Related Experiment Video
Updated: Jul 16, 2026
Determining and Controlling External Power Output During Regular Handrim Wheelchair Propulsion
Published on: February 5, 2020
Upper-limb joint power and its distribution in spinal cord injured wheelchair users: steady-state self-selected speed
Robert Price1, Zachary R Ashwell, Michael W Chang
1Department of Rehabilitation Medicine, University of Washington, Seattle, WA 98053, USA. pricer@u.washington.edu
Objective:
To compare upper-limb joint power magnitude and distribution between the shoulder, elbow, and wrist during maximal acceleration (MAC) versus steady-state, self-selected speed (SSS) manual wheelchair propulsion.
Design:
Cross-sectional biomechanic study.
Setting:
Research university and teaching hospital.
Participants:
Volunteer sample of 13 manual wheelchair users with spinal cord injury below T1.
Interventions:
Not applicable.
Main Outcome Measures:
Propulsive joint power magnitude and fractional distribution among upper-limb joints.
Results:
Wilcoxon signed-rank testing revealed shoulder power was larger for MAC versus SSS (median peak, 101.5W; interquartile range [IQR], 74.6; median peak, 37.7W; IQR, 22.9; respectively) (P<.01). Elbow and wrist power were unchanged. Peak shoulder power fraction was larger for MAC versus SSS (median peak, 1.055; IQR, .110 vs peak, .870; IQR, .252) (P<.01). Peak elbow power fraction was smaller for MAC versus SSS (median peak, -.012; IQR, .144 vs peak, .146; IQR, .206) (P<.05). Peak wrist power fraction was smaller for MAC versus SSS (median peak, -.058; IQR, .057 vs peak, -.010; IQR, .150) (P<.05).
Conclusions:
Power at the shoulder was larger than at other joints. Peak shoulder joint power and power fraction was larger during MAC versus SSS propulsion. Elbow and wrist power fractions were smaller for MAC versus SSS propulsion. Higher joint power, present under MAC, may predispose manual wheelchair users to injury, particularly at the shoulder.
