Push Phase Research Articles

BIOMECHANICAL INFLUENCE OF RUNNING SHOES WITH MIDSOLE HOLLOW STRUCTURE ON LOWER LIMBS DURING RUNNING

The objective was to investigate the effects of running shoes with midsole hollow structure span and height on the biomechanics of the lower limbs during running. We collected 21 adults with running habits who wore two pairs of running shoes with different midsole hollow structures and ran at a speed of 3.3[Formula: see text]m/s on a force-measuring treadmill. The lower limb kinematics, ground reaction force (GRF) and lower limb muscle activation characteristics were simultaneously captured by a motion capture system, a 3D force treadmill, and a surface electromyography (sEMG) system. Paired t-tests were performed on data for the two shoe conditions that fit the normal distribution assumptions; otherwise, Wilcoxon signed-rank tests were used. The statistical parameter mapping (SPM) technology was used for the analysis of 1D parameters of kinematic, dynamic, and sEMG activation characteristics. The result showed that the time to the peak impact force at touchdown of Hollow shoe2 was significantly increased ([Formula: see text]), the maximum loading rate ([Formula: see text]) and average loading rate ([Formula: see text]) were significantly reduced, braking time ([Formula: see text]), push time ([Formula: see text]), contact time ([Formula: see text]) of Hollow shoe2 were significantly increased compared with Hollow shoe1. Hollow shoe2 push phase of the tibialis anterior muscle activation characteristics was significantly lower (SPM, [Formula: see text]) than Hollow shoe1. Our conclusion is that running shoes offer the solution as they have the advantage of the complex structure of the hollow midsole.

Electrophysiological impact of mental fatigue on brain activity during a bike task: A wavelet analysis approach

This study explored how mental fatigue affects brain activity during a low-intensity bike task utilising a continuous wavelet transformation in electroencephalography (EEG) analysis. The aim was to examine changes in brain activity potentially linked to central motor commands and to investigate their relationship with ratings of perceived exertion (RPE). In this study, sixteen participants (age: 21 ± 6 y, 7 females, 9 males) underwent one familiarization and two experimental trials in a randomised, blinded, cross-over study design. Participants executed a low-intensity bike task (9 min; 45 rpm; intensity (W): 10 % below aerobic threshold) after performing a mentally fatiguing (individualized 60-min Stroop task) or a control (documentary) task. Physiological (heart rate, EEG) and subjective measures (self-reported feeling of mental fatigue, RPE, cognitive load, motivation) were assessed prior, during and after the bike task. Post-Stroop, self-reported feeling of mental fatigue was higher in the intervention group (EXP) (74 ± 16) than in the control group (CON) (37 ± 17; p < 0.001). No significant differences in RPE during the bike task were observed between conditions. EEG analysis revealed significant differences (p < 0.05) in beta frequency (13–30 Hz) during the bike task, with EXP exhibiting more desynchronization during the pedal push phase and synchronization during the pedal release phase. These results suggest that mental fatigue, confirmed by both subjective and neurophysiological markers, did not significantly impact RPE during the bike task, possibly due to the use of the CR100 scale or absence of a performance outcome. However, EEG data did reveal significant beta band alterations during the task, indicating increased neural effort under mental fatigue. These findings reveal, for the first time, how motor-related brain activity at the motor cortex is impacted during a low-intensity bike task when mentally fatigued.

The Effect of Arm Movements on the Dynamics of the Wheelchair Frame during Manual Wheelchair Actuation and Propulsion

Wheelchair propulsion and actuation are influenced by the moving masses of the wheelchair user; however, the extent of this effect is still unclear. The main evidence of this effect is that the speed of the wheelchair frame continues to increase after the end of the push phase. The wheelchair’s speed was measured using IMUs and the duration of the push period was recorded using miniaturised pressure sensors attached to the driver’s middle fingers. The velocity and acceleration were determined for various average stroke cycle speeds to determine the speed dependency of the acceleration. The wheelchair was then mounted on a force plate to measure the inertial forces of the hands moving back and forth. The aerodynamic drag and rolling resistance forces were determined from coast-down experiments. Based on the measured forces, the behaviour of the force and velocity profiles was finally modelled by gradually reducing the mass of the arms and thus their inertial force. The results showed that the wheelchair is accelerated throughout the push phase (except for a temporary deceleration in the middle of the push phase at higher velocities), and that this acceleration continues well after the push phase. In the second half of the recovery phase, the wheelchair decelerates. The horizontal inertial forces measured on the force plate are predominantly negative in the push phase and in the second half of the recovery phase, and positive in the first half of the push phase, and their impulse is zero due to the conservation of momentum. Modelling the wheelchair with moving masses showed that reducing the horizontal inertial forces has no effect on the driver’s propulsive force but reduces the velocity fluctuations. The main conclusion of this research is that the wheelchair user’s power should be calculated only from the pure propulsive force that is required in the push phase to overcome the dissipative forces and that enables the gain or loss in speed per stroke cycle, but not directly from the measured velocity.

