Of all the 18 Paralympic sports wheelchair racing is arguably the most high profile .... in objective 1 by using the device to record the velocity profile of a racing ... recent years the progression of world records had slowed significantly, .... on a bicycle. ...... 1, returned a value of 0.39 when correlated with 5 km time trial time.
Velocometer: a telemetry-based device to measure intra-push changes in racing wheelchair velocity
Andrew D. Moss
A thesis submitted in partial fulfilment of the requirements of the Manchester Metropolitan University for the degree of Master of Science by Research
Department of Exercise and Sport Science Crewe+Alsager Faculty Manchester Metropolitan University August 2003
I certify that all material in this thesis that is not my own work has been identified and that no material is included for which a degree has previously been conferred upon me
Abstract Measurement of the intra-push changes that occur in racing wheelchair velocity is important because it assists in explaining how wheelchair athletes accelerate their wheelchairs. This information has direct application to training and coaching in wheelchair athletics. The purpose of this thesis is to present the design, functional characteristics and utility of a telemetry-based velocometer with the ability to measure intra-push changes in racing wheelchair velocity. Studies one to five describe the functional characteristics of the velocometer. Validity and system linearity: a linear relationship was found when velocity calculated from the velocometer was plotted against three test velocities. The average root mean square deviation (ARMSD) was used to compare velocity calculated from the velocometer with velocity calculated by manual digitising. The ARMSD calculated for each test speed from three trials was 0.06 ± 0.002, 0.27 ± 0.05 and 0.48 ± 0.16 m.s-1 at 1, 5 and 9 m.s-1 respectively. Dynamic response: the ARMSD calculated from the five acceleration and five deceleration trials was 0.29 ± 0.086 and 0.51 ± 0.115 m.s-1 respectively. Reliability: the ARMSD was used to compare the mean trial velocity calculated from velocometer and the speed of the wheelchair rear wheels spun using a DC servomotor. The mean and standard deviation of the differences were 0.079 ± 0.008 m.s-1, for the eight disc-wheel trials and -0.014 ± 0.019 m.s-1, for the eight spoke-wheel trials. Resistance: velocometer resistance calculated as a factor of the mechanical resistance of the wheelchair rear wheel spinning in air was 0.50 and 0.91 N, for the disc and spoke wheel trials respectively. Velocometer resistance calculated as a factor of the total mechanical resistance of the wheelchair/wheelchair-user system was 1.37 and 1.82 N, for the disc and spoke wheel trial respectively. The purpose of the sixth study was to use the velocometer in the analysis of the first six pushes of a sprint start in over-ground racing wheelchair propulsion. One experienced international male wheelchair athlete (age = 28 years; body mass = 60.6 kg; racing classification = T4) performed ten maximal over-ground sprint start trials, over approximately 10 m, in his own racing wheelchair fitted with a Velocometer. Each trial was filmed at 200 Hz using a “Pan and Tilt” system. Eight trials were manually digitised at 100 Hz. The raw co-ordinate data were smoothed using a quintic spline routine. The duration of each push cycle decreased from 0.82 ± 0.02 to 0.45 ± 0.01 s. Within each push the mean duration of the propulsive phase decreased from 0.62 ± 0.02 to 0.21 ± 0.01 s. The mean duration of the recovery phase increased from 0.20 ± 0.01 to 0.24 ± 0.02 s. The athlete contacted the rim progressively closer to top dead centre with each push. Similarly, the athlete released the rim progressively closer to bottom dead centre with each push. The data indicate that peak velocity occurs after release. This is due to the motion of the trunk. The main findings of this study support the observation that racing wheelchair propulsion is a complex form of locomotion and cannot be described accurately by using just the established definitions of a propulsive and a recovery phase. The velocometer provides an effective research tool for the measurement of intra-push changes in velocity, which can be used to further the body of knowledge with regard to racing wheelchair propulsion. ii
Acknowledgements My sincere thanks go to my supervisors, Dr Neil Fowler and Dr Vicky Tolfrey. They have been helpful, supportive, encouraging throughout the duration of this M.Sc. Neil, you have an amazing ability to explain clearly, and with some obvious excitement, the most complicated biomechanical concepts. Vicky, your guidance during my involvement with the British Wheelchair Racing Association (BWRA) sport science support project, gave me an invaluable grounding in applied work on which the foundations of this M.Sc thesis are based. I would also like to sincerely thank Tom McKee for his vast knowledge and expertise in the field of electronics, hard work and enthusiasm.
