was squared to estimate the percentage of variation in dependent variable, explained by independent variable. Results: Total FIM variation was between 79 and 117 and median ipsilateral strength ratio of rotator muscles were 0.94 on 75°/s and 0.95 on 150°/s for the right limb and respectively 0.96 and 0.93 for the left limb. Conclusion: Wheelchair users present internal/external rotators shoulder muscles imbalance and the covariations samples of time of injury and peak torque ratio external/internal shoulder rotators have a significant predictive value on total MIF. These results suggest that there is correlation between the studied patients and shoulder impairment.
Downloads
References
World Health Organization. Guidelines on the provision of Manual Wheelchairs in less resourced settings. Geneva: WHO; 2008.
Flemmer CL, Flemmer RC. A review of manual wheelchairs. Disabil Rehabil Assist Technol. 2016;11(3):177-87. Doi: https://doi.org/10.3109/17483107.2015.1099747
van der Woude LH, de Groot S, Janssen TW. Manual wheelchairs: Research and innovation in rehabilitation, sports, daily life and health. Med Eng Phys. 2006;28(9):905-15. Doi: https://doi.org/10.1016/j.medengphy.2005.12.001
van der Woude LH, Veeger HE, Dallmeijer AJ, Janssen TW, Rozendaal LA. Biomechanics and physiology in active manual wheelchair propulsion. Med Eng Phys. 2001;23(10):713-33. Doi: https://doi.org/10.1016/s1350-4533(01)00083-2
Rankin JW, Kwarciak AM, Mark Richter W, Neptune RR. The influence of altering push force effectiveness on upper extremity demand during wheelchair propulsion. J Biomech. 2010;43(14):2771-9. Doi: https://doi.org/10.1016/j.jbiomech.2010.06.020
Finley MA, Rasch EK, Keyser RE, Rodgers MM. The biomechanics of wheelchair propulsion in individuals with and without upper-limb impairment. J Rehabil Res Dev. 2004;41(3B):385-95. Doi: https://doi.org/10.1682/jrrd.2004.03.0385
Odle BM. Construction and assessment of a computer graphics-based model for wheelchair propulsion. Undefined [Dissertation]. New Jersey: New Jersey Institute of Technology and Rutgers University; 2014.
Requejo PS, Mulroy SJ, Ruparel P, Hatchett PE, Haubert LL, Eberly VJ, et al. Relationship between hand contact angle and shoulder loading during manual wheelchair propulsion by individuals with paraplegia. Top Spinal Cord Inj Rehabil. 2015;21(4):313-24. Doi: https://doi.org/10.1310/sci2104-313
van der Helm FC, Veeger HE. Quasi-static analysis of muscle forces in the shoulder mechanism during wheelchair propulsion. J Biomech. 1996;29(1):39-52. Doi: https://doi.org/10.1016/0021-9290(95)00026-7
Sosnoff JJ, Rice IM, Hsiao-Wecksler ET, Hsu IM, Jayaraman C, Moon Y. Variability in wheelchair propulsion: a new window into an old problem. Front Bioeng Biotechnol. 2015;3:105. Doi: https://doi.org/10.3389/fbioe.2015.00105
Requejo PS, McNitt-Gray JL. Editorial: Wheeled Mobility Biomechanics. Front Bioeng Biotechnol. 2016;4:53. Doi: https://doi.org/10.3389/fbioe.2016.00053
Bossuyt FM, Hogaboom NS, Worobey LA, Koontz AM, Arnet U, Boninger ML. Start-up propulsion biomechanics changes with fatiguing activity in persons with spinal cord injury. J Spinal Cord Med. 2020;43(4):476-84. Doi: https://doi.org/10.1080/10790268.2019.1582603
Mercer JL, Boninger M, Koontz A, Ren D, Dyson-Hudson T, Cooper R. Shoulder joint kinetics and pathology in manual wheelchair users. Clin Biomech (Bristol, Avon). 2006;21(8):781-9. Doi: https://doi.org/10.1016/j.clinbiomech.2006.04.010
Rocco FM, Saito ET. Epidemiologia das lesões esportivas em atletas de basquetebol em cadeira de rodas. Acta Fisiatr. 2006;13(1):17-20. Doi: https://doi.org/10.11606/issn.2317-0190.v13i1a102567
Ambrosio F, Boninger ML, Souza AL, Fitzgerald SG, Koontz AM, Cooper RA. Biomechanics and strength of manual wheelchair users. J Spinal Cord Med. 2005;28(5):407-14. Doi: https://doi.org/10.1080/10790268.2005.11753840
Chamlian TR. Medicina física e reabilitação. Rio de Janeiro: Guanabara Koogan; 2010.
Dvir Z. Isocinética: avaliações musculares, interpretações e aplicações clínicas. Barueri: Manole; 2002.
Riberto M, Miyazaki MH, Jucá SSH, Sakamoto H, Pinto PPN, Battistella LR. Validação da Versão Brasileira da Medida de Independência Funcional. Acta Fisiátr. 2004;11(2):72-6. Doi: https://doi.org/10.5935/0104-7795.20040003
Eagle SR, Connaboy C, Nindl BC, Allison KF. Significantly Increased Odds of Reporting Previous Shoulder Injuries in Female Marines Based on Larger Magnitude Shoulder Rotator Bilateral Strength Differences. Orthop J Sports Med. 2018;6(2):2325967118756283. Doi: https://doi.org/10.1177/2325967118756283
van Drongelen S, de Groot S, Veeger HE, Angenot EL, Dallmeijer AJ, Post MW, et al. Upper extremity musculoskeletal pain during and after rehabilitation in wheelchair-using persons with a spinal cord injury. Spinal Cord. 2006;44(3):152-9. Doi: https://doi.org/10.1038/sj.sc.3101826
Saltychev M, Lähdesmäki J, Jokinen P, Laimi K. Pre-and postintervention factor structure of functional independence measure in patients with spinal cord injury. Rehabil Res Pract. 2017;2017:6938718. Doi: https://doi.org/10.1155/2017/6938718
Maritz R, Tennant A, Fellinghauer C, Stucki G, Prodinger B. The Functional Independence Measure 18-item version can be reported as a unidimensional interval-scaled metric: Internal construct validity revisited. J Rehabil Med. 2019;51(3):193-200. Doi: https://doi.org/10.2340/16501977-2525
Eriks-Hoogland IE, de Groot S, Post MW, van der Woude LH. Correlation of shoulder range of motion limitations at discharge with limitations in activities and participation one year later in persons with spinal cord injury. J Rehabil Med. 2011;43(3):210-5. Doi: https://doi.org/10.2340/16501977-0655
Haubert LL, Mulroy SJ, Requejo PS, Maneekobkunwong S, Gronley JK, Rankin JW, et al. Effect of reverse manual wheelchair propulsion on shoulder kinematics, kinetics and muscular activity in persons with paraplegia. J Spinal Cord Med. 2020;43(5):594-606. Doi: https://doi.org/10.1080/10790268.2019.1
Berckmans K, Maenhout AG, Matthijs L, Pieters L, Castelein B, Cools AM. The isokinetic rotator cuff strength ratios in overhead athletes: Assessment and exercise effect. Phys Ther Sport. 2017;27:65-75. Doi: https://doi.org/10.1016/j.ptsp.2017.03.001
Collinger JL, Boninger ML, Koontz AM, Price R, Sisto SA, Tolerico ML, et al. Shoulder biomechanics during the push phase of wheelchair propulsion: a multisite study of persons with paraplegia. Arch Phys Med Rehabil. 2008;89(4):667-76. Doi: https://doi.org/10.1016/j.apmr.2007.09.052
Jayaraman C, Moon Y, Sosnoff JJ. Shoulder pain and time dependent structure in wheelchair propulsion variability. Med Eng Phys. 2016;38(7):648-655. Doi: https://doi.org/10.1016/j.medengphy.2016.04.005
Barbareschi G, Holloway C. An investigation of factors affecting the performance of wheelchair transfers. Disabil Rehabil Assist Technol. 2019;14(5):479-88. Doi: https://doi.org/10.1080/17483107.2018.1463402
Finley MA, Euiler E. Association of musculoskeletal pain, fear-avoidance factors, and quality of life in active manual wheelchair users with SCI: A pilot study. J Spinal Cord Med. 2020;43(4):497-504. Doi: https://doi.org/10.1080/10790268.2019.1565717
Downloads
Published
Issue
Section
License
Copyright (c) 2022 Acta Fisiátrica
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
