Woman with chronic pain explains that some wheelchair. Few studies have investigated differences in shoulder pain among paraplegic wheelchair users regarding different levels of activity and fitness. High levels of activities of daily living, for example, repetitive load from propulsion and transfer 2, 9, 15, 17, are other factors thought to contribute to shoulder pain. Im a power chair user, but i also rock a set of crutches, and for some reason thats difficult for some people to comprehend. More than two thirds of the sample reported shoulder pain since beginning wheelchair use, with 59% of the subjects with tetraplegia and 42% of the subjects with paraplegia reporting current pain. Can physical activity improve the health of wheelchair. The wheelchair users shoulder pain index wuspi was designed to. The following information is provided by touchstone rehabilitation, author daniel m. Shoulder pain in wheelchair users with tetraplegia and. Wheelchair users shoulder pain index rehabmeasures database. Shoulder pain was quantified with the wheelchair users shoulder pain index.
The wheelchair users shoulder pain index wuspi, a reliable and valid 15item questionnaire, was developed specifically for manual wheelchair users who are functionally independent curtis et al, 1995. Development of the wheelchair users shoulder pain index nature. Participants also completed the wheelchair users shoulder pain index wuspi. This study documents a strong influence of shoulder pain on the performance of. A pilot index was created to measure shoulder pain and related difficulty during basic and instrumental activities of daily living.
Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. To investigate the presence of ultrasound us abnormalities in manual wheelchair users with spinal cord injury sci using a quantitative ultrasound shoulder pathol. Conclusion this study concludes that the prevalence of activity related shoulder pain was high than pain at rest as many participants were having pain during activity. Shoulder ultrasound abnormalities, physical examination. Intraindividual mean, sd, and coefficient of variation cvmeansd with kinetic.
Upper body resistance exercises are an excellent way to build strength and. Shoulder pain among rehabilitated spinal cord injured. To ensure equivalence between content in the original and the swedish version of the wuspi, we. Many long term wheelchair users develop shoulder pain. Effectiveness of exercise programs for management of shoulder. This booklet will discuss interventions to facilitate a healthy shoulder from the time of injury to post rehabilitation home programs.
The international classification of functioning, disability and health icf is a framework for describing functioning and disability in relation to a health condition. The wuspi targets activity limitation resulting from shoulder pain 4,including wheelchair transfers, wheelchair mobility, selfcare and general activities. Archives of physical medicine and rehabilitation 8911. Shoulder pain in wheelchair users with tetraplegia and paraplegia.
Finally figures from the eus statistics office eurostatin suggest an estimated 5 million wheelchair users in europe. This mobility predisposes it to injury from overuse, especially in the absence of protective mechanisms of pain and proprioception. Shoulder pain and its consequences in paraplegic spinal cord. Karman provides wheelchair users with resources that starts with a wide range of product information, national dealers support, and a multitude of information easily found on this website. The wheelchair users shoulder pain index wuspi was designed to measure.
This study investigated 1 the effect of repetitive weightrelief raises wr and shoulder external rotation er on the acromiohumeral distance ahd among manual wheelchair users mwus and 2 the relationship between shoulder pain, subject characteristics, and ahd changes. Journal of rehabilitation medicine shoulder pain in persons with. Prevalence of shoulder pain in adult versus childhood. The shoulder joint of the wheelchair user is the primary joint for transfer and propulsion. Several studies have shown that shoulder pain is prevalent in 33% to 78% of athletes who are wheelchair users. Detailed shoulder mri findings in manual wheelchair users. Relationship between shoulder pain and kinetic and. The instrument was administered to 64 wheelchair users at an. We use cookies to help provide and enhance our service and tailor content and ads. The causes of this sex discrepancy are not understood.
How to alleviate shoulder pain from pushing a wheelchair. Two recent projects of the manual wheelchair research program at mayo clinic have included. It measures how shoulder pain has interfered with different daily. It supports looking at and analyzing factors that influence how wheelchair users function and participate in their societycommunity and enables people to look beyond impairments and activity limitations such as. The wuspi targets activity limitation resulting from shoulder pain 4 subsections, including wheelchair transfers, wheelchair mobility, selfcare and general activities. Protecting your shoulders and staying active after spinal. Reliability and validity of the wheelchair users shoulder pain index wuspi. Score generated by the wheelchair users shoulder pain index. It is composed of 15 items relating to pain in everyday activities of wheelchair users including. Development of the wheelchair users shoulder pain index. When stratified by the use of assistive mobility devices, shoulder pain was reported by 46. Relationship between perceived shoulder pain and kinematic analysis of wheelchair propulsion in sedentary and active wheelchair users isabel rossignoli hector alegre azael herrero juan martinhernandez pedro j. Wheelchair users shoulder pain index wuspi spinal cord. Due to the increased work demand of the shoulders and arms, wheelchair users often have shoulder pain and dysfunction.