I would like to gratefully acknowledge Draft wheelchairs for allowing me the use of a state of the art racing wheelchair and Edward Grazier for trusting me with his carbon fibre wheels. As a cyclist I know how valuable these things are.
I am indebted to the individuals who gladly gave up their time for my studies. To Tanni Grey-Thompson and Chris Hallam, my thanks are for educating me in all things wheelchair racing. I wish all of you the best in your future racing.
I consider myself fortunate to have good friends. To Mark Johnson, Jason Martin and Ellen Dawson. I offer my sincere thanks for their friendship, support and advice over the last seven years.
Above all, I would really like to thank my mum for more things than I can possibly list here, but mainly her love and kindness. iii
Publications
The following parts of this thesis have been published or are under review for publication.
Publication
Moss, A. D., Fowler, N. E., Tolfrey, V. L. (2003). A telemetry-based velocometer to measure wheelchair velocity. Journal of Biomechanics, 36 (2), 253 – 257.
Under Review
Moss, A. D., Fowler, N. E., Tolfrey, V. L. An explanation of the intra-push velocity profile of over-ground racing wheelchair propulsion during the first six pushes of the sprint start.
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List of contents
Contents
Page
Title Page
i
Abstract
ii
Acknowledgements
iii
Publications
iv
List of contents
v
List of tables
ix
List of figures
x
Glossary of abbreviations
xii
Glossary of terms
xiv
1. Chapter 1
16
1.1. Introduction
16
1.1.1. Wheelchair sports and the Paralympic Games
16
1.1.2. British Paralympic success
16
1.1.3. Wheelchair sprinting: Technical background
17
1.1.4. A deterministic model for wheelchair sprinting
18
1.1.5. Summary
21
1.1.6. Aim
21
1.1.7. Objectives
22
1.1.8. Hypothesis
22
1.2. Literature review
23
v
1.2.1. Inclusion criteria
23
1.2.2. Wheelchair related research
24
1.2.3. Wheelchair racing: development of a sport
25
1.2.4. Ergonomics
26
1.2.4.1. Wheelchair-user interface: seat
28
1.2.4.2. Wheelchair-user interface: push-rim
29
1.2.4.3. Manual wheelchair propulsion daily use vs. sport
31
1.2.5. Assessment of athletic wheelchair performance 1.2.5.1. Simulated wheelchair propulsion under realistic
31 32
Conditions 1.2.5.1.1. Wheelchair ergometers (WERGs)
34
1.2.5.1.2. Motor driven treadmills (MDTs)
36
1.2.5.1.3. Over-ground manual wheelchair propulsion
37
1.2.5.1.4. Protocols
56
1.2.5.1.5. Physiological assessment of the wheelchair
61
Athlete 1.2.5.1.6. Biomechanical assessment of the wheelchair 1.2.6. Summary
61 75
2. Chapter 2
77
2.1. A telemetry-based velocometer to measure wheelchair velocity
77
2.1.1. Design of the device
78
2.1.2. Sampling
81
2.1.3. Mounting
81
2.1.4. Calibration
81
vi
2.2. Study 1: validity and system linearity
83
2.2.1. Introduction
83
2.2.2. Method
84
2.2.3. Results
86
2.2.4. Discussion
88
2.3. Study 2: dynamic response
91
2.3.1. Introduction
91
2.3.2. Method
92
2.3.3. Results
94
2.3.4. Discussion
94
2.4. Study 3: reliability
96
2.4.1. Introduction
96
2.4.2. Method
97
2.4.3. Results
98
2.4.4. Discussion
100
2.5. Studies 4 and 5: resistance
102
2.5.1. Introduction
102
2.5.2. Method
103
2.5.3. Results
106
2.5.4. Discussion
108
3. Chapter 3
110
3.1. Study 6: an explanation of the intra-push velocity profile of over-ground racing wheelchair propulsion during the first six pushes of the sprint start
vii
110
3.1.1. Introduction
110
3.1.2. Method
111
3.1.2.1. Calibration
114
3.1.2.2. Pilot study
116
3.1.2.3. Data collection
119
3.1.2.4. Data analysis
121
3.1.2.5. Digitising error
123
3.1.3. Results
123
3.1.3.1. Coefficient of variation
131
3.1.3.2. Relative momentum analysis
131
3.1.4. Discussion
133
3.1.5. Conclusion
139
4. Chapter 4
141
4.1. General Discussion
141
4.1.1. Limitations
143
4.2. Conclusion
145
