Journal article
Shoulder pain is associated with rate of rise and jerk of the applied forces during wheelchair propulsion in persons with paraplegic spinal cord injury.
- Beirens BJH Swiss Paraplegic Research, Nottwil, Switzerland.
- Bossuyt FM Swiss Paraplegic Research, Nottwil, Switzerland; Department of Health Sciences and Health Policy, University of Lucerne, Lucerne, Switzerland.
- Arnet U Swiss Paraplegic Research, Nottwil, Switzerland; Department of Health Sciences and Health Policy, University of Lucerne, Lucerne, Switzerland.
- van der Woude LHV Centre for Human Movement Sciences, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands; Centre for Rehabilitation, Department of Rehabilitation Medicine, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands.
- de Vries WHK Swiss Paraplegic Research, Nottwil, Switzerland; Department of Health Sciences and Health Policy, University of Lucerne, Lucerne, Switzerland. Electronic address: wiebe.devries@paraplegie.ch.
- 2020-11-08
Published in:
- Archives of physical medicine and rehabilitation. - 2020
English
OBJECTIVE
To investigate the association between propulsion biomechanics, including variables that describe smoothness of the applied forces, and shoulder pain in persons with SCI.
DESIGN
Cross-sectional, observational study.
SETTING
Non-university research institution.
PARTICIPANTS
30 (age: 48.6±9.3 years, 83% males) community dwelling, wheelchair dependent participants with a chronic paraplegia between T2 and L1, with and without shoulder pain.
INTERVENTIONS
Not applicable MAIN OUTCOME MEASURE: Rate of rise and jerk of applied forces during wheelchair propulsion. Participants were stratified in low, moderate and high pain groups based on their Wheelchair User Shoulder Pain Index (WUSPI) score at the day of measurement.
RESULTS
A mixed-effect multilevel analysis showed that wheelchair users in the high pain group propelled with significantly greater rate of rise and jerk - measures that describe smoothness of the applied forces - as compared to persons with less or no pain, when controlling for all co-variables.
CONCLUSIONS
Persons with severe shoulder pain propelled with less smooth strokes as compared to persons 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.
To investigate the association between propulsion biomechanics, including variables that describe smoothness of the applied forces, and shoulder pain in persons with SCI.
DESIGN
Cross-sectional, observational study.
SETTING
Non-university research institution.
PARTICIPANTS
30 (age: 48.6±9.3 years, 83% males) community dwelling, wheelchair dependent participants with a chronic paraplegia between T2 and L1, with and without shoulder pain.
INTERVENTIONS
Not applicable MAIN OUTCOME MEASURE: Rate of rise and jerk of applied forces during wheelchair propulsion. Participants were stratified in low, moderate and high pain groups based on their Wheelchair User Shoulder Pain Index (WUSPI) score at the day of measurement.
RESULTS
A mixed-effect multilevel analysis showed that wheelchair users in the high pain group propelled with significantly greater rate of rise and jerk - measures that describe smoothness of the applied forces - as compared to persons with less or no pain, when controlling for all co-variables.
CONCLUSIONS
Persons with severe shoulder pain propelled with less smooth strokes as compared to persons 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.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1016/j.apmr.2020.10.114
- PMID 33161010
- Persistent URL
- https://folia.unifr.ch/global/documents/188722
Statistics
Document views: 32
File downloads: