Incorrect transfer skills may predispose wheelchair users to developing upper limb pain and overuse related injuries, such as rotator cuff tears, elbow pain, and carpal tunnel syndrome 711. The purpose of this study was to examine the reliability and validity of the wheelchair users shoulder pain index wuspi, an instrument. A checklist was developed to evaluate and compare the clinimetric quality of the. The participants in the wheelchair provision survey were invited to complete the wheelchair user s shoulder pain index wuspi to evaluate the size of the problem in this population and relate it to their specific wheelchair use. The wuspi contains 15 items, scaled 010 on a visual analog scale 10 worst pain ever experienced. Six focus group discussions and seven indepth interviews were conducted with 37 women in the two communities one urban and the other rural. May 01, 2019 participants were required to be asymptomatic for shoulder pain at the time of the initial baseline data collection wheelchair user s shoulder pain index, wuspi curtis et al. Promotion of active exercise for wheelchair users is encouraged to decrease shoulder pain fullerton, 2003 involvement in athletics neither increases nor decreases the risk of shoulder pain in the mwu finley, 2004 introduction. This 15item functional index was developed to assess shoulder pain during transfers, self care, wheelchair mobility and general activities. Pdf reliability and validity of the wheelchair users.
Searching for a specific type of document on the internet is sometimes like looking for a needle in a haystack. Spinal cord injury edge task force outcome measures. Subscribe to our free newsletters to receive latest health news and alerts to your email inbox. To identify all available shoulder disability questionnaires designed to measure physical functioning and to evaluate evidence for the clinimetric quality of these instruments. Systematic literature searches were performed to identify self administered shoulder disability questionnaires. Development of a shoulder pain and disability index. No matter if youre looking for frozen shoulder pain treatment or something m. It is a 15item selfreport questionnaire inwhich patients are asked to rate, on a 10cm visual analogue scale, the. The shoulder joint of the wheelchair user is the primary joint for transfer and propulsion.
Frontiers car transfer and wheelchair loading techniques in. Relationship between perceived shoulder pain and kinematic. The most widely used tool for this purpose is the wheelchair users shoulder pain index wuspi. The prevalence and severity of shoulder pain will be assessed using the danish version93 of the wheelchair users shoulder pain index wuspi. Reliability and validity of the wheelchair user s shoulder pain index wuspi. The purpose of this study was to examine the reliability and validity of the wheelchair users shoulder pain index wuspi, an instrument which measures shoulder pain associated with the functional activities of wheelchair users. The wuspi was designed to measure the severity of shoulder pain related to functional activity of manual wheelchair users in daily living curtis et al. Effectiveness of home exercise on pain, function, and. Signs and symptoms of shoulder pain new life ticket. Causes there are three mechanisms that may lead to shoulder injury in wheelchair users. Depending on the type of scanner you have, you might only be able to scan one page of a document at a time. This 15item functional index was developed to assess shoulder pain during transfers, self care, wheelchair. Learn about multiple causes ranging from mild to severe.
Perceptions of primary caregivers of children with. The wheelchair users shoulder pain index wuspi was designed to measure shoulder pain in individuals who use wheelchairs. The instrument was administered to 64 wheelchair users at an. 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. Repetitive shoulder strain injuries in wheelchair users. Even more, it the shoulder tends to have a versatile and wide range of motion. The onset of pain can lead to social isolation 5, dependence on others for assistance with adls, and increased medical expenditures 7.
The wuspi targets activity limitation resulting from shoulder pain 4,including wheelchair transfers, wheelchair mobility, selfcare and general activities. Walking index for spinal cord injury wisci, wisci ii 61. The wheelchair users shoulder pain index macquarie university. What causes pain between the shoulder blades, otherwise known as interscapular pain. An oversized pdf file can be hard to send through email and may not upload onto certain file managers. Tires inspect the rear tires for wear, cracks, bulges, looseness, damage, and flat spots. The wheelchair users shoulder pain index wuspi is a simple and effective selfreport questionnaire for quickly measuring the functional cost of shoulder pain in wheelchair users. Predictors of shoulder pain in manual wheelchair users. Effectiveness of exercise programs for management of.
