Michael L. Boninger, MD, Aaron L. Souza, MS, Rory A

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Propulsion patterns and pushrim biomechanics in manual wheelchair propulsion Michael L. Boninger, MD, Aaron L. Souza, MS, Rory A. Cooper, PhD, Shirley G. Fitzgerald, PhD, Alicia M. Koontz, MS, ATP, Brian T. Fay, MS Archives of Physical Medicine and Rehabilitation Volume 83, Issue 5, Pages 718-723 (May 2002) DOI: 10.1053/apmr.2002.32455 Copyright © 2002 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig. 1 Biomechanics laboratory setup. The 2 cameras and SmartWheel units permit collection of bilateral data. Archives of Physical Medicine and Rehabilitation 2002 83, 718-723DOI: (10.1053/apmr.2002.32455) Copyright © 2002 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig. 2 Propulsion patterns. Four classic propulsive strokes are shown: (A) semicircular (SC); (B) SLOP; (C) DLOP; and (D) arcing (ARC). The dark bars to the right of each pattern represent the beginning of the propulsive stroke. The dark bars to the left of each pattern represent the end of the propulsive stroke and the beginning of recovery. Archives of Physical Medicine and Rehabilitation 2002 83, 718-723DOI: (10.1053/apmr.2002.32455) Copyright © 2002 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig. 3 Side-to-side stroke differences. Side-to-side stroke pattern variation for the same individual. Archives of Physical Medicine and Rehabilitation 2002 83, 718-723DOI: (10.1053/apmr.2002.32455) Copyright © 2002 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions