• Journal of Digital Convergence
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• v.14 no.9
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• pp.553-561
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• 2016

The purpose of this study was to compare cardiopulmonary function, RPE(Rating of perceived exertion), and blood lactate when examining the GXT(Graded exercise testing) of wheelchair treadmill and arm ergometer. Participants were 11 wheelchair basketball players with non disability. While examining the GXT of wheelchair treadmill and arm ergometer, cardiorespiratory functional capacity was measured by using $Quarkb^2$ and Polar and RPE was measured through Borg Scale. The lactate analyser, YSI-2000 was used to measure blood lactate level when resting, right after exercise, two minutes, four minutes, six minutes, and ten minutes of recovery. Data was analyzed by paired t-test using SPSS 18.0 program and significance for all statistical analysis was fixed at .05 confidence level(p<0.05). The conclusion of this study is below. First, maximal oxygen uptake which is a factor of cardiopulmonary function showed the highest with arm ergometer, the rate of respiratory exchange showed the highest with wheelchair treadmill, and maximal heart rate showed the highest with wheelchair treadmill. Second, subjective exercise intensity showed the highest with arm ergometer at the end point. Third, blood lactate level showed the highest with arm ergometer right after exercise.

• The Journal of Korean Physical Therapy
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• v.13 no.3
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• pp.777-789
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• 2001

The purpose of this study was to investigate the possibility of using surface electromyographic signals as a measure of muscle fatigue during the wheelchair propulsion. Subjects performed wheelchair exercise tests on a motor-driven treadmill with a constant-velocity of 1.25 m/sec. During each test, the raw EMC signals were acquired from the surface electrodes attached on the belly of five muscle groups: biceps brachii, pectoralis major. deltoid, triceps brachii, and trapezius. The median power frequency(MPF), and the root mean square(RMS) amplitude were calculated for each cyclic contraction in order to quantify muscle fatigue. During the wheelchair propulsion, the MPF decreased and the RMS increased in the trapezius and deltoid. However, the decreasing MPF and the increasing RMS also fluctuated severly during dynamic muscle contractions. Therefore, the MPF and RMS values should be estimated with well-designed methods and used with caution to quantify muscle fatigue during wheelchair propulsion.

• Physical Therapy Korea
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• v.11 no.4
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• pp.7-17
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• 2004

Individuals who propel wheelchairs have a high prevalence of upper extremity injuries (i.e., carpal tunnel syndrome, elbow/shoulder tendonitis, impingement syndrome). Musculoskeletal injuries can result from overuse or incorrect use of manual wheelchairs, and can hinder rehabilitation efforts. To better understand the mechanisms of upper extremity injuries, this study investigates the motion of the wrist during wheelchair propulsion. This study also examines changes in the variables that occur with fatiguing wheelchair propulsion to determine how the time parameters of wheelchair propulsion and the state of fatigue influence the risk of injury. A two dimensional (2-D) analysis of wrist movement during the wheelchair stroke was performed. Twenty subjects propelled a wheelchair handrim on a motor-driven treadmill at two different velocities (50, 70 m/min). The results of this study were as follows; The difference in time parameters of wheelchair propulsion (cadence, cycle time, push time, recovery time, and PSP ratio) at two different velocities was statistically significant. The wrist kinematic characteristics had statistically significant differences at two different velocities, but wrist radial deviation and elbow flexion/extension had no statistically significant differences. There were statistically significant differences in relation to fatigue in the time parameter of wheelchair propulsion (70 m/min) between initial 1 minute and final 1 minute. The wrist kinematic characteristics between the initial 1 minute and final 1 minute in relation to fatigue had statistically significant differences but the wrist flexion-extension (50 m/min) had no statistically significant differences. According to the results, the risk of musculoskeletal injuries is increased by fatigue from wheelchair propulsion. To prevent musculoskeletal injuries, wheelchair users should train in a muscle endurance program and consider wearing a splinting/grove. Moreover, wheelchair users need education on propulsion posture, suitable joint position, and proper recovery patterns of propulsion.

