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

2022년 2월 22일 업데이트: 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.

연구 개요

상세 설명

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

연구 유형

중재적

등록 (실제)

11

단계

  • 해당 없음

연락처 및 위치

이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.

연구 장소

    • Alabama
      • Homewood, Alabama, 미국, 35209
        • UAB/Lakeshore Research Colaborative Building

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

18년 이상 (성인, 고령자)

건강한 자원 봉사자를 받아들입니다

연구 대상 성별

모두

설명

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

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

  • 주 목적: 기초 과학
  • 할당: 해당 없음
  • 중재 모델: 단일 그룹 할당
  • 마스킹: 없음(오픈 라벨)

무기와 개입

참가자 그룹 / 팔
개입 / 치료
실험적: 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.

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정
측정값 설명
기간
Self-Selected Speed (meters per second)
기간: 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)
기간: 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

2차 결과 측정

결과 측정
측정값 설명
기간
Number of completed propulsion cycles used to generate the outcomes of interest
기간: 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)
기간: 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)
기간: 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)
기간: 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)
기간: 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)
기간: 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)
기간: 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)
기간: 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)
기간: 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
기간: 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

공동 작업자 및 조사자

여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작 (실제)

2021년 8월 7일

기본 완료 (실제)

2021년 11월 13일

연구 완료 (실제)

2021년 11월 13일

연구 등록 날짜

최초 제출

2021년 7월 16일

QC 기준을 충족하는 최초 제출

2021년 8월 2일

처음 게시됨 (실제)

2021년 8월 3일

연구 기록 업데이트

마지막 업데이트 게시됨 (실제)

2022년 2월 24일

QC 기준을 충족하는 마지막 업데이트 제출

2022년 2월 22일

마지막으로 확인됨

2022년 2월 1일

추가 정보

이 연구와 관련된 용어

기타 연구 ID 번호

  • IRB-300007513

개별 참가자 데이터(IPD) 계획

개별 참가자 데이터(IPD)를 공유할 계획입니까?

미정

약물 및 장치 정보, 연구 문서

미국 FDA 규제 의약품 연구

아니

미국 FDA 규제 기기 제품 연구

아니

이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .

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