Research article detailed shoulder mri findings in manual. It is not surprising that manual wheelchair users mwus experience shoulder pain given the persistent use of their shoulders in activities of daily living. The glenohumeral joint shoulder is the most mobile joint in the body. Pdf development of the wheelchair users shoulder pain. Detailed shoulder mri findings in manual wheelchair users. Effects of repetitive shoulder activity on the subacromial. The incorrect posture, angle of the wheelchair or propelling motion can place extra stress on the muscles, joints and connective tissue.
Wheelchair users shoulder pain index how is wheelchair users shoulder pain index abbreviated. Only 6 14% subjects reported shoulder pain pri or to wheelchair use. Volume 43, issue 1, february 2009, pages 29, february 2009, pages 29. The wheelchair user s shoulder pain index wuspi, a reliable and valid 15item questionnaire, was developed specifically for manual wheelchair users who are functionally independent curtis et al, 1995. Wheelchair users shoulder pain index elderly mobility. The wheelchair users shoulder pain index wuspi is a selfreport questionnaire designed to assess shoulder pain in wheelchair users during daily functional activities. Establishing patterns of mri characteristics in mwc users would help advance understanding of the mechanical etiology of rotator cuff disease, thus improving the logic for prescribed interventions. The wuspi is a reliable and validated 15item selfreport instrument that measures shoulder pain intensity in wheelchair users in the last seven days during various functional activities of daily living including transfers, wheelchair mobility, dressing, overhead lifting. The guide below will help wheelchair users to drastically reduce arm and shoulder issues. Pdf shoulder pain, functional capacity and quality of life. Respondents completed a demographic and medical history questionnaire and the wheelchair users shoulder pain index wuspi, a measure of pain during typical daily activities. Wheelchair users shoulder pain index wuspi description. Evidence portfolio chronic conditions subcommittee, question 6.
Each item is selfrated on a 10 cm visual analog scale vas anchored with no pain and worst pain ever experienced. Effect of twospeed manual wheelchair wheel on shoulder. The following information is provided by touchstone rehabilitation, author daniel m. Selfreported shoulder pain was measured with the wheelchair user s shoulder pain index wuspi. The shoulder joint is the most common site of upper extremity pain in manual wheelchair users, with the reported incidence of pain ranging from 32%78% boninger et. Wheelchair rugby athlete demographics and shoulder pain. Effectiveness of exercise programs for management of shoulder. The shoulder joint of the wheelchair user is the primary joint for transfer and propulsion. Shoulder pain in wheelchair users with tetraplegia and. A pilot index was created to measure shoulder pain and related difficulty during basic and instrumental activities of daily living. Validacion al castellano del wheelchair users shoulder pain. The ratings on each of the 15 items are added together for a total score ranging from 0150.
Predictors of shoulder pain in manual wheelchair users. Promotion of active exercise for wheelchair users is encouraged to decrease shoulder pain fullerton, 2003 involvement in athletics neither increases nor decreases the risk of shoulder pain in the mwu finley, 2004 introduction. Additional studies are needed to differentiate techniques for the reduction of shoulder pain, to. The shoulder joint is the most common site of upper extremity pain in manual wheelchair users, with the reported incidence of pain ranging from 32%78% boninger et al, 2001. Original article the prevalence of shoulder pain in spinal. Effect of a standard exercise protocol on shoulder pain in longterm wheelchair users. The wheelchair user s shoulder pain index wuspi is a simple and effective selfreport questionnaire for quickly measuring the functional cost of shoulder pain in wheelchair users. Protecting your shoulders and staying healthy after spinal. Development of the wheelchair users shoulder pain index wuspi article pdf available in paraplegia 335. The wuspi targets activity limitation resulting from shoulder pain 4 subsections, including wheelchair transfers, wheelchair mobility, selfcare and general activities. Interventional study clinical trial studies new tests, treatments, drugs, surgical procedures or devices. Walking index for spinal cord injury wisci, wisci ii 61. The wuspi is a selfreport measure of shoulder pain in wheelchair users during functional activities.
Many long term wheelchair users develop shoulder pain. Across the 7 studies, the exercise intervention was associated with reduction in shoulder pain that exceeded the estimated minimal detectable change of 5. Karman provides wheelchair users with resources that starts with a wide range of product information, national dealers support, and a multitude of information easily found on this website. Pdf shoulder pain, functional capacity and quality of. Move arms in a circular motion instead of a back and forth direction. Translation and crosscultural adaptation of the danish. Tool for assessing mobility in wheelchairdependent paraplegics harvey mobility assessment tool 58. After 33 years of pushing a wheel chair 15 with power assist wheels and finally getting a power chair and an ez lock system to drive from the chair, my shoulders still hurt. The wuspi targets activity limitation resulting from shoulder pain 4 subsections, including wheelchair transfers, wheelchair mobility, selfcare and general. The wheelchair users shoulder pain index wuspi, a reliable and valid 15item questionnaire, was developed specifically for manual wheelchair users who are functionally independent curtis et al, 1995. Reliability and validity of the wheelchair users shoulder pain index wuspi. Variability of peak shoulder force during wheelchair.
Wheelchair users shoulder pain index how is wheelchair. Shoulder pain among rehabilitated spinal cord injured persons. Participants also completed the wheelchair users shoulder pain index wuspi. Shoulder management for wheelchair users touchstone. Acupuncture and trager psychophysical integration in the. The causes of this sex discrepancy are not understood. Conclusion this study concludes that the prevalence of activity related shoulder pain was high than pain at rest as many participants were having pain during activity. Research has observed that males, taller, heavier people and those with lower function are at greater risk for developing shoulder pain 8, 9. Development of the wheelchair users shoulder pain index.
