Scapular kinematics during manual wheelchair propulsion in able-bodied participants

Michel J. Bekker, Riemer J.K. Vegter, Jan W. van der Scheer, Johanneke Hartog, Sonja de Groot, Wiebe de Vries, Ursina Arnet, Lucas H.V. van der Woude, Dirkjan (.H.E.J) Veeger

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

Background: Altered scapular kinematics have been associated with shoulder pain and functional limitations. To understand kinematics in persons with spinal cord injury during manual handrim wheelchair propulsion, a description of normal scapular behaviour in able-bodied persons during this specific task is a prerequisite for accurate interpretation. The primary aim of this study is to describe scapular kinematics in able-bodied persons during manual wheelchair propulsion. Methods: Sixteen able-bodied, novice wheelchair users without shoulder complaints participated in the study. Kinematic and kinetic data were collected during a standardized pose in the anatomic posture, frontal-plane arm elevation and low-intensity steady-state handrim wheelchair propulsion and upper-body Euler angles were calculated. Findings: Scapulothoracic joint orientations in a static position were 36.7° (SD 5.4°), 6.4° (SD 9.1°) and 9.1° (SD 5.7°) for respectively protraction, lateral rotation and anterior tilt. At 80° of arm elevation in the frontal plane, the respective values of 33.4° (SD 8.0°), 23.9° (SD 5.4°) and 4.1° (SD 11.3°) were found. During the push phase of manual wheelchair propulsion, the mean scapular rotations were respectively 32.7° (SD 7.1°), 7.1° (SD 9.2°) and 9.8° (SD 8.3°). Interpretation: The orientation of the scapula in a static pose, during arm elevation and in manual wheelchair propulsion in able-bodied participants showed similar patterns to a previous study in persons with para- and tetraplegia. These values provide a reference for the investigation of the scapular movement pattern in wheelchair-dependent persons and its relation to shoulder complex abnormalities.

Original languageEnglish
Pages (from-to)54-61
Number of pages8
JournalClinical Biomechanics
Volume54
Issue numberMay
Early online date14 Mar 2018
DOIs
Publication statusPublished - May 2018

Fingerprint

Wheelchairs
Biomechanical Phenomena
Arm
Scapula
Shoulder Pain
Quadriplegia
Paraplegia
Posture
Spinal Cord Injuries
Joints

Keywords

  • Biomechanics
  • Manual wheelchair propulsion
  • Scapular kinematics

Cite this

Bekker, M. J., Vegter, R. J. K., van der Scheer, J. W., Hartog, J., de Groot, S., de Vries, W., ... Veeger, D. . H. E. J. (2018). Scapular kinematics during manual wheelchair propulsion in able-bodied participants. Clinical Biomechanics, 54(May), 54-61. https://doi.org/10.1016/j.clinbiomech.2018.03.008
Bekker, Michel J. ; Vegter, Riemer J.K. ; van der Scheer, Jan W. ; Hartog, Johanneke ; de Groot, Sonja ; de Vries, Wiebe ; Arnet, Ursina ; van der Woude, Lucas H.V. ; Veeger, Dirkjan (.H.E.J). / Scapular kinematics during manual wheelchair propulsion in able-bodied participants. In: Clinical Biomechanics. 2018 ; Vol. 54, No. May. pp. 54-61.
@article{28593cb73ee64356b6e3b0ab086fa0a2,
title = "Scapular kinematics during manual wheelchair propulsion in able-bodied participants",
abstract = "Background: Altered scapular kinematics have been associated with shoulder pain and functional limitations. To understand kinematics in persons with spinal cord injury during manual handrim wheelchair propulsion, a description of normal scapular behaviour in able-bodied persons during this specific task is a prerequisite for accurate interpretation. The primary aim of this study is to describe scapular kinematics in able-bodied persons during manual wheelchair propulsion. Methods: Sixteen able-bodied, novice wheelchair users without shoulder complaints participated in the study. Kinematic and kinetic data were collected during a standardized pose in the anatomic posture, frontal-plane arm elevation and low-intensity steady-state handrim wheelchair propulsion and upper-body Euler angles were calculated. Findings: Scapulothoracic joint orientations in a static position were 36.7° (SD 5.4°), 6.4° (SD 9.1°) and 9.1° (SD 5.7°) for respectively protraction, lateral rotation and anterior tilt. At 80° of arm elevation in the frontal plane, the respective values of 33.4° (SD 8.0°), 23.9° (SD 5.4°) and 4.1° (SD 11.3°) were found. During the push phase of manual wheelchair propulsion, the mean scapular rotations were respectively 32.7° (SD 7.1°), 7.1° (SD 9.2°) and 9.8° (SD 8.3°). Interpretation: The orientation of the scapula in a static pose, during arm elevation and in manual wheelchair propulsion in able-bodied participants showed similar patterns to a previous study in persons with para- and tetraplegia. These values provide a reference for the investigation of the scapular movement pattern in wheelchair-dependent persons and its relation to shoulder complex abnormalities.",
keywords = "Biomechanics, Manual wheelchair propulsion, Scapular kinematics",
author = "Bekker, {Michel J.} and Vegter, {Riemer J.K.} and {van der Scheer}, {Jan W.} and Johanneke Hartog and {de Groot}, Sonja and {de Vries}, Wiebe and Ursina Arnet and {van der Woude}, {Lucas H.V.} and Veeger, {Dirkjan (.H.E.J)}",
year = "2018",
month = "5",
doi = "10.1016/j.clinbiomech.2018.03.008",
language = "English",
volume = "54",
pages = "54--61",
journal = "Clinical Biomechanics",
issn = "0268-0033",
publisher = "Elsevier Limited",
number = "May",