Analysis of Kinematic and Muscular Fatigue in Long-Distance Swimmers.

Muscle fatigue is a complex phenomenon that is influenced by the type of activity performed and often manifests as a decline in motor performance (mechanical failure). The purpose of our study was to investigate the compensatory strategies used to mitigate mechanical failure. A cohort of 21 swimmers underwent a front-crawl swimming task, which required the consistent maintenance of a constant speed for the maximum duration. The evaluation included three phases: non-fatigue, pre-mechanical failure, and mechanical failure. We quantified key kinematic metrics, including velocity, distance travelled, stroke frequency, stroke length, and stroke index. In addition, electromyographic (EMG) metrics, including the Root-Mean-Square amplitude and Mean Frequency of the EMG power spectrum, were obtained for 12 muscles to examine the electrical manifestations of muscle fatigue. Between the first and second phases, the athletes covered a distance of 919.38 ± 147.29 m at an average speed of 1.57 ± 0.08 m/s with an average muscle fatigue level of 12%. Almost all evaluated muscles showed a significant increase (p < 0.001) in their EMG activity, except for the latissimus dorsi, which showed a 17% reduction (ES 0.906, p < 0.001) during the push phase of the stroke cycle. Kinematic parameters showed a 6% decrease in stroke length (ES 0.948, p < 0.001), which was counteracted by a 7% increase in stroke frequency (ES -0.931, p < 0.001). Notably, the stroke index also decreased by 6% (ES 0.965, p < 0.001). In the third phase, characterised by the loss of the ability to maintain the predetermined rhythm, both EMG and kinematic parameters showed reductions compared to the previous two phases. Swimmers employed common compensatory strategies for coping with fatigue; however, the ability to maintain a predetermined motor output proved to be limited at certain levels of fatigue and loss of swimming efficiency (Protocol ID: NCT06069440).

Student Competition (Technology Innovation) ID 1986855

Background Up to 70% of individuals with spinal cord injury (SCI) experience shoulder injuries during their lifetime. Previous studies revealed a link between the risk of shoulder injury and propulsion-related kinetic and kinematic parameters that were measured using SMARTWheel or in-lab motion-capture systems. Despite their high accuracy, these systems are time and labour intensive and not commonly accessible. Objective To develop and validate a portable and accessible method to estimate the duration of the push phase using a hand-mounted inertial measurement unit (IMU). Methods Ten volunteers (7 males, 3 females, age: 28 ± 2 y.o.) consented to participate in the study. An IMU (3D acceleration and angular velocity, sampling frequency: 512 Hz) was attached to participant’s right hand while sitting on the instrumented wheelchair equipped with SMARTWheel (sampling frequency: 240 Hz). The SMARTWheel and IMU readouts were collected while participants were propelling the wheelchair. The peaks in the resultant acceleration and continuous wavelet transform coefficients obtained from IMU were used to identify the hand contact and release, and estimate the push phase duration. Results No significant differences (p-value = 0.97, 0.89, and 0.94, respectively) were observed between the parameters obtained for the hand contact and release instants and push duration estimated using IMU compared to SMARTWheel with mean errors (standard deviation) of 8.4 (15.2) ms, 3.8 (22.1) ms and −4.6 (24.6) ms, respectively. Conclusion These findings support the validity of using IMU as a portable alternative to the in-lab systems to estimate the push phase duration of manual wheelchair users.

Ankle Strategies for Step-Aside Movement during Straight Walking.

The step-aside movement, also known as the dodging step, is a common maneuver for avoiding obstacles while walking. However, differences in neural control mechanisms and ankle strategies compared to straight walking can pose a risk of falling. This study aimed to examine the differences in tibialis anterior (TA), peroneus longus (PL), and soleus (SOL) muscle contractions, foot center of pressure (CoP) displacement, and ground reaction force (GRF) generation between step-aside movement and straight walking to understand the mechanism behind step-aside movement during walking. Twenty healthy young male participants performed straight walking and step-aside movements at comfortable walking speeds. The participants' muscle contractions, CoP displacement, and GRF were measured. The results show significant greater bilateral ankle muscle contractions during the push and loading phases of step-aside movement than during straight walking. Moreover, the CoP displacement, GRF generation mechanism, and timing differed from those observed during straight walking. These findings provide valuable insights for rehabilitation professionals in the development of clinical decisions for populations at a risk of falls and lacking gait stability.

Upper limb cranking asymmetry during a Wingate anaerobic test in wheelchair basketball players.

Interlimb asymmetry of strength and/or motor coordination could limit the performance of wheelchair athletes or increase their risk of injury. Studies of interlimb asymmetry in the lower limbs have shown high between-subject variability that does not depend on the side of dominance and that does not change with fatigue. Upper limb asymmetry is particularly large in manual wheelchair athletes with a lower degree of impairment. The aim of this study was to evaluate interlimb asymmetry of forces developed during an upper limb Wingate anaerobic test, the effects of fatigue on force, and differences between high- and low-point players. Twenty-five wheelchair basketball players (13 females and 12 males) of male and female national French teams performed a 30s anaerobic Wingate test on an arm ergometer. Participants were classified into two functional categories, high-point (classed from 3 to 4.5) and low-point (classed from 1 to 2.5), according to the International Wheelchair Basketball Federation classification. Left and right arm forces were measured during the pushing and pulling phases at peak power, 10s, and the end of the 30s test. Upper limb asymmetry changed with fatigue during each phase. Force asymmetry differed between peak power, 10s and 30s, with no consistent increase or decrease. Asymmetry did not differ significantly between low- and high-point players but tended to be greater in high-point players. Asymmetry tended to be greater in the females, with significant differences between the males and females in the push phase. Inter-subject variability was high, but forces were asymmetric for most participants, especially females. The Wingate anaerobic test could highlight problematic asymmetries that might impact daily life or sports performance.

Ankle strategies for step-aside movement during quiet standing.

The mediolateral ankle strategy plays a crucial role in providing ankle stability in ground obstacle-avoidance behavior. This is achieved by changing basic walking patterns according to the characteristics of the obstacle. In daily life, it is more common to use step-aside movement (i.e., dodging step) for collision avoidance rather than side-stepping (i.e., widening standing base) when encountering an approaching pedestrian or bicycle. While studies have been conducted on the mediolateral ankle strategy contribution in obstacle avoidance using side-stepping, knowledge of step-aside movement is still inadequate. Therefore, we conducted an electromyography (EMG) analysis on the tibialis anterior (TA), peroneus longus (PL), and soleus (SOL) muscles, as well as measured center of pressure (CoP) displacement, and vertical ground reaction force (vGRF) of the standing leg, in order to understand the role of ankle muscles in step-aside movement during quiet standing. Fifteen healthy young men repeated twelve step-aside movements in both left and right directions. A Bayesian one-sample t-test was used to determine the sufficient step and participant counts. Multiple linear regression analysis was used to investigate the correlation between the muscle activity and CoP displacement or vGRF. The regression coefficients (β) of the left push phase and the right loading phase were tested against zero using a Bayesian one-sample t-test to identify the correlation between independent and dependent variables. We used the one-dimensional statistical parametric mapping (SPM1d) method to analyze the differences between and within the groups of EMG data based on the continuous time series. The results showed that the PL displayed a substantial contribution to the mediolateral ankle strategy during the push phase of step-aside movement, and also contributed to maintaining ankle stability during the loading phase. This suggested that screening for PL weakness and providing appropriate interventions and/or training approaches is especially critical for populations with walking stability problems.

