{"title":"手动轮椅类型对活动能力、心肺反应和感知用力的影响。","authors":"Guilherme da Silva Bertolaccini, Frode Eika Sandnes, Fausto Orsi Medola, Terje Gjøvaag","doi":"10.1155/2022/5554571","DOIUrl":null,"url":null,"abstract":"<p><p>This study is aimed at comparing the design and configuration of the most commonly used manual wheelchair models through cardiorespiratory responses, perceived exertion, and mobility performance using two different manual wheelchairs, during mobility tasks. A within-group 2 × 3 × 2 controlled experiment was designed with three independent and four dependent variables. The independent variables included wheelchairs, with the levels active wheelchair with a rigid frame and passive wheelchair with foldable frame; conditions with the levels straight line, slalom, and agility; and speed with levels comfortable and fast. Dependent variables included oxygen uptake (VO<sub>2</sub>), distance travelled, speed, and perceived exertion. Results show that the active wheelchair yielded more beneficial characteristics although only the effect of wheelchair type on VO<sub>2</sub> efficiency (oxygen uptake per meter travelled) was statistically significant with a large effect size (<i>F</i>(1, 14) = 118.298, <i>p</i> < 0.001, <i>η</i> <sup>2</sup> = 0.541). The better VO<sub>2</sub> efficiency was achieved with the active wheelchair under all tested conditions. The effect of wheelchair type on Borg scores was also statistically significant, although with a small effect size (<i>F</i>(1, 14) = 10.340, <i>p</i> = 0.006, <i>η</i> <sup>2</sup> = 0.119); thus, active wheelchair use had lower Borg scores under all trials and was considered less exhausting than the passive wheelchair. In summary, use of the active wheelchair resulted in the users expending less energy per meter travelled and at the same time experiencing less fatigue. This may benefit overall wheelchair mobility and possibly reduce health complications.</p>","PeriodicalId":45585,"journal":{"name":"Rehabilitation Research and Practice","volume":" ","pages":"5554571"},"PeriodicalIF":1.5000,"publicationDate":"2022-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9206577/pdf/","citationCount":"1","resultStr":"{\"title\":\"Effect of Manual Wheelchair Type on Mobility Performance, Cardiorespiratory Responses, and Perceived Exertion.\",\"authors\":\"Guilherme da Silva Bertolaccini, Frode Eika Sandnes, Fausto Orsi Medola, Terje Gjøvaag\",\"doi\":\"10.1155/2022/5554571\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>This study is aimed at comparing the design and configuration of the most commonly used manual wheelchair models through cardiorespiratory responses, perceived exertion, and mobility performance using two different manual wheelchairs, during mobility tasks. A within-group 2 × 3 × 2 controlled experiment was designed with three independent and four dependent variables. The independent variables included wheelchairs, with the levels active wheelchair with a rigid frame and passive wheelchair with foldable frame; conditions with the levels straight line, slalom, and agility; and speed with levels comfortable and fast. Dependent variables included oxygen uptake (VO<sub>2</sub>), distance travelled, speed, and perceived exertion. Results show that the active wheelchair yielded more beneficial characteristics although only the effect of wheelchair type on VO<sub>2</sub> efficiency (oxygen uptake per meter travelled) was statistically significant with a large effect size (<i>F</i>(1, 14) = 118.298, <i>p</i> < 0.001, <i>η</i> <sup>2</sup> = 0.541). The better VO<sub>2</sub> efficiency was achieved with the active wheelchair under all tested conditions. The effect of wheelchair type on Borg scores was also statistically significant, although with a small effect size (<i>F</i>(1, 14) = 10.340, <i>p</i> = 0.006, <i>η</i> <sup>2</sup> = 0.119); thus, active wheelchair use had lower Borg scores under all trials and was considered less exhausting than the passive wheelchair. In summary, use of the active wheelchair resulted in the users expending less energy per meter travelled and at the same time experiencing less fatigue. 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引用次数: 1
摘要
本研究旨在比较最常用的手动轮椅模型的设计和配置,通过使用两种不同的手动轮椅在移动任务期间的心肺反应、感知劳累和移动性能。设计组内2 × 3 × 2对照试验,设3个自变量和4个因变量。自变量包括轮椅,分为刚性框架的主动轮椅和可折叠框架的被动轮椅;条件与水平直线,障碍,和敏捷;速度与水平舒适和快速。因变量包括摄氧量(VO2)、行进距离、速度和感知运动。结果表明,虽然只有轮椅类型对VO2效率(每米行程的摄氧量)的影响具有统计学意义,但主动轮椅产生了更多有益的特征(F(1,14) = 118.298, p < 0.001, η 2 = 0.541)。在所有测试条件下,主动轮椅都取得了更好的VO2效率。轮椅类型对Borg评分的影响也具有统计学意义,但效应量较小(F(1,14) = 10.340, p = 0.006, η 2 = 0.119);因此,在所有试验中,主动轮椅使用的博格分数较低,并且被认为比被动轮椅更少疲劳。总之,使用主动轮椅导致使用者每走一米消耗更少的能量,同时也减少了疲劳。这可能有利于轮椅的整体灵活性,并可能减少健康并发症。
Effect of Manual Wheelchair Type on Mobility Performance, Cardiorespiratory Responses, and Perceived Exertion.
This study is aimed at comparing the design and configuration of the most commonly used manual wheelchair models through cardiorespiratory responses, perceived exertion, and mobility performance using two different manual wheelchairs, during mobility tasks. A within-group 2 × 3 × 2 controlled experiment was designed with three independent and four dependent variables. The independent variables included wheelchairs, with the levels active wheelchair with a rigid frame and passive wheelchair with foldable frame; conditions with the levels straight line, slalom, and agility; and speed with levels comfortable and fast. Dependent variables included oxygen uptake (VO2), distance travelled, speed, and perceived exertion. Results show that the active wheelchair yielded more beneficial characteristics although only the effect of wheelchair type on VO2 efficiency (oxygen uptake per meter travelled) was statistically significant with a large effect size (F(1, 14) = 118.298, p < 0.001, η2 = 0.541). The better VO2 efficiency was achieved with the active wheelchair under all tested conditions. The effect of wheelchair type on Borg scores was also statistically significant, although with a small effect size (F(1, 14) = 10.340, p = 0.006, η2 = 0.119); thus, active wheelchair use had lower Borg scores under all trials and was considered less exhausting than the passive wheelchair. In summary, use of the active wheelchair resulted in the users expending less energy per meter travelled and at the same time experiencing less fatigue. This may benefit overall wheelchair mobility and possibly reduce health complications.
期刊介绍:
Rehabilitation Research and Practice is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies in all areas of physical medicine and rehabilitation. The journal focuses on improving and restoring functional ability and quality of life to those with physical impairments or disabilities. In addition, articles looking at techniques to assess and study disabling conditions will be considered.