• Korean Journal of Applied Biomechanics
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• v.13 no.1
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• pp.109-119
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• 2003

The purpose of this study was to investigate differences of the mechanical efficiency on the characteristics of the basketball wheelchairs(cambers & size of the handrims). Nine healthy and normal wheelchair basketball players who had no impairments to their upper extremities were volunteered to participate in this study. $VO_2$ was collected using automatic gas analyzer(vmax29). Gross efficiency, net efficiency and work efficiency were analyzed from the calculated external power output and energy expenditure. The results were followed. First, gross efficiency in the basketball wheelchairs was observed across the range from 4 to 10%. Gross efficiency in this study showed less values than that from the literature reviewed in the arm cranking(15%), racing wheelchair(above 30%), gait(27%) and cycling(18-23%). Second, the small size of handrim(61cm) at the 16 degrees of camber produced higher efficiency values than the large size of handrim(66cm) whereas the different sizes of handrim at the 20 degrees of camber did not show any pattern. Third, both faster speed($1.11^m/s{\rightarrow}1.39^m/s$) and increases in treadmill inclination produced increases in energy expenditure. The results of this study may provide not only better understanding of the mechanical efficiency with adequate camber degree and proper size of handrim but also fundamental information for manufacturing the wheelchair.

• Physical Therapy Korea
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• v.12 no.2
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• pp.1-10
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• 2005

Pressure ulcers are serious complications of tissue damage that can develop in patients with diminished pain sensation and diminished mobility. Pressure ulcers can result in irreversible tissue damage caused by ischemia resulting from external loading. There are many intrinsic and extrinsic contributors to the problem, including interface tissue pressure, shear, temperature, moisture, hygiene, nutrition, tissue tolerance, sensory and motor dysfunction, disease and infection, posture, and body support systems. The purposes of this study were to investigate the relationship between buttock interface pressure and seating position, wheelchair propulsion speed. Seated-interface pressure was measured using the Force Sensing Array pressure mapping system. Twenty subjects propelled wheelchair handrim on a motor-driven treadmill at different velocities (40, 60, 80 m/min) and seating position used recline ($100^{\circ}$, $110^{\circ}$, $120^{\circ}$) with a wheelchair simulator. Interface pressure consists of average (mean of the pressure sensor values) and maximum pressure (highest individual sensor value). The results of this study were as follows; No significant correlation in maximum/average pressure was found between a static position and a 40 m/min wheelchair propulsion (p>.05). However, a significant increase in maximum/average pressure were identified between conditions of a static position and 60 m/min, and 80 m/min wheelchair propulsion (p<.05). No significant correlation in maximum pressure were found between a $90^{\circ}$ recline (neutral position) and a $100^{\circ}$, $110^{\circ}$, or $120^{\circ}$ recline of the wheelchair back (p>.05). No significant difference in average pressure was found between conditions of a $90^{\circ}$ recline and both a $100^{\circ}$ and $110^{\circ}$ recline of wheelchair back. However, a significant reduction in average pressure was identified between conditions of a $90^{\circ}$ and $120^{\circ}$ recline of wheelchair back (p<.05). This study has shown some interesting results that reclining the seat by $120^{\circ}$ reduced average interface pressure, including the reduction or prevention in edema. And interface pressure was greater during dynamic wheelchair propulsion compared with static seating. Therefore, the optimal seating position and seating system ought to provide postural control and pressure relief. We need an education on optimal seating position and a suitable propulsion speeds for wheelchair users.

• Proceedings of the Korean Society of Computer Information Conference
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• 2019.07a
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• pp.143-144
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• 2019

본 논문은 현대에 신체활동(Physical activity)를 하지 않으면 심혈관계질환, 당뇨, 암, 골다공증 등과 같은 질환의 위험성을 가지고 있음에도 불구하고 공간부족, 시간부족, 날씨 등으로 제약을 받아 신체활동이 부족한 척수장애인의 들을 위한 스마트 휠체어 트레드밀을 개발함이다. 기존의 휠체어 트레드밀은 휠체어를 생활할 때 사용하는 대상자들에게 신체활동을 제공하였다. 스마트 휠체어 트레드밀은 경사(Slope-Incline, Decline)를 조절하여 개별마다 다른 건강체력능력에 운동강도(Exercise intensity)를 다르게 할 수 있다. 또한 스마트 휠체어 트레드밀은 거리측정, 속도측정이 가능한 센서를 부착하여 대상자의 운동량을 알 수 있을 뿐만 아니라 체중측정도 가능하여 대상자의 운동량에 대한 칼로리소모량을 얻을 수 있다. 이러한 스마트 휠체어 트레드밀과 VR(Virtual reality) 프로그램, 게임을 접목시켜 척수장애인들의 신체활동에 흥미를 증진 시킬 수 있다.