journal article
Jan 01, 2021
Inertial Measurement Unit–Derived Ergonomic Metrics for Assessing Arm Use in Manual Wheelchair Users With Spinal Cord Injury: A Preliminary Report
Omid Jahanian
Meegan G. Van Straaten
Brianna M. Goodwin
Stephen M. Cain
Ryan J. Lennon
Jonathan D. Barlow
Naveen S. Murthy
Melissa M. B. Morrow
Meegan G. Van Straaten
Brianna M. Goodwin
Stephen M. Cain
Ryan J. Lennon
Jonathan D. Barlow
Naveen S. Murthy
Melissa M. B. Morrow
Topics in Spinal Cord Injury Rehabilitation
Vol. 27
No. 3
pp. 12-25
·
American Spinal Injury Association
Abstract
Background:
Individuals with spinal cord injury (SCI) who use manual wheelchairs (MWCs) have a higher rate of rotator cuff pathology progression than able-bodied individuals.
Objectives:
This study aimed to test the ability of risk and recovery metrics of arm use to differentiate between (1) MWC users with SCI and matched able-bodied participants (cross-sectional matched-sample study) and (2) MWC users with rotator cuff pathology progression over 1 year from those without pathology progression (longitudinal study).
Methods:
Thirty-four MWC users and 34 age- and sex-matched able-bodied individuals were recruited. Upper arm risk (humeral elevation >60°) and recovery (static ≥5 seconds and humeral elevation <40°) metrics were calculated from wireless inertial measurement units (IMUs) worn on the upper arms and torso in the free-living environment. Two separate magnetic resonance imaging studies were completed and assessed for a subset of 16 MWC users approximately 1 year apart.
Results:
The frequency of risk events (
p
= .019), summated duration of recovery events (
p
= .025), and duration of each recovery event (
p
= .003) were higher for MWC users than able-bodied participants. The summated duration of risk events (
p
= .047), frequency of risk events (
p
= .027), and risk to recovery ratio (
p
= .02) were higher and the summated duration of recovery events (
p
= .036) and frequency of recovery events (
p
= .047) were lower for MWC users with rotator cuff pathology progression (
n
= 5) compared to those without progression (
n
= 11).
Conclusion:
IMU-derived metrics quantifying arm use at postures >60° and risk to recovery ratios may provide insights of potential risk factors for rotator cuff pathology progression.
Individuals with spinal cord injury (SCI) who use manual wheelchairs (MWCs) have a higher rate of rotator cuff pathology progression than able-bodied individuals.
Objectives:
This study aimed to test the ability of risk and recovery metrics of arm use to differentiate between (1) MWC users with SCI and matched able-bodied participants (cross-sectional matched-sample study) and (2) MWC users with rotator cuff pathology progression over 1 year from those without pathology progression (longitudinal study).
Methods:
Thirty-four MWC users and 34 age- and sex-matched able-bodied individuals were recruited. Upper arm risk (humeral elevation >60°) and recovery (static ≥5 seconds and humeral elevation <40°) metrics were calculated from wireless inertial measurement units (IMUs) worn on the upper arms and torso in the free-living environment. Two separate magnetic resonance imaging studies were completed and assessed for a subset of 16 MWC users approximately 1 year apart.
Results:
The frequency of risk events (
p
= .019), summated duration of recovery events (
p
= .025), and duration of each recovery event (
p
= .003) were higher for MWC users than able-bodied participants. The summated duration of risk events (
p
= .047), frequency of risk events (
p
= .027), and risk to recovery ratio (
p
= .02) were higher and the summated duration of recovery events (
p
= .036) and frequency of recovery events (
p
= .047) were lower for MWC users with rotator cuff pathology progression (
n
= 5) compared to those without progression (
n
= 11).
Conclusion:
IMU-derived metrics quantifying arm use at postures >60° and risk to recovery ratios may provide insights of potential risk factors for rotator cuff pathology progression.
Topics
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PloS One.
2021;
16(
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[40]
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Madansingh
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J Electromyogr Kinesiol.2019:
102337.
[41]
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Cooper
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2015;
37(
1):
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DM,
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Med Eng Physics.
2014;
36(
2):
169–
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BM,
Jahanian
O,
Van Straaten
MG,
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Sensors.
2021;
21(
4):
1236.
[46]
Goodwin
BM,
Jahanian
O,
Cain
SM,
Van Straaten
MG,
Fortune
E,
Morrow
MM.
Duration of static and dynamic periods of the upper arm during daily life of manual wheelchair users and matched able-bodied participants: a preliminary report.
Front Sports Active Living.
2021;
3.
[47]
Jahanian
O,
Van Straaten
MG,
Goodwin
BM,
.
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J Spinal Cord Med.2020:
1–
11.
[48]
Anderson
AJ,
Hooke
A,
Jayaraman
C,
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bioRxiv.2020.
[49]
Boninger
ML,
Baldwin
M,
Cooper
RA,
Koontz
A,
Chan
L.
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Arch Phys Med Rehabil.
2000;
81(
5):
608–
613.
[50]
Jahanian
O,
Schnorenberg
AJ,
Muqeet
V,
Hsiao-Wecksler
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Slavens
BA.
Glenohumeral joint dynamics and shoulder muscle activity during geared manual wheelchair propulsion on carpeted floor in individuals with spinal cord injury.
J Electromyogr Kinesiol.2019:
102318.
Showing 50 of 56 references
Metrics
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56
References
Details
- Published
- Jan 01, 2021
- Vol/Issue
- 27(3)
- Pages
- 12-25
Authors
Cite This Article
Omid Jahanian, Meegan G. Van Straaten, Brianna M. Goodwin, et al. (2021). Inertial Measurement Unit–Derived Ergonomic Metrics for Assessing Arm Use in Manual Wheelchair Users With Spinal Cord Injury: A Preliminary Report. Topics in Spinal Cord Injury Rehabilitation, 27(3), 12-25. https://doi.org/10.46292/sci20-00059
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