Glenohumeral Contact Forces and Muscle Forces Evaluated in Wheelchair-Related Activities of Daily Living in Able-Bodied Subjects Versus Subjects With.

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Glenohumeral Contact Forces and Muscle Forces Evaluated in Wheelchair-Related Activities of Daily Living in Able-Bodied Subjects Versus Subjects With Paraplegia and Tetraplegia Stefan van Drongelen, MSc, Lucas H. van der Woude, PhD, Thomas W. Janssen, PhD, Edmond L. Angenot, MD, Edward K. Chadwick, PhD, DirkJan H. Veeger, PhD Archives of Physical Medicine and Rehabilitation Volume 86, Issue 7, Pages 1434-1440 (July 2005) DOI: 10.1016/j.apmr.2005.03.014 Copyright © 2005 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 1 Schematic drawing of the instrumented wheel, placed at the right side of the wheelchair; cross-sectional front view. Archives of Physical Medicine and Rehabilitation 2005 86, 1434-1440DOI: (10.1016/j.apmr.2005.03.014) Copyright © 2005 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 2 Picture of the shoulder joint that explains the principle of the glenohumeral contact force. In the figure the glenohumeral contact force (from center of rotation of the humeral head to the glenoid) is presented by a thick arrow. The lines of work for 5 hypothetical muscle elements are presented by thin arrows. Archives of Physical Medicine and Rehabilitation 2005 86, 1434-1440DOI: (10.1016/j.apmr.2005.03.014) Copyright © 2005 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 3 Mean and peak glenohumeral contact forces for the 3 ADL tasks for able-bodied subjects (AB), subjects with paraplegia (PP), and those with tetraplegia (TP). *Significantly different among the tasks. Archives of Physical Medicine and Rehabilitation 2005 86, 1434-1440DOI: (10.1016/j.apmr.2005.03.014) Copyright © 2005 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 4 (A) Peak absolute muscle forces and (B) peak relative muscle force during the push phase for both the able-bodied and paraplegia groups. Abbreviations: max, maximum; monoart, monoarticular. Archives of Physical Medicine and Rehabilitation 2005 86, 1434-1440DOI: (10.1016/j.apmr.2005.03.014) Copyright © 2005 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 5 (A) Peak absolute muscle forces and (B) peak relative muscle force for the reaching task with a 1.5-kg mass at 0.5m for both the able-bodied and paraplegia groups. Archives of Physical Medicine and Rehabilitation 2005 86, 1434-1440DOI: (10.1016/j.apmr.2005.03.014) Copyright © 2005 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 6 (A) Peak absolute muscle forces and (B) peak relative muscle force for weight-relief lifting for the able-bodied, paraplegia, and tetraplegia groups. Archives of Physical Medicine and Rehabilitation 2005 86, 1434-1440DOI: (10.1016/j.apmr.2005.03.014) Copyright © 2005 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions