Shoulder pain in wheelchair users with tetraplegia and paraplegia (original) (raw)
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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.
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.
Prevalence of shoulder pain and disability in adult using manual wheelchair, a cross sectional study
Pakistan BioMedical Journal
The objective of this study is to find out prevalence of shoulder pain and disability in adults using manual wheelchair in Pakistan. Study Design: Cross sectional study.Setting: Data was collected from Ghurki Trust Teaching Hospital, Pakistan Society for the Rehabilitation of the Disabled and Mayo hospital of Lahore. Methods: This is a cross-sectional study. After taking consent and IRB from UOL, this study was conducted on manual wheel chair use from at least three months of Lahore. It included both males and females of 25 above age. (SPADI) Shoulder pain disability index (SPADI) and the Wheelchair User's Shoulder Pain Index (WUSPI) will be used to collect data. The questionnaire was filled at the spot. Results: Out of total 127 participants 48.8% were female and 51.2% were male. The mean age of the study subjects was 32.32±4.719 years. The prevalence of shoulder pain was documented in 127 participants is 78% with moderate pain 27.6% and severe pain in 38.0%. There was mild dis...
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...
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.
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.
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.
Physical Therapy, 2015
Background Shoulder joint pain is a frequent secondary complaint for people following spinal cord injury (SCI). Objective The purpose of this study was to determine predictors of shoulder joint pain in people with paraplegia. Methods/Design A 3-year longitudinal study was conducted. Participants were people with paraplegia who used a manual wheelchair for at least 50% of their mobility and were asymptomatic for shoulder pain at study entry. Participants were classified as having developed shoulder pain if they experienced an increase of ≥10 points on the Wheelchair User's Shoulder Pain Index in the 3-year follow-up period. Measurements of maximal isometric shoulder torques were collected at study entry (baseline), 18 months, and 3 years. Daily activity was measured using a wheelchair odometer, and self-reported daily transfer and raise frequency data were collected by telephone every 6 weeks. Results Two hundred twenty-three participants were enrolled in the study; 39.8% develop...
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.