Shoulder pain in persons with thoracic spinal cord injury: Prevalence and characteristics
Shoulder pain in persons with thoracic spinal cord injury: Prevalence and characteristics
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DOI：
10.2340/16501977-0173
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发表时间：
2008-04-01
影响因子：
3.5
通讯作者：
Norrbrink, Cecilia
中科院分区：
文献类型：
--
作者：
Alm, Marie;Saraste, Helena;Norrbrink, Cecilia
目的：为了记录肩痛的患病率、相关的患者特征、强度和对轮椅使用者活动中肩功能的干扰，设计：横断面调查。患者：胸脊髓损伤的个体。方法：对101名患者进行关于患者特征、病史、补充问题和轮椅使用者肩痛指数的3部分问卷调查。结果：在完成调查问卷的88名受试者（87%）中，40%的受试者报告目前有肩痛，通常为慢性疼痛。据报道，推轮椅上坡道或户外斜坡时肩部疼痛的中位强度最高。在活动中使用肩关节的能力受限的报告很常见。大多数受试者在转移或轮椅推进过程中没有使用上肢辅助装置。在目前有肩痛的人中，37%的人没有就医。年龄与持续肩痛。结论：肩痛是一个常见的问题，在轮椅使用者与胸脊髓损伤，它似乎更容易发生随着年龄的增加，是一个潜在的原因活动限制。研究结果表明，需要制定预防、患者教育、诊断和治疗方案，可能包括更频繁地使用上肢辅助装置。
Objective: To document the prevalence of shoulder pain, associated patient characteristics, and intensity and interference with shoulder function in activities in wheelchair users.Design: A cross-sectional survey.Patients: Individuals with a thoracic spinal cord injury.Methods: A 3-part questionnaire on patient characteristics, medical history, supplemental questions, and the Wheelchair Users Shoulder Pain Index was administered to 101 patients.Results: Of the 88 subjects (87%) who completed the questionnaire, 40% reported experiencing current shoulder pain, often chronic in nature. The highest median intensity of shoulder pain was reported for pushing the wheelchair up ramps or inclines outdoors. Reports of limitations regarding the ability to use the shoulder in activities were common. Most subjects used no upper extremity assistive devices during transfer or wheelchair propulsion. Of those with current shoulder pain, 37% had not sought medical attention. Age was associated with ongoing shoulder pain.Conclusion: Shoulder pain is a common problem in wheelchair users with a thoracic spinal cord injury, it seems more likely to occur with increased age, and is a potential cause of activity limitations. The findings indicate a need to develop programmes of prevention, patient education, diagnosis and treatment, possibly including more frequent use of upper extremity assistive devices.