Effect of twospeed manual wheelchair wheel on shoulder pain. Wheelchair user s shoulder pain index wuspi description. Wheelchair users shoulder pain index finding the right brand that supports wheelchair users with a multitude of support is often times difficult. Two recent projects of the manual wheelchair research program at mayo clinic have included. The instrument was administered to 64 wheelchair users at an. Shoulder pain among rehabilitated spinal cord injured. It measures how shoulder pain has interfered with different daily activities, such as transferring, wheeling, and. Indeed, upwards of 70 percent of mwus experience pain 27. Abstract upwards of 70% of manual wheelchair users mwus experience shoulder pain. Reliability and validity of the wheelchair user s shoulder pain index wuspi.
Shoulder pain in female wheelchair basketball players. Managing upper extremity pain with the right wheelchair configuration alexis rush, otrl, atp utilizing the upper extremities as primary movers for transfers and mobility is a challenge beyond the limits of a shoulders anatomical design. Research article detailed shoulder mri findings in manual wheelchair users with shoulder pain melissam. Information collected included demographic information, disabilities of the arm and shoulder dash, and wheelchair users shoulder pain index wuspi scores. Overall, the subjects scored an average 5 sd performancecorrected total wuspl score of 15. The international classification of functioning, disability and health icf is a framework for describing functioning and disability in relation to a health condition. Strategies to thwart further disability from shoulder pain include primary prevention and rehabilitation. Wheelchair users shoulder pain index rehabmeasures database. Shoulder pain intensity was assessed weekly by using the wheelchair users shoulder pain index wuspi, a 15item selfreport instrument that measures shoulder pain intensity in wheelchair users during various adls eg, transfers, loading a wheelchair into a. Exercise is a feasible, conservative, therapeutic intervention for the treatment of shoulder pain among mwus.
Wheelchair users shoulder pain index listed as wuspi. Wheelchair users shoulder pain index the wheelchair users shoulder pain index wuspi, a reliable and valid 15item questionnaire, was developed specifically for manual wheelchair users who are functionally independent 12. Effectiveness of exercise programs for management of. The wheelchair users shoulder pain index wuspi, wheelchair users functional assessment wufa, and timed hill climb test with rating of perceived exertion rpe. Wheelchair users shoulder pain index wuspi spinal cord. The wuspi targets activity limitation resulting from shoulder pain 4,including wheelchair transfers, wheelchair mobility, selfcare and general activities. Zhao 5 division of orthopedic research, department of orthopedic surgery, mayo clinic, rochester, mn, usa.
Wheelchair sports association of newfoundland and labrador. The wuspi contains 15 items, scaled 010 on a visual analog scale 10 worst pain ever experienced. Demographic information collected and considered potential correlates included age, diagnosis, time since injury, years playing wheelchair sports, and wheelchair rugby classification score. The wuspi was designed to measure the severity of shoulder pain related to functional activity of manual wheelchair users in daily living curtis et al. Decreased range of motion rom has been suggested as a major contributor, but the interaction of sex, rom, and shoulder pain has not been investigated, thus the purpose of this investigation. Shoulder pain, functional capacity and quality of life in professional wheelchair basketball players and nonathlete wheelchair users april 2007 the pain clinic 192. Spinal cord injury edge task force outcome measures. An array of factors could contribute to shoulder pain. Prevalence of shoulder pain in adult versus childhood. The wheelchair users shoulder pain index wuspi is a simple and effective selfreport questionnaire for quickly measuring the functional cost of shoulder pain in wheelchair users. This mobility predisposes it to injury from overuse, especially in the absence of protective mechanisms of pain and proprioception. Only 11% not ed that their shoulder pain had limited their perfor mance of activities in the preceding week. One reported observation of shoulder pain and mwus is a sex bias. It is composed of 15 items relating to pain in everyday activities of wheelchair users including.
In contrast, 72% of the subjects reported shoulder pain since wheelchair use, with 52% reporting current shoulder pain. The instrument was administered to 64 wheelchair users at an athletic event. Shoulder pain and pathology are common in manual wheelchair mwc users with paraplegia, and the biomechanical mechanism of injury is largely unknown. It measures how shoulder pain has interfered with different daily. This places manual wheelchair users at a high risk of shoulder pain and injury 2. More than two thirds of the sample reported shoulder pain since beginning wheelchair use, with 59% of the subjects with tetraplegia and 42. Toronto rehabilitation institute hand function test 59. Introduction high prevalence of shoulder injuries in manual wheelchair users mwu curtis, 1999. The wheelchair users shoulder pain index wuspi was designed to measure shoulder pain in individuals who use wheelchairs.
Observational study observes people and measures outcomes without affecting results. It provides a common language and framework for describing the level of function of a person within their unique environment. In contrast, 33 72% subjects reported shoulder pain since wheelchair use, with 52% reporting current shoulder pain. Bonaroti, mpt this booklet will discuss interventions to facilitate a healthy shoulder from the time of injury to post rehabilitation home programs. Shoulder management for wheelchair users from acute care to home program. All subjects completed the wheelchair users shoulder pain index wuspi. Prevalence of shoulder pain in adult versus childhoodonset. Evidence portfolio chronic conditions subcommittee. Development of the wheelchair users shoulder pain index wuspi. Relationship between perceived shoulder pain and kinematic.
261 1477 1426 495 951 1645 891 1231 1600 826 1020 285 1580 185 664 931 56 126 1670 195 1155 265 1168 1130 1405 257 28 5 117 1514 890 1154 701 397 1269 689 1515 1627 1253 480 1191 611 646 582 1003 1125 687 402