Shoulder Pain Is Associated With Rate of Rise and Jerk of the Applied Forces During Wheelchair Propulsion in Individuals With Paraplegic Spinal Cord Injury
| Autor: | Lucas H V van der Woude, Ursina Arnet, Fransiska M Bossuyt, Wiebe de Vries, Benjamin J.H. Beirens |
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| Přispěvatelé: | Extremities Pain and Disability (EXPAND), SMART Movements (SMART) |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male 030506 rehabilitation medicine.medical_specialty Schmidt sting pain index Activities of daily living medicine.medical_treatment Shoulder pain PHASE Physical Therapy Sports Therapy and Rehabilitation HAND 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Wheelchair medicine Spinal cord injuries Humans Spinal cord injury ULTRASOUND Paraplegia Rehabilitation ERGONOMICS business.industry ABNORMALITIES Biomechanics Human factors and ergonomics Middle Aged medicine.disease Biomechanical Phenomena nervous system diseases body regions Jerk Cross-Sectional Studies Wheelchairs PUSHRIM BIOMECHANICS Female 0305 other medical science business human activities USERS 030217 neurology & neurosurgery JOINT KINETICS |
| Zdroj: | Archives of Physical Medicine and Rehabilitation, 102(5), 856-864. W B SAUNDERS CO-ELSEVIER INC |
| ISSN: | 0003-9993 |
| Popis: | Objective To investigate the association between propulsion biomechanics, including variables that describe smoothness of the applied forces, and shoulder pain in individuals with spinal cord injury (SCI). Design Cross-sectional, observational study. Setting Non-university research institution. Participants Community dwelling, wheelchair dependent participants (N=30) with chronic paraplegia between T2 and L1, with and without shoulder pain (age, 48.6±9.3y; 83% men). Interventions Not applicable. Main Outcome Measures Rate of rise and jerk of applied forces during wheelchair propulsion. Participants were stratified in groups with low, moderate, and high pain based on their Wheelchair User Shoulder Pain Index score on the day of measurement. Results A mixed-effect multilevel analysis showed that wheelchair users in the high pain group propelled with a significantly greater rate of rise and jerk, measures that describe smoothness of the applied forces, compared with individuals with less or no pain, when controlling for all covariables. Conclusions Individuals with severe shoulder pain propelled with less smooth strokes compared to individuals with less or no pain. This supports a possible association between shoulder pain and rate of rise and jerk of the applied forces during wheelchair propulsion. |
| Databáze: | OpenAIRE |
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