Sex shoulder pain and range of motion in manual wheelchair users
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Sex, shoulder pain, and range of motion in manual wheelchair users. Karla K. Wessels, MS, ATC; Jennifer L. Brown, MS, ATC; Kyle T. Ebersole, PhD, ATC; Jacob J. Sosnoff, PhD. Aim In manual wheelchair users (MWUs), examine relationship between: Sex. Range of motion (ROM). Shoulder pain.

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Sex, shoulder pain, and range of motion in manual wheelchair users

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Sex, shoulder pain, and range of motion in manual wheelchair users

Karla K. Wessels, MS, ATC; Jennifer L. Brown, MS, ATC;

Kyle T. Ebersole, PhD, ATC; Jacob J. Sosnoff, PhD


  • Aim

    • In manual wheelchair users (MWUs), examine relationship between:

      • Sex.

      • Range of motion (ROM).

      • Shoulder pain.

  • Relevance

    • Up to 70% of MWUs experience shoulder pain.

    • Pain more prevalent in females than males.

      • Causes of this sex discrepancy not understood, but decreased ROM suggested as major contributor.


Method

  • Divided 30 MWUs (18 males, 12 females) into 2 groups based on self-reported shoulder pain.

  • Digital goniometer assessed shoulder active and passive ROMs bilaterally on:

    • Flexion/extension.

    • Abduction/adduction.

    • Internal rotation/external rotation.

  • Visual analog scale assessed shoulder pain.


Results

  • 47% of participants reported shoulder pain.

  • Overall, no-pain group had greater ROM than pain group.

    • Further analysis revealed this was only significant in females during extension.


Conclusion

  • ROM impairments were only present in extension in females with shoulder pain.

  • Mechanism underlying this sex difference is not clear.


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