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Journal of the Korean Academy of Rehabilitation Medicine 1996;20(1):14.
Energy Expenditure during Wheelchair Propulsion by Paraplegic Patients
Bong-Ok Kim, M.D., Jeong-Hyun Byun, M.D., Soo-Kyung Bok, M.D. , Dok-Yeong Bang, M.D.*
Department of Rehabilitation Medicine, Chungnam National University College of Medicine and Taejeon Jungang Hospital, Worker's Accident Medical Corporation*
하반신마비 환자의 의자차 추진중 에너지 소모
김봉옥, 변정현, 복수경, 방덕영*
충남대학교 의과대학 재활의학교실 및 산재의료관리원 대전중앙병원 재활의학과*

The purpose of this study was to evaluate the efficiency of wheelchair ambulation by

the paraplegics in the community. Energy expenditure was evaluated in the individuals with paraplegia during quiet sitting in a personal wheelchair, and during wheelchair propulsion on level surface and 5 degree ramp by measuring speed, heart rate, oxygen rate and oxygen cost.

Twenty traumatic paraplegic men for longer than one year and 16 able-bodied men participated in this study. The paraplegic group showed increased heart rate and oxygen rate at rest(P<0.05), increased propelling speed on level surface with out increased energy expenditure and increased heart rate and oxygen rate during wheelchair propelling up on 5 degree ramp(p<0.05) compared to the control group.

With the results above, wheelchair is thought to be an energy efficient method of mobility for the paraplegics on the level surface. However, more attention needs to be paid to the increased metabolic demand on the surfaces which are not level.

Key Words: Energy cost, Paraplegics, Wheelchair


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