The wheelchair users shoulder pain index wuspi is a simple and effective selfreport questionnaire for quickly measuring the functional cost of shoulder pain. Shoulder pain and disability index please place a mark on the line that best represents your experience during the last week attributable to your shoulder problem. Physical training and upperlimb strength of people with. Of the three studies not using this questionnaire, hoenig et al. This 15item functional index was developed to access shoulder pain during transfers, self care, wheelchair mobility and general activities. We searched the literature, using search terms related to sci, manual wheelchairs, and shoulder pain.
The researchers analyzed the questions in the wuspi that were related to pain during wheelchair transfers. Bilateral maximal isometric shoulder torques were measured in six directions abduction, adduction, flexion, extension, external rotation, and internal rotation using a biodex system 3 pro dynamometer biodex medical systems, inc. Effectiveness of home exercise on pain, function, and strength of manual wheelchair users with spinal cord injury. The wheelchair users shoulder pain index wuspi was developed to evaluate the intensity of shoulder pain experienced during daily activities 11 and has been used for shoulder assessment in wb. A and post magisterial diploma in clinical psychology pmdc from the institute of professional psychology, affiliated with bahria university karachi campus. The tool uses a 10 point visual analogue scale to rate intensity of pain.
Development of the wheelchair users shoulder pain index. The wheelchair user s shoulder pain index wuspi was designed to measure shoulder pain in individuals who use wheelchairs. Shoulder ultrasound abnormalities, physical examination findings, and pain in manual wheelchair users with spinal cord injury. The purpose of this study is to investigate the impact of a new manual 2speed wheelchair wheel magicwheels, seattle, wa, figure 1 on shoulder pain in manual wheelchair users. It is a 15item selfreport questionnaire inwhich patients are asked to rate, on a 10cm visual analogue scale, the amount of pain they have experienced in their shoulder s over the past week when performing everyday activities.
To assess pain levels, 3 studies used the wheelchair user s shoulder pain index. Items assess intensity of shoulder pain during transfers, activities of daily living, and mobility performed from a wheelchair. It is comprised of 15 questions, each scored using the 10point. The program included a high dose of 3 sets of 30 repetitions, 3 times weekly, and regular physical therapist supervision via videoconferencing. Wheelchair users shoulder pain index asia impairment scale level overall 20 measures were given a rating of recommended or highly recommended in both incomplete and complete spinal cord injury categories including measures covering the body structure and function, activity, participation and environment domains of the international. No indices are currently available which detect difficulties in performing daily activities due to shoulder discomfort in a largely independent population of wheelchair users.
Wheelchair user s shoulder pain index wuspi to evaluate the size of the problem in this population and relate it to their specific wheelchair use. Data were analyzed using a oneway analysis of variance anova. Managing shoulder pain in manual wheelchair users core. Maintenance guide for users of manual and power wheelchairs. Wheelchair users shoulder pain index wuspi description. This mobility predisposes it to injury from overuse, especially in the absence of protective mechanisms of pain and proprioception. Wheelchair propulsion wears and weakens the rotator cuff a group of four muscles surrounding and supporting the shoulder.
To establish concurrent validity, the index was administered to 64 long term wheelchair users and index scores were compared to shoulder range. Four items with high wheelchair users shoulder pain index ka curtis et 01 292 table 1 pilot instrument item scores and interdimensional correlations n 64 subjects items measurement dimensions difficulty pain correlation mean sd mean sd r p transfers bed wheelchair 1. Luckily, there are lots of free and paid tools that can compress a pdf file in just a few easy steps. Participants also completed the wheelchair user s shoulder pain index wuspi. Pdf reliability and validity of the wheelchair users shoulder pain.