4.3. Future Recommendations
145
References
147
Appendices
174
viii
List of tables
Table
Title
Page
Table 1
Wheelchair coding for tables 2, 3 and 4
39
Table 2
Studies using a wheelchair ergometer to simulate
40
manual wheelchair propulsion Table 3
Studies using a motor driven treadmill to
51
simulate manual wheelchair propulsion Table 4
Studies
employing
over-ground
manual
54
Velocometer resistance calculated from rundown
107
wheelchair propulsion Table 5
trials Table 6
Actual and calculated pan and tilt calibration
114
values Table 7
Mean propulsive cycle data for the first six
124
pushes of the sprint start calculated from eight trials Table 8
Mean velocity data for the first six pushes of the
126
sprint start calculated from eight trials Table 9
Mean acceleration data for the first six pushes of the sprint start calculated from eight trials
ix
127
List of figures
Figure
Title
Page
Figure 1
A deterministic model for wheelchair sprinting
20
Figure 2
Optical encoder and transmitter assembly
79
Figure 3
Telemetry system block diagram
80
Figure 4
Calibration equation
82
Figure 5
Experimental set-up for studies 1, 2, 3 and 4
85
showing treadmill wheelchair mounting system (TWMS) Figure 6
Velocometer validity and system linearity
87
Figure 7
Wheelchair and velocometer wheel dimensions
90
Figure 8
Velocometer and manually digitised, 2D video
93
film data collected during (a) one acceleration trial and (b) one deceleration trial Figure 9
Agreement between the constant velocity of a
99
wheel spinning in air and mean velocity calculated from the velocometer data, within a five percent error band, from (a) Ten disc wheel trials (b) Ten spoke wheel trials Figure 10
Study 5 experimental set-up showing camera and calibration pole placement in relation to the line of progression
x
105
Figure 11
Study 6 experimental set-up showing the pan and
113
tilt camera and calibration pole placement in relation to the line of progression Figure 12
Calibration procedure. Point denoted by cross is
115
digitised as follows: 1) Top point at bottom of view, 2) Top point at top of view, 3) Bottom point at bottom of view, 4) Bottom point at top of view Figure 13
Upper extremity calibration frame
118
Figure 14
Wheelchair/wheelchair-user system model used
121
in the manual digitising of the 3D video film Figure 15
Intra-push
wheelchair
velocity
and
trunk,
129
shoulder and elbow angular displacement during the first six pushes of the sprint start Figure 16
Intra-push
wheelchair
velocity
and
trunk,
130
shoulder and elbow angular velocity during the first six pushes of the sprint start Figure 17
The relationship between relative, transfer and total momentum of the head and trunk during the first six pushes of the sprint start
xi
132
Glossary of abbreviations
Abbreviation
Clarification
ISMGF
International Stoke Mandeville Games Federation
NWAA
National Wheelchair Athletic Association
BPAA
British Paraplegics Athletics Association
IOC
International Olympic Committee
MDT
Motor Driven Treadmill
WERG
Wheelchair Ergometer
HAT
Head, Arms and Trunk
SCI
Spinal Cord Injury
CP
Cerebral Palsy
SB
Spina Bifida
AB
Able Bodied
BSEN
British Standard European Standards
ARMSD
Average root mean square deviation
TDC
Top Dead Centre
BDC
Bottom Dead Centre
WAnT
Wingate Anaerobic Test
P5
Highest mean power output from any five second period during (WAnT)
P30
Mean power output measured during 30 second (WAnT)
IOF
Index of Fatigue
Fiso
Isometric Strength
xii
HR
Heart Rate
VE
Ventilation rate
MTT
Montreal progressive Tack Test
Vc
Critical velocity test
Vch
Maximal velocity with lactate steady state test
RPE
Rating of Perceived Exertion
HLa
Blood lactate
V!O 2
Oxygen Uptake
V!O 2 Peak
Peak Oxygen Uptake
POaer
Maximal Aerobic Power Output
ME
Mechanical Efficiency
xiii
Glossary of terms
Term
Clarification
Quadriplegia.
