Prevalence and factors associated with a higher risk of neck and back pain among permanent wheelchair users: a cross-sectional study

Kovacs, Francisco M.; Seco, Jesús; Royuela, Ana; Barriga, Andrés; Zamora, Javier

doi:10.1038/s41393-017-0029-z

Cited by 8 publications

(16 citation statements)

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“…Twenty-three studies investigated non-selected populations of wheelchair users for musculoskeletal pain [ 11 – 33 ]. Of those, only two provided data for the presence of musculoskeletal pain at any location, whereas the rest provided data for the presence of specific pain syndromes, namely shoulder pain ( n = 20), elbow pain ( n = 4), wrist pain ( n = 4), neck pain ( n = 3), hand pain ( n = 3), low back pain ( n = 2), thoracic pain ( n = 1) and forearm pain ( n = 1).…”

Section: Resultsmentioning

confidence: 99%

“…Figure 7 shows the pooled prevalence of neck pain in wheelchair users, following the meta-analysis of three available studies [ 25 , 32 , 33 ]. The pooled prevalence was 30% (95% CI 14–54%).…”

Section: Resultsmentioning

confidence: 99%

“…Single studies reported that the prevalence of thoracic [ 33 ] and forearm [ 25 ] musculoskeletal pain was 20% and 15%, respectively.…”

Section: Resultsmentioning

confidence: 99%

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Musculoskeletal Pain Due to Wheelchair Use: A Systematic Review and Meta-Analysis

et al. 2021

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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.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Musculoskeletal Pain Due to Wheelchair Use: A Systematic Review and Meta-Analysis

et al. 2021

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“…Varios autores han reportado previamente que estas alteraciones pueden afectar la movilidad, el confort, provocar lesiones y dolor asociado a una peor calidad de vida. (9)(10)(11)(12) Consideramos un hallazgo de gran importancia que sólo 1 sujeto contó con todas las medidas correctas de seguridad, calce y apoyo postural. Teniendo en cuenta que la muestra utiliza su SDR durante gran parte del día, Me 9 horas (RIQ 4,12 -10), estos resultados son aún más alarmantes.…”

Section: Discussionunclassified

“…(9) Estos factores, entre otros, no sólo afectan la movilidad y el confort sino que también pueden provocar dolor y lesiones asociadas a una peor calidad de vida. (12) En cuanto a la seguridad, hay muchas situaciones en que el usuario puede resultar lesionado debido a su propia SDR. (5) Un estudio realizado en México evaluó 23 SDR pediátricas, utilizadas durante un periodo promedio de 19 meses, y reportó un total de 26 eventos adversos debido a fallas de las SDR.…”

Section: Introductionunclassified

Calce, apoyo postural, seguridad y satisfacción de usuarios de sillas de ruedas en un Instituto de Rehabilitación de CABA. Estudio descriptivo.

Oholeguy

Barbalaco

Prinzio

et al. 2020

Rev Fac Cien Med Univ Nac Cordoba

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Introducción: En el mundo, 75 millones de personas requieren una silla de ruedas (SDR) pero entre el 5% y el 15% de ellas disponen de una. La OMS define SDR adecuada como aquella satisface las necesidades del usuario y su entorno, ofrece calce y apoyo postural apropiados, es segura y duradera. Objetivos: El objetivo primario es describir el calce, apoyo postural y seguridad de los usuarios de SDR que concurren al servicio de kinesiología del I.Re.P. El objetivo secundario es conocer la satisfacción respecto a su SDR y los servicios relacionados. Sujetos y método: Se incluyeron usuarios de SDR que concurran al servicio de kinesiología del I.Re.P. Las SDR fueron evaluadas siguiendo los lineamientos de la OMS, y la satisfacción utilizando el cuestionario QUEST 2.0. Resultados: De 30 sujetos incluidos, 21 fueron hombres con una edad media de 48,17 años. Sólo 1 sujeto contó con todas las medidas correctas de seguridad, calce y ajuste postural, 6 sujetos contaban con todas las medidas correctas para un calce adecuado y 5 con todas las medidas de seguridad. En cuanto a la satisfacción, se han encontrado puntajes elevados respecto a las SDR y puntajes bajos respecto a los servicios relacionados. La Satisfacción total recibió en su mayoría puntajes medios y altos. Conclusión: Sólo 1 sujeto de los 30 evaluados cumplió con todos los requisitos de calce, ajuste postural y seguridad necesarios para considerar una SDR adecuada. La mayoría de los sujetos reportaron estar más satisfechos con su SDR que con los servicios relacionados.

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Effect of Context-Dependent Modulation of Trunk Muscle Activity on Manual Wheelchair Propulsion

Bailey

Foglyano

Bean

et al. 2021

Am J Phys Med Rehabil

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Objective The aims of the study were to reliably determine the two main phases of manual wheelchair propulsion via a simple wearable sensor and to evaluate the effects of modulated trunk and hip stimulation on manual wheelchair propulsion during the challenging tasks of ramp assent and level sprint. Design An offline tool was created to identify common features between wrist acceleration signals for all subjects who corresponded to the transitions between the contact and recovery phases of manual wheelchair propulsion. For one individual, the acceleration rules and thresholds were implemented for real-time phase-change event detection and modulation of stimulation. Results When pushing with phase-dependent modulated stimulation, there was a significant (P < 0.05) increase in the primary speed variable (5%–6%) and the subject rated pushing as “moderately or very easy.” In the offline analysis, the average phase-change event detection success rate was 79% at the end of contact and 71% at the end of recovery across the group. Conclusions Signals from simple, wrist-mounted accelerometers can detect the phase transitions during manual wheelchair propulsion instead of elaborate and expensive, instrumented systems. Appropriately timing changes in muscle activation with the propulsion cycle can result in a significant increase in speed, and the system was consistently perceived to be significantly easier to use.

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Prevalence and factors associated with a higher risk of neck and back pain among permanent wheelchair users: a cross-sectional study

Abstract: Spanish Back Pain Research Network.

Cited by 8 publications

References 50 publications

Musculoskeletal Pain Due to Wheelchair Use: A Systematic Review and Meta-Analysis

Musculoskeletal Pain Due to Wheelchair Use: A Systematic Review and Meta-Analysis

Calce, apoyo postural, seguridad y satisfacción de usuarios de sillas de ruedas en un Instituto de Rehabilitación de CABA. Estudio descriptivo.

Effect of Context-Dependent Modulation of Trunk Muscle Activity on Manual Wheelchair Propulsion

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