Push smarter, Not harder

Manual wheelchair propulsion is a repetitive and strenuous task essential for mobility and social participation. The relatively high biophysical strain often exceeds the reduced physical work capacity of wheelchair users, increasing their vulnerability for shoulder pain and injury. Innovative assistive technologies—such as frame type and pushrim-activated power-assisted wheels—may help to restore balance between strain and work capacity. In this thesis, we investigate the impact of assistive technologies on the biophysical strain associated with manual wheelchair propulsion. Based on our results, we argue that implementing specific frame types or pushrim-activated power-assist systems can reduce biophysical strain and enhance mobility.