Larraga-García, BlancaLozano-Berrio, VicenteGutiérrez, ÁlvaroGil-Agudo, Ángeldel-Ama, Antonio J.2024-01-042024-01-042019-10-25Larraga-García, B.; Lozano-Berrio, V.; Gutiérrez, Á.; Gil-Agudo, Á.; del-Ama, A.J. A Systematic Methodology to Analyze the Impact of Hand-Rim Wheelchair Propulsion on the Upper Limb. Sensors 2019, 19, 46431424-8220https://hdl.handle.net/10115/28156CONTRIBUCIÓN (según taxonomía CReDIT): Conceptualization, Methodology, Project administration, Supervision, Writing: review & editing. -------------------------------------- Indicios de calidad A nivel del medio de difusión: Revista con revisión por pares doble ciego indexada en JCR, en el primer cuartil (Q1) y primer tercil (T1) en las categorías de instrumentation (JCR y Scopus), con factor de impacto 3.275 en el año de publicación del artículo (2019) Artículo situado en el 43 percentil de artículos de similares características y tiempo de publicación (Scopus), con índices normalizados 0.33 (Scopus FWCI) y 1.41 (FCR, Dimensions). Ha tenido 158 accesos en ResearchGate y 48 en Mendeley.Objective: To design and test a methodology to compare kinematic and kinetic variables of the upper limb joints when propelling different wheelchairs, and to analyze the differences between paraplegic and tetraplegic patients. Methods: Ten adults with spinal cord injury (five with paraplegia and five with tetraplegia) propelled two different wheelchairs on a treadmill at a constant speed for three minutes, with one minute break between tests. Kinematic and kinetic data of the upper limb and the hand-rim were recorded and processed using a customized software. Results: Significant differences were found between paraplegic and tetraplegic patients in the forces and moments applied on the hand-rim and the upper limb joints, especially on the shoulder. The type of wheelchair also affected the biomechanical load on the upper limb, with a lighter wheelchair reducing the impact on the shoulder of tetraplegic patients. Conclusion: The proposed methodology is suitable for kinematic and kinetic studies on wheelchair propulsion, and can be used to assess the effect of different wheelchair configurations and lesion characteristics on the upper limb biomechanicsengAtribución 4.0 Internacionalhttp://creativecommons.org/licenses/by/4.0/biomechanicsmethodologyspinal cord injurywheelchairsupper limbinfo:eu-repo/semantics/article10.3390/s19214643info:eu-repo/semantics/openAccess