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Managing shoulder pain in manual wheelchair users: a scoping review of conservative treatment interventions

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journal contribution
posted on 2020-03-17, 09:52 authored by Barry Mason, Martin Warner, Simon Briley, Vicky Goosey-TolfreyVicky Goosey-Tolfrey, Riemer Vegter
Objective:
To review the literature that has explored conservative treatments for the management of shoulder pain in manual wheelchair users.
Methods:
Five databases were systematically searched in february 2020 for terms related to shoulder pain and manual wheelchair use. Articles were screened and included if they investigated the conservative treatment of shoulder pain in wheelchair users. Participants’ physical characteristics, experimental design and primary and secondary outcome measures were extracted from studies. Studies were grouped according to treatment type to identify gaps in the literature and guide future research.
Results:
The initial search identified 407 articles, of which 21 studies met the inclusion criteria. Exercise-based treatment interventions were most prevalent (n = 12). A variety of exercise modalities were employed such as strengthening and stretching (n = 7), ergometer training (n = 3), Pilates classes (n = 1) and functional electrical stimulation (n = 1). Only three studies supplemented exercise with an additional treatment type. The Wheelchair Users Shoulder Pain Index was used by 18 studies as the primary measure of shoulder pain. Only seven of these included an objective measure of shoulder function. Participant characteristics varied among studies, and physical activity levels were frequently not reported.
Conclusions:
Despite the high prevalence of shoulder pain in manual wheelchair users, the number of studies to have explored conservative treatment types is low. Exercise is the most commonly used treatment, which is encouraging as physical inactivity can exacerbate other health conditions. Few studies have adopted interdisciplinary treatment strategies or included objective secondary measures to better understand the mechanisms of pain.

History

School

  • Sport, Exercise and Health Sciences

Published in

Clinical Rehabilitation

Volume

34

Issue

6

Pages

741 - 753

Publisher

SAGE Publications

Version

  • VoR (Version of Record)

Rights holder

© The Authors

Publisher statement

This is an Open Access Article. It is published by Sage under the Creative Commons Attribution 4.0 Unported Licence (CC BY). Full details of this licence are available at: http://creativecommons.org/licenses/by/4.0/

Acceptance date

2020-03-16

Publication date

2020-05-12

Copyright date

2020

ISSN

0269-2155

eISSN

1477-0873

Language

  • en

Depositor

Dr Barry Mason. Deposit date: 16 March 2020

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