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Effect of Manual Wheelchair Propulsion Workload on Speed, Energy Expenditure, and Propulsion Mechanics

22 febbraio 2022 aggiornato da: Rachel Cowan, University of Alabama at Birmingham

Relationship Among Manual Wheelchair Workload, Speed, Energy Expenditure, and Propulsion Mechanics

The first purpose of this study is to characterize the relationship among propulsion workload, self-selected propulsion speed, and propulsion kinetics/kinematics.

The second purpose is to assess the between days repeatability/reliability of the above outcomes.

There are no hypothesis

This is a repeated measures clinical trial. All participants will complete the following: 1) Acclimation to propelling a manual wheelchair on a wheelchair ergometer; 2) Graded exercise test on the wheelchair ergometer to 80% of age adjusted estimated maximal heart rate; and 3) N=20 one minute propulsion bouts on the wheelchair ergometer.

Panoramica dello studio

Stato

Completato

Condizioni

Descrizione dettagliata

Participants will complete two visits in a 14 day period. Visit 1 will require 3-4 hours. Visit 2 will require 2-3 hours.

During visit 1 participant will complete: 1) Acclimation to propelling a manual wheelchair on a wheelchair ergometer; 2) Graded exercise test on the wheelchair ergometer to 80% of age adjusted estimated maximal heart rate; and 3) N=20 one minute propulsion bouts on the wheelchair ergometer.

During visit 2 participants will repeat the N=20 one minute propulsion bouts on the wheelchair ergometer.

Wheelchair ergometer propulsion acclimation: Participants will complete a minimum of 2 minutes of wheelchair propulsion to acclimate. Additional propulsion time will be completed as needed. Propulsion workload will be varied during the acclimation. Acclimation propulsion may be repeated as needed during study participation.

Submaximal wheelchair ergometer test protocol: Participants will rest quietly in the wheelchair for several minutes. After resting, participants will begin propelling at a comfortable speed at a low initial workload. Workload will be increased every minute. Propulsion speed will remain constant across all workloads. Test will end when participants reach 80% of age adjusted estimated maximum heart rate.

Wheelchair propulsion workload assessment: Participants will complete 20 one-minute propulsion bouts at a self-selected speed. Each one minute propulsion bout will be followed by a 2 minute rest period. Each propulsion bout will be at a different workload. After the first 10 propulsion bouts, participants will be provided with an extended rest period (5 to 30 minutes). For each participant, the maximum workload to be tested is based on their estimated maximum workload. Estimate maximum workload is based on the Heart Rate-Workload relationship documented during the submaximal test.

The workloads of the N=20 propulsion bouts will be divided into two groups of N=10 (Group A and Group B). The total workload of each group will be equal. Within each group, workload sequence is fixed and arranged in a non-ascending or descending order. Completion order of the groups will be counterbalanced within sex. Within participants, completion order will be counterbalanced across days

Tipo di studio

Interventistico

Iscrizione (Effettivo)

11

Fase

  • Non applicabile

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Luoghi di studio

    • Alabama
      • Homewood, Alabama, Stati Uniti, 35209
        • UAB/Lakeshore Research Colaborative Building

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

18 anni e precedenti (Adulto, Adulto più anziano)

Accetta volontari sani

Sessi ammissibili allo studio

Tutto

Descrizione

Inclusion Criteria:

  • age 18 years or older
  • cleared to participate in physical activity as determined by the Physical Activity Readiness Questionnaire for Everyone (PAR-Q+)
  • self-reported ability to propel a manual wheelchair
  • not currently disabled

Exclusion Criteria:

  • no additional exclusion criteria if otherwise eligible to participate

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Scienza basilare
  • Assegnazione: N / A
  • Modello interventistico: Assegnazione di gruppo singolo
  • Mascheramento: Nessuno (etichetta aperta)

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Sperimentale: Workload conditions to be tested
The intervention is the external workload a participant propels against. Participants will propel against N=20 different external workloads.External workload will be controlled by the wheelchair ergometer.
Participants will complete 20 one-minute manual wheelchair propulsion bouts. Each one minute propulsion bout will be followed by a 2 minute rest period. Each propulsion bout will be at a different workload. After every 10 propulsion bouts, participants will be provided with an extended rest period (5 to 30 minutes). For each participant, the maximum workload to be tested is based on their estimated maximum workload. Estimate maximum workload is based on the HR-Workload relationship documented during a prior sub maximal test to 80% of age adjusted maximum heart rate.

