| Titre : | Transfer Technique Is Associated With Shoulder Pain and Pathology in People With Spinal Cord Injury: A Cross-Sectional Investigation (2016) |
| Auteurs : | Nathan S. Hogaboom ; Lynn A. Worobey ; Michael L. Boninger |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (2016/10, 2016) |
| Article en page(s) : | pp. 1770–1776 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Rééducation et réadaptation ; Traumatismes de la moelle épinière |
| Mots-clés: | Shoulder pain ; Scapulalgie ; Spinal cord injuries ; Tendinopathy ; Tendinopathie ; Wheelchairs ; Fauteuils roulants |
| Résumé : |
Objectives To evaluate how transfer technique and subject characteristics relate to ultrasound measures of shoulder soft tissue pathology and self-reported shoulder pain during transfers in a sample of wheelchair users with spinal cord injury (SCI). Design Cross-sectional observational study. Setting Research laboratory, national and local veterans' wheelchair sporting events. Participants A convenience sample of wheelchair users (N=76) with nonprogressive SCI. Participants were aged >18 years, >1 year postinjury, and could complete repeated independent wheelchair transfers without the use of their leg muscles. Interventions Not applicable. Main Outcome Measures Transfer pain items from the Wheelchair User's Shoulder Pain Index; transfer technique assessed using the Transfer Assessment Instrument (TAI); and shoulder pathology markers examined using the Ultrasound Shoulder Pathology Rating Scale (USPRS). Results Better transfer technique (higher TAI) correlated with less injury (lower USPRS) (partial η2=.062, P<.05 and less pain during transfers p greater age was the strongest predictor of pathology total: partial supraspinatus grade: an interaction between technique weight found participants with lower body weights showed a decrease in markers better transfer weight: r2=".422," middle while those higher little change>.05). Conclusions Participants with better transfer technique exhibited less shoulder pathology and reported less pain during transfers. The relationship between technique and pathology was strongest in lower-weight participants. While causation cannot be proven because of study design, it is possible that using a better transfer technique and optimizing body weight could reduce the incidence of shoulder pathology and pain. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999316300776 |
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