The Journal of Spinal Cord Medicine, 2022 · DOI: 10.1080/10790268.2020.1834774 · Published: July 1, 2022
This study looked at the shoulders of people with spinal cord injuries who use manual wheelchairs to see how common rotator cuff and biceps problems are. The researchers found that most participants had some level of tendon damage (tendinopathy) and many had partial tears in their rotator cuff tendons. Those with tears were generally older and had used a wheelchair for a longer time. The study suggests that regular check-ups for shoulder problems in this group should focus on age and years of wheelchair use, rather than just relying on what the patient reports about pain.
Strategies for monitoring shoulder pathologies in manual wheelchair users with spinal cord injury should consider age and years of wheelchair use.
Early intervention might reduce the rate of disease advancement.
Further longitudinal investigation with a larger population of MWC users with SCI is necessary to elucidate the natural history of shoulder pathology progression and pain development due to MWC use.