Immediate Biomechanical Implications of Transfer Component Skills Training on Independent Wheelchair Transfers
Abstract Objective To evaluate the immediate effects of transfer training based on the Transfer Assessment Instrument (TAI) on the upper limb biomechanics during transfers. Design Pre-post intervention. Setting Biomechanics laboratory. Participants Full-time manual wheelchair users (N=24) performed...
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| Veröffentlicht in: | Archives of physical medicine and rehabilitation 2016-10, Vol.97 (10), p.1785-1792 |
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| container_title | Archives of physical medicine and rehabilitation |
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| creator | Tsai, Chung-Ying, PhD Boninger, Michael L., MD Hastings, Jennifer, PhD Cooper, Rory A., PhD Rice, Laura, PhD Koontz, Alicia M., PhD |
| description | Abstract Objective To evaluate the immediate effects of transfer training based on the Transfer Assessment Instrument (TAI) on the upper limb biomechanics during transfers. Design Pre-post intervention. Setting Biomechanics laboratory. Participants Full-time manual wheelchair users (N=24) performed 5 transfers to a level height bench, while their natural transfer skills were scored using the TAI, and their biomechanical data were recorded. Intervention Participants with 2 or more component skill deficits were invited to return to receive personalized transfer training. Main Outcome Measures TAI part 1 summary scores and biomechanical variables calculated at the shoulder, elbow, and wrist joints were compared before and immediately after transfer training. Results Sixteen of the 24 manual wheelchair users met the criteria for training, and 11 manual wheelchair users came back for the revisit. Their TAI part 1 summary scores improved from 6.31±.98 to 9.92±.25. They had significantly smaller elbow range of motion, shoulder resultant moment, and rates of rise of elbow and wrist resultant forces on their trailing side during transfers after training ( P |
| doi_str_mv | 10.1016/j.apmr.2016.03.009 |
| format | Article |
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Design Pre-post intervention. Setting Biomechanics laboratory. Participants Full-time manual wheelchair users (N=24) performed 5 transfers to a level height bench, while their natural transfer skills were scored using the TAI, and their biomechanical data were recorded. Intervention Participants with 2 or more component skill deficits were invited to return to receive personalized transfer training. Main Outcome Measures TAI part 1 summary scores and biomechanical variables calculated at the shoulder, elbow, and wrist joints were compared before and immediately after transfer training. Results Sixteen of the 24 manual wheelchair users met the criteria for training, and 11 manual wheelchair users came back for the revisit. Their TAI part 1 summary scores improved from 6.31±.98 to 9.92±.25. They had significantly smaller elbow range of motion, shoulder resultant moment, and rates of rise of elbow and wrist resultant forces on their trailing side during transfers after training ( P <.05). On the leading side, shoulder maximum internal rotation and elevation angles, and shoulder resultant moments and rates of rise of shoulder resultant force and moment decreased after training ( P <.04). Conclusions The TAI-based training showed short-term beneficial biomechanical effects on wheelchair users' upper limbs, such as better shoulder positioning and lower joint loadings. If the skills are practiced longer-term, they may help protect the upper limbs from developing pain and injuries.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/j.apmr.2016.03.009</identifier><identifier>PMID: 27084267</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Activities of daily living ; Adult ; Biomechanical Phenomena ; Female ; Humans ; Male ; Middle Aged ; Patient Education as Topic - methods ; Physical Medicine and Rehabilitation ; Physical Therapy Modalities ; Rehabilitation ; Shoulder - physiopathology ; Shoulder Injuries - prevention & control ; Shoulder pain ; Spinal cord injuries ; Spinal Cord Injuries - rehabilitation ; Training support ; Upper Extremity - physiopathology ; Wheelchairs</subject><ispartof>Archives of physical medicine and rehabilitation, 2016-10, Vol.97 (10), p.1785-1792</ispartof><rights>American Congress of Rehabilitation