[Home ] [Archive]   [ فارسی ]  
:: Volume 10, Issue 1 (Winter 2018) ::
Iran J War Public Health 2018, 10(1): 27-31 Back to browse issues page
Effect of shoulder's centralized exercise and pushrim activated power assisted wheelchair on shoulder pain and function veterans affected by paraplegic spinal cord injury
F. Babakhani *1, R. Balouchi 2, M.R. Vahidian 2
1- Assistanش Professor Sport Pathology & Corrective Exercises Department, Physical Education & Sport Sciences Faculty, Allameh Tabataba’i University, Tehran, Iran , farideh_babakhani@yahoo.com
2- Sport Pathology & Corrective Exercises Department, Physical Education & Sport Sciences Faculty, Allameh Tabataba’i University, Tehran, Iran
Abstract:   (84 Views)

Aims: Spinal cord injury is an acute and devastating event that causes significant and permanent changes in veterans’ life and leads to functional impairments. Exercise can reduce the incapacity or improve individuals’ functions. The aim of this study was to investigate the effect of shoulder centralized exercises and Pushrim-Activated Power-Assisted Wheelchair (PAPAW) on pain and shoulder function in veterans with paraplegic spinal cord injury.
Materials & Methods: In this semi-experimental study with pre-test and post-test design, 20 wheelchair-user veterans with spinal cord injury and shoulder pain referring to Kosar orthosis and prosthesis center were selected by purposive sampling in 2015. They were randomly assigned into experimental (n=10) and control (n=10) groups. Data were collected by Wheelchair User's Shoulder Pain Index (WUSPI) and Shoulder Rating Questionaire (SRQ). The exercises were performed for 8 weeks and 3 days each week in the experimental group with using Pushrim-Activated Power-Assisted Wheelchair (PAPAW) at home and the control group did not receive any interventions. Data were analyzed by dependent t-test and Analysis of Covariance (ANCOVA).
Findings: In the experimental group, the pain level significantly decreased and the shoulder function significantly increased in the post-test compared to the pre-test. There was a significant difference between experimental and control groups (p<0.05).
Conclusion: Shoulder centralized exercises and Pushrim-Activated Power-Assisted Wheelchair (PAPAW) is effective on decreasing the pain and increasing shoulder function in veterans with paraplegic spinal cord injury.

