Article

In the wheelchair propulsion literature, it is common to report upper-limb (UL)
joint kinetics to express shoulder, elbow, and wrist loads.
Choosing the
appropriate kinetic resolution coordinate system (CS) for UL joint forces and
moments has become a laboratory-specific process.
The differences that arise
during interpretation may hinder a clear and broad understanding of UL joint
kinetics during wheelchair propulsion. This article addresses the inconsistency
of kinetic reporting in the wheelchair literature that examines the pain and
injury experienced by manual wheelchair users. To highlight the variety of
reporting methods in wheelchair propulsion, this article surveys peer-reviewed,
published articles reporting wrist-, elbow-, or shoulder-joint intersegmental
forces and moments calculated from inverse dynamics during wheelchair propulsion.
To correct this inconsistency, researchers may need to standardize kinetic
reporting methods to achieve a cohesive comprehension of wheelchair biomechanics.
This article is provided to open discussion on the anatomical and clinical
relevance of currently employed CSs and other available options, with the
additional goal of providing an initial recommendation for kinetic representation
during wheelchair propulsion.

Langue : ANGLAIS