Shoulder Ultrasound Abnormalities, Physical Examination Findings, and Pain in Manual Wheelchair Users With Spinal Cord Injury

Autor: Jennifer L. Collinger, Michael L. Boninger, Steven W. Brose, Bradley Fullerton, Bradley G Impink, Thane McCann, Trevor A. Dyson-Hudson
Rok vydání: 2008
Předmět:
Zdroj: Archives of Physical Medicine and Rehabilitation. 89:2086-2093
ISSN: 0003-9993
Popis: Brose SW, Boninger ML, Fullerton B, McCann T, Collinger JL, Impink BG, Dyson-Hudson TA. Shoulder ultrasound abnormalities, physical examination findings, and pain in manual wheelchair users with spinal cord injury. Objectives To investigate the presence of ultrasound (US) abnormalities in manual wheelchair users with spinal cord injury (SCI) using a quantitative Ultrasound Shoulder Pathology Rating Scale (USPRS). To investigate physical examination (PE) findings using a quantitative Physical Examination of the Shoulder Scale (PESS), and to obtain data about pain and other subject characteristics such as age, years with SCI, and weight. Design Case series. Setting National Veterans' Wheelchair Games 2005 and 2006. Participants Volunteer sample of manual wheelchair users with SCI participating in the National Veterans' Wheelchair Games. Interventions Not applicable. Main Outcome Measures Presence of relationships between US findings, PE findings, pain, and subject characteristics. Results The USPRS correlated with age, duration of SCI, and weight (all P r =.258, P =.073). Several US findings related to presence of PE findings for specific structures. The PESS score correlated with the WUSPI ( r =.679, P P P =.002). Conclusions PE and US abnormalities are common in manual wheelchair users with SCI. The USPRS and PESS demonstrated evidence for external validity and hold promise as research tools. Untreated shoulder pain is common in manual wheelchair users with SCI, and further investigation of this pain is indicated.
Databáze: OpenAIRE