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

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

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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
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
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
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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