Journal article
Effect of 2-speed geared manual wheelchair propulsion on shoulder pain and function
Archives of physical medicine and rehabilitation, v 88(12), pp 1622-1627
01 Dec 2007
PMID: 18047877
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective: To investigate the impact of a manual 2-gear drive wheelchair wheel (MAGICWheels) on shoulder pain and function in manual wheelchair users.
Design: A single-group, repeated-measures pre- and post-design with baseline and retention.
Setting: General community.
Participants: Full-time manual wheelchair users (N=17) currently experiencing shoulder pain (mean age, 46+/-14y; 41 wheelchair use, 15+/-10y).
Intervention: Five-month trial using a 2-gear wheelchair wheel.
Main Outcomes Measures: The Wheelchair Users Shoulder Pain Index (WUSPI), Wheelchair Users Functional Assessment (WUFA), and timed hill climb test with rating of perceived exertion (RPE).
Results: There was significant reduction in shoulder pain after the intervention at week 2 (P=.004) through week 16 (P=.015). The difference was not found at week 20; however, 1 participant reported an increase in pain from unrelated factors during week 20. Change from baseline was calculated without this subject's data; there was a significant reduction in shoulder pain (P=.003). There was no difference in WUFA after using the 2-gear wheel (P=.06). Hill climb time was longer when using the 2-gear wheel (P=.01), but no difference in the RPE (P=.13) resulted. Shoulder pain during the 4-week retention phase showed a trend toward increasing, as indicated by increased WUSPI scores. There was not a significant percentage increase, however, in comparison with the final week of using the MAGICWheels (P<.05).
Conclusions: There were pain reductions 2 weeks after using the MAGICWheels, indicating a rapid response to the intervention. These findings indicate the potential for shoulder pain reduction with the use of a manual drive wheel during mobility, even in highly functional manual wheelchair users.
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Details
- Title
- Effect of 2-speed geared manual wheelchair propulsion on shoulder pain and function
- Creators
- Margaret A. Finley - United States Department of Veterans AffairsMary M. Rodgers - College Station Medical Center
- Publication Details
- Archives of physical medicine and rehabilitation, v 88(12), pp 1622-1627
- Publisher
- Elsevier
- Number of pages
- 6
- Grant note
- R44HD035793 / EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH &HUMAN DEVELOPMENT; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) 5 R44 HD035793-05 / NICHD NIH HHS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Drexel University; Physical Therapy (and Rehabilitation Sciences)
- Web of Science ID
- WOS:000251734200009
- Scopus ID
- 2-s2.0-36348930368
- Other Identifier
- 991019520541304721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Rehabilitation
- Sport Sciences