Cache-Efficient Approach for Index-Free Personalized PageRank

Personalized PageRank (PPR) measures the importance of vertices with respect to a source vertex. Since real-world graphs are evolving rapidly, PPR computation methods need to be index-free and fast. Unfortunately, existing index-free methods suffer from cache misses. They follow the state-of-the-art algorithm that first performs the Forward Push (FP) phase and subsequently runs the random walk Monte-Carlo simulation (MC) phase. Although existing methods succeed in reducing cache misses in the FP phase, an inefficient data layout limits their performance improvement. Besides, existing methods have overlooked the importance of reducing cache misses in the MC phase. In this paper, we propose a cache-efficient approach that accelerates both FP and MC phases. In the FP phase, we first reorder the data layout with low overheads. Specifically, we utilize the Breadth First Search result so that vertices near the source vertex are co-located on the reordered data layout. We subsequently perform optimized FP, namely Distance-Extension Forward Push (DEFP). By preferentially proceeding FP around the source vertex, DEFP improves memory access locality. In the MC phase, we perform optimized MC, namely Vertex-Centric Random Walk (VCRW). VCRW aggregates random walks at each vertex to eliminate redundant memory access for repeatedly obtaining neighbor vertices. We prove that most of the random walks can be aggregated while maintaining accuracy guarantees. Experimental results show that the proposed method is up to 4.7x faster than existing index-free methods and outperforms the state-of-the-art index-oriented method under rigorous accuracy guarantees.

Continuous time series analysis on the effects of induced running fatigue on leg symmetry using kinematics and kinetic variables: Implications for knee joint injury during a countermovement jump.

This study investigates the symmetry change in joint angle and joint moment of knee joints following a Running-Induced Fatigue counter movement Jump. Twelve amateur runners volunteered to participate in the study. A prolonged running protocol was used to induce fatigue. Joint angle and moment were recorded during the push and flexion phase of the CMJ before and immediately after fatigue. Borg scale (RPE>17) and real-time heart rate monitoring (HR>90%HRmax) were used to confirm running fatigue. Symmetry function (SF) was used to assess the symmetry of the knee Angle and moment variation parameters over the entire push-off and landing phases based on time series analysis. Paired sample t-test was used to examine changes in SF before and after acute fatigue. The Angle and moment of the knee are asymmetrical in all planes (SF > 0.05), with SF ranging from 5 to 130% in angle and 5–110% in moment. There was a significant increase in knee joint angle asymmetry in the horizontal plane during the push-off and landing stage following the prolonged - Running Protocol implementation. These increases in asymmetry are mainly caused by excessive external rotation of the dominant knee joint. These findings indicate that fatigue-induced changes during CMJ may progress knee movement pattern asymmetry in the horizontal plane.

A novel push\u2013pull central-lever mechanism reduces peak forces and energy-cost compared to hand-rim wheelchair propulsion during a controlled lab-based experiment

BackgroundHand-rim wheelchair propulsion is straining and mechanically inefficient, often leading to upper limb complaints. Previous push–pull lever propulsion mechanisms have shown to perform better or equal in efficiency and physiological strain. Propulsion biomechanics have not been evaluated thus far. A novel push–pull central-lever propulsion mechanism is compared to conventional hand-rim wheelchair propulsion, using both physiological and biomechanical outcomes under low-intensity steady-state conditions on a motor driven treadmill.MethodsIn this 5 day (distributed over a maximum of 21 days) between-group experiment, 30 able-bodied novices performed 60 min (5 × 3 × 4 min) of practice in either the push–pull central lever wheelchair (n = 15) or the hand-rim wheelchair (n = 15). At the first and final sessions cardiopulmonary strain, propulsion kinematics and force production were determined in both instrumented propulsion mechanisms. Repeated measures ANOVA evaluated between (propulsion mechanism type), within (over practice) and interaction effects.ResultsOver practice, both groups significantly improved on all outcome measures. After practice the peak forces during the push and pull phase of lever propulsion were considerably lower compared to those in the handrim push phase (42 ± 10 & 46 ± 10 vs 63 ± 21N). Concomitantly, energy expenditure was found to be lower as well (263 ± 45 vs 298 ± 59W), on the other hand gross mechanical efficiency (6.4 ± 1.5 vs 5.9 ± 1.3%), heart-rate (97 ± 10 vs 98 ± 10 bpm) and perceived exertion (9 ± 2 vs 10 ± 1) were not significantly different between modes.ConclusionThe current study shows the potential benefits of the newly designed push–pull central-lever propulsion mechanism over regular hand rim wheelchair propulsion. The much lower forces and energy expenditure might help to reduce the strain on the upper extremities and thus prevent the development of overuse injury. This proof of concept in a controlled laboratory experiment warrants continued experimental research in wheelchair-users during daily life.

