A Study Using Biofeedback for Wheelchair Users to Reduce Overuse Injuries to Shoulders and Wrists


About this study

The purpose of this study is to evaluate motions and forces performed in a manual wheelchair that are most likely to lead to the development of pain or pathology and determine the feasibility of strategies to modify movements and decrease risk.

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria

  • Age 18-70 at time of enrollment
  • Spinal cord injury or disease leading to paraplegia or tetraplegia
  • Uses a manual wheelchair as primary mode of mobility
  • Independently mobile enough to participate in the study
  • Active shoulder and wrist range of motion within limits needed for the tasks performed during the study

Exclusion Criteria

  • Surgery or significant injury to the shoulder(s) or wrist(s) of interest (such as dislocation, fracture or full rotator cuff tear) in which return to pre-injury functional status was not attained
  • Peripheral nerve impairment of the upper extremity being tested
  • Evidence of significant denervation of multiple scapular muscles
  • Shoulder or wrist instability on the upper extremity to be tested
  • Allergy to medical grade adhesive tape (used to secure sensors to skin)

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status Contact

Rochester, Minn.

Mayo Clinic principal investigator

Kristin Zhao, Ph.D.

Closed for enrollment

Contact information:

Beth Cloud-Biebl Ph.D., P.T., D.P.T.



More information


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