Scandinavian Med Sci Sports - 2022 - Briley - Alterations in shoulder kinematics are associated with shoulder pain during (2).pdf (1 MB)
Alterations in shoulder kinematics are associated with shoulder pain during wheelchair propulsion sprints
journal contribution
posted on 2022-07-19, 12:52 authored by Simon Briley, Riemer Vegter, Vicky Goosey-TolfreyVicky Goosey-Tolfrey, Barry MasonThe study purpose was to examine the biomechanical characteristics of sports wheelchair propulsion and determine biomechanical associations with shoulder pain in wheelchair athletes. Twenty wheelchair court-sport athletes (age: 32±11 years old) performed one submaximal propulsion trial in their sports-specific wheelchair at 1.67m.s-1 for three minutes and two 10-second sprints on a dual-roller ergometer. The Performance Corrected Wheelchair User’s Shoulder Pain Index (PC-WUSPI) assessed shoulder pain. During the acceleration phase of wheelchair sprinting, participants propelled with significantly longer push times, larger forces and thorax flexion range of motion (ROM) than both the maximal velocity phase of sprinting and submaximal propulsion. Participants displayed significantly greater peak glenohumeral abduction and scapular internal rotation during the acceleration phase (20 ± 9° and 45 ± 7°) and maximal velocity phase (14 ± 4° and 44 ± 7°) of sprinting, compared to submaximal propulsion (12 ± 6° and 39 ± 8°). Greater shoulder pain severity was associated with larger glenohumeral abduction ROM (r = 0.59, P = 0.007) and scapular internal rotation ROM (r = 0.53, P = 0.017) during the acceleration phase of wheelchair sprinting, but with lower peak glenohumeral flexion (r = -0.49, P = 0.030), peak abduction (r = -0.48, P =0.034) and abduction ROM (r = -0.44, P = 0.049) during the maximal velocity phase. Biomechanical characteristics of wheelchair sprinting suggest this activity imposes greater mechanical stress than submaximal propulsion. Kinematic associations with shoulder pain during acceleration are in shoulder orientations linked to a reduced subacromial space, potentially increasing tissue stress.
Funding
Peter Harrison Foundation
Loughborough University
History
School
- Sport, Exercise and Health Sciences
Published in
Scandinavian Journal of Medicine and Science in SportsVolume
32Issue
8Pages
1213 - 1223Publisher
WileyVersion
- VoR (Version of Record)
Rights holder
© The AuthorsPublisher statement
This is an Open Access Article. It is published by Wiley under the Creative Commons Attribution 4.0 International Licence (CC BY). Full details of this licence are available at: https://creativecommons.org/licenses/by/4.0/Acceptance date
2022-04-04Publication date
2022-06-05Copyright date
2022ISSN
0905-7188eISSN
1600-0838Publisher version
Language
- en
Depositor
Prof Vicky Tolfrey. Deposit date: 5 April 2022Usage metrics
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