Shoulder management for wheelchair users from acute care to home program. Effect of vibration exercise on upper limb strength. Journal of rehabilitation medicine shoulder pain in. Users shoulder pain index wuspi, a measure of pain during typical daily activities. Effect of twospeed manual wheelchair wheel on shoulder. Shoulder ultrasound abnormalities, physical examination findings, and pain in manual wheelchair users with spinal cord injury. Shoulder pain and its consequences in paraplegic spinal. Variability of peak shoulder force during wheelchair. Original article shoulder ultrasound abnormalities. Check out the september 25, 2019 sci forum revolutionay shoulder care for sci. Original article the prevalence of shoulder pain in spinal. The purpose of this study is to quantify shoulder movement during manual wheelchairbased activities of daily living and to determine the associated likelihood of shoulder soft tissue compression. Reliability and validity of the wheelchair users shoulder pain index.
The wheelchair users shoulder pain index macquarie university. Research article detailed shoulder mri findings in manual wheelchair users with shoulder pain melissam. Blisters, abrasions, and lacerations are also frequent injuries although not necessarily overuse injuries. Approximately 65 million people worldwide require the enhanced mobility of wheelchairs. The glenohumeral joint shoulder is the most mobile joint in the body. The instrument was administered to 64 wheelchair users at an athletic event. Relationship between shoulder pain and kinetic and temporal. Pdf development of the wheelchair users shoulder pain index. Currently, no incidence of shoulder pain in individuals with sci either congenital or traumatic who have used wheelchairs since early childhood has been reported. This places manual wheelchair users at a high risk of shoulder pain and injury 2. Development of the wheelchair users shoulder pain index wuspi.
Participants were required to be asymptomatic for shoulder pain at the time of the initial baseline data collection wheelchair user s shoulder pain index, wuspi curtis et al. A study of shoulder motion and impingement in manual. An array of factors could contribute to shoulder pain. Shoulder pain is a common overuse problem in longterm adult wheelchair users. Wheelchair users shoulder pain index how is wheelchair. Sex, shoulder pain, and range of motion in manual wheelchair. Predictors of shoulder pain in manual wheelchair users. Can physical activity improve the health of wheelchair users. Respondents completed a demographic and medical history questionnaire and the wheelchair users shoulder pain index. Pdf reliability and validity of the wheelchair users. Please determine your priorities, by rating the importance of the content in each of the 10 questions in the shaded box to the right of each.
It is not surprising that manual wheelchair users mwus experience shoulder pain given the persistent use of their shoulders in activities of daily living. Carpal tunnel syndrome is present in 23% to 73% of wheelchair users. Items assess intensity of shoulder pain during transfers, activities of daily living, and mobility performed from a wheelchair. Evidence portfolio chronic conditions subcommittee, question 6. After 33 years of pushing a wheel chair 15 with power assist wheels and finally getting a power chair and an ez lock system to drive from the chair, my shoulders still hurt. Department of health and human services indicates that routine physical activity programs combining aerobic exercise with muscle strength and balance training improves fitness, function, and quality of life for individuals with physical disabilities. Abstract upwards of 70% of manual wheelchair users mwus experience shoulder pain. The underlying mechanisms include soft tissue lesions, impaired motor function and central nervous systemrelated phenomena. Indeed, upwards of 70 percent of mwus experience pain 27. Introduction shoulder pain and inefficient propulsion are common and disabling problems for wheelchair users, yet little is known about how the interaction between wheelchair configuration and users affects shoulder girdle biomechanics.
Pdf reliability and validity of the wheelchair users shoulder pain. Shoulder pain is very common in people who are wheelchair dependent, including those with spinal cord injury, spina bifida and. Exercise is a feasible, conservative, therapeutic intervention for the treatment of shoulder pain among mwus. Reliability and validity of the wheelchair users shoulder. Whether the prevalence and pathology of shoulder pain is.
Evidence portfolio chronic conditions subcommittee. Relationship between perceived shoulder pain and kinematic. Reliability and validity of the wheelchair user s shoulder pain index wuspi. Across the 7 studies, the exercise intervention was associated with reduction in shoulder pain that exceeded the estimated minimal detectable change of 5. The wheelchair user s shoulder pain index wuspi is a simple and effective selfreport questionnaire for quickly measuring the functional cost of shoulder pain in wheelchair users. The wheelchair users shoulder pain index wuspi was designed to measure shoulder pain in individuals who use wheelchairs. Pdf many long term wheelchair users develop shoulder pain.
