PLOS ONE, 2021 · DOI: https://doi.org/10.1371/journal.pone.0248978 · Published: April 23, 2021
This study investigates the arm movements of manual wheelchair users with spinal cord injuries (SCI) compared to able-bodied individuals. It focuses on how much time each group spends with their upper arm at different elevation angles during daily activities. Researchers used inertial measurement units (IMUs) to track arm positions throughout the day. The goal was to see if wheelchair users spend more time in arm positions that might compress shoulder tendons, potentially contributing to shoulder pain. The study found that individuals with SCI spent a larger portion of their day with their arms elevated in a range associated with tendon compression compared to the control group.
Develop interventions to reduce time spent in the 30-60 degree humeral elevation range for MWC users.
Optimize wheelchair setup (e.g., armrest height) to encourage more neutral arm positioning.
Conduct longitudinal studies to correlate humeral elevation patterns with the progression of shoulder pathology.