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

22 februari 2022 bijgewerkt door: 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.

Studie Overzicht

Toestand

Voltooid

Gedetailleerde beschrijving

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

Studietype

Ingrijpend

Inschrijving (Werkelijk)

11

Fase

  • Niet toepasbaar

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studie Locaties

    • Alabama
      • Homewood, Alabama, Verenigde Staten, 35209
        • UAB/Lakeshore Research Colaborative Building

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

18 jaar en ouder (Volwassen, Oudere volwassene)

Accepteert gezonde vrijwilligers

Ja

Geslachten die in aanmerking komen voor studie

Allemaal

Beschrijving

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

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Fundamentele wetenschap
  • Toewijzing: NVT
  • Interventioneel model: Opdracht voor een enkele groep
  • Masker: Geen (open label)

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Experimenteel: 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.

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Self-Selected Speed (meters per second)
Tijdsspanne: 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)
Tijdsspanne: 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

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Number of completed propulsion cycles used to generate the outcomes of interest
Tijdsspanne: 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)
Tijdsspanne: 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)
Tijdsspanne: 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)
Tijdsspanne: 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)
Tijdsspanne: 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)
Tijdsspanne: 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)
Tijdsspanne: 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)
Tijdsspanne: 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)
Tijdsspanne: 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
Tijdsspanne: 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

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Werkelijk)

7 augustus 2021

Primaire voltooiing (Werkelijk)

13 november 2021

Studie voltooiing (Werkelijk)

13 november 2021

Studieregistratiedata

Eerst ingediend

16 juli 2021

Eerst ingediend dat voldeed aan de QC-criteria

2 augustus 2021

Eerst geplaatst (Werkelijk)

3 augustus 2021

Updates van studierecords

Laatste update geplaatst (Werkelijk)

24 februari 2022

Laatste update ingediend die voldeed aan QC-criteria

22 februari 2022

Laatst geverifieerd

1 februari 2022

Meer informatie

Termen gerelateerd aan deze studie

Andere studie-ID-nummers

  • IRB-300007513

Plan Individuele Deelnemersgegevens (IPD)

Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?

ONBESLIST

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Nee

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

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