Article

Three-dimensional kinematic analysis of car transfer (CT) movement
in four adult males with C6 tetraplegia. OBJECTIVES: The aim of the present study
was to assess the normal transfer technique movement from a wheelchair to a car
(that is, CT) in subjects with tetraplegia. A better understanding of CT movement
is invaluable knowledge for spinal cord injury rehabilitation. This type of
knowledge will improve rehabilitation programs so that patients with tetraplegia
will have greater societal participation. SETTING: School of Comprehensive
Rehabilitation, Osaka Prefecture University, Osaka, Japan. METHODS: Four adult
males with C6 tetraplegia, an impairment grade of A according to the American
Spinal Injury Association guidelines, took part in the study. The subjects used
their own wheelchair and car in our assessments of their CT movement technique.
Movements were assessed using a three-dimensional video analysis system with six
digital video cameras. CT data, which included lateral displacement of the head
and buttocks, and angular displacement of neck flexion and trunk forward
inclination, were collected and correlation coefficients were calculated.
RESULTS: All four subjects demonstrated negative correlations in lateral
displacements greater than 0.70. As for correlation coefficients of angular
displacement, two subjects demonstrated negative correlations (r = -0.98 and r =
-0.77) and one subject demonstrated a positive correlation (r = 0.75). The neck
flexion and trunk forward inclination strategy was different among the four
subjects. CONCLUSIONS: Each subject with C6 tetraplegia demonstrated different
strategies during CT movement.

Langue : ANGLAIS