Determination of Optimal Riding Positions using Muscle Co-Contraction on Upper Extremity during Manual Standing Wheelchair Propulsion

  • Jeseong Ryu
  • Jongsang Son
  • Sungjoong Kim
  • Jongman Kim
  • Soonjae Ahn
  • Youngho Kim
Regular Paper
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Abstract

A newly designed standing wheelchair that moves even while standing posture has been developed to improve the health and the quality of life for wheelchair users. However, this standing wheelchair has hand rims separate from the wheels, likely affecting the biomechanical characteristics and the efficiency of propulsion. Thus, this study aimed to propose a method to determine the optimal riding position by evaluating muscle activation during manual standing wheelchair propulsion. Ten elderly male subjects were asked to propel the hand rims with nine different seat (while sitting) and footrest (while standing) positions. During the experiments, kinematic data were obtained using a 3D motion capture system and sEMG measurement system, respectively. Simultaneously, surface electromyography signals were recorded from eleven muscles on the right side of the trunk and the upper extremity to evaluate relative iEMG and muscle co-contraction ratio. The muscle co-contraction ratio was higher at positions (upward and backward directions) distant from the hand rim and lower at positions (downward and forward directions) close to the hand rim. These results indicate that decreased distance from the hand rim enhances joint stability and decreases muscle co-contraction. These results also showed a good similarity with our previous study using energy expenditure method.

Keywords

Standing wheelchair Optimal riding position Muscle activation Integrated electromyography Wheelchair dynamometer 

