Shoulder impairment and pain of individuals with newly acquired spinal cord injury compared to uninjured peers

Finley, Margaret; Euiler, Elizabeth; Trojian, Thomas H.; Gracely, Edward J.; Schmidt-Read, Mary; Frye, Sara Kate; Kallins, Marni; Summers, Amanda; York, Henry S.; Geigle, Paula Richley

doi:10.1038/s41394-020-0318-1

Cited by 4 publications

(4 citation statements)

References 36 publications

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“…7,20,21 Supraspinatus tendinopathy and humeral cortical irregularity were defined by US in 73%-90% of individuals with long duration SCI. 12,20 Moreover, a significant association was found US pathologies to age, weight, and duration of injury. 20 Ultrasound evaluation of the LE in wheelchair user tennis players showed that duration of wheelchair use as a significant predictor of lateral epicondylitis.…”

Section: Discussionmentioning

confidence: 95%

“…10 It was reported in approximately 44% of individuals with SCI who participated in inpatient rehabilitation. [11][12][13] The duration of injury, older age, higher BMI, and wheelchair propulsion style were found as risk factors for the development of shoulder pain. [14][15][16][17] In a survey study conducted with 451 paraplegic patients, it was reported that 81% of the patients had upper limb pain and the most painful area was the shoulder joint.…”

Section: Discussionmentioning

confidence: 99%

“…Shoulder pain is a common problem that impairs quality of life in SCI patients 10 . It was reported in approximately 44% of individuals with SCI who participated in inpatient rehabilitation 11–13 . The duration of injury, older age, higher BMI, and wheelchair propulsion style were found as risk factors for the development of shoulder pain 14–17 .…”

Section: Discussionmentioning

confidence: 99%

“…Pathological findings are seen in patients who are not in pain when imaging is performed 7,20,21 . Supraspinatus tendinopathy and humeral cortical irregularity were defined by US in 73%–90% of individuals with long duration SCI 12,20 . Moreover, a significant association was found US pathologies to age, weight, and duration of injury 20 .…”

Section: Discussionmentioning

confidence: 99%

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The relationship between manual wheelchair using skills and upper extremity musculoskeletal disorders in patients with spinal cord injury: A musculoskeletal ultrasonography study

Ata

Civelek

Kara

2023

Am J Phys Med Rehabil

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Objectives The aims of this study are to investigate the relationship between wheelchair skills and upper limb pathologies detected by ultrasound and to identify independent predictors of joint pathologies. Design Forty-five patients who were paraplegic because of spinal cord injury were included. Demographic and clinical data were evaluated. The Spinal Cord Independence Measure III and Wheelchair Skills Test Questionnaire was administered. Shoulder, elbow, and wrist joints of both upper limbs were evaluated with ultrasound. Results Nineteen patients (42.2%) had musculoskeletal pain in their upper limbs. The most painful area was shoulder (14, 31.1%), followed by elbow (8, 17.7%), and wrist (3, 6.6%), respectively. The Wheelchair Skills Test Questionnaire scores were worse in patients with elbow effusion (P = 0.041) and lateral epicondyle spur formation (P = 0.006). In the multivariate logistic regression analysis, independent predictors for joint pathologies in ultrasound were Spinal Cord Independence Measure total score, higher body mass index, older age, working with physical strength, female sex, duration of wheelchair usage, higher level of injury, and wheelchair skills (all P < 0.05). Conclusions Among the risk factors for joint pathologies identified in this study, the ability to use wheelchairs, which is a modifiable risk factor, should be considered in the rehabilitation process and improved.

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