Determinants of Between-Person Variation in Shoulder Pain in Individuals With Spinal Cord Injury: A Population-Based Cohort Study.
Journal
American journal of physical medicine & rehabilitation
ISSN: 1537-7385
Titre abrégé: Am J Phys Med Rehabil
Pays: United States
ID NLM: 8803677
Informations de publication
Date de publication:
01 Nov 2024
01 Nov 2024
Historique:
medline:
25
10
2024
pubmed:
25
10
2024
entrez:
25
10
2024
Statut:
ppublish
Résumé
The aim of the study was to evaluate determinants of between-person variation in shoulder pain ("yes"/"no") in individuals with spinal cord injury living in Switzerland. This longitudinal study used data from the Swiss Spinal Cord Injury Cohort community surveys 2012, 2017, and 2022. Logistic regression analyses were used to identify determinants of between-person variability in shoulder pain while controlling for within-person variability. The prevalence of shoulder pain was 34.4% (95% CI = 33.0-35.9) when studying 4393 completed questionnaires. Significant determinants for between-subject variability revealed higher likelihoods for shoulder pain in females as compared with males (odds ratio: 1.57; 95% CI = 1.21-2.05), and when spasticity (1.49; 1.14-1.95), contractures (2.77; 2.21-3.48), and depression (1.39; 1.02-3.48) were present. In addition, shoulder pain presented highest likelihoods in individuals with incomplete tetraplegia (1.81; 1.32-2.48) versus incomplete paraplegia, in individuals over 26 yrs since injury (1.65; 1.15-2.37) versus up to 5 yrs since injury, and in individuals using a manual (2.17; 1.53-3.08) or electrical (2.16; 1.41-3.31) wheelchair versus no aids. There were significant interaction effects for gender with time since injury, contractures, and depression. Determinants of between-subject variability in shoulder pain were female gender, lesion severity, time since injury, specific health conditions, and wheelchair use.
Identifiants
pubmed: 39453856
doi: 10.1097/PHM.0000000000002563
pii: 00002060-202411003-00005
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
S268-S276Informations de copyright
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.
Références
Gutierrez DD, Thompson L, Kemp B, et al.: The relationship of shoulder pain intensitiy to quality of life, physical activiy and community participation in persons with paraplegia. J Spinal Cord Med 2007;30:251–5
Richardson A, Samaranayaka A, Sullivan M, et al.: Secondary health conditions and disability among people with spinal cord injury: a prospective cohort study. J Spinal Cord Med 2019;44:19–28
Bossuyt FM, Arnet U, Brinkhof MWG, et al.: Shoulder pain in the Swiss spinal cord injury community: prevalence and associated factors. Disabil Rehabil 2018;40:798–805
Arnet U, de Vries WH, Eriks-Hoogland I, et al.: MRI evaluation of shoulder pathologies in wheelchair users with spinal cord injury and the relation to shoulder pain. J Spinal Cord Med 2022;45:916–29
Jahanian O, Van Straaten MG, Goodwin BM, et al.: Shoulder magnetic resonance imaging findings in manual wheelchair users with spinal cord injury. J Spinal Cord Med 2022;45:564–74
Dyson-Hudson TA, Kirshblum SC: Shoulder pain in chronic spinal cord injury, Part I: epidemiology, etiology, and pathomechanics. J Spinal Cord Med 2004;27:4–17
Jahanian O, Van Straaten MG, Barlow JD, et al.: Progression of rotator cuff tendon pathology in manual wheelchair users with spinal cord injury: a 1-year longitudinal study. J Spinal Cord Med 2022;46:466–76
Seitz AL, McClure PW, Finucane S, et al.: Clin Biomech (Bristol, Avon) 2011;26:1–12
Soslowsky LJ, Thomopoulos S, Esmail A, et al.: Rotator cuff tendinosis in an animal model: role of extrinsic and overuse factors. Ann Biomed Eng 2002;30:1057–63
