Prevalence of shoulder pain and disability in adult using manual wheelchair, a cross sectional study (original) (raw)
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Factors Affecting Shoulder Pain in Paraplegic Wheelchair Users at Community Level in Bangladesh
2020
Background: Independence is main goal in rehabilitation of spinal cord injury paraplegic patient. Wheelchair is an important aid for their mobility and independence. Wheelchair users very often complain shoulder pain. It becomes barrier for their independence. Objectives: To find out possible factors of shoulder pain and related their pain intensity. Study Design/Methods: The researcher was choosing cross sectional study design. The sample was selected who were minimum one-year wheelchair user in the community level. Purposive sampling method was selected. Face to face interview took place with 11 close ended questions used for find out the possible factors of shoulder pain and 6 questions were used in different activities for measuring the pain intensity through VAS scale. Chi square test was used to find out the relationship among different pain intensity and significant factors like age, years of wheelchair use, weight of wheelchair, duration of propelling and propelling environment. Results: The total participant was 100. The male participant was 77% (n = 77) and female was 23% (n = 23). Mean ages were 35.28 ± 7.26 years. Of the participants 79% live in rural and 19% live in urban. The study result revealed that increase pain intensity was highly significant (P < 0.05) related to age, years of wheelchair use, duration of propelling time and propelling environment. Researcher identified positive association through chi square value among shoulder pain, duration of wheelchair use, propelling time and wheeling environment. Coefficient variation focuses greater in variation among shoulder pain and duration of wheelchair use (1-5 years); wheeling environment (flat surface) and propelling time (below 2 hours) though these variables are significant in chi square analysis. Conclusion: This study present important information about possible factors of shoulder pain which will help for prevention, patient education, diagnosis and treatment.
National journal of integrated research in medicine, 2015
Background and Objectives: Numerous persons are dependent on a manual wheelchair for their mobility. They rely largely on the upper extremities for mobility and transfer, which eventually results in shoulder pain. Various studies had shown high prevalence of shoulder pain among wheelchair users. So, the purpose of this study was to see the relationship of shoulder pain intensity on quality of life and physical activity in persons who propel a manual wheelchair. Aim is to correlate the shoulder pain intensity with quality of life and physical activity in manual wheelchair users. Methodology: 35 subjects who met the criteria were included in the study. They were divided into two groups. Subjects of Group 1 (with shoulder pain) - completed a series of questionnaire (Wheelchair User’s Shoulder Pain Index , SF-36 Health Survey, Physical Activity Scale for Individuals With Physical Disabilities) administered by an interview process. And subjects of group 2 (without shoulder pain) complete...
Development of the Wheelchair User's Shoulder Pain Index (WUSPI)
Paraplegia, 1995
Chronic shoulder pain is a frequently reported phenomenon in individuals who use wheelchairs as their primary means of mobility. No indices are currently available which detect difficulties in performing daily activities due to shoulder discomfort in a largely independent population of wheelchair users. The Wheelchair User's Shoulder Pain Index (WUSPI) was designed to measure shoulder pain in individuals who use wheelchairs. A pilot index was created to measure shoulder pain and related difficulty during basic and instrumental activities of daily living. The instrument was administered to 64 wheelchair users at an athletic event. Analyses of internal consistency and interitem correlations were used to revise and refine the original instrument. Individual item analysis revealed that th.e subjects in this study experienced the most shoulder pain when wheeling up an inclir.c or on outdoor surfaces, when lifting an object from an overhead shelf, when trying to sleep, when transferring from tub to wheelchair and when washing their backs. The final 15-item index shows high internal consistency. This instrument is useful for both clinical and research purposes to detect and monitor shoulder pain and accompanying loss of function by wheelchair users.
Prevalence of shoulder pain in adult- versus childhood-onset wheelchair users: A pilot study
The Journal of Rehabilitation Research and Development, 2004
Shoulder pain is a common overuse problem in long-term adult wheelchair users. The current study examined whether the prevalence of shoulder pain in adult wheelchair users who began using their wheelchairs during childhood (childhood-onset [CH-O] group) is similar to those who began using their wheelchairs as adults (adult-onset [AD-O] group). We compared 31 CH-O and 22 AD-O wheelchair users using the Wheelchair User's Shoulder Pain Index (WUSPI), an overall pain score (Brief Pain Inventory), and a lifestyle questionnaire to determine frequency and duration of physical activity. Shoulder pain (WUSPI) was greater in the AD-O wheelchair users compared with the CH-O group (p < 0.008), even though their general lifestyles were not different. The immature skeleton can possibly respond to the repetitive forces of wheeling better than that of those who begin using a wheelchair once their skeletal structure is completely developed.
Reliability and validity of the Wheelchair User's Shoulder Pain Index (WUSPI)
Paraplegia, 1995
Many long term wheelchair users develop shoulder pain. The purpose of this study was to examine the reliability and validity of the Wheelchair User's Shoulder Pain Index (WUSPI), an instrument which measures shoulder pain associated with the functional activities of wheelchair users. This 15-item functional index was developed to assess shoulder pain during transfers, self care, wheelchair mobility and general activities. To establish test-retest reliability, the index was administered twice in the same day to 16 long term wheelchair users and their scores for the two administrations were compared by intraclass correlation. To establish concurrent validity, the index was administered to 64 long term wheelchair users and index scores were compared to shoulder range of motion measurements. Results showed that intraclass correlation for test-retest reliability of the total index score was 0.99. There were statistically significant negative correlations of total index scores to range of motion measurements of shoulder abduction (r = -0.485), flexion (r = -0.479) and shoulder extension (r = -0.304), indicating that there is a significant relationship of total index score to loss of shoulder range of motion in this sample. The Wheelchair User's Shoulder Pain Index shows high levels of reliability and internal consistency, as well as concurrent validity with loss of shoulder range of motion. As a valid and reliable instrument, this tool may be useful to both clinicians and researchers in documenting baseline shoulder dysfunction and for periodic measurement in longitudinal studies of musculoskeletal complications in wheelchair users.