Numerical Simulator for Manual Wheelchair Propulsion based on a MPC Approach

Quite recently, considerable attention has been paid to the concept of prediction of manual wheelchair locomotion by a predictive model simulation, with the aim of facilitating the synthesis of the biomechanics of propulsion movement and improving the wheelchair ergonomics. Generally, the biomechanical modeling of wheelchair propulsion is a highly nonlinear that depends on the upper limb motion and the contact force between the human hand and the handrim, which will increase the complexity of implementing these models to evaluate with numerical simulation the biomechanics of propulsion. In this context, a new approach for the propulsion motion prediction of a manual wheelchair based on nonlinear model predictive control (NMPC) has been proposed. Based only on the kinematics of the hand on the handrim and the dynamics of the rear wheels, this approach is able to predict the optimal hand contact on the handrim, during the push phase and the optimal hand trajectory during the recovery phase. Thus, for a given speed configuration, the predictive model simulation is able to generate the most suitable propulsion scheme. The advantage of using a simple model of the hand-wheel interaction, could allow for an easier implementation while providing a fully predictive simulation of the wheelchair propulsion. Simulation results are presented, showing the effectiveness of the proposed approach.

Direct Model-Reference Adaptive Control for Wheelchair Simulator Control via a Haptic Interface

A wheelchair locomotion simulator (WCS) is an innovative solution to assess the biomechanical cost of wheelchairs (WC) accessibility in a controlled and safe virtual environment. In this context, this paper presents a haptic feedback control architecture based on a direct model reference adaptive control (MRAC) with intelligent tuning of its adaptation gains. The control objective is to follow the reference model velocity while producing the force feedback during the push phase, in order to faithfully recreate the dynamic behavior of the WC in a virtual environment. To accomplish this, a wheelchair ergometer model with friction is used to provide realistic navigation in the virtual environment (VE), by detecting and driving the wheelchair wheels. A two-wheeled vehicle model including the rolling resistance aspect is used to describe the wheelchair dynamic behavior. Since the controller adaptation gains are operated on the tracking error between the reference model and the simulator output, the WC model is also used as a reference model to specify the desired dynamics of the adaptive control system. For an optimal solution, an intelligent metaheuristic algorithm Elephant Herding Optimization (EHO) is employed to optimize the controller gain adaptation parameter to keep the tracking error as small as possible. Finally, the simulation results obtained show the effectiveness of the proposed control strategy.

Muscle Activation and Torso Movement during Exercise using Novel Fiberglass Resistance Poles

Background: A novel form of functional training utilizes flexible fiberglass poles for resistance. Similar to elastic bands, as the poles flex, resistance increases. To date, no studies have examined activation patterns associated with such implements. Objective: This study examined muscle activation and torso rotation using different pole resistance intensities during a “push-pull” rotational core exercise. Methods: Twenty-one subjects (16 women, 5 men; age=20.4±1.3y) completed 6 trials of 10 repetitions each of a standing push and pull movement with 3 different pole tensions (very light, light, moderate). Muscle activation (electromyography) for the anterior and posterior deltoid, abdominal oblique, and paraspinal muscles were recorded. Concentric contractions during the push phase (PUSH) and the pull load (PULL) phases were recoded, and percent maximal voluntary contraction (%MVC) was computed. Markers on the acromion process and a vertically mounted camera were used to record torso rotation during each push and pull. ANOVA for each muscle and PUSH and PULL was used for comparisons across pole intensity. Results: Significant main effects for torso rotation were seen, with rotation with the very light pole (Push= 61.9 ± 9.20, Pull= 64.8 ± 14.00) significantly greater than moderate (Push= 52.0 ± 12.80, Pull= 54.9 ± 10.10). EMG data were highly variable, with no differences in muscle activation detected across pole resistance loads. Conclusion: Variability of the EMG data prevent clear resolution of activation patterns. However, torso rotation is limited with heavier pole resistance since increased pole flex also increases resistance.

