Skip to main content

Effectiveness of Exercise Programs for Management of Shoulder Pain in Manual Wheelchair Users With Spinal Cord Injury.

Publication ,  Journal Article
Cratsenberg, KA; Deitrick, CE; Harrington, TK; Kopecky, NR; Matthews, BD; Ott, LM; Coeytaux, RR
Published in: J Neurol Phys Ther
October 2015

BACKGROUND AND PURPOSE: Shoulder pain is prevalent in manual wheelchair users (MWUs) with spinal cord injury (SCI). Therapeutic exercise has been demonstrated to be an effective, conservative approach to treating shoulder pain in able-bodied individuals. We sought to evaluate literature on the effectiveness of exercise programs on the reduction of shoulder pain in MWUs with SCI. METHODS: We searched the literature, using search terms related to SCI, manual wheelchairs, and shoulder pain. Eligibility criteria included prospective study design, exercise intervention for MWUs with shoulder pain, and use of the Wheelchair User's Shoulder Pain Index as an outcome measure. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and assessed study quality. RESULTS: Three randomized control trials and 4 cohort studies met inclusion criteria. Two studies were rated as good quality and 5 as fair quality. Three interventions were evaluated in the included studies: arm ergometry, resistive strengthening with or without electromyographic biofeedback, and stretching that targeted the muscles of the shoulder girdle. Across the 7 studies, the exercise intervention was associated with reduction in shoulder pain that exceeded the estimated minimal detectable change of 5.10 points for the Wheelchair Users' Shoulder Pain Index. DISCUSSION AND CONCLUSION: Exercise is a feasible, conservative, therapeutic intervention for the treatment of shoulder pain among MWUs. Additional studies are needed to differentiate techniques for the reduction of shoulder pain, to determine the most effective duration of intervention, and to estimate the magnitude of effect associated with therapeutic exercise for shoulder pain among MWUs.Video Abstract available for more insights from the authors (see Supplemental Digital Content 1, http://links.lww.com/JNPT/A116).

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

J Neurol Phys Ther

DOI

EISSN

1557-0584

Publication Date

October 2015

Volume

39

Issue

4

Start / End Page

197 / 203

Location

United States

Related Subject Headings

  • Wheelchairs
  • Treatment Outcome
  • Spinal Cord Injuries
  • Shoulder Pain
  • Rehabilitation
  • Humans
  • Exercise Therapy
  • 4201 Allied health and rehabilitation science
  • 3209 Neurosciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Cratsenberg, K. A., Deitrick, C. E., Harrington, T. K., Kopecky, N. R., Matthews, B. D., Ott, L. M., & Coeytaux, R. R. (2015). Effectiveness of Exercise Programs for Management of Shoulder Pain in Manual Wheelchair Users With Spinal Cord Injury. J Neurol Phys Ther, 39(4), 197–203. https://doi.org/10.1097/NPT.0000000000000103
Cratsenberg, Kimberle A., Cassandra E. Deitrick, Taylor K. Harrington, Natasha R. Kopecky, Bradley D. Matthews, Lauren M. Ott, and Remy R. Coeytaux. “Effectiveness of Exercise Programs for Management of Shoulder Pain in Manual Wheelchair Users With Spinal Cord Injury.J Neurol Phys Ther 39, no. 4 (October 2015): 197–203. https://doi.org/10.1097/NPT.0000000000000103.
Cratsenberg KA, Deitrick CE, Harrington TK, Kopecky NR, Matthews BD, Ott LM, et al. Effectiveness of Exercise Programs for Management of Shoulder Pain in Manual Wheelchair Users With Spinal Cord Injury. J Neurol Phys Ther. 2015 Oct;39(4):197–203.
Cratsenberg, Kimberle A., et al. “Effectiveness of Exercise Programs for Management of Shoulder Pain in Manual Wheelchair Users With Spinal Cord Injury.J Neurol Phys Ther, vol. 39, no. 4, Oct. 2015, pp. 197–203. Pubmed, doi:10.1097/NPT.0000000000000103.
Cratsenberg KA, Deitrick CE, Harrington TK, Kopecky NR, Matthews BD, Ott LM, Coeytaux RR. Effectiveness of Exercise Programs for Management of Shoulder Pain in Manual Wheelchair Users With Spinal Cord Injury. J Neurol Phys Ther. 2015 Oct;39(4):197–203.

Published In

J Neurol Phys Ther

DOI

EISSN

1557-0584

Publication Date

October 2015

Volume

39

Issue

4

Start / End Page

197 / 203

Location

United States

Related Subject Headings

  • Wheelchairs
  • Treatment Outcome
  • Spinal Cord Injuries
  • Shoulder Pain
  • Rehabilitation
  • Humans
  • Exercise Therapy
  • 4201 Allied health and rehabilitation science
  • 3209 Neurosciences