Musculoskeletal Pain Due to Wheelchair Use: A Systematic Review and Meta-Analysis
Pain and Therapy, 2021
Introduction: Wheelchair users are at a high risk of experiencing non-neuropathic pain of musculoskeletal origin as a result of being wheelchair-bound. The aim of this systematic review was to establish the prevalence of musculoskeletal pain in wheelchair users that is attributable to wheelchair use, and to describe the different pain syndromes and discuss risk factors and management options. Methods: After a systematic MEDLINE search, we identified 40 papers eligible for inclusion. Results: The pooled prevalence of musculoskeletal pain at any location was 50% (95% CI 33-67%). The most common pain syndrome was shoulder pain (pooled prevalence 44%, 95% CI 36-52%). Wheelchair users were 5.8 times as likely to suffer from shoulder pain as controls (95% CI 2.7-12.2, p \ 0.0001). Other pain syndromes included neck, elbow, wrist, hand and low back pain.Older age and increased duration of wheelchair use were the most significant determinants of pain in wheelchair users. Conclusions: Musculoskeletal pain as a result of wheelchair use is very common amongst wheelchair users. Management of pain should follow national and international guidelines. Optimal adjustment of seating position may prevent pain, and is important to be taken into consideration.
Clinical Rehabilitation
Objective: To review the literature that has explored conservative treatments for the management of shoulder pain in manual wheelchair users. Methods: Five databases were systematically searched in february 2020 for terms related to shoulder pain and manual wheelchair use. Articles were screened and included if they investigated the conservative treatment of shoulder pain in wheelchair users. Participants’ physical characteristics, experimental design and primary and secondary outcome measures were extracted from studies. Studies were grouped according to treatment type to identify gaps in the literature and guide future research. Results: The initial search identified 407 articles, of which 21 studies met the inclusion criteria. Exercise-based treatment interventions were most prevalent ( n = 12). A variety of exercise modalities were employed such as strengthening and stretching ( n = 7), ergometer training ( n = 3), Pilates classes ( n = 1) and functional electrical stimulation (...
Predictors of shoulder pain in manual wheelchair users
2018
guidance and patience throughout my undergraduate and graduate career, which have only increased my passion for biomechanics and significantly grown me as a researcher and person. I am grateful for the opportunity I have been given to work in the collaborative and encouraging research environment that he has created in the Neuromuscular Biomechanics Laboratory.
Shoulder pain and its consequences in paraplegic spinal cord-injured, wheelchair users
Spinal Cord, 2004
Study design: Cross-sectional. Objectives: To describe the consequences of shoulder pain on activity and participation in spinal cord-injured paraplegic wheelchair users. To describe the prevalence and type of shoulder pain. Setting: Two spinal cord injury (SCI) centres in Sweden. Methods: All subjects with paraplegia due to an SCI of more than 1 year living in the counties of Uppsala and Linko¨ping, Sweden were contacted by mail and asked to fill in a questionnaire (89 subjects). Those of the responding 56 subjects with current shoulder pain were asked to participate in further examination and interviews. A physiotherapist examined 13 subjects with shoulder pain in order to describe type and site of impairment. To describe consequences of shoulder pain on activity and participation, the Constant Murley Scale (CMS), the Wheelchair Users Shoulder Pain Index (WUSPI) the Klein & Bell adl-index and the Canadian Occupational Performance Measure (COPM) were used. Results: Out of all respondents, 21 had shoulder pain (37.5%). Data from 13 of those subjects were used in the description of type and consequences of shoulder pain. Findings of muscular atrophy, pain, impingement and tendinits were described. We found no difference in ADLperformance with, respectively without, shoulder pain (P ¼ 0.08) using the Klein & Bell adlindex. No correlation was found between the various descriptions of impairment, activity limitations and participation restriction (P40.08). All together 52 problems with occupational performance due to shoulder pain were identified using the COPM. Of these, 54% were related to self-care activities. Conclusion: The consequences of shoulder pain in paraplegic wheelchair users are mostly related to wheelchair activities. Since the wheelchair use itself presumably cause shoulder problems, this will become a vicious circle. More research is needed in order to reduce shoulder problems in wheelchair users.
Shoulder pain in wheelchair users with tetraplegia and paraplegia
Archives of Physical Medicine and Rehabilitation, 1999
Objective: To compare the prevalence and intensity of shoulder pain experienced during daily functional activities in individuals with tetraplegia and individuals with paraplegia who use manual wheelchairs. Design: Self-report survey. Setting: General community. Participants: Fifty-five women and 140 men, 92 subjects with tetraplegia and 103 subjects with paraplegia who met inclusion criteria of 3 hours per week of manual wheelchair use and at least 1 year since onset of spinal cord injury. Main Outcome Measures: Respondents completed a demographic and medical history questionnaire and the Wheelchair User's Shoulder Pain Index (WUSPI), a measure of pain during typical daily activities. Results: More than two thirds of the sample reported shoulder pain since beginning wheelchair use, with 59% of the subjects with tetraplegia and 42% of the subjects with paraplegia reporting current pain. Performance-corrected WUSPI scores were significantly higher in subjects with tetraplegia than in subjects with paraplegia. Conclusions: Both the prevalence and intensity of shoulder pain was significantly higher in subjects with tetraplegia than in subjects with paraplegia. Efforts to monitor and prevent shoulder pain should continue after rehabilitation.