The relation of shoulder pain and range-of-motion problems to functional limitations, disability, and perceived health of men with spinal cord injury: A multifaceted longitudinal study

Ballinger, Diane A.; Rintala, Diana H.; Hart, Karen A.

doi:10.1053/apmr.2000.18216

Cited by 185 publications

(140 citation statements)

References 15 publications

Supporting

Mentioning

131

Contrasting

Unclassified

Order By: Relevance

“…[1][2][3] The prevalence increases with the number of years from onset of SCI and with increasing age. 1,4,5 Pain in the upper extremities is often evoked by transfers 1,[6][7][8] and wheelchair propulsion, 1,3,4,7,8 and is sometimes so severe that it disturbs sleep 1,4 and diminishes independence. 1,7,9 Owing to increased longevity in this population, 10 it is becoming increasingly important to prevent long-term musculoskeletal morbidity related to, among other things, repetitive strain of the locomotor system.…”

Section: Introductionmentioning

confidence: 99%

Transfer from table to wheelchair in men and women with spinal cord injury: coordination of body movement and arm forces

et al. 2006

View full text Add to dashboard Cite

Objective: To investigate how men and women with spinal cord injury (SCI) perform transfers from table to wheelchair with regard to timing and magnitude of force generation beneath the hands and associated body movements. Methods: A total of 13 subjects (seven men, six women) with thoracic SCI. Kinematics of body movement were recorded (Elite 2000 system) simultaneously with the signals from three force plates (AMTI) placed beneath the buttocks and hands. Temporal and spatial parameters regarding head, trunk and trailing arm displacement, loading amplitudes and loading torque directions of both hands were analyzed for each trial and subject and compared between genders. Results: Men and women used similar amplitudes of head bending and forward displacement of the trailing shoulder, while female subjects had significantly larger trunk rotation. Both genders applied significantly more weight on the trailing hand. Differences between genders were seen in direction and timing of peak torque beneath the hands. Conclusions: The forces beneath the trailing hand were larger than those in the leading, if there is weakness or pain in one arm, this arm should be selected as the leading. To avoid excessive load on the arms, technical aids and environmental factors should be very well adapted.

show abstract

Section: Introductionmentioning

confidence: 99%

Transfer from table to wheelchair in men and women with spinal cord injury: coordination of body movement and arm forces

et al. 2006

View full text Add to dashboard Cite

show abstract

“…[36][37][38] Body fat accretion also places a burden on a musculoskeletal system that is already challenged to perform essential daily activities with the upper limbs. 2,39,40 These considerations highlight the importance of identifying interventions that increase fat metabolism and address the high levels of obesity in persons with SCI.…”

Section: Discussionmentioning

confidence: 99%

Effects of Circuit Resistance Training and P Timely Protein Supplementation on Exercise-Induced Fat Oxidation in Tetraplegic Adults

Kressler

Jacobs

Burns

et al. 2014

Topics in Spinal Cord Injury Rehabilitation

View full text Add to dashboard Cite

Background: Substrate utilization during exercise in persons with spinal cord injury (SCI) remains poorly defined. Purpose: To investigate effects of circuit resistance training (CRT) and timing of protein supplementation (PS) on fuel utilization in persons with tetraplegia. Methods: Eleven individuals with chronic tetraplegia underwent 6 months of CRT 3 times weekly. Five randomly assigned participants received immediate PS (iPS) administered in split doses prior to and following all exercise sessions. Other participants consumed a matched dose of PS that was delayed until 24 hours post-exercise (dPS). Participants underwent a maximal graded exercise test (GXT) to volitional exhaustion at 4 conditioning time points: 3 months before (-3mo), at the beginning of (0mo), 3 months into (3mo), and 6 months following (6mo) the CRT conditioning program. Respiratory measures were continuously obtained throughout the GXT via open-circuit spirometry. Fuel utilization and energy expenditure were computed from the respiratory data. Results: The differences in changes in substrate utilization between the PS groups were not significant as determined by the interaction of PS group and conditioning time point, F(3, 27) = 2.32, P = .098, η 2 P = .205. Maximal absolute fat oxidation did not change significantly from 0 to 6mo (mean difference, 0.014 ± 0.031 g/min; P = .170), and fat oxidation remained low never exceeding an average of 0.10 ± 0.09 g/min for any given exercise intensity. Conclusion: Maximum fat utilization during exercise and fat utilization at matched exercise intensities were not increased in persons with tetraplegia, independent of PS, and levels of fat oxidation remained low after training.

show abstract

“…The prevalence of pain after 1 year of spinal cord injury evolution is high, between 30 and 59%. 1,2 Shoulder pain disturbs sleep, increases when propelling a wheelchair and during transfers, and interferes with activities of daily living. As a result, it lowers the level of independence and the quality of life of patients with spinal cord injuries.…”

Section: Introductionmentioning

confidence: 99%

Transdermal nitroglycerine treatment of shoulder tendinopathies in patients with spinal cord injuries

et al. 2011

View full text Add to dashboard Cite

Study design: A clinical blind study was conducted to determine the efficacy of transdermal nitroglycerine treatment on the awareness of shoulder pain. Objective: This study aims to determine the effects of transdermal nitroglycerine on shoulder pain and on functional shoulder movement in patients with spinal cord injuries and shoulder tendinopathies. A second aim is to establish the side effects of the treatment. Setting: Hospital ''La Fe'' in Valencia, Spain. Methods: A total of 45 spinal cord injury patients, all of whom are wheelchair users with shoulder tendinopathy, were randomly divided into two groups: placebo (n ¼ 12) and experimental (n ¼ 33). The experimental group (EG) received transdermal treatment for 6 months in the form of a 1.25 mg nitroglycerine (NT) patch on the greater tubercle. A placebo patch was used with the placebo subjects. Functional shoulder movements were assessed by articular range of motion and pain, using a visual analogical scale. Results: NT treatment reduced the awareness of shoulder pain and increased the functional movement and range of articular motion in the shoulders of the EG members (Po0.05). Conclusions: We conclude that transdermal NT is an efficient method for treating shoulder tendinopathies in wheelchair users with spinal cord injuries.

show abstract

The relation of shoulder pain and range-of-motion problems to functional limitations, disability, and perceived health of men with spinal cord injury: A multifaceted longitudinal study

Cited by 185 publications

References 15 publications

Transfer from table to wheelchair in men and women with spinal cord injury: coordination of body movement and arm forces

Transfer from table to wheelchair in men and women with spinal cord injury: coordination of body movement and arm forces

Effects of Circuit Resistance Training and P Timely Protein Supplementation on Exercise-Induced Fat Oxidation in Tetraplegic Adults

Transdermal nitroglycerine treatment of shoulder tendinopathies in patients with spinal cord injuries

Contact Info

Product

Resources

About