Medicine</rights><rights>2016 American Congress of Rehabilitation Medicine</rights><rights>Copyright © 2016 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c411t-7f5d35ee6ebe921ea906ea284fd4b23c450746579dd72d77ac43f494eefeb2283</citedby><cites>FETCH-LOGICAL-c411t-7f5d35ee6ebe921ea906ea284fd4b23c450746579dd72d77ac43f494eefeb2283</cites><orcidid>0000-0003-4385-7314</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.apmr.2016.03.009$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27084267$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tsai, Chung-Ying, PhD</creatorcontrib><creatorcontrib>Boninger, Michael L., MD</creatorcontrib><creatorcontrib>Hastings, Jennifer, PhD</creatorcontrib><creatorcontrib>Cooper, Rory A., PhD</creatorcontrib><creatorcontrib>Rice, Laura, PhD</creatorcontrib><creatorcontrib>Koontz, Alicia M., PhD</creatorcontrib><title>Immediate Biomechanical Implications of Transfer Component Skills Training on Independent Wheelchair Transfers</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>Abstract Objective To evaluate the immediate effects of transfer training based on the Transfer Assessment Instrument (TAI) on the upper limb biomechanics during transfers. Design Pre-post intervention. Setting Biomechanics laboratory. Participants Full-time manual wheelchair users (N=24) performed 5 transfers to a level height bench, while their natural transfer skills were scored using the TAI, and their biomechanical data were recorded. Intervention Participants with 2 or more component skill deficits were invited to return to receive personalized transfer training. Main Outcome Measures TAI part 1 summary scores and biomechanical variables calculated at the shoulder, elbow, and wrist joints were compared before and immediately after transfer training. Results Sixteen of the 24 manual wheelchair users met the criteria for training, and 11 manual wheelchair users came back for the revisit. Their TAI part 1 summary scores improved from 6.31±.98 to 9.92±.25. They had significantly smaller elbow range of motion, shoulder resultant moment, and rates of rise of elbow and wrist resultant forces on their trailing side during transfers after training ( P <.05). On the leading side, shoulder maximum internal rotation and elevation angles, and shoulder resultant moments and rates of rise of shoulder resultant force and moment decreased after training ( P <.04). Conclusions The TAI-based training showed short-term beneficial biomechanical effects on wheelchair users' upper limbs, such as better shoulder positioning and lower joint loadings. If the skills are practiced longer-term, they may help protect the upper limbs from developing pain and injuries.</description><subject>Activities of daily living</subject><subject>Adult</subject><subject>Biomechanical Phenomena</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Patient Education as Topic - methods</subject><subject>Physical Medicine and Rehabilitation</subject><subject>Physical Therapy Modalities</subject><subject>Rehabilitation</subject><subject>Shoulder - physiopathology</subject><subject>Shoulder Injuries - prevention & control</subject><subject>Shoulder pain</subject><subject>Spinal cord injuries</subject><subject>Spinal Cord Injuries - rehabilitation</subject><subject>Training support</subject><subject>Upper Extremity - physiopathology</subject><subject>Wheelchairs</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1u1DAUhS0EokPhBVigLNkk2NdOHEsIiY74GakSixbBzvI4N9RTxw52Bqlvj8OULliwsa91zzmSv0PIS0YbRln35tCYeUoNlLmhvKFUPSIb1nKoe2DfH5MNpZTXSil-Rp7lfCjPruXsKTkDSXsBndyQsJsmHJxZsLpwcUJ7Y4Kzxle7afZlWFwMuYpjdZ1MyCOmahunOQYMS3V167zP68YFF35UMVS7MOCM5SjrbzeIvuS59GDOz8mT0fiML-7vc_L144fr7ef68sun3fb9ZW0FY0stx3bgLWKHe1TA0CjaoYFejIPYA7eipVJ0rVTDIGGQ0ljBR6EE4oh7gJ6fk9en3DnFn0fMi55ctui9CRiPWbMeBIBQShYpnKQ2xZwTjnpObjLpTjOqV876oFfOeuWsKdeFczG9us8_7gu_B8tfsEXw9iTA8stfDpPO1mGwhXVCu-ghuv_nv_vHbr37U8wt3mE-xGMKhZ9mOoOm-mptei2adZxSIYD_BkO3pZ4</recordid><startdate>20161001</startdate><enddate>20161001</enddate><creator>Tsai, Chung-Ying, PhD</creator><creator>Boninger, Michael L., MD</creator><creator>Hastings, Jennifer, PhD</creator><creator>Cooper, Rory A., PhD</creator><creator>Rice, Laura, PhD</creator><creator>Koontz, Alicia M., PhD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4385-7314</orcidid></search><sort><creationdate>20161001</creationdate><title>Immediate Biomechanical Implications of Transfer Component Skills Training on