Biomechanics of Adaptive Rowing in Active and Inactive Manual Wheelchair Users

NCT05114629 | Completed

• 1 other identifier: 20-01368
• Study Type: observational
• Target: 15
• Locations: 1 country
• Sites: 1

Brief Summary

This research is being performed to characterize the rowing stroke in active and inactive individuals who use a manual wheelchair. The investigators will be looking at muscle activity of four shoulder muscles (upper trapezius, lower trapezius, serratus anterior, and posterior deltoid) and motion of the arms, shoulder blade, and trunk during rowing. This will be done for three rowing conditions (1: adapted rowing ergometer, 2: rowing ergometer from a chair, 3: standard seated row exercise using an elastic band \[TheraBand\]). The investigators are also looking at shoulder strength, range of motion, quality of life, and community participation.

Conditions

Wheelchair; Water Sports; Upper Extremity; Biomechanics; Electromyography; Kinematics

Outcome Measures

Primary Outcomes (2)

• Electromyography

  Surface EMG will be used to determine levels of muscle activation through analyzing area under the curve, peak, and mean amplitude. Data will be collected on four muscles bilaterally (upper trapezius, lower trapezius, serratus anterior, and posterior deltoid).Peak dynamic method will be used for normalization for comparison between exercise conditions.(Ryan et al., 1992; Fleming \& Donne, 2014; Hug \& Dorel, 2009)

  Collected during Day 2 visit

• Kinematics

  Three-dimensional kinematic data of the trunk, arms, and scapula will be collected using the Motion Monitor electromagnetic transmitter system (Innovative Sports Training, Inc., Chicago, IL). The International Society of Biomechanics recommendations for shoulder kinematics, will be used to define sensor placement and global and local coordinate system definitions.(Wu et al., 2005) Using this data, we will analyze the coordination and symmetry of the upper extremity during the rowing stroke to supplement the EMG data.

  Collected during Day 2 visit

Secondary Outcomes (5)

• Shoulder Muscle Strength

  Collected during Day 1 visit

• Shoulder Range of Motion

  Collected during Day 1 visit

• Subjective quality of life

  Collected During Day 1 visit

• Community Participation

  Collected during Day 1 visit

• Descriptive Variables

  Collected during Day 1 visit

Study Arms (2)

Active

Individuals in the active group will meet or exceed the American College of Sports Medicine's Guidelines for Physical Activity in Adults with Chronic Health Conditions and Disabilities. ACMS recommends individuals participate in at least 150 to 300 minutes of moderate-intensity aerobic exercise, 75 to 150 minutes of vigorous-intensity activity.(health.gov/ PAGuidelines)

Inactive

Individuals in the inactive group are those who do not meet the American College of Sports Medicine's Guidelines for Physical Activity in Adults with Chronic Health Conditions and Disabilities. ACMS recommends individuals participate in at least 150 to 300 minutes of moderate-intensity aerobic exercise, 75 to 150 minutes of vigorous-intensity activity.(health.gov/ PAGuidelines)

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

All participants will be recruited through personal contact, using flyers, newsletters, email communication, and social media. Participants will be recruited from the community in the Greater Philadelphia area through previously established connections at the Philadelphia Center for Adapted Sports (PCAS) and Magee Rehabilitation Network, as well as through social media platforms (Facebook, Instagram) and the Drexel University College of Nursing and Health Professions webpage.

You may qualify if:

• between 18 and 70 years of age
• use a manual wheelchair for at least 50% of community mobility
• able to transfer independently (with or without the use of adaptive equipment)
• able to achieve humeral elevation of greater than or equal to 90 degrees (bilaterally)
• cleared for exercise participation as indicated by the ACSM Preparticipation Health Screening (Riebe et al., 2015)
• able to read and understand English

You may not qualify if:

• have an active pressure sore or skin breakdown
• have a presence of shoulder pain as indicated by a score of greater than 12 on the Wheelchair Users Shoulder Pain Index (Mulroy et al., 2015)
• have impaired upper extremity function as indicated by a score of greater than 40 on the QuickDASH (Angst et al., 2011; Kennedy et al., 2011)

Sponsors & Collaborators

• Drexel University: lead
• American College of Sports Medicine: collaborator

Study Sites (1)

Elizabeth Euiler

Philadelphia, Pennsylvania, 19130, United States

Location

Study Officials

• Elizabeth Euiler, MS

  Drexel University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 29, 2021
• First Posted: November 10, 2021
• Study Start: September 14, 2021
• Primary Completion: August 17, 2022
• Study Completion: August 17, 2022
• Last Updated: January 30, 2023

Record last verified: 2023-01

Locations

US (1)