Condition resulting from SCI at the level of the cervical vertebrae
Paraplegia
Condition resulting from SCI at the level of the thoracic vertebrae or below
Wheelchair /wheelchair Wheelchair and wheelchair user as one integrated unit user system Wheelchair/wheelchair- The point of integration between the wheelchair and the user interface
wheelchair user e.g. Seat cage, push-rim and gloves
Manual wheelchair
The act of locomotion in a push-rim wheelchair
propulsion Propulsive cycle
The movements that bring about locomotion from hand contact to subsequent hand contact at the start of the next propulsive cycle
“propulsive” or “push”
The period between the instant of hand contact to the
phase
instant of release while the hand is in contact with the push-rim
“non-propulsive” or
The period between the instant of release to the instant of
“recovery” phase
contact while the hand is not in contact with the push-rim
Total momentum
The combined contribution of all body segments to momentum of the system
Relative momentum
The contribution of a particular body segment to the total
xiv
momentum of the system Transfer momentum
The momentum that is transferred to a particular body segment from the proximal segment
xv
1.
Chapter 1
1.1.
Introduction
1.1.1. Wheelchair Sports and the Paralympic Games
Wheelchair sports were originally developed shortly after World War II by Sir Ludwig Guttman and colleagues as a rehabilitation tool, a means to provide exercise and recreation for young persons injured during the war. By 1952 the games had developed into the first international wheelchair sporting competition for the disabled. In the same year the International Stoke Mandeville Games Federation (ISMGF) was formed to develop and govern wheelchair sports. The ISMGF later established ties with the International Olympic Committee (IOC) and in 1960 the first international games for the disabled held in conjunction with the Olympic Games took place in Rome. During the 1964 Tokyo games the name “Paralympics” was coined. Subsequently, the Paralympic Games have been held every four years.
1.1.2. British Paralympic success
Of all the 18 Paralympic sports wheelchair racing is arguably the most high profile and, like mainstream athletics, sprint events take centre stage. Wheelchair sprinting (events from 100 to 800 m) is also where Britain achieves most of its success in international competition. British wheelchair athletes returned from the 1996 Paralympic Games in Atlanta, USA with nine medals. Two gold medals and new
16
World records (Tanni Grey, 800m, time: 1.55.12 mins and David Holding, 100 m, time: 14.45 s), three silver medals (Tanni Grey, 100 m, 200 m and 400 m) and four bronze medals (Nicola Jarvis, 100 m and 200 m, Paul Williams, 100 m and David Holding 200 m). The success of British wheelchair athletes was shown to the world thanks to the extensive media coverage of the 2000 Olympic and Paralympic Games in Sydney, Australia. In the Paralympic Games British athletes finished second in the medal table, only surpassed by the host nation. Great Britain’s athletes officially became Britain’s most successful Paralympic Team ever. British wheelchair athletes returned with seven medals. Five gold medals (Tanni Grey – Thompson 100 m, 200 m, 400 m and 800 m and Deborah Brennan 200 m) and Two bronze medals (Deborah Brennan 200 m and David Holding 100 m). In addition Deborah Brennan set a new World record over 200 m with a time of 33.87 s.
