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

22 de fevereiro de 2022 atualizado por: 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.

Visão geral do estudo

Status

Concluído

Descrição detalhada

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 de estudo

Intervencional

Inscrição (Real)

11

Estágio

  • Não aplicável

Contactos e Locais

Esta seção fornece os detalhes de contato para aqueles que conduzem o estudo e informações sobre onde este estudo está sendo realizado.

Locais de estudo

    • Alabama
      • Homewood, Alabama, Estados Unidos, 35209
        • UAB/Lakeshore Research Colaborative Building

Critérios de participação

Os pesquisadores procuram pessoas que se encaixem em uma determinada descrição, chamada de critérios de elegibilidade. Alguns exemplos desses critérios são a condição geral de saúde de uma pessoa ou tratamentos anteriores.

Critérios de elegibilidade

Idades elegíveis para estudo

18 anos e mais velhos (Adulto, Adulto mais velho)

Aceita Voluntários Saudáveis

Sim

Gêneros Elegíveis para o Estudo

Tudo

Descrição

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

Plano de estudo

Esta seção fornece detalhes do plano de estudo, incluindo como o estudo é projetado e o que o estudo está medindo.

Como o estudo é projetado?

Detalhes do projeto

  • Finalidade Principal: Ciência básica
  • Alocação: N / D
  • Modelo Intervencional: Atribuição de grupo único
  • Mascaramento: Nenhum (rótulo aberto)

Armas e Intervenções

Grupo de Participantes / Braço
Intervenção / Tratamento
Experimental: 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.

O que o estudo está medindo?

Medidas de resultados primários

Medida de resultado
Descrição da medida
Prazo
Self-Selected Speed (meters per second)
Prazo: 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)
Prazo: 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

Medidas de resultados secundários

Medida de resultado
Descrição da medida
Prazo
Number of completed propulsion cycles used to generate the outcomes of interest
Prazo: 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)
Prazo: 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)
Prazo: 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)
Prazo: 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)
Prazo: 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)
Prazo: 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)
Prazo: 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)
Prazo: 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)
Prazo: 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
Prazo: 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

Colaboradores e Investigadores

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Datas de registro do estudo

Essas datas acompanham o progresso do registro do estudo e os envios de resumo dos resultados para ClinicalTrials.gov. Os registros do estudo e os resultados relatados são revisados ​​pela National Library of Medicine (NLM) para garantir que atendam aos padrões específicos de controle de qualidade antes de serem publicados no site público.

Datas Principais do Estudo

Início do estudo (Real)

7 de agosto de 2021

Conclusão Primária (Real)

13 de novembro de 2021

Conclusão do estudo (Real)

13 de novembro de 2021

Datas de inscrição no estudo

Enviado pela primeira vez

16 de julho de 2021

Enviado pela primeira vez que atendeu aos critérios de CQ

2 de agosto de 2021

Primeira postagem (Real)

3 de agosto de 2021

Atualizações de registro de estudo

Última Atualização Postada (Real)

24 de fevereiro de 2022

Última atualização enviada que atendeu aos critérios de controle de qualidade

22 de fevereiro de 2022

Última verificação

1 de fevereiro de 2022

Mais Informações

Termos relacionados a este estudo

Outros números de identificação do estudo

  • IRB-300007513

Plano para dados de participantes individuais (IPD)

Planeja compartilhar dados de participantes individuais (IPD)?

INDECISO

Informações sobre medicamentos e dispositivos, documentos de estudo

Estuda um medicamento regulamentado pela FDA dos EUA

Não

Estuda um produto de dispositivo regulamentado pela FDA dos EUA

Não

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