Effect of Seat Height and Angle on Wheelchair Foot Propulsion

NCT ID: NCT06035484

Last Updated: 2024-05-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

31 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-04-20

Study Completion Date

2023-10-30

Brief Summary

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The purpose of the project is to explore the effect of differences in seat height and seat angle on bilateral foot propulsion using a manual wheelchair. The objectives of the study are to determine whether differences in seat height and seat angle impact: a) propulsion speed; b) knee range of motion used during propulsion; c) effectiveness of foot propulsion gait; and d) perceived difficulty with foot propulsion.

A repeated measures designs allows comparison between 5 different seat height conditions and 4 different seat angle conditions to determine whether there are significant differences in outcome, and if so, which conditions provide better outcomes. Participants will propel a customized MWC through a standardized course using each seat configuration; the sequence will be randomized to reduce any learning effects.

Detailed Description

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Conditions

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Healthy

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Within-subjects repeated measures design
Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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LL & 0

Wheelchair seat height will be positioned at lower leg length and set inclination will be zero

Group Type EXPERIMENTAL

Seat height

Intervention Type OTHER

Seat height of a manual wheelchair will be changed according the different arms specified. The participant will complete a course in the manual wheelchair with each arm.

Seat inclination

Intervention Type OTHER

Seat inclination of a manual wheelchair will be changed according the different arms specified. The participant will complete a course in the manual wheelchair with each arm.

LL + 1

Wheelchair seat height will be positioned at the participant's leg length plus one inch with an inclination of zero

Group Type EXPERIMENTAL

Seat height

Intervention Type OTHER

Seat height of a manual wheelchair will be changed according the different arms specified. The participant will complete a course in the manual wheelchair with each arm.

LL - 1

Wheelchair seat height will be positioned at the participant's leg length minus one inch with an inclination of zero

Group Type EXPERIMENTAL

Seat height

Intervention Type OTHER

Seat height of a manual wheelchair will be changed according the different arms specified. The participant will complete a course in the manual wheelchair with each arm.

LL - 2

Wheelchair seat height will be positioned at the participant's leg length minus two inches with an inclination of zero

Group Type EXPERIMENTAL

Seat height

Intervention Type OTHER

Seat height of a manual wheelchair will be changed according the different arms specified. The participant will complete a course in the manual wheelchair with each arm.

LL - 3

Wheelchair seat height will be positioned at the participant's leg length minus three inches with an inclination of zero

Group Type EXPERIMENTAL

Seat height

Intervention Type OTHER

Seat height of a manual wheelchair will be changed according the different arms specified. The participant will complete a course in the manual wheelchair with each arm.

3 degrees Inclination

Wheelchair seat height will be positioned at the participant's leg length with a forward seat inclination of 3 degrees

Group Type EXPERIMENTAL

Seat inclination

Intervention Type OTHER

Seat inclination of a manual wheelchair will be changed according the different arms specified. The participant will complete a course in the manual wheelchair with each arm.

6 degrees Inclination

Wheelchair seat height will be positioned at the participant's leg length with a forward seat inclination of 6 degrees

Group Type EXPERIMENTAL

Seat inclination

Intervention Type OTHER

Seat inclination of a manual wheelchair will be changed according the different arms specified. The participant will complete a course in the manual wheelchair with each arm.

9 degrees Inclination

Wheelchair seat height will be positioned at the participant's leg length with a forward seat inclination of 9 degrees

Group Type EXPERIMENTAL

Seat inclination

Intervention Type OTHER

Seat inclination of a manual wheelchair will be changed according the different arms specified. The participant will complete a course in the manual wheelchair with each arm.

Interventions

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Seat height

Seat height of a manual wheelchair will be changed according the different arms specified. The participant will complete a course in the manual wheelchair with each arm.

Intervention Type OTHER

Seat inclination

Seat inclination of a manual wheelchair will be changed according the different arms specified. The participant will complete a course in the manual wheelchair with each arm.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* student in College of Rehabilitation Sciences enrolled in Master of Occupational Therapy, Master of Physical Therapy, or Bachelor of Respiratory Therapy program at the University of Manitoba.
* Able-bodied individuals

Exclusion Criteria

* Students whose hip width exceeds 21 inches or lower leg length is shorter than 16 inches will be excluded as the test manual wheelchair will not accommodate these dimensions.
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Manitoba

OTHER

Sponsor Role lead

Responsible Party

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Ed Giesbrecht

Associate professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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University of Manitoba

Winnipeg, Manitoba, Canada

Site Status

Countries

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Canada

References

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Askari S, Kirby RL, Parker K, Thompson K, O'Neill J. Wheelchair propulsion test: development and measurement properties of a new test for manual wheelchair users. Arch Phys Med Rehabil. 2013 Sep;94(9):1690-8. doi: 10.1016/j.apmr.2013.03.002. Epub 2013 Mar 14.

Reference Type BACKGROUND
PMID: 23499781 (View on PubMed)

Heinrichs ND, Kirby RL, Smith C, Russell KFJ, Theriault CJ, Doucette SP. Effect of seat height on manual wheelchair foot propulsion, a repeated-measures crossover study: part 1 - wheeling forward on a smooth level surface. Disabil Rehabil Assist Technol. 2021 Nov;16(8):831-839. doi: 10.1080/17483107.2020.1741036. Epub 2020 Apr 2.

Reference Type BACKGROUND
PMID: 32238086 (View on PubMed)

Other Identifiers

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HS25835 (H2023:027)

Identifier Type: -

Identifier Source: org_study_id

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