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This article and any supplementary material should be cited as follows: Lui J, MacGillivray MK, Sheel AW, Jeyasurya J, Sadeghi M, Sawatzky BJ. Mechanical efficiency of two commercial lever-propulsion mechanisms for manual wheelchair locomotion. J Rehabil Res Dev. 2013;50(10):1363–72. http://dx.doi.org/10.1682/JRRD.2013.02.0034 Slideshow Project DOI:10.1682/ JRRD.2013.02.0034JSP Mechanical efficiency of two commercial lever- propulsion mechanisms for manual wheelchair locomotion Jordon Lui, BKin; Megan K. MacGillivray, MSc; A. William Sheel, PhD; Jeswin Jeyasurya, MASc; Mahsa Sadeghi, MD; Bonita Jean Sawatzky, PhD

This article and any supplementary material should be cited as follows: Lui J, MacGillivray MK, Sheel AW, Jeyasurya J, Sadeghi M, Sawatzky BJ. Mechanical

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This article and any supplementary material should be cited as follows: Lui J, MacGillivray MK, Sheel AW, Jeyasurya J, Sadeghi M, Sawatzky BJ. Mechanical efficiency of two commercial lever-propulsion mechanisms for manual wheelchair locomotion. J Rehabil Res Dev. 2013;50(10):1363– 72. Slideshow Project DOI: /JRRD JSP Method Subjects – 10 nondisabled males. Procedure – Performed submaximal exercise tests with both lever- propulsion mechanisms and hand rim propulsion on 2 different wheelchairs. Measures – Cardiopulmonary parameters (O 2 uptake [VO 2 ], heart rate [HR], energy expenditure [En]). – Total external power (P ext ) using drag test protocol. – ME (ratio of P ext to En).

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Page 1: This article and any supplementary material should be cited as follows: Lui J, MacGillivray MK, Sheel AW, Jeyasurya J, Sadeghi M, Sawatzky BJ. Mechanical

This article and any supplementary material should be cited as follows: Lui J, MacGillivray MK, Sheel AW, Jeyasurya J, Sadeghi M, Sawatzky BJ. Mechanical efficiency of two commercial lever-propulsion mechanisms for manual wheelchair locomotion. J Rehabil Res Dev. 2013;50(10):1363–72. http://dx.doi.org/10.1682/JRRD.2013.02.0034

Slideshow ProjectDOI:10.1682/JRRD.2013.02.0034JSP

Mechanical efficiency of two commercial lever-propulsion

mechanisms for manual wheelchair locomotion

Jordon Lui, BKin; Megan K. MacGillivray, MSc; A. William Sheel, PhD; Jeswin Jeyasurya, MASc; Mahsa Sadeghi, MD; Bonita Jean Sawatzky, PhD

Page 2: This article and any supplementary material should be cited as follows: Lui J, MacGillivray MK, Sheel AW, Jeyasurya J, Sadeghi M, Sawatzky BJ. Mechanical

This article and any supplementary material should be cited as follows: Lui J, MacGillivray MK, Sheel AW, Jeyasurya J, Sadeghi M, Sawatzky BJ. Mechanical efficiency of two commercial lever-propulsion mechanisms for manual wheelchair locomotion. J Rehabil Res Dev. 2013;50(10):1363–72. http://dx.doi.org/10.1682/JRRD.2013.02.0034

Slideshow ProjectDOI:10.1682/JRRD.2013.02.0034JSP

• Aim– Evaluate mechanical efficiency (ME) of 2 lever-

propulsion mechanisms (torsion spring and roller clutch) for wheelchairs.

– Compare ME of lever vs hand rim propulsion within same wheelchair.

• Relevance– Conventional wheelchairs have hand rims for manual

propulsion, which can be energetically inefficient.

Page 3: This article and any supplementary material should be cited as follows: Lui J, MacGillivray MK, Sheel AW, Jeyasurya J, Sadeghi M, Sawatzky BJ. Mechanical

This article and any supplementary material should be cited as follows: Lui J, MacGillivray MK, Sheel AW, Jeyasurya J, Sadeghi M, Sawatzky BJ. Mechanical efficiency of two commercial lever-propulsion mechanisms for manual wheelchair locomotion. J Rehabil Res Dev. 2013;50(10):1363–72. http://dx.doi.org/10.1682/JRRD.2013.02.0034

Slideshow ProjectDOI:10.1682/JRRD.2013.02.0034JSP

Method• Subjects– 10 nondisabled males.

• Procedure– Performed submaximal exercise tests with both lever-

propulsion mechanisms and hand rim propulsion on 2 different wheelchairs.

• Measures– Cardiopulmonary parameters (O2 uptake [VO2], heart rate

[HR], energy expenditure [En]).– Total external power (Pext) using drag test protocol.– ME (ratio of Pext to En).

Page 4: This article and any supplementary material should be cited as follows: Lui J, MacGillivray MK, Sheel AW, Jeyasurya J, Sadeghi M, Sawatzky BJ. Mechanical

This article and any supplementary material should be cited as follows: Lui J, MacGillivray MK, Sheel AW, Jeyasurya J, Sadeghi M, Sawatzky BJ. Mechanical efficiency of two commercial lever-propulsion mechanisms for manual wheelchair locomotion. J Rehabil Res Dev. 2013;50(10):1363–72. http://dx.doi.org/10.1682/JRRD.2013.02.0034

Slideshow ProjectDOI:10.1682/JRRD.2013.02.0034JSP

Results

• No significant effect by lever-propulsion mechanism for all physiological measures.– Suggests torsion spring didn’t have physiological

benefit vs roller clutch mechanism.

• Both lever-propulsion mechanisms showed decreased VO2 and HR and increased ME (as function of slope) vs hand rim propulsion.

Page 5: This article and any supplementary material should be cited as follows: Lui J, MacGillivray MK, Sheel AW, Jeyasurya J, Sadeghi M, Sawatzky BJ. Mechanical

This article and any supplementary material should be cited as follows: Lui J, MacGillivray MK, Sheel AW, Jeyasurya J, Sadeghi M, Sawatzky BJ. Mechanical efficiency of two commercial lever-propulsion mechanisms for manual wheelchair locomotion. J Rehabil Res Dev. 2013;50(10):1363–72. http://dx.doi.org/10.1682/JRRD.2013.02.0034

Slideshow ProjectDOI:10.1682/JRRD.2013.02.0034JSP

Conclusion

• Both lever-propulsion mechanisms tested are more mechanically efficient than conventional hand rim propulsion, especially when slopes are encountered.