Lawrence RL, Soliman SB, Dalboge A, et al.: Investigating the multifactorial etiology of supraspinatus tendon tears. J Orthop Res 2023;42:578–87
Kentar Y, Zastrow R, Bradley H, et al.: Prevalence of upper extremity pain in a population of people with paraplegia. Spinal Cord 2018;56:695–703
Rechardt M, Shiri R, Karppinen J, et al.: Lifestyle and metabolic factors in relation to shoulder pain and rotator cuff tendinitis: a population-based study. BMC Musculoskelet Disord 2010;11:165
Gill TK, Shanahan EM, Taylor AW, et al.: Shoulder pain in the community: an examination of associative factors using a longitudinal cohort study. Arthritis Care Res (Hoboken) 2013;65:2000–7
McVeigh SA, Hitzig SL, Craven BC: Influence of sport participation on community integration and quality of life: a comparison between sport participants and non-sport participants with spinal cord injury. J Spinal Cord Med 2009;32:115–24
Tuakli-Wosornu YA, Mashkovskiy E, Ottesen T, et al.: Acute and chronic musculoskeletal injury in para sport: a critical review. Phys Med Rehabil Clin 2018;29:205–43
de Vries WH, Arnet U, Bossuyt FM, et al.: Association between the prevalence of shoulder pain and adherence to physical activity guidelines in manual wheelchair users with spinal cord injury. Am J Phys Med Rehabil 2024; Submitted
Stucki G, Bickenbach J: The international spinal cord injury survey and the learning health system for spinal cord injury. Am J Phys Med Rehabil 2017;96(2 suppl 1):S2–4
Gross-Hemmi MH, Gemperli A, Fekete C, et al.: Methodology and study population of the second Swiss national community survey of functioning after spinal cord injury. Spinal Cord 2021;59:363–72
Hinrichs T, Lay V, Arnet U, et al.: Age-related variation in mobility independence among wheelchair users with spinal cord injury: a cross-sectional study. J Spinal Cord Med 2016;39:180–9
Parsons S, Breen A, Foster NE, et al.: Prevalence and comparative troublesomeness by age of musculoskeletal pain in different body locations. Research support, non-U.S. gov't. Fam Pract 2007;24:308–16
Luime JJ, Koes BW, Hendriksen IJ, et al.: Prevalence and incidence of shoulder pain in the general population; a systematic review. Scand J Rheumatol 2004;33:73–81
Sipski ML, Jackson AB, Gomez-Marin O, et al.: Effects of gender on neurologic and functional recovery after spinal cord injury. Arch Phys Med Rehabil 2004;85:1826–36
Schultz MM, Lee TQ, Nance PW: Musculoskeletal and neuromuscular implications of gender differences in spinal cord injury. Top Spinal Cord Inj Rehabil 2001;7:72–86
Boninger ML, Dicianno BE, Cooper RA, et al.: Shoulder magnetic resonance imaging abnormalities, wheelchair propulsion, and gender. Arch Phys Med Rehabil 2003;84:1615–20
Vafadar AK, Cote JN, Archambault PS: Sex differences in the shoulder joint position sense acuity: a cross-sectional study. BMC Musculoskelet Disord 2015;16:273
Raguindin PF, Muka T, Glisic M: Sex and gender gap in spinal cord injury research: focus on cardiometabolic diseases. A mini review. Maturitas 2021;147:14–8
Mozingo JD, Akbari-Shandiz M, Murthy NS, et al.: Shoulder mechanical impingement risk associated with manual wheelchair tasks in individuals with spinal cord injury. Clin Biomech (Bristol, Avon) 2020;71:221–9
Hardwick D, Bryden A, Kubec G, et al.: Factors associated with upper extremity contractures after cervical spinal cord injury: a pilot study. J Spinal Cord Med 2018;41:337–46
Eriks-Hoogland IE, de Groot S, Post MW, et al.: Passive shoulder range of motion impairment in spinal cord injury during and one year after rehabilitation. J Rehabil Med 2009;41:438–44
Dalyan M, Sherman A, Cardenas DD: Factors associated with contractures in acute spinal cord injury. Spinal Cord 1998;36:405–8