Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 11 , Pages 2080-2085 , November 2008

Power-Assisted Wheels Ease Energy Costs and Perceptual Responses to Wheelchair Propulsion in Persons With Shoulder Pain and Spinal Cord Injury

  • Mark S. Nash, PhD

      Affiliations

    • Department of Neurological Surgery, Miller School of Medicine, University of Miami, Miami, FL
    • Department of Rehabilitation Medicine, Miller School of Medicine, University of Miami, Miami, FL
    • Miami Project to Cure Paralysis, Miller School of Medicine, University of Miami, Miami, FL
    • Corresponding Author InformationReprint requests to Mark S. Nash, PhD, The Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Lois Pope Life Center, 1095 NW 14th Terrace, R-48, Miami, FL, 33136
    • ,
  • Daan Koppens, MD

      Affiliations

    • Department of Physiology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    • ,
  • Mirjam van Haaren, MD

      Affiliations

    • Department of Physiology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    • ,
  • Andrew L. Sherman, MD

      Affiliations

    • Department of Rehabilitation Medicine, Miller School of Medicine, University of Miami, Miami, FL
    • ,
  • James P. Lippiatt

      Affiliations

    • Department of Physical Therapy, Jackson Memorial Rehabilitation Center, Miami, FL
    • ,
  • John E. Lewis, PhD

      Affiliations

    • Department of Psychiatry and Behavioral Sciences, Miller School of Medicine, University of Miami, Miami, FL

References 

  1. Boninger ML, Dicianno BE, Cooper RA, Towers JD, Koontz AM, Souza AL. Shoulder magnetic resonance imaging abnormalities, wheelchair propulsion, and gender. Arch Phys Med Rehabil. 2003;84:1615–1620
  2. Boninger ML, Koontz AM, Sisto SA, et al. Pushrim biomechanics and injury prevention in spinal cord injury: recommendations based on CULP-SCI investigations. J Rehabil Res Dev. 2005;42:9–19
  3. Gellman H, Sie I, Waters RL. Late complications of the weight-bearing upper extremity in the paraplegic patient. Clin Orthop Relat Res. 1988;(233):132–135
  4. Sie IH, Waters RL, Adkins RH, Gellman H. Upper extremity pain in the postrehabilitation spinal cord injured patient. Arch Phys Med Rehabil. 1992;73:44–48
  5. Subbarao JV, Klopfstein J, Turpin R. Prevalence and impact of wrist and shoulder pain in patients with spinal cord injury. J Spinal Cord Med. 1995;18:9–13
  6. Escobedo EM, Hunter JC, Hollister MC, Patten RM, Goldstein B. MR imaging of rotator cuff tears in individuals with paraplegia. AJR Am J Roentgenol. 1997;168:919–923
  7. Goldstein B, Young J, Escobedo EM. Rotator cuff repairs in individuals with paraplegia. Am J Phys Med Rehabil. 1997;76:316–322
  8. Pentland WE, Twomey LT. Upper limb function in persons with long term paraplegia and implications for independence: part I. Paraplegia. 1994;32:211–218
  9. Burnham RS, May L, Nelson E, Steadward R, Reid DC. Shoulder pain in wheelchair athletes (The role of muscle imbalance). Am J Sports Med. 1993;21:238–242
  10. Silfverskiold J, Waters RL. Shoulder pain and functional disability in spinal cord injury patients. Clin Orthop Relat Res. 1995;(272):141–145
  11. Pentland W, McColl MA, Rosenthal C. The effect of aging and duration of disability on long term health outcomes following spinal cord injury. Paraplegia. 1995;33:367–373
  12. Curtis KA, Roach KE, Applegate EB, et al. Reliability and validity of the Wheelchair User's Shoulder Pain Index (WUSPI). Paraplegia. 1995;33:595–601
  13. Curtis KA, Tyner TM, Zachary L, et al. Effect of a standard exercise protocol on shoulder pain in long-term wheelchair users. Spinal Cord. 1999;37:421–429
  14. Nichols PJ, Norman PA, Ennis JR. Wheelchair user's shoulder? (Shoulder pain in patients with spinal cord lesions). Scand J Rehabil Med. 1979;11:29–32
  15. Pentland WE, Twomey LT. The weight-bearing upper extremity in women with long term paraplegia. Paraplegia. 1991;29:521–530
  16. Taylor AW, McDonell E, Brassard L. The effects of an arm ergometer training programme on wheelchair subjects. Paraplegia. 1986;24:105–114
  17. Algood SD, Cooper RA, Fitzgerald SG, Cooper R, Boninger ML. Effect of a pushrim-activated power-assist wheelchair on the functional capabilities of persons with tetraplegia. Arch Phys Med Rehabil. 2005;86:380–386
  18. Levy CE, Chow JW, Tillman MD, Hanson C, Donohue T, Mann WC. Variable-ratio pushrim-activated power-assist wheelchair eases wheeling over a variety of terrains for elders. Arch Phys Med Rehabil. 2004;85:104–112
  19. Corfman TA, Cooper RA, Boninger ML, Koontz AM, Fitzgerald SG. Range of motion and stroke frequency differences between manual wheelchair propulsion and pushrim-activated power-assisted wheelchair propulsion. J Spinal Cord Med. 2003;26:135–140
  20. Arva J, Fitzgerald SG, Cooper RA, Boninger ML. Mechanical efficiency and user power requirement with a pushrim activated power assisted wheelchair. Med Eng Phys. 2001;23:699–705
  21. Holm S. A simple sequentially rejective multiple test procedure. Scand J Statistics. 1979;65–70
  22. Cooper RA, Fitzgerald SG, Boninger ML, et al. Evaluation of a pushrim-activated, power-assisted wheelchair. Arch Phys Med Rehabil. 2001;82:702–708
  23. Newsam CJ, Mulroy SJ, Gronley JK, Bontrager EL, Perry J. Temporal-spatial characteristics of wheelchair propulsion (Effects of level of spinal cord injury, terrain, and propulsion rate). Am J Phys Med Rehabil. 1996;75:292–299

 Supported by the Miami Project to Cure Paralysis.

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.

PII: S0003-9993(08)00801-0

doi: 10.1016/j.apmr.2008.05.018

Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 11 , Pages 2080-2085 , November 2008

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