Independent Wheelchair Transfers</title><author>Tsai, Chung-Ying, PhD ; Boninger, Michael L., MD ; Hastings, Jennifer, PhD ; Cooper, Rory A., PhD ; Rice, Laura, PhD ; Koontz, Alicia M., PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-7f5d35ee6ebe921ea906ea284fd4b23c450746579dd72d77ac43f494eefeb2283</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Activities of daily living</topic><topic>Adult</topic><topic>Biomechanical Phenomena</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Patient Education as Topic - methods</topic><topic>Physical Medicine and Rehabilitation</topic><topic>Physical Therapy Modalities</topic><topic>Rehabilitation</topic><topic>Shoulder - physiopathology</topic><topic>Shoulder Injuries - prevention & control</topic><topic>Shoulder pain</topic><topic>Spinal cord injuries</topic><topic>Spinal Cord Injuries - rehabilitation</topic><topic>Training support</topic><topic>Upper Extremity - physiopathology</topic><topic>Wheelchairs</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tsai, Chung-Ying, PhD</creatorcontrib><creatorcontrib>Boninger, Michael L., MD</creatorcontrib><creatorcontrib>Hastings, Jennifer, PhD</creatorcontrib><creatorcontrib>Cooper, Rory A., PhD</creatorcontrib><creatorcontrib>Rice, Laura, PhD</creatorcontrib><creatorcontrib>Koontz, Alicia M., PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tsai, Chung-Ying, PhD</au><au>Boninger, Michael L., MD</au><au>Hastings, Jennifer, PhD</au><au>Cooper, Rory A., PhD</au><au>Rice, Laura, PhD</au><au>Koontz, Alicia M., PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Immediate Biomechanical Implications of Transfer Component Skills Training on Independent Wheelchair Transfers</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>2016-10-01</date><risdate>2016</risdate><volume>97</volume><issue>10</issue><spage>1785</spage><epage>1792</epage><pages>1785-1792</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><abstract>Abstract Objective To evaluate the immediate effects of transfer training based on the Transfer Assessment Instrument (TAI) on the upper limb biomechanics during transfers. Design Pre-post intervention. Setting Biomechanics laboratory. Participants Full-time manual wheelchair users (N=24) performed 5 transfers to a level height bench, while their natural transfer skills were scored using the TAI, and their biomechanical data were recorded. Intervention Participants with 2 or more component skill deficits were invited to return to receive personalized transfer training. Main Outcome Measures TAI part 1 summary scores and biomechanical variables calculated at the shoulder, elbow, and wrist joints were compared before and immediately after transfer training. Results Sixteen of the 24 manual wheelchair users met the criteria for training, and 11 manual wheelchair users came back for the revisit. Their TAI part 1 summary scores improved from 6.31±.98 to 9.92±.25. They had significantly smaller elbow range of motion, shoulder resultant moment, and rates of rise of elbow and wrist resultant forces on their trailing side during transfers after training ( P <.05). On the leading side, shoulder maximum internal rotation and elevation angles, and shoulder resultant moments and rates of rise of shoulder resultant force and moment decreased after training ( P <.04). Conclusions The TAI-based training showed short-term beneficial biomechanical effects on wheelchair users' upper limbs, such as better shoulder positioning and lower joint loadings. If the skills are practiced longer-term, they may help protect the upper limbs from developing pain and injuries.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27084267</pmid><doi>10.1016/j.apmr.2016.03.009</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-4385-7314</orcidid></addata></record> |
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| subjects | Activities of daily living Adult Biomechanical Phenomena Female Humans Male Middle Aged Patient Education as Topic - methods Physical Medicine and Rehabilitation Physical Therapy Modalities Rehabilitation Shoulder - physiopathology Shoulder Injuries - prevention & control Shoulder pain Spinal cord injuries Spinal Cord Injuries - rehabilitation Training support Upper Extremity - physiopathology Wheelchairs |
| title | Immediate Biomechanical Implications of Transfer Component Skills Training on Independent Wheelchair Transfers |
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