Upper Limb Pain in Anational Sample of Veterans With Paraplegia

Gironda, R.; Clark, Michael E.; Neugaard, Britta; Nelson, Audrey

doi:10.1080/10790268.2004.11753742

Cited by 62 publications

(59 citation statements)

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“…Significant negative associations (younger age associated with higher frequency or severity) were Age: greater age is sometimes assoc w/more pain 40,47,49,55,65,66 and sometimes not. 43,56,63,67 Duration: duration assoc w/more hip pain, 66 but not with pain in general or shoulder pain; 48,56,63 one study found a U-shaped curve, with more arm pain o5 years and 420 years after injury and less pain 5-19 years after injury. 65 Course: pain tends to develop months or years after injury; 36,40,45,47,50,55,66,68 once pain develops, it tends to remain stable, 40,48 except for (1) shoulder pain, which shows a tendency to increase over time, 14,66 and (2) Age: rate of PUs assoc w/age in one study (older 4younger), but not others.…”

Section: Prevalence and Importancementioning

confidence: 99%

Frequency and age effects of secondary health conditions in individuals with spinal cord injury: a scoping review

et al. 2013

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Study design: Scoping review. Objectives: To gain a better understanding of the prevalence, course and association with age of secondary health conditions in individuals with spinal cord injury (SCI). Setting: Seattle, Washington, USA. Methods: We performed searches of electronic databases for studies published from 1986-2011 that provided information regarding the prevalence, course or associations with age and duration of secondary health conditions in individuals with SCI. Results: Ninety-two studies were included. The findings indicate that: (1) individuals with SCI experience a number of secondary health conditions, many of which occur at a higher rate in those with SCI than the normative population; (2) the most common conditions or symptoms are pain, bowel and bladder regulation problems, muscle spasms, fatigue, esophageal symptom and osteoporosis; (3) a number of conditions, including cardiovascular disease, diabetes, bone mineral density loss, fatigue and respiratory complications or infections, occur with higher frequency in older individuals or those with longer SCI duration, relative to younger individuals or those with shorter SCI duration; and (4) there is a marked lack of longitudinal research examining the natural course of health conditions in individuals aging with SCI. Conclusions: The findings support the conclusion that individuals with SCI show signs of 'premature aging' in different organ systems. Longitudinal research is needed to understand when problems are most likely to emerge, and to develop and test the efficacy of interventions to prevent these health conditions and their negative impact.

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Section: Prevalence and Importancementioning

confidence: 99%

Frequency and age effects of secondary health conditions in individuals with spinal cord injury: a scoping review

et al. 2013

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“…In this regard, several studies have been performed in SCI patients and shoulder pain was found to be the most frequent problem in their UEs. [1][2][3][4] On the other hand, although the elbow joint is also overused in SCI patients (for example, during push-up maneuvers), 2 to our best notice, its relevant problems have not been explored in the hitherto literature.…”

Section: Introductionmentioning

confidence: 97%

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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“…Several articles provide important data on the prevalence and nature of pain and pain-related disability among samples of veterans receiving care in the VHA [2][3][4][5][6][7][8][9]. Haskell et al recently documented a particularly high prevalence of pain among women veterans receiving care in a VA women's clinic [10].…”

Section: Peer-reviewed Publicationsmentioning

confidence: 99%