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Self-Selected Speed (meters per second)
Lasso di tempo: Seconds 20 to 40 of each 1 minute propulsion bout
Average linear propulsion speed during each completed propulsion cycle (i.e. contact+recovery) averaged across all completed propulsion cycles in the specified time frame.
Seconds 20 to 40 of each 1 minute propulsion bout
Average Rolling Resistance (Newtons)
Lasso di tempo: Seconds 20 to 40 of each 1 minute propulsion bout
Average rolling resistance during each completed propulsion cycle (i.e. contact+recovery) averaged across all completed propulsion cycles in the specified time frame.
Seconds 20 to 40 of each 1 minute propulsion bout

Misure di risultato secondarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Number of completed propulsion cycles used to generate the outcomes of interest
Lasso di tempo: Seconds 20 to 40 of each 1 minute propulsion bout
The number of complete propulsion cycles occurring in the specified time frame. A complete propulsion cycle is defined as beginning with the onset of contact with the pushrim and ending with the onset of contact of the next propulsion cycle. A propulsion cycle includes contact and recovery.
Seconds 20 to 40 of each 1 minute propulsion bout
Average resultant force (Newtons)
Lasso di tempo: Seconds 20 to 40 of each 1 minute propulsion bout
Average resultant force during the contact phase of each completed propulsion cycle averaged across all completed propulsion cycles in the specified time frame.
Seconds 20 to 40 of each 1 minute propulsion bout
Average rate of rise of resultant force (Newtons per second squared)
Lasso di tempo: Seconds 20 to 40 of each 1 minute propulsion bout
Average rate of rise of resultant force during the contact phase of each completed propulsion cycle averaged across all completed propulsion cycles in the specified time frame.
Seconds 20 to 40 of each 1 minute propulsion bout
Average push frequency (pushes per minute)
Lasso di tempo: Seconds 20 to 40 of each 1 minute propulsion bout
For the specified time frame, the total number of completed propulsion cycles divided by the time to complete all the propulsion cycles in seconds multiplied by 60 seconds.
Seconds 20 to 40 of each 1 minute propulsion bout
Average push length (Degrees)
Lasso di tempo: Seconds 20 to 40 of each 1 minute propulsion bout
The distance over which a propulsive torque is applied to the pushrim during the contact phase of each complete propulsion cycle averaged across all completed propulsion cycles in the specified time frame.
Seconds 20 to 40 of each 1 minute propulsion bout
Average propulsive torque (Newton meter)
Lasso di tempo: Seconds 20 to 40 of each 1 minute propulsion bout
Average propulsive torque during the contact phase of each completed propulsion cycle averaged across all completed propulsion cycles in the specified time frame.
Seconds 20 to 40 of each 1 minute propulsion bout
Average push power output (Watts)
Lasso di tempo: Seconds 20 to 40 of each 1 minute propulsion bout
Average power during the contact phase of each each completed propulsion cycle averaged across all completed propulsion cycles in the time frame of interest. Push power output represents the energy the person applies to the pushrim during the contact phase.
Seconds 20 to 40 of each 1 minute propulsion bout
Average total work per push (Joules)
Lasso di tempo: Seconds 20 to 40 of each 1 minute propulsion bout
Total work during the contact phase of each completed propulsion cycle averaged across all completed propulsion cycles in the time frame of interest.
Seconds 20 to 40 of each 1 minute propulsion bout
Average external power output (Watts)
Lasso di tempo: Seconds 20 to 40 of each 1 minute propulsion bout
Average external power output during the entire propulsion cycle (i.e. contact and recovery) averaged across all completed propulsion cycles in the specified time frame. External power output represents the energy expended by the user-wheelchair system.
Seconds 20 to 40 of each 1 minute propulsion bout
Frequency of each unique propulsion pattern
Lasso di tempo: Seconds 20 to 40 of each 1 minute propulsion bout
For each complete propulsion cycle during the specified time frame, the recovery pattern will be classified into one of 5 categories: semi-circular, arcing, single loop, double loop, or indeterminate. The number of cycles and overall percentage in each category will be reported. Overall percentage is defined as [number of cycles in a category/total number of cycles * 100].
Seconds 20 to 40 of each 1 minute propulsion bout

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio (Effettivo)

7 agosto 2021

Completamento primario (Effettivo)

13 novembre 2021

Completamento dello studio (Effettivo)

13 novembre 2021

Date di iscrizione allo studio

Primo inviato

16 luglio 2021

Primo inviato che soddisfa i criteri di controllo qualità

2 agosto 2021

Primo Inserito (Effettivo)

3 agosto 2021

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

24 febbraio 2022

Ultimo aggiornamento inviato che soddisfa i criteri QC

22 febbraio 2022

Ultimo verificato

1 febbraio 2022

Maggiori informazioni

Termini relativi a questo studio

Altri numeri di identificazione dello studio

  • IRB-300007513

Piano per i dati dei singoli partecipanti (IPD)

Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?

INDECISO

Informazioni su farmaci e dispositivi, documenti di studio

Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti

No

Studia un dispositivo regolamentato dalla FDA degli Stati Uniti

No

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .

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