Validity and Reliability of Inertial Motion Unit-Based Performance Metrics During Wheelchair Racing Propulsion

This study aims to evaluate the concurrent validity and test-retest reliability of wheelchair racing performance metrics. Thirteen individuals without disabilities and experience in wheelchair racing were evaluated twice while performing maximal efforts on a racing wheelchair. Three wheelchair athletes were also assessed to compare their performance with novice participants. The wheelchair kinematics was estimated using an inertial motion unit (IMU) positioned on the frame and a light detection and ranging (Lidar) system. The propulsion cycle (PC) duration, acceleration, average speed, speed gains during acceleration, and speed loss during deceleration were estimated for the first PC and stable PCs. The test-retest reliability was generally moderate (0.50 ≤ ICC < 0.75) to good (0.75 ≤ ICC < 0.90), while few metrics showed poor reliability (ICC < 0.50). High to very high correlations were obtained between both systems for 10 out of 11 metrics (0.78-0.99). Wheelchair athletes performed better than novice participants. Our results suggest that integrated accelerometer data could be used to assess wheelchair speed characteristics over a short distance with a known passage time. Such fine-grain analyses using methods usable in the field could allow for data-informed training in novice and elite wheelchair racing athletes.