Wheelchair users shoulder pain index w uspi description. Tool for assessing mobility in wheelchair dependent paraplegics harvey mobility assessment tool 58. This article describes the radiological degenerative changes in the shoulder development of the wheelchair users shoulder pain joint. Spinal cord injury outcome measures overview physiopedia. To establish testretest reliability, the index was administered twice in the same day to 16 long term wheelchair users and their scores for the two administrations were compared by intraclass correlation. If the patient does not perform an activity, there is the option to. Shoulder pain is common, but its a complex problem with many possible causes ranging from arthritis to rotator cuff issues to the stiffness of frozen shoulder. All presented significant improvement in relation to preintervention and postintervention. Grant hughes, md, is boardcertified in rheumatology and is the head of rheumatology at seattles. Clinimetric evaluation of shoulder disability questionnaires. The glenohumeral joint shoulder is the most mobile joint in the body. It is composed of 15 items relating to pain in everyday activities of wheelchair users including. This article explains what pdfs are, how to open one, all the different ways.
The initial search identified 407 articles, of which 21 studies met the inclusion criteria. Detailed shoulder mri findings in manual wheelchair users. What its like to date as a wheelchair user insider. The impact of wheelchair type on reducing the risk of. As a valid and reliable instrument, this tool may be useful to both clinicians and researchers in documenting baseline shoulder dysfunction and for periodic measurement in longitudinal studies of musculoskeletal complications in wheelchair users. Toronto rehabilitation institute hand function test 59. If the tire lacks sufficient pressure, the wheelchair will be difficult to maneuver, propelling the wheelchair will take more energy, it will stress the user s shoulders more, and increase risk for shoulder pain. The instrument was administered to 64 wheelchair users at an athletic event. The participants completed the wheelchair user s shoulder pain index wuspi, which measures the shoulder pain they feel during different daily activities. Index was used by 18 studies as the primary measure of shoulder pain. Chronic shoulder pain is a frequently reported phenomenon in individuals who use wheelchairs as their primary means of mobility. Performance corrected wheelchair user s shoulder pain index pcwuspi methods equipment. The maximum score is 150, with higher scores reflecting worse pain. The wuspi is a selfreport measure of shoulder pain experienced during functional activities.
The shoulder tends to have a versatile and wide range of motion. Shoulder pain in female wheelchair basketball players. This study group comprised 705 fulltime manual wheelchair users, recruited from 10 scics throughout the uk. Any problem with this part would affect your ability to move the body freely. A leadingedge research firm focused on digital transformation. The wheelchair user s shoulder pain index wuspi, a isitem, valid, reliable instrument was used to measure shoulder each of the 15 j orthop sports phys ther. Articles were screened and included if they investigated the conservative treatment of shoulder pain in wheelchair users. If the inline pdf is not rendering correctly, you can download the pdf file here. Reliability and validity of the wheelchair users shoulder.
Shoulder pain and its consequences in paraplegic spinal. A pdf file is a portable document format file, developed by adobe systems. Since wheelchair users depend on their arms to perform most of their daily activities, muscles and tendons around the shoulder often get overused and injured. The wuspi is a selfreport measure of shoulder pain in wheelchair users during functional activities. Shoulder pain is very common in people who are wheelchair dependent, including those with spinal cord injury, spina bifida and. Subjects were recruited from the community as a sample of convenience and were seasone d wheelchair users 228 yr. In 2003, about 2 million americans used a wheelchair compared with 1.
The wuspi was designed in 1995 and based on the shoulder pain and disability index. Nov 21, 2017 curtis ka, roach ke, applegate eb, amar t, benbow cs, genecco td, et al. The study evaluated how technique used during wheelchair transfers related to shoulder pain and injury in people with spinal cord injury sci. The wuspl is a valid and reliable self report measure scored from 0 to 150, with higher scores indicating a greater intensity of shoulder pain during functional activities. The relationship between independent transfer skills and. Impact of wheelchair type on reducing the risk of shoulder. Apr 01, 1999 many wheelchair users experience upper extremity pain that interferes with essential activities of daily living such as wheelchair propulsion, driving, dressing, and transfers. The purpose of this study was to examine the reliability and validity of the wheelchair user s shoulder pain index wuspi, an instrument which measures shoulder pain associated with the functional activities of wheelchair users.
