Upper extremity musculoskeletal pain during and after rehabilitation in wheelchair-using persons with a spinal cord injury

Drongelen, Stefan van; Groot, de Sonja; Veeger, H.E.J.; Angenot, Edmond L.; Dallmeijer, Annet J.; Post, Marcel W M; Woude, van der Lucas

doi:10.1038/sj.sc.3101826

Cited by 124 publications

(130 citation statements)

References 23 publications

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“…We found relationship between BMI and the right tendon thickness; this can be explained by the increase of TTT with the increasing BMI, similar to the previous literature. Van Drongelen et al 14 have investigated the acute changes in the biceps tendon after a high-intensity wheelchair propulsion activity in 42 basketball and quad rugby players using ultrasonography. An increase in fluid content of biceps tendon was shown, which increased as the duration of playing time increased showing a link between activity level and acute tendon changes.…”

Section: Discussionmentioning

confidence: 99%

Elbow problems in paraplegic spinal cord injured patients: frequency and related risk factors—a preliminary controlled study

Erhan¹,

Gündüz²,

Bardak³

et al. 2013

Spinal Cord

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Study design: Cross-sectional controlled study. Objectives: To evaluate the elbow joint with ultrasound in paraplegic patients, determine the related factors and compare it with healthy controls. Setting: A training and research rehabilitation hospital in Istanbul. Methods: A total of 30 paraplegic patients and 20 healthy controls were included in the study. Patients demographic data, pain in the elbow joint, level and duration of injury, ambulation status, type of wheelchair used, daily duration of wheelchair and other ambulation equipment usage, transfers being dependent or independent, daily number of push-ups were recorded. Elbow joints were evaluated with ultrasound for presence of fluid and thickness of the triceps tendon. Results: Mean triceps tendon thickness values of the right side were larger in spinal cord injury (SCI) patients when compared with those of healthy controls'. Joint effusion on the right elbow joint was also found to be more common in SCI patients than in normal subjects. Triceps tendon thickness measurements were not found to be correlated with demographic and clinical factors. Seven paraplegic patients (23%) reported that they have pain in the elbow. Conclusion: In this preliminary study, our results showed that right elbow effusion was more frequent and right triceps tendon was thicker in SCI patients when compared with healthy subjects.

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Section: Discussionmentioning

confidence: 99%

Elbow problems in paraplegic spinal cord injured patients: frequency and related risk factors—a preliminary controlled study

Erhan¹,

Gündüz²,

Bardak³

et al. 2013

Spinal Cord

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“…A current research program of the SPF in cooperation with the Vrije Universiteit Amsterdam, for example, seeks to understand the control of upper extremity pain due to wheelchair propulsion [64].…”

Section: Need For Researchmentioning

confidence: 99%

Developing swiss paraplegic research: Building a research institution from the comprehensive perspective

Stucki

Reinhardt

Cieza

et al. 2008

Disability and Rehabilitation

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Purpose. To illustrate the conceptualization and development of a research institution from the comprehensive perspective based on the integrative model of functioning provided by the World Health Organization's (WHO) International Classification of Functioning, Disability and Health (ICF). The newly founded research institution Swiss Paraplegic Research which focuses on the comprehensive study of spinal cord injury (SCI) serves as an example. Method. Description of organizational development and structure. Results. The creation of specialized research institutions which develop their core competence from the comprehensive perspective poses unique challenges. It is depicted how these challenges can be met through several approaches. These encompass the identification and specification of a common mission and research goals, the organization of research along distinct scientific fields, the set-up of a respective core competence, and the design of research structures suited to conduct studies of high methodological and organizational complexity. Finally, they comprise the development of a transdisciplinary workforce and the integration into a research landscape which is organized along scientific disciplines and not along interdisciplinary themes. Conclusion. The ideas and approaches described in this paper may serve as an example for creating integrative research institutions dedicated to human functioning and rehabilitation research from the comprehensive perspective.

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“…Therefore, it is not unusual to find that shoulder pain (SP) is a problem in up to 73% of WCUs [1], and reduces their participation in sport and leisure activities for 84% of WCUs suffering from shoulder pain [2,3], as well as other daily activities, especially weight-bearing tasks such as transfers and weight relief lifts [4,5].…”

Section: Introductionmentioning

confidence: 99%

Relationship between shoulder pain and skin temperature measured by infrared thermography in a wheelchair propulsion test

Rossignoli

Fernández-Cuevas

Benito

et al. 2016

Infrared Physics & Technology

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h i g h l i g h t sT sk response of wheelchair athletes before and after a propulsion test is presented. The relation between SP and T sk before and after the propulsion test is obtained. Subjects showed lower resting T sk and slower heat dissipation than able-bodied. There were significant negative correlations between the T sk and SP. There were no correlations between the kinematic variables and the shoulder pain. a b s t r a c t Introduction: Wheelchair Users (WCUs) depend on their upper extremities for their daily living. Therefore, it is not unusual to find that shoulder pain (SP) is a problem for WCUs and reduces their participation in sport and leisure activities. Objectives: The aims of this study were 1 -to analyse skin temperature measured by infrared thermography (IRT) before (pre-test), one minute after (post-test) and 10 min after (post-10) the kinematic wheelchair propulsion test (T-CIDIF) of athletic wheelchair users; 2 -to evaluate the relationship between shoulder pain (SP) and Skin Temperature Asymmetry (DT sk ) before and after (pre-test, posttest, post-10) the T-CIDIF, and to relate the SP with the kinematic variables of the T-CIDIF. Participants & interventions/procedure: A volunteer sample of 12 wheelchair athletes completed an exercise test (T-CIDIF) in their own wheelchair. It consisted in a 30-s maximum test performed on two rollers. Two linear transducers connected to the rollers registered the number of propulsions, maximum and mean velocity and power of each arm. SP was assessed with the Wheelchair Users Shoulder Pain Index (WUSPI). Skin temperature (T sk ) of the anterior and posterior upper body was measured before and after the T-CIDIF by using an infrared camera. A total of 26 ROIs were evaluated with respect to the opposite side of the body to identify significant (DT sk ). Results/main outcome measure(s): Significant differences were observed between the T sk of the post-10 and pre-test in 12 ROIs, and between the post-10 and the post-test in most of the ROIs. These differences are attenuated when the DT sk is compared before and after exercise. T sk tends to initially decrease immediately after the test and then significantly increase after 10 min of completing the T-CIDIF. The DT sk vs SP analysis yielded significant inverse relationships (from r = À0.58 to r = À0.71, p < 0.05) in 5 of the 26 ROI. No significant correlations between propulsion variables and SP questionnaire were found. All T-CIDIF variables were significantly correlated with the temperature asymmetries in multiple ROIs (from r = À0.86 to r = À0.58, from p < 0.05 to p < 0.001). Conclusions: These results present indications that high performance wheelchair athletes exhibit similar capacity of heat production than able-bodied. The thermographic data inversely correlates with the SP and the kinematic variables, but the last is not related to SP. This work contributes to improve the understanding about temperature changes in wheelchair athletes during exercise, and could be used to assess the efficacy of various ...

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Upper extremity musculoskeletal pain during and after rehabilitation in wheelchair-using persons with a spinal cord injury

Cited by 124 publications

References 23 publications

Elbow problems in paraplegic spinal cord injured patients: frequency and related risk factors—a preliminary controlled study

Elbow problems in paraplegic spinal cord injured patients: frequency and related risk factors—a preliminary controlled study

Developing swiss paraplegic research: Building a research institution from the comprehensive perspective

Relationship between shoulder pain and skin temperature measured by infrared thermography in a wheelchair propulsion test

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