Kinematic determinants of acceleration in skeleton push phase

ABSTRACT This study aimed to characterise the push phase kinematics in skeleton sport and explore the relationship between kinematic indicators and push performance. Nine male Chinese skeleton athletes performed three 15-metre pushes on an indoor simulated push track. Kinematic data were recorded with a 3-dimensional motion system (VICON; UK) consisting of 14 cameras sampling at a rate of 200 Hz. The linear relationships between the kinematic indicators and push performance were determined by Pearson correlation analysis. Statistical significance was set at p ≤ 0.05. Step velocity (SV), step length (SL), toe-off distance (TOD), and toe-off angle (TOA) were significantly different between the inside and outside foot in the first four steps. Positively significant correlations were found between touchdown distance (TD), touchdown angle (TA), and SV in step 1 (r = 0.696; r = 0.682), and negative correlations were found between contact time (CT), TOA, and SV in step 1 and step 4, respectively (r = −0.839; r = −0.763). Effective acceleration was achieved by shortening contact, increasing TA and TD in the first step, and maintaining a relatively small TOA and a relatively long TOD in the steps 2 to 4.

Evaluation of the Biomechanical Parameters of Human-Wheelchair Systems during Ramp Climbing with the Use of a Manual Wheelchair with Anti-Rollback Devices

Purpose: The main purpose of the research conducted was the analysis of kinematic and biomechanical parameters measured during manual wheelchair ramp-climbing with the use of the anti-rollback system and the comparison of the values tested with the manual wheelchair climbing the same ramp but without any modifications. The paper presents a quantitative assessment relating to the qualitative research of the anti-rollback system performed by another research team. Method and materials: The article presents the measurement results of the wheelchair motion kinematics and the activity of four upper limb muscles for eight subjects climbing a 4.58° ramp. Each subject propelled the wheelchair both with and without the anti-rollback system. The kinematic parameters were measured by means of two incremental encoders with the resolution of 500 impulses per single revolution of the measurement wheel. Whereas, the muscle activity was measured by means of surface electromyography with the use of Noraxon Mini DTS apparatus equipped with four measurement channels. Results: The surface electromyography measurement indicated an increase in the muscle activity for all four muscles, during the use of the anti-rollback system. The increase was: 18.56% for deltoid muscle anterior, 12.37% for deltoid muscle posteriori, 13.0% for triceps brachii, and 15.44% for extensor carpi radialis longus. As far as the kinematics analysis is concerned, a decrease in the measured kinematic parameters was observed in most participants. The medium velocity of the propelling cycle decreased by 26%. The ratio of the generated power and the loss power in a single propelling cycle λ had decreased by 18%. The least decrease was recorded for the measurement of mechanical energy E and the propelling cycle duration time. For the total mechanical energy, the decrease level was 3%, and for the propelling cycle duration it was 1%. The research carried out did not demonstrate any impact of the anti-rollback system use on the push phase share in the entire propelling cycle.

A high sample rate, wireless instrumented wheel for measuring 3D pushrim kinetics of a racing wheelchair

In wheelchair racing, measuring pushrim kinetics such as propulsion forces and moments is paramount for improving performance and preventing injuries. However, there is currently no instrumented racing wheel that records 3D pushrim kinetics wirelessly and at a high sample rate, which is necessary for accurately analysing wheelchair racing biomechanics.In this work, we present an instrumented wheel that measures 3D kinetics at 2500 Hz. Bidirectional wireless communication is used to interface the wheel through a smart phone. The wheel was tested with a world-class racing athlete who propelled at maximal acceleration and maximal speed on a training roller.During acceleration, the peak total force increased continuously from 186 N to 484 N while the peak tangential force was constant at 171 N ± 15 N. At higher speeds, a counterproductive tangential force was measured during the first 15% and the last 25% of the push phase, peaking at -78 N.This wheel may be of great value for both coaches and athletes to help with planning and validating training programs and adaptations to the wheelchair such as positioning. This wheel also has very high potential for further research on wheelchair racing biomechanics and on preventing shoulder pathologies associated with this sport.

Scapular kinematic variability during wheelchair propulsion is associated with shoulder pain in wheelchair users

