Linda M. Riek, DPT, PhD; Paula M. Ludewig, PT, PhD; Deborah A. Nawoczenski, PT, PhD

This article and any supplementary material should be cited as follows: Riek LM, Ludewig PM, Nawoczenski DA. How healthy is circuit resistance training following paraplegia? Kinematic analysis associated with shoulder mechanical impingement risk. J Rehabil Res Dev. 2012;50(6):XX–XX.http://dx.doi.org/10.1682/JRRD.2012.06.0112

Slideshow ProjectDOI:10.1682/JRRD.2012.06.0112JSP

How healthy is circuit resistance training following paraplegia?

Kinematic analysis associated with shoulder mechanical impingement risk

Linda M. Riek, DPT, PhD; Paula M. Ludewig, PT, PhD;

Deborah A. Nawoczenski, PT, PhD

This article and any supplementary material should be cited as follows: Ickmans K, Clarys P, Nijs J, Meeus M, Aerenhouts D, Zinzen E, Aelbrecht S, Meersdom G, Lambrecht L, Pattyn N. Association between cognitive performance, physical fitness, and physical activity leve l in women with chronic fatigue syndrome. J Rehabil Res Dev. 2013;50(6):XX–XX. http://dx.doi.org/10.1682/JRRD.2012.08.0156


Association between cognitive performance, physical fitness, and

physical activity level in women with chronic fatigue syndrome

Kelly Ickmans, PT, MSc; Peter Clarys, PE, BR Sc, PhD; Jo Nijs, PT, PhD; Mira Meeus, PT, PhD; Dirk Aerenhouts, PE, PhD;

Evert Zinzen, PE, PT, PhD; Senne Aelbrecht, PE; Geert Meersdom, MN; Luc Lambrecht, MD, PhD;

Nathalie Pattyn, MD, PhD



• Aim– Determine whether wheelchair-based circuit

resistance training (CRT) exercises place shoulder at risk for mechanical impingement.

• Relevance– Shoulder pain is significant problem in spinal cord

injury population.– Preventing shoulder impingement and maintaining

shoulder health while performing CRT are of utmost importance.



Method

• Created mechanical impingement risk score for each CRT exercise: – Combined scapular and glenohumeral kinematic

and exposure data with 18 individuals with paraplegia and without substantial shoulder pain.



Results• Mean mechanical impingement risk scores at 45–60

humerothoracic elevation rank-ordered from lowest to highest as per subacromial mechanical impingement risk:– Overhead press.– Lat pulldown.– Chest press.– Row.– Rickshaw.

• Mean mechanical impingement risk scores at 105–120 humerothoracic elevation rank-ordered from lowest to highest as per internal mechanical impingement risk:– Lat pulldown.– Overhead press.



Conclusion

• Highest subacromial mechanical risk: – Rickshaw.

• Highest internal mechanical impingement risk:– Overhead press and lat pulldown.

• Rickshaw is most concerning exercise.– Greatest combination of magnitude and exposure

corresponding with increased subacromial mechanical impingement risk.

Documents

Linda M. Riek, DPT, PhD; Paula M. Ludewig, PT, PhD; Deborah A. Nawoczenski, PT, PhD