Shoulder pain following tetraplegia: a follow-up study 2–4 years after injury

Salisbury, Steven W.; Nitz, Jenny; Souvlis, Tina

doi:10.1038/sj.sc.3101908

Cited by 38 publications

(24 citation statements)

References 28 publications

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“…1 Reported prevalence ranges from 30% to 70%. [2][3][4][5][6][7][8][9] Both incidence and intensity increase with duration of injury and become an added concern for SCI individuals as they age. 8,10,11 For manual wheelchair users, who rely on their upper extremities for mobility (wheelchair propulsion), 35% report shoulder pain.…”

mentioning

confidence: 99%

EMG Biofeedback and Exercise for Treatment of Cervical and Shoulder Pain in Individuals with a Spinal Cord Injury: A Pilot Study

Middaugh

Thomas

Smith

et al. 2013

Topics in Spinal Cord Injury Rehabilitation

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Background: Chronic or recurrent musculoskeletal pain in the cervical and shoulder region is a common secondary problem after spinal cord injury (SCI), reported by 30% to 70% of individuals. Objective: The purpose of this study was to investigate the effect of electromyographic (EMG) biofeedback training, in addition to a standard exercise program, on reducing shoulder pain in manual wheelchair users with SCI. Methods: Fifteen individuals with SCI, C6 or lower, who were manual wheelchair users with shoulder pain were randomly assigned to 1 of 2 interventions. The Exercise group (n = 7) received instruction on a standard home-based exercise program. The EMG Biofeedback plus Exercise group (n = 8) received identical exercise instruction plus EMG biofeedback training to improve muscle balance and muscle relaxation during wheelchair propulsion. Shoulder pain was assessed by the Wheelchair Users Shoulder Pain Index (WUSPI) at baseline, at posttest 10 weeks after the start of intervention, and at follow-up 16 weeks after posttest. Results: The number of participants per group allowed only within-group comparisons; however, the findings indicated a beneficial effect from EMG biofeedback training. Shoulder pain, as measured by WUSPI, decreased 64% from baseline to posttest for the EMG Biofeedback plus Exercise group (P = .02). Shoulder pain for the Exercise group decreased a nonsignificant 27%. At follow-up, both groups showed continued improvement, yet the benefit of EMG biofeedback training was still discernible. The EMG Biofeedback plus Exercise group had an 82% reduction in shoulder pain from baseline to follow-up (P = .004), while the Exercise group showed a 63% reduction (P = .03) over the same time period. Conclusions: This study provides preliminary evidence that EMG biofeedback has value when added to an exercise intervention to reduce shoulder pain in manual wheelchair users with SCI. These findings indicate that EMG biofeedback may be valuable in remediating musculoskeletal pain as a secondary condition in SCI. This preliminary conclusion will need to be studied and verified through future work.

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mentioning

confidence: 99%

EMG Biofeedback and Exercise for Treatment of Cervical and Shoulder Pain in Individuals with a Spinal Cord Injury: A Pilot Study

Middaugh

Thomas

Smith

et al. 2013

Topics in Spinal Cord Injury Rehabilitation

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“…Mcgrill scale is a reliable pain assessment tool for patients with subacromial impingement syndrome [30]. pain is mainly assessed on people with cancer [39] and quadriplegic persons [60]. the reliability was 0.84 while the sensitivity was 0.906, efficiency 0.712 and validity 0,912 [1].…”

Section: Mcgrillscalementioning

confidence: 99%

The subacromial impingement syndrome of the shoulder: The role of physiotherapist in the evaluation and treatment of the syndrome

Efstratiadis¹,

Marangos²,

Kasapakis³

et al. 2017

jbe

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the subacromial impingement syndrome (sIs) is a terminology that overshadows the real dysfunction and pain in the shoulder. the role of physiotherapist in the evaluation and treatment of subacromial impingement syndrome of the shoulder is critical. We searched the following electronic databases "pubMed, pEDro, physical therapy, MEDlInE and science Direct". the studies of the present review were examined regarding the way of evaluation conduction and treatment on patients

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“…Nearly 94% of people with SCI reported pain in the UEs at some time, (16) with 70% reporting current UE pain (17,18). The most common site is the shoulder followed by wrists and hands (2,6,19).…”

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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Shoulder pain following tetraplegia: a follow-up study 2–4 years after injury

Cited by 38 publications

References 28 publications

EMG Biofeedback and Exercise for Treatment of Cervical and Shoulder Pain in Individuals with a Spinal Cord Injury: A Pilot Study

EMG Biofeedback and Exercise for Treatment of Cervical and Shoulder Pain in Individuals with a Spinal Cord Injury: A Pilot Study

The subacromial impingement syndrome of the shoulder: The role of physiotherapist in the evaluation and treatment of the syndrome

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

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