1.1.3. Wheelchair sprinting: Technical background
The goal of the wheelchair sprinter is the same as that of the sprint runner, which is to cover the race distance in the shortest possible time. For the runner the race is made up of a number of strides. Each stride can be broken down further into two basic components, stride length and stride frequency. The same is true for the wheelchair athlete, the race consists of a number of propulsive cycles consisting of a push phase and a recovery phase. The push phase begins at the point of hand contact with the push-rim. During the push phase the propulsive impulse that brings about forward motion is imparted from the body to the push-rim. The recovery phase begins at the point at which the hand releases the push-rim. The movements that
17
return the body to the point immediately before hand contact combine to make up the recovery phase. The push phase can be broken down into pushing length (the distance covered by the wheelchair with each push on the push-rim) and pushing frequency (the number of pushes per unit of time). Walsh (1986) states wheelchair velocity can only be increased through manipulation of one or both of these factors.
1.1.4. A deterministic model for wheelchair sprinting
The deterministic model for wheelchair sprinting (figure 1) identifies the key components that determine the success of a wheelchair sprint athlete. As stated previously the goal of the wheelchair sprinter is to cover the race distance in the shortest possible time, therefore, the goal of the wheelchair sprinter is the development of speed.
With the use of sophisticated laboratory based equipment sport scientists are able to measure many of the components shown in figure 1 during simulated racing wheelchair propulsion (RWP). Information relating to performance enhancement can then be collated and disseminated to coaches and athletes. Unfortunately RWP simulated in a laboratory environment is artificial compared to RWP in a competitive environment (Vanlandewijck et al. 2001). RWP data collected in this artificial environment provides a false description of RWP in a competitive environment and therefore may not be directly applicable to enhance the performance of wheelchair athletes. Scientists working to enhance the performance of wheelchair athletes must
18
develop methods of collecting data during over-ground RWP in competition in order to gain an accurate picture of how wheelchair athletes propel their wheelchairs.
19
Speed
Resistive Impulse
Propulsive Impulse
Contact Time
Wheel Velocity
Direct Propulsion Force
Contact Radius
Point of Contact
Indirect Propulsion Force
Total Muscle Force
Point of Release
Muscle Cross Sectional Area
Activation
Direction
Muscle Length
Point of Force Application
Seating Position
Wheelchair
Coefficient of Drag
Segmental Motion
Joint Angles
Segmental Lengths
Non-contact Time
Drag
Frontal Surface Area
Relative Momentum of Segments
Segmental Density
Athlete
Figure 1 A deterministic model for wheelchair sprinting
20
Velocity
Pushrim Size
Mechanical Resistance
Friction
Rolling Resistance
1.1.5. Summary
The information above clearly identifies British wheelchair sprinting as being at the forefront of international disability sport. However, at present the ability of the sport scientist and coaches to further enhance the performances of these athletes is hampered by methodological constraints. To ensure the continued success of British wheelchair sprint athletes, equipment must be developed for the collection of data during over-ground wheelchair sprinting.
A velocometer that could measure racing wheelchair velocity, would provide a useful research tool in the study of propulsion technique. The device would allow the velocity profile of the wheelchair to be constructed. The velocity profile would provide information on the intra-push characteristics of propulsive cycle.
1.1.6. Aim
1. To design, produce and to test the utility of a velocometer to be used in the assessment of intra-push changes in wheelchair velocity during over-ground propulsion.
21
1.1.7. Objectives
1. To assess the functional requirements of the velocometer in relation to best practice for the collection of data from wheelchair athletes.
2. To manufacture the velocometer in accordance with the functional requirements assessed in objective 1.
3. To test the velocometer in accordance with the functional requirements assessed in objective 1 by using the device to record the velocity profile of a racing wheelchair during a sprint trial.
1.1.8. Hypothesis
The velocometer provides an accurate and reliable method for quantifying intra-push changes in racing wheelchair velocity during over-ground propulsion.
22
1.2.
Literature review
This literature review is intended to provide the reader with a summary of the findings of selected wheelchair related research. The literature under review covers the period from the mid 1970’s, when manual wheelchair propulsion first became the subject of scientific investigation, through to the present. In Sydney 2000 the world witnessed the most integrated and successful Paralympic Games to date. Wheelchair sport is now considered to be at the forefront of disability sport.
