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Rehabilitation Practice and Science

Translated Title

脊髓損傷截癱使用輪椅者的肩關節超音波檢查

Abstract

Due to the prolonged use of upper extremities for weight-bearing, the shoulder joints of paraplegic wheelchair-users are prone to injury. Once shoulder pain occurs, performance of activities required for daily living would thus be disturbed. In past studies, the shoulders of the spinal cord injured patients were evaluated with arthrography or magnetic resonance images and the rotator cuff injuries were found. In the current study, we used ultrasonography to detect rotator cuff injuries of paraplegic wheelchair-users. The factors associated with ultrasonographic findings were also investigated.Thirty paraplegic wheelchair-users, 26 males and 4 females, were recruited for this study. Both shoulder joints of each subject were investigated with ultrasonography. Twenty shoulders (33.3%) had abnormal ultrasonographic findings (i.e., rotator cuff tears or tendinosis). Between the two groups of patients with normal and abnormal ultrasonographic findings, there was a significant difference in the age, duration of wheelchair-dependence, and shoulder pain history. No significant difference existed between the two groups with respect to gender and the time of daily wheelchair-use. On multivariate logistic regression analysis, a history of shoulder pain and the duration of wheelchair-dependence remained independent predictors of abnormal ultrasonographic findings (odds ratio, 4.1 and 1.1, respectively). We conclude that there is a significant relationship between a history of shoulder pain and abnormal ultrasonographic findings of shoulder joints in paraplegic wheelchair-users. The longer the duration of wheelchair dependence, the more abnormal are the findings of ultrasonography. Ultrasonography is a non-invasive, easy-to-use and accurate method to evaluate soft tissues. We easily used ultrasonography to evaluate shoulder tendinopathy for paraplegic wheelchair-users.

Language

Traditional Chinese

First Page

97

Last Page

103

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