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Journal of the Korean Academy of Rehabilitation Medicine 2003;27(2):215-219.
The Measurement of Force and Endurance during Wheelchair Propulsion in Paraplegics Using BTE Work Simulator.
Eom, Jae Ho , Rah, Ueon Woo , Lee, Il Yung , Yim, Shin Young , Shim, Dae Seop
Department of Physical Medicine and Rehabilitation, College of Medicine, Ajou University, Korea. rehab2000@hanmail.net
흉수손상인에서 BTE Work Simulator를 이용한 의자차 추진력과 지구력 측정
엄재호, 나은우, 이일영, 임신영, 심대섭
아주대학교 의과대학 재활의학교실
Abstract
Objective
To evaluate the force, endurance and influencing factors for wheelchair propulsion in paraplegics using BTE work simulator, and to find out a better method improving fitness levels for the paraplegics.


Method
Seventeen paraplegic men were enrolled for the study. Isometirc and isotonic strength and dynamic endurance levels for wheelchair propulsion were measured using BTE work simulator. Neurological and demographical characteristics of patients were collected by personal interviews and direct examinations.


Results
The spinal cord injured level showed a significant correlation with dynamic endurance (r=0.503, p<0.05) but not with the isometric and isotonic strength. The total duration of wheelchair use showed a significant correlation with the isotonic strength (r=0.497, p<0.05), but not with the isometric strength and dynamic endurance. The age and outdoor activities or exercise time during one week showed no significant correlation.


Conclusion
Spinal cord injured level positively correlated with dynamic endurance. Both cardiorespiratory effect and trunk balance may influence this correlation. The total duration of wheelchair use wasn't correlate with dynamic endurnace. It seems to be more advisable trunk balance training goes with dynamic endurance training in rehabilitation program. (J Korean Acad Rehab Med 2003; 27: 215-219)

Key Words: Paraplegics, BTE work simulator, Balance, Endurance


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