Abstract
Objective
To examine whether musculoskeletal shoulder pain and limitations in shoulder range
of motion (ROM) at discharge from first rehabilitation are associated with activities
and participation restrictions 5 years later in persons with spinal cord injury (SCI).
Design
Prospective cohort study.
Setting
Eight specialized SCI rehabilitation centers.
Participants
Subjects (N=138) with an SCI admitted for first rehabilitation.
Interventions
Not applicable.
Main Outcome Measures
Peak power output (POpeak), Wheelchair Skills Test (WST), FIM motor score, ability
to transfer, Physical Activity Scale for Individuals with Physical Disabilities (PASIPD),
mobility range and social behavior subscales of the Sickness Impact Profile 68 (SIPSOC),
and employment status.
Results
Mean age of the subjects at discharge was 39 years, 72% were men, 32% had tetraplegia,
and in 65% the SCI was motor complete. At discharge, 39% reported shoulder pain and
32% had a limited shoulder ROM. In the analyses of variance, shoulder ROM limitation,
but not shoulder pain, was associated with all but 1 outcome at 5 years. In the regression
analyses, ROM limitations of the shoulder were negatively associated with the ability
to transfer (P=.004), FIM motor scores (P<.001), and return to work (P= .027) 5 years after discharge. No significant associations were found with POpeak,
WST performance time, SIPSOC, and PASIPD.
Conclusions
The presence of limitations in shoulder ROM, but not shoulder pain, at discharge is
associated with limitations in activities and employment status 5 years later.
Keywords
List of abbreviations:
PASIPD (Physical Activity Scale for Individuals with Physical Disabilities), POpeak (peak power output), ROM (range of motion), SCI (spinal cord injury), SIP68 (68-Item Sickness Impact Profile), SIPSOC (mobility range and social behavior subscales of the Sickness Impact Profile 68), WST (Wheelchair Skills Test)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: September 13, 2015
Footnotes
Supported by the Dutch Health Research and Development Council, ZonMw Rehabilitation Program (grant nos. 1435.0003, 1435.0025).
Disclosures: none.
Identification
Copyright
© 2016 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
