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Journal of the Korean Academy of Rehabilitation Medicine 2003;27(1):49-57.
The Force and Endurance of Wheelchair Propulsion in Persons with Cervical Cord Injuries.
Lee, Mi Young , Shin, Ji Cheol , Rah, Ueon Woo , Kim, Deog Young , Lee, Bum Suk
1Department of Physical Medicine and Rehabilitation, Ajou Medical Center, Korea.
2Department of Rehabilitation Medicine and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Korea.
3Department of Physical Medicine and Rehabilitation, Ajou University Medical School, Korea.
4Department of Rehabilitation Medicine, National Rehabilitation Hospital, Korea.
경수손상자의 의자차 추진력과 지구력
이미영, 신지철1, 나은우2, 김덕용1, 이범석3
아주대병원 재활의학과, 1연세대학교 의과대학 재활의학교실 및 재활의학연구소, 2아주대학교 의과대학 재활의학교실, 3국립재활병원
This study was carried out to help the comprehensive rehabilitation of cervical cord injuries by measuring propulsion force and endurance on their wheelchair hand- rims, predicting the differences between neurological levels and analysing the factors which contributed to maintain the wheelchair propulsion force.

The BTE work simulator was used on 17 cervical cord injuries to test the force and endurance during wheelchair propulsion. The 141 large wheel of BTE work simulator and standard wheelchair which was removed handrims was used for simulating wheelchair propulsion. Wilcoxon rank sum test was used to compare force and endurance among the groups.

The wheelchair propulsion force and endurance showed significant differences between neurological levels and types of the life style. The lower the level, the higher the strength and endurance (p<0.001). The wheelchair propulsion force of cervical cord injuries showed statistically significant differences between those with and without jobs (p<0.05). The outdoor wheelchair users and wheelchair propulsion exercise group showed significantly high maximum isometric strengths compared to the indoor users and the only ROM exercise group, respectively (p<0.05).

During the rehabilitation period cervical cord injured persons need the wheelchair propulsion exercise using BTE work simulator to improve the quality of life. (J Korean Acad Rehab Med 2003; 27: 49-57)

Key Words: BTE work simulator, Wheelchair propulsion, Cervical cord injury


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