Article

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.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS