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Cinematica fisica resumo2/28/2023 Kinematic variables that described the positions and angular displacements of the head, trunk, shoulder and elbow were obtained by videotaping markers placed on the subject segments. Pathokinesiology Laboratory at a Rehabilitation Centre, Montreal, Canada. To examine movement patterns and muscular demands in individuals with spinal cord injury (SCI) during posterior transfers. Three-dimensional kinematic analysis and surface electromyography (EMG) of 10 male adults with complete spinal cord injury (C7 to L2). The Wheelchair Circuit is a valid and responsive instrument with which to measure manual wheelchair mobility in subjects with SCI. For test responsiveness, all 3 test scores had significantly improved during rehabilitation, and the standardized response mean values ranged from 0.6 to 0.9. To prove the test's responsiveness, it was assessed whether the test scores had significantly improved between T1 and T3.įor construct validity, 4 of the 5 hypotheses were confirmed. The construct validity of the Wheelchair Circuit was assessed by testing whether the test scores were significantly related to the subjects' functional status, physical capacity, lesion level, motor completeness of the lesion, and age. The Wheelchair Circuit consists of 8 wheelchair skills and results in 3 test scores: ability, performance time, and physical strain. Seventy-four subjects with SCI admitted for inpatient rehabilitation. Construct validity and responsiveness were assessed.Įight rehabilitation centers in the Netherlands. Subjects performed the Wheelchair Circuit at the start (T1) and at the end (T3) of inpatient functional rehabilitation. To assess the validity and responsiveness of the Wheelchair Circuit, a test to assess manual wheelchair mobility in persons with spinal cord injury (SCI). The underlying premise that a reduction or increase in trunk strength is indicative of poorer or better sitting stability in SCI individuals is questioned, and implications for problem identification and treatment planning are discussed. Measures were not precise enough to predict functional performance from the viewpoint of injury level and sitting stability. Injury level and trunk length, not trunk flexion or extension strength, predicted the outcome of dynamic sitting stability. The subjects with low thoracic SCI showed better dynamic sitting stability than those with high thoracic SCI. Only the completion time of upper-body dressing and undressing correlated significantly with static (r=.465, P=.01) and dynamic (r=-.377, P<.05) sitting stability. Injury level and trunk length were 2 important predictive factors for dynamic sitting stability, and they explained 43.5% of the variance. Main Outcome Measures: (1) Postural sway during quiet sitting over 30 seconds was recorded as static sitting stability, and composite maximal weight-shift during leaning tasks over 30 seconds was measured as dynamic sitting stability (2) age, body weight, trunk length, trunk strength, postonset duration, injury level, and presence of spasticity were examined as predictive variables for sitting stability and (3) the time for completion of upper- and lower-body dressing and undressing and transfer was measured as functional performance.Ī significant difference in composite maximal weight-shift was found between high and low thoracic SCI subjects (t=2.90, P<.01). Rehabilitation hospital affiliated with a medical university.Ĭonvenience sample of 30 adults with complete chronic thoracic SCI. To compare sitting stability between patients with high and low thoracic spinal cord injury (SCI), to determine the factors that can predict sitting stability, and to examine the relationship between sitting stability and functional performance.Ĭross-sectional assessment was performed on subjects with paraplegia.
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