In the United States alone, more than 10,000 spinal cord injuries (SCI) are reported each year. This population depends upon their upper limbs to provide a means of locomotion during completion of their activities of daily living. As a result of greater than normal usage of the upper limbs, proper propulsion mechanics are paramount in preventing injuries. Upper limb pain and pathology is common among manual wheelchair users due to the requirements placed on the arms for wheelchair locomotion. During the wheelchair rehabilitation process following an SCI, an individual is prescribed a wheelchair (WC). The use of a patient-specific computational biomechanical model of WC propulsion may help guide rehabilitation that may improve clinical instruction and patient performance. The overall goal of this study is to develop and refine a computational model that may aide in minimizing shoulder pathology.

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