Shoulder pain in wheelchair users with tetraplegia and paraplegia
Shoulder pain in wheelchair users with tetraplegia and paraplegia
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DOI：
10.1016/s0003-9993(99)90285-x
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发表时间：
1999-04-01
影响因子：
4.3
通讯作者：
West, R
中科院分区：
文献类型：
--
作者：
Curtis, KA;Drysdale, GA;West, R
目的：比较四肢瘫痪患者和使用手动轮椅的截瘫患者在日常功能活动中肩关节疼痛的发生率和强度。设计：自我报告调查。设置：普通社区。参与者：55名女性和140名男性，92名四肢瘫痪患者和103名截瘫患者，符合每周使用手动轮椅3小时和脊髓损伤至少1年的纳入标准。主要结果测量：受访者完成了人口统计和病史问卷以及轮椅使用者肩部疼痛指数（WUSPI），这是一种衡量典型日常活动时疼痛的指标。结果：超过三分之二的样本报告自开始使用轮椅以来肩膀疼痛，59%的四肢瘫痪患者和42%的截瘫患者报告当前疼痛。四肢瘫痪患者的性能校正后的WUSPI评分显著高于截瘫患者。结论：四肢瘫痪患者肩关节疼痛的发生率和强度均显著高于截瘫患者。康复后应继续监测和预防肩痛。(C) 1999年由美国康复医学大会和美国物理医学与康复学会颁发。
Objective: To compare the prevalence and intensity of shoulder pain experienced during daily functional activities in individuals with tetraplegia and individuals with paraplegia who use manual wheelchairs.Design: Self-report survey.Setting: General community.Participants: Fifty-five women and 140 men, 92 subjects with tetraplegia and 103 subjects with paraplegia who met inclusion criteria of 3 hours per week of manual wheelchair use and at least I year since onset of spinal cord injury.Main Outcome Measures: Respondents completed a demographic and medical history questionnaire and the Wheelchair User's Shoulder Pain Index (WUSPI), a measure of pain during typical daily activities.Results: More than two thirds of the sample reported shoulder pain since beginning wheelchair use, with 59% of the subjects with tetraplegia and 42% of the subjects with paraplegia reporting current pain. Performance-corrected WUSPI scores were significantly higher in subjects with tetraplegia than in subjects with paraplegia,Conclusions: Both the prevalence and intensity of shoulder pain was significantly higher in subjects with tetraplegia than in subjects with paraplegia. Efforts to monitor and prevent shoulder pain should continue after rehabilitation. (C) 1999 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation.