Carpal tunnel syndrome in paraplegic patients

Aljure, Julio; Eltorai, Ibrahim M.; Bradley, William E.; Lin, James E; Johnson, Bonnie

doi:10.1038/sc.1985.31

Cited by 98 publications

(66 citation statements)

References 6 publications

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“…4 1 The RNL was developed to measure the extent of reorganization of physical, social, and psychological characteristics of an individual so that they can resume well-adjusted living after illness or trauma.…”

Section: Instrumentsmentioning

confidence: 99%

“…[4][5][6][7][8][9][10][11][12] Changes have been reported in mobility, independence, social support, life satisfaction, quality of life, and economic stability,13-18 How ever, very few have specifically examined the effects of increased duration of disability, or the interaction between duration of disability and the aging process. Duration of SCI and age are often significantly corre lated in spinal cord injured samples_ 11,13,[19][20][21] In those studies that have considered both age and duration of disability, it is not clear whether and how one variable was controlled while examining the other.…”

Section: Introductionmentioning

confidence: 99%

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The effect of aging and duration of disability on long term health outcomes following spinal cord injury

Pentland

McColl

Rosenthal³

1995

Spinal Cord

112

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The purpose of the study was to discover the independent and combined effects of age and duration of injury on selected long term health outcomes of 83 spinal cord injured (SCI) men (age range 21-79 years; duration of spinal cord injury 3-52 years) _ Specifically, the study examined a multivariate model which specified that age, duration, the interaction of age and duration, and level of lesion were related to the following health outcomes: pain, fatigue, functional independence, mobility, illness and symptomatology, perceived overall health, social support, life satisfaction, and economic stability. Age had significant main effects on three outcomes. With increasing age, the sample experienced more fatigue, decreased activity (due to pain), and more overall satisfaction with their lives. Duration of SCI showed significant main effects on two outcomes. As subjects lived longer with their SCI, they felt less financially secure and experienced more symptoms and illnesses. Significant interaction effects of age and duration of SCI were found for two outcomes. Older age combined with longer duration of SCI amplified subjects' perceptions of financial insecurity, and threats to health. The findings send a clear message to service-providers and policy makers about the added vulnerability of older disabled individuals, about the need for extra vigilance in health care issues, and about the necessity of a social-economic safety net for already disadvantaged individuals.

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Section: Instrumentsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The effect of aging and duration of disability on long term health outcomes following spinal cord injury

Pentland

McColl

Rosenthal³

1995

Spinal Cord

112

View full text Add to dashboard Cite

show abstract

“…The reliability of these joint angles across all three tested sensors is of particular significance because the shoulder, elbow, and wrist joints are where the vast majority of overuse injuries attributed to wheelchair pro pulsion occur [4][5][6][7][8]. The Kinect sensors do, however, fail to reveal significant reliability among measurements of trunk flexion.…”

Section: Reliabilitymentioning

confidence: 99%

“…Human motion analysis is of particular importance in the rehabil itation of manual wheelchairs users (MWUs), consider ing the prevalence of pathological conditions from the overuse of the upper limbs during manual wheelchair propulsion. Manual wheelchair propulsion requires repet itive use of the upper limbs, leading to increased stress on muscles and joints, often resulting in carpal tunnel syn drome, rotator cuff tendinopathy, shoulder pain, and nerve injuries [4][5][6][7][8]. Seventy percent of MWUs experi ence an overuse injury with a reported negative effect on functional activities such as self-care and transfers [9][10].…”

Section: Introductionmentioning

confidence: 99%

Reliability and validity of the Microsoft Kinect for assessment of manual wheelchair propulsion

Milgrom¹,

OTD²,

Foreman³

et al. 2016

J Rehabil Res Dev

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Abstract-Concurrent validity and test-retest reliability of the Microsoft Kinect in quantification of manual wheelchair pro pulsion were examined. Data were collected from five manual wheelchair users on a roller system. Three Kinect sensors were used to assess test-retest reliability with a still pose. Three sys tems were used to assess concurrent validity of the Kinect to measure propulsion kinematics (joint angles, push loop charac teristics): Kinect, Motion Analysis, and Dartfish ProSuite (Dart fish joint angles were limited to shoulder and elbow flexion). Intraclass correlation coefficients (ICCs) revealed good reliabil ity (0.87-0.99) between five of the six joint angles (neck flexion, shoulder flexion, shoulder abduction, elbow flexion, wrist flexion). ICCs suggested good concurrent validity for elbow flexion between the Kinect and Dartfish and between the Kinect and Motion Analysis. Good concurrent validity was revealed for maximum height, hand-axle relationship, and maximum area (0.92-0.95) between the Kinect and Dartfish and maxi mum height and hand-axle relationship (0.89-0.96) between the Kinect and Motion Analysis. Analysis of variance revealed sig nificant differences (p < 0.05) in maximum length between Dartfish (mean 58.76 cm) and the Kinect (40.16 cm). Results pose promising research and clinical implications for propul sion assessment and overuse injury prevention with the applica tion of current findings to future technology.

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“…Secondary pathologies include degenerative joint changes (72%) (10), neuropathy, including carpal tunnel syndrome (64%) (11,12), and rotator cuff tears (73%) (13). There is evidence that individuals with SCI age prematurely, with the frequent occurrence of new medical conditions or complications over the years (14).…”

Section: Introductionmentioning

confidence: 99%

The Natural-Fit Handrim: Factors Related To Improvement In Symptoms And Function In Wheelchair Users

Dieruf

Ewer

Boninger

2008

The Journal of Spinal Cord Medicine

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Background/Objective: People with spinal cord injury (SCI) may spend several decades using a wheelchair as their primary means of mobility. Secondary injury and a decline in independence over time are common with manual wheelchair users who, in turn, may require increased assistance as time passes. The Natural-Fit contoured handrim has been shown to improve symptoms and function in people with SCI who use manual wheelchairs and who have experienced upper extremity pain. The objective of this study was to determine the factors associated with improved symptoms and functions. Participants: 87 people who purchased the ergonomic wheelchair handrims. Participants were predominately men, with a median age of 51 to 55 years, median level of injury T10 to T12, median time in a wheelchair of 15 years, and they had used the contoured rims for 1 to 2 years. Methods: This was a mail survey of 217 people who purchased the rims. The survey was mailed out from the manufacturer and was anonymously returned to the physical therapy department of a university. A $10 incentive was offered for returning the survey. Results: The majority of participants reported improvements in upper extremity symptoms, ease of wheelchair propulsion, and functional status. Longer use of the rims was associated with reported improvement in ease of wheelchair propulsion and reduction in pain in hands and wrists. Conclusion: If a simple modification of the wheelchair can help bring about significant changes in the users' symptoms and function, this modification should be incorporated by people who use manual wheelchairs before decline in function begins. Proactive intervention may alleviate symptoms, help the person maintain maximal independence, and prolong the length of time the individual remains independent.

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Carpal tunnel syndrome in paraplegic patients

Cited by 98 publications

References 6 publications

The effect of aging and duration of disability on long term health outcomes following spinal cord injury

The effect of aging and duration of disability on long term health outcomes following spinal cord injury

Reliability and validity of the Microsoft Kinect for assessment of manual wheelchair propulsion

The Natural-Fit Handrim: Factors Related To Improvement In Symptoms And Function In Wheelchair Users

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