Variation in Daily Wheelchair Mobility Metrics of Persons with Spinal Cord Injury: The Need for Individual Monitoring

Manual wheelchair users (MWUs) frequently report shoulder problems and have a three-times-higher likelihood of rotator cuff pathology compared to able-bodied individuals. Shoulder health is crucial for MWU independence, their social participation, and quality of life. Daily activities such as wheelc...

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Main Authors: Wiebe de Vries, Inge Eriks-Hoogland, Anneke Hertig-Godeschalk, Sabrina Koch-Borner, Claudio Perret, Ursina Arnet
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Applied Sciences
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Online Access:https://www.mdpi.com/2076-3417/14/23/11087
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author Wiebe de Vries
Inge Eriks-Hoogland
Anneke Hertig-Godeschalk
Sabrina Koch-Borner
Claudio Perret
Ursina Arnet
author_facet Wiebe de Vries
Inge Eriks-Hoogland
Anneke Hertig-Godeschalk
Sabrina Koch-Borner
Claudio Perret
Ursina Arnet
author_sort Wiebe de Vries
collection DOAJ
description Manual wheelchair users (MWUs) frequently report shoulder problems and have a three-times-higher likelihood of rotator cuff pathology compared to able-bodied individuals. Shoulder health is crucial for MWU independence, their social participation, and quality of life. Daily activities such as wheelchair propulsion potentially lead to fatigue and overload. Since comprehensive data are limited, this study aimed to implement a wheelchair mobility metrics (WCMM) method to examine various aspects of wheelchair use in daily life. Two inertial measurement units (IMUs) were placed on the wheelchair frame and wheel of 19 participants with a spinal cord injury (SCI). WCMMs like distance covered, number of pushes and turns, and incline were derived from real-life measurements and normalized to a period of 8 h. Large variation was observed among participants. The distance covered ranged from 0.5 to 10.7 km, with the number of pushes from 438 to 4820. The number of turns ranged from 269 to 1396, and the average distance per mobility bout from 5 to 59 m. This wide variation over participants emphasizes the importance of data-driven clinical decision making and patient education. Further studies with larger samples and duration are needed to fully understand MWUs’ mobility patterns and their implications for shoulder health.
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spelling doaj-art-d71ba749446c4aacbf2364b03f55f60b2025-08-20T02:50:13ZengMDPI AGApplied Sciences2076-34172024-11-0114231108710.3390/app142311087Variation in Daily Wheelchair Mobility Metrics of Persons with Spinal Cord Injury: The Need for Individual MonitoringWiebe de Vries0Inge Eriks-Hoogland1Anneke Hertig-Godeschalk2Sabrina Koch-Borner3Claudio Perret4Ursina Arnet5Swiss Paraplegic Research, Guido A. Zächstrasse 4, 6207 Nottwil, SwitzerlandSwiss Paraplegic Centre, Guido A. Zächstrasse 2, 6207 Nottwil, SwitzerlandSwiss Paraplegic Research, Guido A. Zächstrasse 4, 6207 Nottwil, SwitzerlandSwiss Paraplegic Research, Guido A. Zächstrasse 4, 6207 Nottwil, SwitzerlandSwiss Paraplegic Research, Guido A. Zächstrasse 4, 6207 Nottwil, SwitzerlandSwiss Paraplegic Research, Guido A. Zächstrasse 4, 6207 Nottwil, SwitzerlandManual wheelchair users (MWUs) frequently report shoulder problems and have a three-times-higher likelihood of rotator cuff pathology compared to able-bodied individuals. Shoulder health is crucial for MWU independence, their social participation, and quality of life. Daily activities such as wheelchair propulsion potentially lead to fatigue and overload. Since comprehensive data are limited, this study aimed to implement a wheelchair mobility metrics (WCMM) method to examine various aspects of wheelchair use in daily life. Two inertial measurement units (IMUs) were placed on the wheelchair frame and wheel of 19 participants with a spinal cord injury (SCI). WCMMs like distance covered, number of pushes and turns, and incline were derived from real-life measurements and normalized to a period of 8 h. Large variation was observed among participants. The distance covered ranged from 0.5 to 10.7 km, with the number of pushes from 438 to 4820. The number of turns ranged from 269 to 1396, and the average distance per mobility bout from 5 to 59 m. This wide variation over participants emphasizes the importance of data-driven clinical decision making and patient education. Further studies with larger samples and duration are needed to fully understand MWUs’ mobility patterns and their implications for shoulder health.https://www.mdpi.com/2076-3417/14/23/11087wheelchair mobility metricsIMUreal-life measurementsspinal cord injurymanual wheelchair users
spellingShingle Wiebe de Vries
Inge Eriks-Hoogland
Anneke Hertig-Godeschalk
Sabrina Koch-Borner
Claudio Perret
Ursina Arnet
Variation in Daily Wheelchair Mobility Metrics of Persons with Spinal Cord Injury: The Need for Individual Monitoring
Applied Sciences
wheelchair mobility metrics
IMU
real-life measurements
spinal cord injury
manual wheelchair users
title Variation in Daily Wheelchair Mobility Metrics of Persons with Spinal Cord Injury: The Need for Individual Monitoring
title_full Variation in Daily Wheelchair Mobility Metrics of Persons with Spinal Cord Injury: The Need for Individual Monitoring
title_fullStr Variation in Daily Wheelchair Mobility Metrics of Persons with Spinal Cord Injury: The Need for Individual Monitoring
title_full_unstemmed Variation in Daily Wheelchair Mobility Metrics of Persons with Spinal Cord Injury: The Need for Individual Monitoring
title_short Variation in Daily Wheelchair Mobility Metrics of Persons with Spinal Cord Injury: The Need for Individual Monitoring
title_sort variation in daily wheelchair mobility metrics of persons with spinal cord injury the need for individual monitoring
topic wheelchair mobility metrics
IMU
real-life measurements
spinal cord injury
manual wheelchair users
url https://www.mdpi.com/2076-3417/14/23/11087
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