The relation of shoulder pain and range-of-motion problems to functional limitations, disability, and perceived health of men with spinal cord injury: A multifaceted longitudinal study
The relation of shoulder pain and range-of-motion problems to functional limitations, disability, and perceived health of men with spinal cord injury: A multifaceted longitudinal study
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DOI：
10.1053/apmr.2000.18216
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发表时间：
2000-12-01
影响因子：
4.3
通讯作者：
Hart, KA
中科院分区：
文献类型：
--
作者：
Ballinger, DA;Rintala, DH;Hart, KA
目的：确定肩痛和活动范围(ROM)问题是否可以通过3年来的人口统计学、损伤相关的、体重和放射学数据来预测，并确定这些肩部问题与功能限制、残疾和感知健康之间的关系。设计：一项纵向的两组研究，数据收集在两个时间点，相隔3年。地点：社区。参与者：89名成年男性创伤性脊髓损伤(SCI)患者，来自德克萨斯州休斯敦加尔维斯顿，主要观察指标：对肩锁关节(AC)和肩锁关节(GH)的标准正位进行X线平片检查。功能限制用FIM(TM)仪器确定；残疾用Craig残疾评估和报告技术(图表)测量。结果：30%的人有肩痛，22%的人有肩关节活动度问题。肩部疼痛的男性与没有肩部疼痛的男性相比，患有脊髓损伤的男性寿命更长，更有可能报告肩关节活动度问题，图表活动度得分更低，并且更有可能将自己的健康评价为一般。肩关节活动度问题在年龄较大、AC关节狭窄、FIM评分较低以及报告的健康状况较差的男性中更为常见。在至少3年的时间里，确定了人口统计学、损伤相关和放射学变量对这些问题的预测作用。肩部问题与功能受限、残疾和自认为的健康有关。
Objectives: To determine if shoulder pain and range-of-motion (ROM) problems can be predicted by demographic, injury-related, body weight, and radiographic data over 3 years and to determine the relationships among these shoulder problems and functional limitations, disability, and perceived health.Design: A longitudinal, 2-panel study in which data were collected at 2 points in time, 3 years apart.Setting: The community.Participants: Eighty-nine adult men with traumatic spinal cord injury (SCI) in the Houston-Galveston, TX, area.Main Outcome Measures: The acromioclavicular (AC) and the glenohumeral (GH) joints were x-rayed on plain film in standard anteroposterior position. Functional limitations were determined with the FIM(TM) instrument; disability was measured with the Craig Handicap Assessment and Reporting Technique (CHART).Results: Thirty percent had shoulder pain and 22% had shoulder ROM problems. Men with shoulder pain had lived longer with SCI, were more likely to report shoulder ROM problems, had lower CHART mobility scores, and were more likely to rate their health as fair than those without shoulder pain. Shoulder ROM problems were more common among men who were older, had AC joint narrowing, had lower FIM scores, and reported poorer health.Conclusion: Shoulder pain and ROM problems were relatively prevalent. Demographic, injury-related, and radiographic variables were identified that were predictive of these problems over a period of at least 3 years. The shoulder problems were related to functional limitations, disability, and perceived health.