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References

  1. 1.
    Kaye, H. S., Kang, T., and LaPlante, M. P., “Mobility Device Use in the United States,” National Institute on Disability and Rehabilitation Research, US Department of Education Washington, DC, 2000.Google Scholar
  2. 2.
    Subbarao, J. V., Klopfstein, J., and Turpin, R., “Prevalence and Impact of Wrist and Shoulder Pain in Patients with Spinal Cord Injury,” The Journal of Spinal Cord Medicine, Vol. 18, No. 1, pp. 9–13, 1995.CrossRefGoogle Scholar
  3. 3.
    Ryu, J., Son, J., Jo, M., Choi, E., Ahn, S., Kim, S., and Kim, Y.-H., “Optimal Seat and Footrest Positions of Manual Standing Wheelchair,” Int. J. Precis. Eng. Manuf., Vol. 18, No. 6, pp. 879–885, 2017.CrossRefGoogle Scholar
  4. 4.
    Brubaker, C., “Wheelchair Prescription: An Analysis of Factors that Affect Mobility and Performance,” Journal of Rehabilitation Research and Development, Vol. 23, No. 4, pp. 19–26, 1986.Google Scholar
  5. 5.
    Van der Woude, L., Veeger, D.-J., Rozendal, R., and Sargeant, T., “Seat Height in Handrim Wheelchair Propulsion,” Journal of Rehabilitation Research and Development, Vol. 26, No. 4, pp. 31–50, 1989.Google Scholar
  6. 6.
    Boninger, M. L., Souza, A. L., Cooper, R. A., Fitzgerald, S. G., Koontz, A. M., and Fay, B. T., “Propulsion Patterns and Pushrim Biomechanics in Manual Wheelchair Propulsion,” Archives of Physical Medicine and Rehabilitation, Vol. 83, No. 5, pp. 718–723, 2002.CrossRefGoogle Scholar
  7. 7.
    Masse, L., Lamontagne, M., and O'riain, M., “Biomechanical Analysis of Wheelchair Propulsion for Various Seating Positions,” Journal of Rehabilitation Research and Development, Vol. 29, No. 3, pp. 12–28, 1992.CrossRefGoogle Scholar
  8. 8.
    Louis, N. and Gorce, P., “Surface Electromyography Activity of Upper Limb Muscle during Wheelchair Propulsion: Influence of Wheelchair Configuration,” Clinical Biomechanics, Vol. 25, No. 9, pp. 879–885, 2010.CrossRefGoogle Scholar
  9. 9.
    Henriksson, J. and Bonde-Petersen, F., “Integrated Electromyography of Quadriceps Femoris Muscle at Different Exercise Intensities,” Journal of Applied Physiology, Vol. 36, No. 2, pp. 218–220, 1974.CrossRefGoogle Scholar
  10. 10.
    Darainy, M. and Ostry, D. J., “Muscle Cocontraction Following Dynamics Learning,” Experimental Brain Research, Vol. 190, No. 2, pp. 153–163, 2008.CrossRefGoogle Scholar
  11. 11.
    Häkkinen, K., Newton, R. U., Gordon, S. E., McCormick, M., Volek, J. S., et al., “Changes in Muscle Morphology, Electromyographic Activity, and Force Production Characteristics during Progressive Strength Training in Young and Older Men,” The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, Vol. 53, No. 6, pp. B415–B423, 1998.CrossRefGoogle Scholar
  12. 12.
    Son, J., Ryu, J., Ahn, S., Kim, E. J., Lee, J. A., and Kim, Y., “Effects of 4-Week Intensive Active-Resistive Training with an EMG-Based Exoskeleton Robot ON Muscle Strength in Older People: A Pilot Study,” BioMed Research International, Vol. 2016, Article ID: 1256958, 2016.Google Scholar
  13. 13.
    Arva, J., Paleg, G., Lange, M., Lieberman, J., Schmeler, M., Dicianno, B., Babinec, M., and Rosen, L., “Resna Position on the Application of Wheelchair Standing Devices,” Assistive Technology, Vol. 21, No. 3, pp. 161–168, 2009.CrossRefGoogle Scholar
  14. 14.
    Dunn, R. B., Walter, J. S., Lucero, Y., Weaver, F., Langbein, E., et al, “Follow-Up Assessment of Standing Mobility Device Users,” Assistive Technology, Vol. 10, No. 2, pp. 84–93, 1998.CrossRefGoogle Scholar
  15. 15.
    Karmarkar, A. M., Dicianno, B. E., Graham, J. E., Cooper, R., Kelleher, A., and Cooper, R.A., “Factors Associated with Provision of Wheelchairs in Older Adults,” Assistive Technology, Vol. 24, No. 3, pp. 155–167, 2012.CrossRefGoogle Scholar
  16. 16.
    Requejo, P. S., Furumasu, J., and Mulroy, S. J., “Evidence-Based Strategies for Preserving Mobility for Elderly and Aging Manual Wheelchair Users,” Topics in Geriatric Rehabilitation, Vol. 31, No. 1, pp. 26, 2015.CrossRefGoogle Scholar
  17. 17.
    Gorce, P. and Louis, N., “Wheelchair Propulsion Kinematics in Beginners and Expert Users: Influence of Wheelchair Settings,” Clinical Biomechanics, Vol. 27, No. 1, pp. 7–15, 2012.CrossRefGoogle Scholar
  18. 18.
    Kotajarvi, B. R., Sabick, M. B., An, K.-N., and Zhao, K. D., “The Effect of Seat Position on Wheelchair Propulsion Biomechanics,” Journal of Rehabilitation Research and Development, Vol. 41, No. 3B, pp. 403–414, 2004.CrossRefGoogle Scholar
  19. 19.
    Bigland-Ritchie, B. and Woods, J. J., “Integrated Electromyogram and Oxygen Uptake during Positive and Negative Work,” The Journal of Physiology, Vol. 260, No. 2, pp. 267–277, 1976.CrossRefGoogle Scholar
  20. 20.
    Gribble, P. L., Mullin, L. I., Cothros, N., and Mattar, A., “Role of Cocontraction in Arm Movement Accuracy,” Journal of Neurophysiology, Vol. 89, No. 5, pp. 2396–2405, 2003.CrossRefGoogle Scholar
  21. 21.
    Koshland, G. F., Galloway, J. C., and Nevoret-Bell, C. J., “Control of the Wrist in Three-Joint Arm Movements to Multiple Directions in the Horizontal Plane,” Journal of Neurophysiology, Vol. 83, No. 5, pp. 3188–3195, 2000.CrossRefGoogle Scholar
  22. 22.
    Gomi, H. and Osu, R., “Task-Dependent Viscoelasticity of Human Multijoint Arm and Its Spatial Characteristics for Interaction with Environments,” Journal of Neuroscience, Vol. 18, No. 21, pp. 8965–8978, 1998.CrossRefGoogle Scholar
  23. 23.
    Firouzimehr, Z., “The Role of Muscle Cocontraction in Motor Learning,” M.Sc. Thesis, McGill University, 2011.Google Scholar
  24. 24.
    Koontz, A. M., Worobey, L. A., Rice, I. M., Collinger, J. L., and Boninger, M. L., “Comparison between Overground and Dynamometer Manual Wheelchair Propulsion,” Journal of Applied Biomechanics, Vol. 28, No. 4, pp. 412–419, 2012.CrossRefGoogle Scholar

Copyright information

© Korean Society for Precision Engineering and Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Biomedical EngineeringYonsei UniversityGangwon-doRepublic of Korea
  2. 2.Sensory Motor Performance ProgramRehabilitation Institute of ChicagoChicagoUSA
  3. 3.Department of Physical Medicine & RehabilitationNorthwestern UniversityChicagoUSA

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