Koshi Edvin B, Kirby R Lee, MacLeod Donald A, Kozey John W, Thompson Kara J, Parker Kim E
Division of Physical Medicine & Rehabilitation, Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Am J Phys Med Rehabil. 2006 Nov;85(11):899-907. doi: 10.1097/01.phm.0000242638.56060.69.
To test the hypotheses that increased rolling resistance (RR) reduces rear-wheel displacement and perceived difficulty during the takeoff and balance phases of stationary wheelchair wheelies.
We carried out within-subject comparisons of 20 participants as they each performed, in random order, two 30-sec stationary wheelies in three RR settings (tile, 5-cm-thick foam, and 12.5-cm-high blocks in front of and behind the rear wheels). The main outcome measures were rear-wheel displacement (in centimeters for the takeoff phase and centimeters per second for the balance phase) from a spring-loaded potentiometer and Likert scales of perceived difficulty.
For rear-wheel displacement, all six of the pairwise comparisons (three terrains x two phases (takeoff and balance)) showed a significant statistical difference (P < 0.002). In each of the six pairwise comparisons, displacement was less for the higher of the two RR conditions. For perceived difficulty, during the balance phase, participants perceived tile to be significantly more difficult than either foam (P = 0.0067) or blocks (P = 0.0002). The other pairwise comparisons were not statistically significant.
In conditions of increased RR, rear-wheel displacement and perceived difficulty are reduced during stationary wheelchair wheelies. These findings have implications for teaching wheelchair users to perform wheelies, a foundation of many advanced wheelchair skills.
验证以下假设,即在静止轮椅前轮离地平衡动作的起飞和平衡阶段,滚动阻力(RR)增加会减少后轮位移并降低感知难度。
我们对20名参与者进行了受试者内比较,他们在三种RR设置(瓷砖、5厘米厚泡沫以及后轮前后各有一个12.5厘米高的木块)下,以随机顺序各进行两次30秒的静止前轮离地平衡动作。主要测量指标包括通过弹簧加载电位计测量的后轮位移(起飞阶段以厘米为单位,平衡阶段以厘米每秒为单位)以及感知难度的李克特量表。
对于后轮位移,所有六对比较(三种地形×两个阶段(起飞和平衡))均显示出显著的统计学差异(P < 0.002)。在六对比较中的每一对中,RR条件较高的情况下位移较小。对于感知难度,在平衡阶段,参与者认为瓷砖比泡沫(P = 0.0067)或木块(P = 0.0002)明显更难。其他成对比较无统计学意义。
在RR增加的情况下,静止轮椅前轮离地平衡动作期间后轮位移和感知难度会降低。这些发现对于教导轮椅使用者进行前轮离地平衡动作具有启示意义,而这是许多高级轮椅技能的基础。