1.2.1. Inclusion criteria
The research reviewed in this section has been subjected to inclusion criteria. The criteria are intended to ensure only studies that do not suffer from the major limitations inherent in wheelchair related research are included. Preference has been given to studies in which data has been collected from athletes, using their own racing wheelchairs, during realistic simulated or actual over-ground manual wheelchair propulsion. Where appropriate, only studies which have utilised overground manual wheelchair propulsion or who have realistically simulated manual wheelchair propulsion using a motor driven treadmill are included. Studies using able-bodied subjects with little or no wheelchair experience have not been considered for inclusion. Studies in which daily use, basketball or “active” wheelchairs, interchanged between subjects, are also not included. Research findings related to lever operated or hand crank wheelchairs has been excluded on the basis that manual
23
wheelchair propulsion is the most widely used method of locomotion for wheelchair users.
1.2.2. Wheelchair related research
Previously the global aim of many researchers conducting wheelchair related research has been to contribute to an improvement in the quality of life of lower limb disabled persons who rely on wheelchairs for everyday mobility. However, many researchers have used the growth and maturity of wheelchair sport as justification for scientific investigation (Steadward and Walsh 1986). Cooper (1990c) states that in recent years the progression of world records had slowed significantly, suggesting that a point had been reached in terms of equipment and training at which small differences become more significant. If continued improvements in wheelchair racing are to be made, greater knowledge of the interaction between an individual and their wheelchair will be required. To the sport scientist looking to enhance performance the wheelchair/wheelchair-user system poses a similar problem to that of any athlete whose interaction with a specific piece of equipment brings about a sporting performance. Cooper (1996) states manual wheelchair research can be divided into: design and testing; ergonomics and clinical assessment; physiology and nutrition; and biomechanics.
For a comprehensive collection of wheelchair related research papers the reader is directed to two published works edited by Woude et al. (1993) and Woude et al. (1999). These compilations of wheelchair related research papers, based on the
24
proceedings of international workshops, show the variety and direction of wheelchair related research in 1991 and 1999.
1.2.3. Wheelchair racing: development of a sport
In possibly the first study specifically targeting wheelchair racing, Higgs (1983) characterised racing wheelchair construction in terms of success at the 1980 Olympic games for the disabled. He found that the wheelchairs of more successful athletes were characterised by lower seats, an increased seat angle to the horizontal, narrower frame and smaller push-rims. In relative comparison the chairs used by the successful sprinters had higher and more forward placed seats and a shorter chair length. No significant differences in rear wheel camber were found.
Hedrich et al. (1990) provides an excellent description of the developments in wheelchair racing between 1970 and 1990. Prior to the mid 1970s, wheelchair racing existed as an accelerated version of conventional wheelchair propulsion mechanics. The same wheelchairs used in everyday pursuits were used for sport (LaMere and Labanowich 1984a). Recent advancements in wheelchair technology and training have improved performance. However, the propulsion mechanics of wheelchair racing have been dramatically altered (Higgs 1986; LaMere and Labanowich 1984a, 1984b, Sanderson and Sommer 1985, Steadward and Walsh 1986). Contemporary wheelchair frames and wheels are built of aircraft quality alloys that are lighter and stronger than steel or aluminium. Sealed precision bearings are now used in order to
25
reduce mechanical friction and in order to reduce rolling resistance, bicycle racing wheels with narrow profiles and high pressure racing tyres are used.
To some degree the aerodynamic properties of the racer and the wheelchair have also been addressed. Similar to cycling many wheelchair racers wear skin tight, lightweight clothing to minimise aerodynamic drag. Athletes have chosen to reduce the number of rear wheel spokes, adopt radial rather than crossing spoke patterns and use flat rather than round spokes. These wheel modifications enhance the aerodynamic properties of the racing wheelchair. Many athletes have adopted a seating position with flexed upper trunk. Originally adopted because it assured upper torso stability while concurrently allowing more severely disabled racers to push as efficiently as their less disabled counterparts, athletes now believe that adopting this position improves their propulsive efficiency and reduces drag.
