Article

Purpose To examine the implications of chronic shoulder pain on quality of life
and occupational engagement in spinal cord injury (SCI).
The Ecology of Human
Performance Model and Self-Efficacy Theory will be used to further examine the
interplay of shoulder pain, quality of life and engagement in this population.
Method Analysis of literature. Results Persons with SCI have a high prevalence of
shoulder pain and injury, affecting 37-84% of analysed studies; chronic pain
limits occupational engagement and decreases quality of life. Remediation of pain
provides improved occupational engagement, functional independence and quality of
life in those with high self-efficacy and low depression. Conclusion Shoulder
pain is a serious complication following SCI and the Ecology of Human Performance
Model and Self-Efficacy Theory can be utilized in conjunction for a framework to
evaluate, treat and prevent shoulder pain and its devastating effects on
occupational engagement and quality of life in the spinal cord injured
population. Thereafter, rehabilitation professionals will have a greater
understanding of these interactions to serve as a guide for evaluation and
intervention planning to promote optimal occupational engagement through limiting
the experiences of occupational injustices for those with SCI and shoulder pain.
Implications for Rehabilitation Musculoskeletal pain at the shoulder joint and
depression are common complications following spinal cord injury that limit
occupational engagement and decrease quality of life. To increase engagement and
quality of life in this population, treatments need to address all factors
including the under-lying psychosocial instead of task and environment
modification alone. The Ecology of Human Performance Model and Self-efficacy
Theory are effective frameworks that can be used for evaluation, treatment
planning and outcome measurement to maximize occupational engagement and quality of life.

Langue : ANGLAIS