Investigating Neck Pain in Wheelchair Users

Boninger, M. L.; Cooper, R. A.; Fitzgerald, S. G.; Lin, J.; Cooper, R.; Dicianno, B. et al.: Investigating Neck Pain in Wheelchair Users. I: American Journal of Physical Medicine & Rehabilitation, 2003(82), s. 197-202 .Language: Engelsk

Summary: Despite the fact that wheelchair users are exposed to risk factors for neck and upper back pain (NP), little is known about the impact and possible diagnoses associated with NP. The purpose of this study was to examine the significance of NP in wheelchair users and to determine if a portion of the NP may be myofascial in origin. Results: Sixty-six percent of subjects reported NP since becoming a wheelchair user and, 60% reported pain during the past month. Neither age nor length of time in a wheelchair was significantly different between those subjects who did and those subjects who did not report pain. Of those respondents who reported NP, 60% visited the doctor about the pain and 40% limited their daily activities due to the pain. Trigger-point palpation reproduced pain in 54% of those respondents who experienced pain in the past month (n = 34). Conclusion: This study provides a first step in defining the prevalence and significance of NP among wheelchair users. Clinicians who work with this population need to ask subjects about symptoms and consider a myofascial origin for that pain when considering treatment.

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