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

Slideshow ProjectDOI:10.1682/JRRD.2012.08.0156JSP

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

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

• 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.

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

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.

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

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.

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

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.