The purpose of this study was to investigate whether wheelchair propulsion biomechanics differ between individuals with different magnitudes of shoulder pain. Forty (age 36 ± 11 years) manual wheelchair users propelled their own daily living wheelchair at 1.11 m·s−1 for three minutes on a dual-roller ergometer. Shoulder pain was evaluated using the Performance Corrected Wheelchair User’s Shoulder Pain Index (PC-WUSPI). Correlation analyses between spatio-temporal, kinetic and upper limb kinematic variables during wheelchair propulsion and PC-WUSPI scores were assessed. Furthermore, kinematic differences between wheelchair users with no or mild shoulder pain (n = 33) and moderate pain (n = 7) were investigated using statistical parametric mapping. Participant mean PC-WUSPI scores were 20.3 ± 26.3 points and varied from zero up to 104 points. No significant correlations were observed between kinetic or spatio-temporal parameters of wheelchair propulsion and shoulder pain. However, lower inter-cycle variability of scapular internal/external rotation was associated with greater levels of shoulder pain (r = 0.35, P = 0.03). Wheelchair users with moderate pain displayed significantly lower scapular kinematic variability compared to those with mild or no pain between 17 and 51% of the push phase for internal rotation, between 31–42% and 77–100% of the push phase for downward rotation and between 28–36% and 53–65% of the push phase for posterior tilt. Lower scapular variability displayed by wheelchair users with moderate shoulder pain may reflect a more uniform distribution of repeated subacromial tissue stress imposed by propulsion. This suggests that lower scapular kinematic variability during propulsion may contribute towards the development of chronic shoulder pain.

Estimation of very slow groundwater movement using a Single-Well Push-Pull test

An estimation method for evaluating groundwater velocity by means of the Single-Well Push-Pull (SWPP) test by Leap and Kaplan (1988) was applied to a confined aquifer at 100 m depth with a very slow groundwater movement. The SWPP test consists of a push phase, a drift phase, and a pull phase, and the groundwater velocity is evaluated based on the Breakthrough Curves obtained from the SWPP test. In this study, the accuracy of the SWPP test system was evaluated by performing a SWPP test without drift time four times in total. Also, four types of SWPP tests with different drift times from 10 to 1802 days were conducted to obtain an estimate of the regional groundwater velocity for a maximum of approximately five years. Furthermore, the stable isotope of water (δ18O and δD) and uranine, which are known as conservative tracers, were used as tracers in the SWPP tests so as to evaluate their availabilities.The SWPP test results showed a higher reproducibility of the SWPP test using δ18O and δD than that using uranine. The sorption of uranine in the aquifer was suggested based on the SWPP test results, indicating that the hydrological properties can be obtained by comparing the SWPP test results using δ18O, δD and uranine as tracers. The SWPP test yielded an actual groundwater velocity of 0.37 m/year, which is similar to approximately 0.1 m/year order of the estimated groundwater velocity based on the results of past studies. Moreover, setting the appropriate correction and drift time in the SWPP test played an important role in investigating the very slow groundwater flow in the aquifer. When a long-term drift time was set, the recovery rate of the tracer and the chaser of δ18O and δD was decreased by diffusion in the aquifer’s silt and clay layer.

Physiological and biomechanical comparison of overground, treadmill, and ergometer handrim wheelchair propulsion in able-bodied subjects under standardized conditions

BackgroundHandrim wheelchair propulsion is often assessed in the laboratory on treadmills (TM) or ergometers (WE), under the assumption that they relate to regular overground (OG) propulsion. However, little is known about the agreement of data obtained from TM, WE, and OG propulsion under standardized conditions. The current study aimed to standardize velocity and power output among these three modalities to consequently compare obtained physiological and biomechanical outcome parameters.MethodsSeventeen able-bodied participants performed two submaximal practice sessions before taking part in a measurement session consisting of 3 × 4 min of submaximal wheelchair propulsion in each of the different modalities. Power output and speed for TM and WE propulsion were matched with OG propulsion, making them (mechanically) as equal as possible. Physiological data and propulsion kinetics were recorded with a spirometer and a 3D measurement wheel, respectively.ResultsAgreement among conditions was moderate to good for most outcome variables. However, heart rate was significantly higher in OG propulsion than in the TM condition. Push time and contact angle were smaller and fraction of effective force was higher on the WE when compared to OG/TM propulsion. Participants used a larger cycle time and more negative work per cycle in the OG condition. A continuous analysis using statistical parametric mapping showed a lower torque profile in the start of the push phase for TM propulsion versus OG/WE propulsion. Total force was higher during the start of the push phase for the OG conditions when compared to TM/WE propulsion.ConclusionsPhysiological and biomechanical outcomes in general are similar, but possible differences between modalities exist, even after controlling for power output using conventional techniques. Further efforts towards increasing the ecological validity of lab-based equipment is advised and the possible impact of these differences -if at all- in (clinical) practice should be evaluated.