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Currently, there is no system in place to allow manual wheelchair users to know their quantities of movement activities and the intensity of effort to be provided during these propulsion movements. Based on recent work by Routhier et al. in 2017, and in light of the scientific literature related to wheelchair propulsion, it would seem appropriate to validate the use of inertial units as tools to quantify and categorize the intensity of manual wheelchair propulsion.
The investigator hypothesize that an inertial unit positioned on the wheelchair wheel has the same detection rate of the propulsion cycle as a dynamometric wheel (step 1). In addition, the investigator hypothesize that the categorization of the detected propulsion cycle as a function of force intensity is similar between the angular deceleration of the wheel during propulsion calculated from the inertial unit and the external mechanical power calculated from a dynamometric wheel (step 2).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Medullary injured | Injured Medullary users of manually driven wheelchairs for daily locomotion |
| |
| Healthy volunteers | Healthy volunteer with at least 2 hours' experience using a manual wheelchair |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| cycle detection | Other | 6-minute test on a treadmill at pedestrian speed (5km/h) with 2 instruments (dynamometric wheel and inertial centre) on a standardised wheelchair |
|
| Measure | Description | Time Frame |
|---|---|---|
| Confirm the identification of propulsion cycles during a journey at constant speed (5km/h) | Measurement of the detection rate of propulsion cycles | 18 months |
| Confirm the classification of propulsion cycles by effort intensity | Classification rate of propulsion cycles | 18 months |
| Measure | Description | Time Frame |
|---|---|---|
| Study of the association between the propulsion force and the coefficient of the deceleration slope | The association will be measured with propulsion force by the torque wheel and the coefficient of the deceleration slope quantified by the inertial unit | 18 months |
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Inclusion Criteria:
For the healthy user group volunteers:
For the spinal cord injured user group:
Exclusion Criteria:
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Manuel wheelchair users
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Caroline Hugeron, MD | Contact | +33147107900 | caroline.hugeron@aphp.fr | |
| Sandra Pottier | Contact | +33147419307 | sandra.pottier@handicap.org |
| Name | Affiliation | Role |
|---|---|---|
| URC PIFO | Assistance Public - Hôpitaux de Paris | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Raymond Poincaré Hospital - Spinal Cord Injury Unit | Recruiting | Garches | 92380 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 10453767 | Background | Boninger ML, Cooper RA, Baldwin MA, Shimada SD, Koontz A. Wheelchair pushrim kinetics: body weight and median nerve function. Arch Phys Med Rehabil. 1999 Aug;80(8):910-5. doi: 10.1016/s0003-9993(99)90082-5. | |
| 11994814 | Background | Boninger ML, Souza AL, Cooper RA, Fitzgerald SG, Koontz AM, Fay BT. Propulsion patterns and pushrim biomechanics in manual wheelchair propulsion. Arch Phys Med Rehabil. 2002 May;83(5):718-23. doi: 10.1053/apmr.2002.32455. |
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| ID | Term |
|---|---|
| D013119 | Spinal Cord Injuries |
| ID | Term |
|---|---|
| D013118 | Spinal Cord Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D020196 | Trauma, Nervous System |
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| detection of effort intensity | Other | 6-minute test on an urban course with 2 instruments (dynamometric wheel and inertial units) on a wheelchair |
|
| D014947 | Wounds and Injuries |