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Shoulder Ultrasound Abnormalities, Physical Examination Findings, and Pain in Manual Wheelchair Users With Spinal Cord Injury

Brose, SW and Boninger, ML and Fullerton, B and McCann, T and Collinger, JL and Impink, BG and Dyson-Hudson, TA (2008) Shoulder Ultrasound Abnormalities, Physical Examination Findings, and Pain in Manual Wheelchair Users With Spinal Cord Injury. Archives of Physical Medicine and Rehabilitation, 89 (11). 2086 - 2093. ISSN 0003-9993

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Brose SW, Boninger ML, Fullerton B, McCann T, Collinger JL, Impink BG, Dyson-Hudson TA. Shoulder ultrasound abnormalities, physical examination findings, and pain in manual wheelchair users with spinal cord injury. Objectives: To investigate the presence of ultrasound (US) abnormalities in manual wheelchair users with spinal cord injury (SCI) using a quantitative Ultrasound Shoulder Pathology Rating Scale (USPRS). To investigate physical examination (PE) findings using a quantitative Physical Examination of the Shoulder Scale (PESS), and to obtain data about pain and other subject characteristics such as age, years with SCI, and weight. Design: Case series. Setting: National Veterans' Wheelchair Games 2005 and 2006. Participants: Volunteer sample of manual wheelchair users with SCI participating in the National Veterans' Wheelchair Games. Interventions: Not applicable. Main Outcome Measures: Presence of relationships between US findings, PE findings, pain, and subject characteristics. Results: The USPRS correlated with age, duration of SCI, and weight (all P<.01), and showed a positive trend with the total Wheelchair User's Shoulder Pain Index (WUSPI) score (r=.258, P=.073). Several US findings related to presence of PE findings for specific structures. The PESS score correlated with the WUSPI (r=.679, P<.001) and duration of SCI (P<.05). The presence of untreated shoulder pain that curtailed activity was noted in 24.5% of subjects, and this was related to increased WUSPI scores (P=.002). Conclusions: PE and US abnormalities are common in manual wheelchair users with SCI. The USPRS and PESS demonstrated evidence for external validity and hold promise as research tools. Untreated shoulder pain is common in manual wheelchair users with SCI, and further investigation of this pain is indicated. © 2008 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Brose, SW
Boninger, MLboninger@pitt.eduBONINGER0000-0001-6966-919X
Fullerton, B
McCann, T
Collinger, JLcollinger@pitt.eduCOLLINGR0000-0002-4517-5395
Impink, BG
Dyson-Hudson, TA
Centers: Other Centers, Institutes, Offices, or Units > Human Engineering Research Laboratories
Date: 1 November 2008
Date Type: Publication
Journal or Publication Title: Archives of Physical Medicine and Rehabilitation
Volume: 89
Number: 11
Page Range: 2086 - 2093
DOI or Unique Handle: 10.1016/j.apmr.2008.05.015
Schools and Programs: School of Health and Rehabilitation Sciences > Rehabilitation Science and Technology
Refereed: Yes
ISSN: 0003-9993
MeSH Headings: Adult; Cohort Studies; Female; Humans; Male; Middle Aged; Physical Examination; Risk Factors; Rotator Cuff--injuries; Rotator Cuff--ultrasonography; Shoulder Pain--etiology; Shoulder Pain--pathology; Shoulder Pain--prevention & control; Shoulder Pain--ultrasonography; Single-Blind Method; Spinal Cord Injuries--complications; Spinal Cord Injuries--rehabilitation; United States; Veterans; Wheelchairs--adverse effects
PubMed ID: 18996236
Date Deposited: 30 Jan 2013 22:14
Last Modified: 01 Sep 2023 20:55


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