Agreement of Musculoskeletal Ultrasound and Clinical Assessment of Shoulder Impairment in Manual Wheelchair Users With Various Duration of Spinal Cord Injury
| Autor: | Thomas H. Trojian, Margaret A. Finley, David Ebaugh |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Shoulder medicine.medical_specialty Time Factors medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation Physical examination Biceps Rotator Cuff 03 medical and health sciences 0302 clinical medicine medicine Humans Rotator cuff Prospective Studies Range of Motion Articular Muscle Skeletal Prospective cohort study Physical Examination Spinal cord injury Spinal Cord Injuries Ultrasonography Rehabilitation medicine.diagnostic_test business.industry Reproducibility of Results 030229 sport sciences medicine.disease body regions Cross-Sectional Studies medicine.anatomical_structure Shoulder Impingement Syndrome Wheelchairs Tendinopathy Physical therapy Female business 030217 neurology & neurosurgery |
| Zdroj: | Archives of Physical Medicine and Rehabilitation. 99:615-622 |
| ISSN: | 0003-9993 |
| Popis: | Objectives To determine (1) agreement of musculoskeletal ultrasound (MSK-US) findings of shoulder pathology and related shoulder special test results in individuals with varied durations of manual wheelchair (MWC) use after spinal cord injury (SCI); and (2) whether shoulder musculoskeletal impairments, per MSK-US and clinical examination, differed in individuals with SCI and varying durations of MWC use. Design Cross-sectional cohort study. Setting Laboratory setting. Participants Adult volunteers (N=23) with SCI who used an MWC for community mobility. Individuals were stratified into 3 groups based on duration of MWC use: 15 years. Interventions Not applicable. Main Outcome Measures Special tests for shoulder impingement and bicipital tendonitis were performed. Bilateral shoulder MSK-US was performed, with the Ultrasound Shoulder Pathology Rating Scale (USPRS) quantifying biceps tendon, supraspinatus tendon, and greater tuberosity cortical surface impairments. Results No agreement was found between MSK-US and related special tests. Special tests failed to identify impairment in 33.3% to 100% of those identified on MSK-US. The total USPRS score was highest in those with >15 years' MWC use. A higher proportion of dynamic impingement (supraspinatus and biceps) was found in those with >15 years' MWC use, with other MSK-US items having moderate effect sizes among duration-use groups. Conclusions MSK-US identified shoulder impairments more frequently than commonly used special tests. A significant increase in the presence of MSK-US shoulder impairments was identified in the longest-duration group. This was not the case for special tests or pain. MSK-US is an easily administered, low-cost, noninvasive method for determining shoulder impairments and should be used in routine screening of individuals who use an MWC after SCI. |
| Databáze: | OpenAIRE |
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