The Effects of Using Active Wheelchair (AWC) and Standard Wheelchair (SWC) on Physical Performance -Choosing Appropriate Wheelchair (WC)-

Öz

The aim of WC exercises is to acquire technical skills required for using WC correctly, and to help improve the physical performance. This study has been carried out in order to investigate the effects of AWC and SWC exercises on physical performances and technical skills of obese individuals having no movement limitation in their upper extremities. In this study, 41 WC users (20 AWC users and 21 SWC users) aged between 18 and 26 years, and having no movement limitation in their upper extremities have been involved. For 16 weeks, a 50 min WC activity program (technique, distance walking, and effort) has been implemented 3 times a week. IBM SPSS 21 software has been used for statistical analyses, while t-test has been utilized for standard deviation, mean value and comparisons, and the level of significance has been set as p<0.05. After the 16-weeks physical activity program, increases in WC usage techniques, balance skills, and physical performance have been observed. In all of tests performed, AWC group showed better performance than SWC group. It has been found that the users especially in SWC group have ache in back, shoulders, arms, and wrists. Physical activities with an appropriate WC improve the mobility, decrease pain in back, shoulders and wrists, and balance the energy consumption. This study shows that 50-mil daily physical activities would contribute to WC usage techniques of AWC users, and their physical performances. This could be an important factor in eliminating the possible injuries.

Anahtar Kelimeler

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Kaynakça

1. Abel T, Schneider S, Platen P et al. (2006). Performance diagnostics in handbiking during competition. Spinal Cord. 2006; 44: 211–216.
2. Abel T, Kröner M, Rojas Vega S et al. (2003). Energyexpenditure in wheelchair racing and handbiking – a basis for prevention of cardiovascular diseases in those with disabilities. Eur J Cardiovascular Prevention and Rehabilitation. 10: 371–376
3. Abel T, Bleicher IM, Kroener M et al. (2001). Physiological responses to synchronous and asynchronous arm cranking in handbiking. Med Sci Spors Exerc. 33 (Suppl.): 177
4. Adolph H (1981). Sport mit geistig Behinderten: ein didaktisch-methodisches Ge- samtkonzept mit praktischen Lehr- und Übungsbeispielen, Band 1, in: Sport: Lehren- Unterrichten-Trainieren.: Limpert Verlag, (1.Auflage) Bad Homburg
5. Aksay E, Alp A (2014a). “Procurement of Suitable Wheelchair (WC) and Determining the Factors Complicating the Utilization of WC” Proceedings Book. "2th International Physical Educaton and Sport Congress for the Disabled" Batman 02-04 Mai 2014 .
6. Aksay E, Alp A (2014b). “The effect of a physical activity rehabilitation program on the motor skills and physical performance of children wit autism spectrum disorder (ASD)” International Journal of Academic Research. Part B 6(1), 12-19
7. Aksay E (2013). "Do simple warning signs enhance the use of stairs?". Health Education Journal 0(0)1-9. DOI: 10.1177/0017896913511810
8. Arslan C, Aksay E (2012). “Serabral Palsi ve Spor Etkinlikleri”. Yaşam ve Serabral Palsi. İnönü Üniversitesi engelli Çocuklar Araştırma ve Uygulama Merkezi. Nisan 2012. 38-42

9. Blamey A, Mutrie N, Aitchison T (2000). Encouragingstrairwalking. Br J Spor Med 34:144
10. Bröxes S, Herzog U (2004). Rollstuhlversorgung bei Kinder, Jugedlichen und Erwachsenen. Hennef/Köln
11. Dallmeijer AJ, Kappe YJ, Veeger DH et al. (1994). Anaerobic power output and propulsion technique in spinal cord injured subjects during wheelchair ergometry. J Rehabil Res Dev. 31: 120–128.
12. Dallmeijer AJ, Zentgraaff ID, Zijp NI et al. (2004). Submaximal physical strain and peak performance in handcycling versus handrim wheelchair propulsion. Spinal Cord. 42: 91–98.
13. Gressmann CH (1973). Die allgemeine Belastbarkeit des zerebralen Kindes. Schriftenreihe des Bundesministers für Jugend, Familie und Gesundheit. Bd. 12, Eigenverlag, Stuttgart
14. Hamilton MT, Hamilton DG, Zderic TW (2007). Role of low energy expenditure and sitting in obesity, metabolic syndrome, type 2 diabetes, and cardiovascular disease. Diabetes, Nov; 56(11):2655-67.
15. Janssen JP (2002): Grundlagen der Sportpsychologie. Limpert Verlag, Wiesbaden
16. Janssen TW, van Oers CA, Hollander AP et al. (1993). Isometric strength, sprint power, and aerobic power in individuals with a spinal cord injury. Med Sci Sports Exerc. 25: 863–870.
17. Physical Activity and Health (1996). A Report of the Surgeon General. Atlanta, Ga: Centers for Disease Control and Prevention
18. Strohkendl H (1989). Rollstuhlsport für Anfänger. Lübeck
19. Strohkendl H, Schüler K (1978). Leibesübungen mit Spina bifida-Kindern an der Sonderschule für Körperbehinderte (Grundschule). Int. J. Rehab. Research 1. 39-58
20. Strohkendl H (1978). Funktionelle Klassifizierung für den Rollstuhlsport. Springer, Berlin-Heidelberg-New York 1978.
21. Owen N, Bauman A, Brown W (2009). Too much sitting: a novel and important predictor of chronic disease risk? British journal of sports medicine. 43, 81-83.
22. van der Woude LH, Horstman A, Faas P et al. (2008). Power output and metabolic cost of synchronous and asynchronous submaximal and peak level hand cycling on a motor driven treadmill in able-bodied male subjects. Med Eng Phys. 30: 574–580.
23. Vanlandewijck Y, Theisen D, Daly D (2001). Wheelchair propulsion biomechanics: implications for wheelchair sports. Sports Med. 31: 339–367
24. Wallmann B, Mager S, Froböse I (2009). Treppe statt Rolltreppe – Fördern spezielle Plakate die Treppennutzung? F.I.T. Wissenschaftsmagazin (2) 32-36
25. Wallmann B, Froböse I (2007). Nutzen von Bewegung und Sport bei gesundheitlichen Problemen. Journal of Preventive Medicine 3, 198-205
26. Webb OJ, Cheng TF (2010). An informational stair climbing intervention with greater effects in overweight pedestrians. Health Education Research; 25: 936-944.