Evidence map›Paper›PMID 37920802›Full record

ArticleFrontiers in physiology2023

Changes in neuromuscular activation, heart rate and rate of perceived exertion over the course of a wheelchair propulsion fatigue protocol.

Ursina Minder, Ursina Arnet, Erich Müller, Michael Boninger, Fransiska M Bossuyt

Registry-linked trialAbstract read
In one paragraph

Article in Frontiers in physiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03153033 (The Effect of a Wheelchair Propulsion-induced Fatigue Protocol on Biomechanical and Neuromuscular Risk Factors of Shoulder Pain in Persons With a Spinal Cord Injury Living in Switzerland), which is not on this map. Not yet cited in PubMed.

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0cells of the map it votes in
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03153033 completednot on this map

The Effect of a Wheelchair Propulsion-induced Fatigue Protocol on Biomechanical and Neuromuscular Risk Factors of Shoulder Pain in Persons With a Spinal Cord Injury Living in Switzerland: a Cross-sectional Study With a Repeated Measures Within Subject Design

TypeobservationalSponsorSwiss Paraplegic Research, NottwilRan2017 to 2018Enrolled50ConditionsSpinal Cord Injuries, Fatigue, Muscle, HeartArmsFatigue protocol
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ursina MinderNeuro-musculoskeletal Functioning and Mobility Groupe, Swiss Paraplegic Research, Nottwil, Switzerland.
Ursina ArnetNeuro-musculoskeletal Functioning and Mobility Groupe, Swiss Paraplegic Research, Nottwil, Switzerland.
Erich MüllerDepartment of Sport and Exercise Science, University of Salzburg, Salzburg, Austria.
Michael BoningerDepartment of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA, United States.
Fransiska M BossuytNeuro-musculoskeletal Functioning and Mobility Groupe, Swiss Paraplegic Research, Nottwil, Switzerland.

Funding

ACL HHS 90SI5014
6 · The paper itself

Abstract

Shoulder pain is common in persons with spinal cord injury and has been associated with wheelchair use. Fatigue related compensation strategies have been identified as possibly impacting the development of shoulder injury and pain. The purpose of this study was to investigate the progression of performance fatigability (i.e., decline in objective measure of performance including neuromuscular activation and increase in heart rate) and perceived fatigability (i.e., increased perceived exertion) during a 15-min fatigue protocol including maximum voluntary overground wheelchair propulsion. Fifty participants with paraplegic spinal cord injury completed three 4-min rounds of wheelchair propulsion, separated by 90 s of rest, on a figure-8 course consisting of two turns and full stops per lap in their manual wheelchairs (ClinicalTrials.gov: NCT03153033). Electromyography (EMG) signal of five muscles acting on the shoulder joint, heart rate (HR), and rate of perceived exertion (RPE) were measured at the beginning and end of every 4 min of propulsion. Root Mean Square (RMS) and Mean Power Frequency were calculated from EMG data. There was a significant increase in %RMS of the pectoralis major pars sternalis and trapezius pars descendens, HR, and RPE with greatest changes during the first 4 min of the protocol. The observed changes in neuromuscular activation in only two of the shoulder muscles may impact muscular imbalances and the development of shoulder injuries and should be further studied. The current study gives clearer insight into the mechanisms of performance fatigability and perceived fatigability throughout a wheelchair propulsion fatigue protocol.

Indexed as

neuromuscular activationperceived fatigabilityperformance fatigabilityshoulder painspinal cord injurywheelchair propulsion

Identifiers

PMID37920802
PMCPMC10619735

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.