Boninger, Michael L and Cooper, Rory A and Fitzgerald, Shirley G and Lin, Jessica and Cooper, Rosemarie and Dicianno, Brad and Liu, Betty
(2003)
Investigating neck pain in wheelchair users.
Am J Phys Med Rehabil, 82 (3).
197 - 202.
ISSN 0894-9115
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Abstract
OBJECTIVE: Despite the fact that wheelchair users are exposed to risk factors for neck and upper back pain (NP), little is known about the impact and possible diagnoses associated with NP. The purpose of this study was to examine the significance of NP in wheelchair users and to determine if a portion of the NP may be myofascial in origin. DESIGN: Cross-sectional cohort study using questionnaires and physical exams to evaluate NP in a convenience sample of wheelchair users from the National Veteran's Wheelchair Games. Main outcome measures included reported NP, visual analog scale of neck complaints, Neck Disability Index, and physical examination findings of trigger points. RESULTS: Sixty-six percent of subjects reported NP since becoming a wheelchair user and, 60% reported pain during the past month. Neither age nor length of time in a wheelchair was significantly different between those subjects who did and those subjects who did not report pain. Of those respondents who reported NP, 60% visited the doctor about the pain and 40% limited their daily activities due to the pain. Trigger-point palpation reproduced pain in 54% of those respondents who experienced pain in the past month (n = 34). CONCLUSION: This study provides a first step in defining the prevalence and significance of NP among wheelchair users. Clinicians who work with this population need to ask subjects about symptoms and consider a myofascial origin for that pain when considering treatment.
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Details
| Item Type: |
Article
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| Status: |
Published |
| Creators/Authors: |
|
| Centers: |
Other Centers, Institutes, Offices, or Units > Human Engineering Research Laboratories |
| Date: |
March 2003 |
| Date Type: |
Publication |
| Journal or Publication Title: |
Am J Phys Med Rehabil |
| Volume: |
82 |
| Number: |
3 |
| Page Range: |
197 - 202 |
| DOI or Unique Handle: |
10.1097/01.phm.0000054217.17816.dd |
| Schools and Programs: |
School of Health and Rehabilitation Sciences > Rehabilitation Science and Technology |
| Refereed: |
Yes |
| Uncontrolled Keywords: |
Adult, Aged, Cohort Studies, Cost of Illness, Cross-Sectional Studies, Disabled Persons, Female, Humans, Male, Middle Aged, Myofascial Pain Syndromes, Neck Pain, Outcome Assessment, Health Care, Palpation, Prevalence, Wheelchairs |
| ISSN: |
0894-9115 |
| MeSH Headings: |
Adult; Aged; Cohort Studies; Cost of Illness; Cross-Sectional Studies; Disabled Persons; Female; Humans; Male; Middle Aged; Myofascial Pain Syndromes--etiology; Myofascial Pain Syndromes--therapy; Neck Pain--epidemiology; Neck Pain--etiology; Neck Pain--therapy; Outcome Assessment (Health Care); Palpation; Prevalence; Wheelchairs--adverse effects |
| PubMed ID: |
12595772 |
| Date Deposited: |
25 Sep 2012 14:24 |
| Last Modified: |
01 Sep 2023 14:55 |
| URI: |
http://d-scholarship.pitt.edu/id/eprint/14420 |
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