}

Bekker, MJ, Vegter, RJK, van der Scheer, JW, Hartog, J, de Groot, S, de Vries, W, Arnet, U, van der Woude, LHV & Veeger, DHEJ 2018, 'Scapular kinematics during manual wheelchair propulsion in able-bodied participants' Clinical Biomechanics, vol. 54, no. May, pp. 54-61. https://doi.org/10.1016/j.clinbiomech.2018.03.008

Scapular kinematics during manual wheelchair propulsion in able-bodied participants. / Bekker, Michel J.; Vegter, Riemer J.K.; van der Scheer, Jan W.; Hartog, Johanneke; de Groot, Sonja; de Vries, Wiebe; Arnet, Ursina; van der Woude, Lucas H.V.; Veeger, Dirkjan (.H.E.J).

In: Clinical Biomechanics, Vol. 54, No. May, 05.2018, p. 54-61.

Research output: Contribution to JournalArticleAcademicpeer-review

TY - JOUR

T1 - Scapular kinematics during manual wheelchair propulsion in able-bodied participants

AU - Bekker, Michel J.

AU - Vegter, Riemer J.K.

AU - van der Scheer, Jan W.

AU - Hartog, Johanneke

AU - de Groot, Sonja

AU - de Vries, Wiebe

AU - Arnet, Ursina

AU - van der Woude, Lucas H.V.

AU - Veeger, Dirkjan (.H.E.J)

PY - 2018/5

Y1 - 2018/5

N2 - Background: Altered scapular kinematics have been associated with shoulder pain and functional limitations. To understand kinematics in persons with spinal cord injury during manual handrim wheelchair propulsion, a description of normal scapular behaviour in able-bodied persons during this specific task is a prerequisite for accurate interpretation. The primary aim of this study is to describe scapular kinematics in able-bodied persons during manual wheelchair propulsion. Methods: Sixteen able-bodied, novice wheelchair users without shoulder complaints participated in the study. Kinematic and kinetic data were collected during a standardized pose in the anatomic posture, frontal-plane arm elevation and low-intensity steady-state handrim wheelchair propulsion and upper-body Euler angles were calculated. Findings: Scapulothoracic joint orientations in a static position were 36.7° (SD 5.4°), 6.4° (SD 9.1°) and 9.1° (SD 5.7°) for respectively protraction, lateral rotation and anterior tilt. At 80° of arm elevation in the frontal plane, the respective values of 33.4° (SD 8.0°), 23.9° (SD 5.4°) and 4.1° (SD 11.3°) were found. During the push phase of manual wheelchair propulsion, the mean scapular rotations were respectively 32.7° (SD 7.1°), 7.1° (SD 9.2°) and 9.8° (SD 8.3°). Interpretation: The orientation of the scapula in a static pose, during arm elevation and in manual wheelchair propulsion in able-bodied participants showed similar patterns to a previous study in persons with para- and tetraplegia. These values provide a reference for the investigation of the scapular movement pattern in wheelchair-dependent persons and its relation to shoulder complex abnormalities.

AB - Background: Altered scapular kinematics have been associated with shoulder pain and functional limitations. To understand kinematics in persons with spinal cord injury during manual handrim wheelchair propulsion, a description of normal scapular behaviour in able-bodied persons during this specific task is a prerequisite for accurate interpretation. The primary aim of this study is to describe scapular kinematics in able-bodied persons during manual wheelchair propulsion. Methods: Sixteen able-bodied, novice wheelchair users without shoulder complaints participated in the study. Kinematic and kinetic data were collected during a standardized pose in the anatomic posture, frontal-plane arm elevation and low-intensity steady-state handrim wheelchair propulsion and upper-body Euler angles were calculated. Findings: Scapulothoracic joint orientations in a static position were 36.7° (SD 5.4°), 6.4° (SD 9.1°) and 9.1° (SD 5.7°) for respectively protraction, lateral rotation and anterior tilt. At 80° of arm elevation in the frontal plane, the respective values of 33.4° (SD 8.0°), 23.9° (SD 5.4°) and 4.1° (SD 11.3°) were found. During the push phase of manual wheelchair propulsion, the mean scapular rotations were respectively 32.7° (SD 7.1°), 7.1° (SD 9.2°) and 9.8° (SD 8.3°). Interpretation: The orientation of the scapula in a static pose, during arm elevation and in manual wheelchair propulsion in able-bodied participants showed similar patterns to a previous study in persons with para- and tetraplegia. These values provide a reference for the investigation of the scapular movement pattern in wheelchair-dependent persons and its relation to shoulder complex abnormalities.

KW - Biomechanics

KW - Manual wheelchair propulsion

KW - Scapular kinematics

UR - http://www.scopus.com/inward/record.url?scp=85043792716&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85043792716&partnerID=8YFLogxK

U2 - 10.1016/j.clinbiomech.2018.03.008

DO - 10.1016/j.clinbiomech.2018.03.008

M3 - Article

VL - 54

SP - 54

EP - 61

JO - Clinical Biomechanics

JF - Clinical Biomechanics

SN - 0268-0033

IS - May

ER -

Bekker MJ, Vegter RJK, van der Scheer JW, Hartog J, de Groot S, de Vries W et al. Scapular kinematics during manual wheelchair propulsion in able-bodied participants. Clinical Biomechanics. 2018 May;54(May):54-61. https://doi.org/10.1016/j.clinbiomech.2018.03.008