Figure adjusted from Ref (9): Timeline of the assessments taken in the biomechanical laboratory including (1) introduction, self-reported participant’s characteristics and measurements of the shoulder Range of Motion (RoM), (2) pre-fatigue ultrasound exams, (3) preparation phase including a test to define individual drag force and familiarization with treadmill propulsion and figure-8 protocol, (4) three maximum push tests and a maximum 15m overground sprint test (5) passive rest phase including completion of the Physical Activity Scale for Individuals with Physical Disabilities (PASIPD), (6) treadmill propulsion at two different conditions (25Watt (W) and 45W), (7) Figure-8 protocol consisting of overground wheelchair propulsion along an 8-shaped course. Instructions given during each boat were standardized – the detailed course is presented in the figure below the timeline, and (8) post-fatigue ultrasound exams. Only results of participant characteristics, ultrasound exams, PASIPD, and heart rate and rate of perceived exertion at 25W and 45W treadmill propulsion are discussed in this manuscript.