Kinematic analysis of handbike propulsion in various gear ratios: implications for joint pain

Clinical Biomechanics
Arnaud FaupinO Rémy-Néris

Abstract

Though considered more efficient and less constraining than the hand-rim wheelchair, the handbike has rarely been studied especially as regards its kinematic parameters. The hypothesis of this investigation is that the range of upper extremity motions are risk factors for joint pain during handbiking as is the case during hand-rim wheelchair propulsion. This paper aims to study handbike propulsion in maximal sprint conditions in order to determine potential risk factors for joint pain. Eight able-bodied participants with no experience in handbike propulsion performed three sprints of 8 s each using three gear ratios in a handbike mounted on a home-trainer. The mean velocity per arm cycle, the cycle frequency, the angular parameters for the upper extremities were calculated, as well as the corresponding angular accelerations, with the help of a 3D movement analysis. An increase in gear ratio (22/21, 32/21, and 44/21) significantly increases the maximal velocity, the flexion/extension of the trunk, as well as the adduction/abduction of the elbow, while it reduces the frequency of movements and the flexion/extension angular accelerations of the shoulder and the elbow. Regardless of what gear ratio is used, maximal angular amplitud...Continue Reading

References

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Citations

Oct 3, 2007·European Journal of Applied Physiology·Victoria L Goosey-TolfreyNeil Fowler
Nov 10, 2015·Disability and Rehabilitation. Assistive Technology·Claire L Flemmer, Rory C Flemmer
Dec 3, 2009·Physical Medicine and Rehabilitation Clinics of North America·F J HettingaL H V van der Woude
Feb 11, 2019·Scandinavian Journal of Medicine & Science in Sports·Benjamin StoneVictoria L Goosey-Tolfrey
Sep 10, 2020·Disability and Rehabilitation·Cassandra KraaijenbrinkLucas van der Woude
Jun 4, 2021·Journal of Sports Sciences·Rafael MuchaxoCarla F J Nooijen

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