1.2.4. Ergonomics
Woude et al. (1989a) described ergonomics as the “optimisation of human work”. The ergonomic approach to the study of manual wheelchair propulsion seeks to optimise the wheelchair-user interface, the fit between the wheelchair user and the wheelchair itself. Cooper (1990c) states the seat cage and the push-rims are two of the most critical interfaces between the individual and his/her racing wheelchair. The seat cage provides support and stabilisation and determines body position with respect to the push-rims. The efficiency of the force transference is dependent upon the limb geometry with respect to the push-rim. The characteristics of the seat can be
26
broken down into position (in relation to the rear wheel axel and therefore the pushrims, and height from the ground) and construction (upholstery). Seating can be further broken down in terms of the angle of the base from the horizontal and height of the backrest. Push-rims vary in the overall diameter, the diameter of the tubing used in there construction, the distance they are mounted from the surface of the rear wheels and the material covering the outer surface. These considerations have obvious implications for the design of performance wheelchairs. In the design of performance wheelchairs not only is the optimisation of the wheelchair-user interface, maximising the ability of the athlete, a prime consideration but also the performance characteristics of the wheelchair. Rolling resistance, internal friction and aerodynamic drag must all be considered.
For most wheelchair athletes seating is highly individual. In most modern racing wheelchairs the seat may be only a few pieces of strategically placed upholstery strapped to the frame of the wheelchair. Similarly, the sizes of the push-rims are also highly individual. Wheelchair athletes use push-rims that are of a smaller overall diameter than those typically seen on “daily use” or “active” wheelchairs. The reason is speed. Wheelchair athletes need to be able to accelerate their wheelchairs quickly to top speed and then continue to propel them at a high percentage of that top speed for the duration of the event. The size of the push-rim can be likened to the gearing on a bicycle. The smaller the gear, the faster the bicycle will travel at any given cadence.
27
1.2.4.1.
Wheelchair-user interface: seat
The relationship between seat position and the biomechanics of manual wheelchair propulsion has received great attention (Hughes et al., 1992, Mâsse et al., 1992, Ruggles et al., 1994). Unfortunately a general lack of standardisation means that the results of these studies are difficult to compare and generalise to other groups. It is particularly difficult to infer useful information that can be applied to wheelchair sprint athletes. Walsh et al. (1986) investigated the effect of seat position on maximal linear velocity in wheelchair sprinting. The study utilised an adjustable wheelchair fixed to a WERG to assess the effects of nine different seating positions believed to cover the range of seating positions used by wheelchair athletes. The study found no significant differences between the maximal linear velocities measured for each of the nine seat positions. Meijs et al. (1989) investigated the effect of seat height on the physiological response and propulsion technique in wheelchair propulsion. Meijs et al. (1989) took into account the anthropometric dimensions of the nine male nonwheelchair users in order to obtain better standardisation across trials. The study found that seat height has a significant effect on physical load and propulsion technique. The paper states that the reason some authors (Brattgård et al., 1970, Brubaker et al., 1981, 1984) found no difference may have been due to the nonstandardisation of power output and seat height adjustment to individual’s anthropometrical dimensions. Meijs et al. (1989) concluded the range in which the wheelchair seat can be adjusted should cover an elbow angle of 100 to 120 °. The author also states that the results may underline the importance of adjusting wheelchair dimensions to the anthropometric characteristics of the user. These results are similar to a previous study conducted by Woude et al. (1989a). Woude et al.
28
(1989a) indicated that, based on comparative physiological responses to propulsion, the optimum angle of elbow flexion, is between 100 and 120 °. To date no studies have successfully identified an optimal seating position for wheelchair sprint athletes.
1.2.4.2.
Wheelchair-user interface: push-rim
Gayle et al. (1990a) investigated the effect of two different sized push-rims (0.25 and 0.41 m overall diameter) on cardiorespiratory and perceptual responses to wheelchair propulsion. Fifteen male paraplegics (3 track athletes, 12 recreational athletes) performed three discontinuous laboratory based exercise tests and two 1600 m performance based track trials. A racing wheelchair (Stainless Medical Products Racer, San Diego, CA), modified for use with each subject, was used for the entire series of laboratory and track based trials. The results reported no significant differences in HR, V!O 2 , VE, HLa or RPE using different sized push-rims at 4 km.h-1. At 8 km.h-1 subjects demonstrated a 13 % lower steady state V!O 2 (p