Moving forward: A review of continuous kinetics and kinematics during handcycling propulsion

Wheelchair users (WCUs) face high rates of shoulder overuse injuries. As exercise is recommended to reduce cardiovascular disease prevalent among WCUs, it is becoming increasingly important to understand the mechanisms behind shoulder soft-tissue injury in WCUs. Understanding the kinetics and kinema...

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Bibliographic Details
Published in:Journal of biomechanics 2023-10, Vol.159, p.111779-111779, Article 111779
Main Authors: Halloran, Kellie M., Focht, Michael D.K., Teague, Alexander, Peters, Joseph, Rice, Ian, Kersh, Mariana E.
Format: Article
Language:English
Subjects:
Asymptomatic
Biomechanics
Cardiovascular disease
Cardiovascular diseases
Contact force
Handcrank
Injuries
Injury prevention
Kinematics
Kinetics
Morphology
Propulsion
Risk
Rotator cuff
Shoulder
Spinal cord
Spinal cord injury
Wheelchair
Wheelchairs
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Summary:Wheelchair users (WCUs) face high rates of shoulder overuse injuries. As exercise is recommended to reduce cardiovascular disease prevalent among WCUs, it is becoming increasingly important to understand the mechanisms behind shoulder soft-tissue injury in WCUs. Understanding the kinetics and kinematics during upper-limb propulsion is the first step toward evaluating soft-tissue injury risk in WCUs. This paper examines continuous kinetic and kinematic data available in the literature. Attach-unit and recumbent handcycling are examined and compared. Athletic modes of propulsion such as recumbent handcycling are important considering the higher contact forces, speed, and power outputs experienced during these activities that could put users at increased risk of injury. Understanding the underlying kinetics and kinematics during various propulsion modes can lend insight into shoulder loading, and therefore injury risk, during these activities and inform future exercise guidelines for WCUs.
ISSN:0021-9290
1873-2380
DOI:10.1016/j.jbiomech.2023.111779