Keywords: Shoulder, Wheelchair, Pain, Veterans
Full-Text [PDF 383 kb]   (43 Downloads)    
Type of Study: Research | Subject: Assistive medical device for war victim
Received: 2017/06/26 | Accepted: 2017/10/25 | Published: 2017/12/26
* Corresponding Author Address: Physical Education & Sport Sciences Faculty, Allameh Tabataba'i University, Olampik Square, Dehkade-ye Olampik, West Hemmat Highway, Tehran, Iran
1. Khamis EE, Jadallah MS, Ziad AH, Sami IZ. Shoulder Pain among Rehabilitated Spinal Cord Injured Persons Using Manually Propelled Wheelchairs in the Gaza Strip: A Survey. Journal Asia Pacific Disability Rehabilitation. 2012; 23(2):53-71.
2. Ghomeshi F. Learning to live after spinal injury. Tehran: Publications Arjmand; 2010. pp. 61-85. [Persian]
3. Kashi A. problem pain after spinal cord. Tehran: Model Systems Knowledge Translation Center (MSKTC); 2009. http://www.isaarsci.ir.
4. Danesh Afrooz N. Orthotics in neurological rehabilitation. Tehran: Publications Janbazan Medical and Engineering Research center; 2009. pp. 161-185. [Persian]
5. Bjerkefors A. Performance of trainability in Paraplegics- motor function, shoulder muscle strength and sitting balance befor and after Kayak ergometer training. A Thesis submitted degree of Master of Science (M.S.c). Department of Neuroscience, Karolinska Institutet, Stockholm, Sweden 2006; pp. 38-52.
6. Burnham RS, May L, Nelson E, Steadward R, Reid DC. Shoulder pain in wheelchair athletes. The role of muscle imbalance. Am J Sports Med. 1993; 21(2):238-42. [DOI:10.1177/036354659302100213]
7. Restegary M. Sports places for the disabled. Tehran: Publications: Asre Entezer. 2008. pp. 42-71. [Persian]
8. Lee TQ, McMahon PJ. Shoulder biomechanics and muscle plasticity: implications in spinal cord injury. Clin Orthop Relat Res, 2002; (403): 26-36. [DOI:10.1097/00003086-200210001-00004]
9. Boninger ML, Koontz AM, Sisto SA, Dyson-Hudson TA, Chang M, Price R, Cooper RA. Pushrim biomechanics and injury in spinal cord injury: Recommendations based on CULP-SCI investigations. Journal of Rehabilitation Research & Development. 2005; 42(3(:9–20.
10. Curtis KA, Roach KE, Applegate EB, Amar T, Benbow CS, Genecco TD, Gualano J. Development of the wheelchair user's shoulder pain index (WUSPI). Paraplegia. 1995; 33(5):290-93. [DOI:10.1038/sc.1995.65]
11. Salisbury SK, Nitz J, Souvlis T.Shoulder pain following tetraplegia: a follow-up study 2-4 years after injury, Spinal Cord. Spinal Cord. 2006; 44(12):723-8. [DOI:10.1038/sj.sc.3101908]
12. Yildirim NU, Comert E, Ozengin N. Shoulder pain: A comparison of wheelchair basketball players with trunk control and without trunk control, J Back Musculoskelet Rehabil. 2010; 23(2):55-61. [DOI:10.3233/BMR-2010-0250]
13. Hesabi M. The effect of central shoulder on pain and shoulder performance of wheelchair users with spinal cord injury[Dissertation]. University of Social Welfare and Rehabilitation Sciences; 2013. [Persian]
14. Arva J, Fitzgerald SG, Cooper RA, Boninger ML. Mechanical efficiency and user power requirement with a pushrim activated power assisted wheelchair. Med Eng Phys. 2001; 23(10):699-705. [DOI:10.1016/S1350-4533(01)00054-6]
15. Nash MS, Koppens D, van Haaren M, Sherman AL, Lippiatt JP, Lewis JE. Power-assisted wheels ease energy costs and perceptual responses to wheelchair propulsion in persons with shoulder pain and spinal cord injur. Arch Phys Med Rehabil. 2008; 89(11): 2080-5 [DOI:10.1016/j.apmr.2008.05.018]
16. Kloosterman MG, Eising H, Schaake L, Buurke JH, Rietman JS. Comparison of shoulder load during power-assisted and purely hand-rim wheelchair propulsion. Clin Biomech (Bristol, Avon). 2012; 27(5):428-35. [DOI:10.1016/j.clinbiomech.2011.11.010]
17. Gharakhanlou R, Daneshmandi H, Alizadeh MH, Prevention and Treatment of Sport Injuries. Publications: Tehran. Samt. 2010. pp. 382-410. [Persian]
18. khodadad H. Sport Traumatology. Publications: Tehran. Bamdad. 2011. pp. 193-230. [Persian]
19. Hosseini SM. Sports injure. Publications: Tehran. Hatami. 2012. pp. 285-340. [Persian]
20. Fullerton HD, Borckardt JJ, Alfano AP. Shoulder Pain: A Comparison of Wheelchair Athletes and Nona-thletic Wheelchair Users. Med Sci Sports Exerc. 2003; 35(12):1958-61. [DOI:10.1249/01.MSS.0000099082.54522.55]
21. Kemp BJ, Bateham AL, Mulroy SJ, Thompson L, Adkins RH, Kahan JS. Effects of reduction in shoulder pain on quality of life and community activities among people living long-term with SCI paraplegia: a randomized control trial. J Spinal Cord Med. 2011; 34(3):278-84. [DOI:10.1179/107902611X12972448729486]
22. Moloudi A. The Effect of Circuit Resistance Training selected on the strength, pain and performance of the shoulder disabled a manual wheelchair [Dissertation]. University of Razi Kermanshah; 2014. [Persian]
23. Rahmani P, Shahrokhi H, daneshmandi H. The Compression of shoulder pain and strength and relationship between them in wheelchair veterans athletes and non-athletes. J War Public Health 2012, 4(4): 49-56. [Persian]
24. Mulroy S, Thompson L, Kemp B. Hatchett PP, Newsam CJ. Strengthening and Optimal Movements for Painful Shoulders (STOMPS) in Chronic Spinal Cord Injury. A Randomized Controlled Trial. Physical Therapy Journal 2011; 91 (3); 1-20. [DOI:10.2522/ptj.20100182]
25. Erol O, Ozçakar L, CelikerR. Shoulder rotator strength in patients with stage I-II subacromial impingement: relationship to pain, disability, and quality of life. J Shoulder Elbow Surg. 2008; 17(6):893-7. [DOI:10.1016/j.jse.2008.05.043]
26. Letafatkar A, Abdolvahabi Z.General Corrective Exercises with corrective exercises. Publications: Tehran. Avay zohur. 2010. pp. 110-160. [Persian]
Send email to the article author

Add your comments about this article
Your username or Email:

Write the security code in the box >

DOI: 10.29252/ijwph.10.1.27

XML   Persian Abstract   Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Babakhani F, Balouchi R, Vahidian M. Effect of shoulder's centralized exercise and pushrim activated power assisted wheelchair on shoulder pain and function veterans affected by paraplegic spinal cord injury. Iran J War Public Health. 2018; 10 (1) :27-31
URL: http://ijwph.ir/article-1-696-en.html
Volume 10, Issue 1 (Winter 2018) Back to browse issues page
مجله طب جانباز Iranian Journal of War and Public Health
Persian site map - English site map - Created in 0.048 seconds with 812 queries by yektaweb 3571