There are many ways to simulate handrim wheelchair propulsion in the laboratory. Ideally, these would be able to, at least mechanically, simulate field conditions. This narrative review provides an overview of the lab-based equipment used in published research and critically assesses their ability to simulate and measure wheelchair propulsion performance. A close connection to the field can only be achieved if the instrument can adequately simulate frictional losses and inertia of real-life handrim wheelchair propulsion, while maintaining the ergonomic properties of the wheelchair-user interface. Lab-based testing is either performed on a treadmill or a wheelchair ergometer (WCE). For this study WCEs were divided into three categories: roller, flywheel, and integrated ergometers. In general, treadmills are mechanically realistic, but cannot simulate air drag and acceleration tasks cannot be performed; roller ergometers allow the use of the personal wheelchair, but calibration can be troublesome; flywheel ergometers can be built with commercially-available parts, but inertia is fixed and the personal wheelchair cannot be used; integrated ergometers do not employ the personal wheelchair, but are suited for the implementation of different simulation models and detailed measurements. Lab-based equipment is heterogeneous and there appears to be little consensus on how to simulate field conditions.

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OBJECTIVE: The purpose of this study was to determine the effects of seat height, wheelchair mass and grip on mobility performance among wheelchair basketball players and to investigate whether these effects differ between classification levels. METHODS: Elite wheelchair basketball players with a low (n= 11, class 1 or 1.5) or high (n= 10, class 4 or 4.5) classification performed a field-based wheelchair mobility performance (WMP) test. Athletes performed the test six times in their own wheelchair, of which five times with different configurations, a higher or lower seat height, with additional distally or centrally located extra mass, and with gloves. The effects of these configurations on performance times and the interaction with classification were determined. RESULTS: Total performance time on the WMP test was significantly reduced when using a 7.5% lower seat height. Additional mass (7.5%) and glove use did not lead to changes in performance time. Effects were the same for the two classification levels. CONCLUSIONS: The methodology can be used in a wheelchair fitting process to search for the optimal individual configuration to enhance mobility performance. Out of all adjustments possible, this study focused on seat height, mass and grip only. Further research can focus on these possible adjustments to optimize mobility performance in wheelchair basketball.@en