Many long term wheelchair users develop shoulder pain. It is comprised of 15 questions, each scored using the 10point, ordinal visual analog scale vas anchored at 0 indicating no pain and 10 indicating the worst pain. Wheelchair propulsion as well as transfers are supposed to cause and increase upper extremity pain, such as shoulder pain in active wheelchair users. Variability of peak shoulder force during wheelchair.
Shoulder pain and its consequences in paraplegic spinal cord. Shoulder pain and pathology are common in manual wheelchair mwc users with paraplegia, and the biomechanical mechanism of injury is largely unknown. If your pdf reader is displaying an error instead of opening a pdf file, chances are that the file is c. Studies have shown that approximately 3050% of persons with paraplegia report shoulder pain that interferes with their mobility. How healthy is circuit resistance training following. Establishing patterns of mri characteristics in mwc users would help advance understanding of the mechanical etiology of rotator cuff disease, thus improving the logic for prescribed interventions. May 12, 2020 the wheelchair users shoulder pain index was by far the most common tool used to quantify shoulder pain and was used by 18 of the 21 studies. Wheelchair users shoulder pain index rehabmeasures database. The wheelchair users shoulder pain index wuspi is a selfreport questionnaire designed to assess shoulder pain in wheelchair users during daily functional activities. Jan 02, 2014 shoulder ultrasound abnormalities, physical examination findings, and pain in manual wheelchair users with spinal cord injury.
A pilot index was created to measure shoulder pain and related difficulty during basic and instrumental activities of daily living. Translation and crosscultural adaptation of the danish. Shoulder pain in wheelchair users with tetraplegia and. Sep 17, 2015 a wheelchair user s shoulder pain index wuspi form was completed prior to bilateral shoulder strength testing. A physician gave all participants an upper extremity motor exam to calculate the.
Activity level was representative of previous literature 34,36 with a mean 18 transfers per day. The wheelchair users shoulder pain index shows high levels of reliability and internal consistency, as well as concurrent validity with loss of shoulder range of motion. Pdf development of the wheelchair users shoulder pain. The comparison of the 199197 and 19982004 surveys showed that wheelchair. Circle the number that best describes your pain where. This study explored the perceptions, attitudes and practices of primary caregivers towards children with disabilities in two communities from sindh and balochistan, in pakistan. Archives of physical medicine and rehabilitation 8911. Five databases were systematically searched in february 2020 for terms related to shoulder pain and manual wheelchair use. Most electronic documents such as software manuals, hardware manuals and ebooks come in the pdf portable document format file format. It is a 15item selfreport questionnaire inwhich patients are asked to rate, on a 10cm visual analogue scale, the amount of pain they have experienced. If your scanner saves files as pdf portbale document format files, the potential exists to merge the individual files into one doc. The author is affiliated with aga khan universityhuman development programme as a research officer. Main outcome measures primary outcomes of pain and function were measured with the wheelchair user s shoulder pain index wuspi, disabilities of arm, shoulder, and hand dash index, and shoulder rating.
Up to 80% of todays manual wheelchair users suffer from shoulder pain 1. Wheelchair users shoulder pain index wuspi assessment tool to quantify shoulder pain during completion of 15 common functional tasks, as completed over the past week. Pdf development of the wheelchair users shoulder pain index. Methods resistance to overcome in the wheelchair propulsion test depending on the weight of the participant. Madeline delp is a miss north carolina contestant who gets around using a wheelchair since shes paralyzed from the waist down. Transfer technique and shoulder pain model systems. Frontiers car transfer and wheelchair loading techniques. Shoulder pain in wheelchair users with tetraplegia and paraplegia. Pdf file or convert a pdf file to docx, jpg, or other file format.
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