Development of the wheelchair user s shoulder pain index wuspi. Introduction high prevalence of shoulder injuries in manual wheelchair users mwu curtis, 1999. To describe consequences of shoulder pain on activity and participation, the constant murley scale cms, the wheelchair users shoulder pain. Effect of vibration exercise on upper limb strength, function, and pain. Wheelchair users shoulder pain index elderly mobility. Wheelchair user s shoulder pain index rehabmeasures database skip to main content. Zhao 5 division of orthopedic research, department of orthopedic surgery, mayo clinic, rochester, mn, usa. Understanding propulsive shoulder forces and scapular. The wuspi is a selfreport measure of shoulder pain in wheelchair users during functional activities. It provides a common language and framework for describing the level of function of a person within their unique environment. Shoulder management for wheelchair users touchstone. The purpose of this study is to quantify shoulder movement during manual wheelchair based activities of daily living and to determine the associated likelihood of shoulder soft tissue compression. Shoulder pain in persons with thoracic spinal cord injury.
Research article detailed shoulder mri findings in manual. Prevalence of shoulder pain in adult versus childhoodonset. Wheelchair users shoulder pain index listed as wuspi. The current study examined whether the prevalence of shoulder pain in adult wheelchair users who began using their wheelchairs during childhood childhoodonset cho group is similar to those who began using their wheelchairs as adults adultonset ado group. Effectiveness of exercise programs for management of. Pdf development of the wheelchair users shoulder pain. Association of shoulder pain with the use of mobility. Decreased range of motion rom has been suggested as a major contributor, but the interaction of sex, rom, and shoulder pain has not been investigated, thus the purpose of this investigation. Protecting your shoulders and staying active after spinal cord injury presented by kristin kaupang, physical therapist, on april 10, 2012 at the university of washington medical center, seattle, wa. The purpose of this study was to examine the reliability and validity of the wheelchair users shoulder pain index wuspi, an instrument which measures shoulder pain associated with the functional activities of wheelchair users.
Acupuncture and trager psychophysical integration in the treatment of wheelchair users shoulder pain in individuals with spinal cord injury trevor a. This includes 197,560 manual wheelchair users but does not include any individuals in residential or longterm care, so the true prevalence of wheelchair users in the total population in canada is likely to be higher. The purpose of this study was to examine the reliability and validity of the wheelchair users shoulder pain index wuspi, an instrument. Hemiplegic shoulder pain has many underlying causes and is challenging to manage, requiring a team approach, including physicians, therapists and caregivers. Original article shoulder ultrasound abnormalities, physical. Living with chronic pain means my condition varies every day im in pain, but some days are a lot worse than others. The wheelchair users shoulder pain index wuspi is a simple and effective selfreport questionnaire for quickly measuring the functional cost of shoulder pain in wheelchair users. Twentythree mwus underwent ultrasound imaging of the nondominant shoulder in an unloaded baseline position and while.
All content on this website, including dictionary, thesaurus, literature, geography, and other reference data is for informational purposes only. Acupuncture and trager psychophysical integration in the. The wuspi was designed to measure the severity of shoulder pain related to functional activity of manual wheelchair users in daily living curtis et al. Managing upper extremity pain with the right wheelchair. Strategies to thwart further disability from shoulder pain include primary prevention and rehabilitation. Shoulder pain and pathology are common in manual wheelchair mwc users with paraplegia, and the biomechanical mechanism of injury is largely unknown. Of those with current shoulder pain, 37% had not sought medical attention. Wheelchair users shoulder pain index wuspi description. Hemiplegic shoulder pain is common in stroke survivors, developing in up to 54% of patients.
Performancecorrected wuspi scores were significantly higher in subjects with tetraplegia than in subjects with paraplegia. Wheelchair users shoulder pain index finding the right brand that supports wheelchair users with a multitude of support is often times difficult. Shoulder pain is a common problem in wheelchair users with a thoracic spinal cord injury, it seems more likely to occur with increased age, and is a potential cause of activity limitations. The wheelchair users shoulder pain index wuspi is a selfreport questionnaire designed to assess shoulder pain in wheelchair users during daily functional. Shoulder pain among rehabilitated spinal cord injured persons.
Shoulder pain is a common problem in wheelchair users with a thoracic spinal cord. Effects of repetitive shoulder activity on the subacromial. Establishing patterns of mri characteristics in mwc users would help advance understanding of the mechanical etiology of rotator cuff disease, thus improving the logic for prescribed interventions. This can impact significantly on performance during activities of daily living adl and sport. Utilizing the upper extremities as primary movers for transfers and mobility is a challenge beyond the limits of a shoulders anatomical design.
119 441 774 110 221 1392 574 1250 1400 1483 956 291 148 1280 822 182 150 466 739 1251 656 1449 1290 1416 469 977 30 1460 693 255 36 194 1405 618 9