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Investigating neck pain in wheelchair users.

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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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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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Boninger, Michael Lboninger@pitt.eduBONINGER0000-0001-6966-919X
Cooper, Rory ARCOOPER@pitt.eduRCOOPER
Fitzgerald, Shirley G
Lin, Jessica
Cooper, Rosemariecooperrm@pitt.eduCOOPERRM
Dicianno, Braddicianno@pitt.eduDICIANNO0000-0003-0738-0192
Liu, Betty
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


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