Artículos de revistas
Kinematic Assessment Of Transfer Of Paraplegic Subjects From The Wheelchair
Registro en:
Acta Ortopedica Brasileira. , v. 19, n. 6, p. 346 - 352, 2011.
14137852
10.1590/S1413-78522011000600005
2-s2.0-84860563446
Autor
Alonso K.C.
de Azevedo E.R.F.B.M.
Cacho E.W.
Varoto R.
Junior A.C.
Institución
Resumen
Objective: To evaluate the transfer strategy of paraplegic subjects from their wheelchairs. Methods: Twelve thoracic spinal cord injured subjects participated in this study (T2 to T12). The subjects were able to independently transfer from a wheelchair to a one square meter (m2) platform, half a meter in height. Images of reflexive anatomic markers were captured by six ProReflex infrared cameras and processed using a QTRac Capture software. Kinematic parameters of the trunk, head, shoulders and elbows were evaluated. Results: The data analyzed compared the subjects' preferential side for performing transfers, according to the functions performed by each body segment. Angular displacement of the head on sagittal plan (y-z), and the shoulders on the transversal plan (x-y), showed statistical differences (p<0.05). Conclusion: The data obtained on this study showed that there are differences in transfer strategies of paraplegic subjects to their preferential side, in comparison with the non-preferential side. Level of Evidence II, Development of diagnostic criteria on consecutive patients (with universally applied reference "gold" standard). 19 6 346 352 Gianni, P.E.S., Chamlian, T.R., Arakaki, J.C., Shoulder pain in spinal Cord injury (2006) Acta Ortop Bras, 14, pp. 44-47 Kilkens, O.J., Dallmeijer, A.J., De Witte, L.P., Van Der Woude, L.H., Post, M.W., The Wheelchair Circuit: Construct validity and responsiveness of a test to assess manual wheelchair mobility in persons with spinal cord injury (2004) Arch Phys Med Rehabil, 85, pp. 424-431 Gagnon, D., Nadeau, S., Noreau, L., Eng, J.J., Gravel, D., Trunk and upper extremity kinematics during sitting pivot transfers performed by individuals with spinal cord injury (2008) Clin Biomech (Bristol, Avon), 23, pp. 279-290 Nyland, J., Snouse, S.L., Anderson, M., Kelly, T., Sterling, J.C., Soft tissue injuries to USA paralympians at the 1996 summer games (2000) Arch Phys Med Rehabil, 81, pp. 368-373 Boninger, M.L., Souza, A.L., Cooper, R.A., Fitzgerald, S.G., Koontz, A.M., Fay, B.T., Propulsion patterns and pushrim biomechanics in manual wheelchair propulsion (2002) Arch Phys Med Rehabil, 83, pp. 718-723 Nawoczenski, D.A., Clobes, S.M., Gore, S.L., Neu, J.L., Olsen, J.E., Borstad, J.D., Ludewig, P.M., Three-dimensional shoulder kinematics during a pressure relief technique and wheelchair transfer (2003) Arch Phys Med Rehabil, 84, pp. 1293-1300 Shirado, O., Kawase, M., Minami, A., Strax, T.E., Quantitative evaluation of long sitting in paraplegic patients with spinal cord injury (2004) Arch Phys Med Rehabil, 85, pp. 1251-1256 Chen, C.L., Yeung, K.T., Bih, L.I., Wang, C.H., Chen, M.I., Chien, J.C., The relationship between sitting stability and functional performance in patients with paraplegia (2003) Arch Phys Med Rehabil, 84, pp. 1276-1281 Janssen-Potten, Y.J., Seelen, H.A., Drukker, J., Huson, T., Drost, M.R., The effect of seat tilting on pelvic position, balance control, and compensatory postural muscle use in paraplegic subjects (2001) Arch Phys Med Rehabil, 82, pp. 1393-1402 Seelen, H.A., Potten, Y.J., Drukker, J., Reulen, J.P., Pons, C., Development of new muscle synergies in postural control in spinal cord injured subjects (1998) J Electromyogr Kinesiol, 8, pp. 23-34 Forslund, E.B., Granström, A., Levi, R., Westgren, N., Hirschfeld, H., Transfer from table to wheelchair in men and women with spinal cord injury: coordination of body movement and arm forces (2007) Spinal Cord, 45, pp. 41-48 Ninomyia, A.F., Jesus, C.L.M., Auletta, L.L., Rimkus, C.M., Ferreira, D.M., Filho, A.Z., Cliquet Jr., A., Shoulders of patients with spinal cord injuries submitted to rehabilitation program - a Clinical and ultrasound-based assessment (2007) Acta Ortop Bras, 15, pp. 109-113 Perry, J., Gronley, J.K., Newsam, C.J., Reyes, M.L., Mulroy, S.J., Electromyographic analysis of the shoulder muscles during depression transfers in subjects with low-level paraplegia (1996) Arch Phys Med Rehabil, 77, pp. 350-355 Gagnon, D., Nadeau, S., Gravel, D., Noreau, L., Larivière, C., McFadyen, B., Movement patterns and muscular demands during posterior transfers toward an elevated surface in individuals with spinal cord injury (2005) Spinal Cord, 43, pp. 74-84 Norkin, C.C., White, D.J., (1995) Measurement of Joint Motion: A Guide to Goniometry, , 2nd ed. Philadelphia: E. A Davis Company; Van Drongelen, S., Van der Woude, L.H., Janssen, T.W., Angenot, E.L., Chadwick, E.K., Veeger, D.H., Mechanical load on the upper extremity during wheelchair activities (2005) Arch Phys Med Rehabil, 86, pp. 1214-1220 Kapanji, A.I., (2007) Physiologie Articulaire, , 6nd ed. Paris: Maloine