Upper limb pain in a national sample of veterans with paraplegia

Gironda, R. J.; Clark, M. E.; Neugaard, B.; Nelson, A.: Upper limb pain in a national sample of veterans with paraplegia. I: Journal of Spinal Cord Medicine, 2004(27/2), s. 120-127.Language: Engelsk

Summary: The purpose of this survey study was to examine the prevalence and intensity of pain and associated patient characteristics in a national sample of veterans with paraplegia. Of particular interest were upper limb (UL) pain conditions, which pose unique challenges to individuals who use a wheelchair for mobility. Because the risk for UL pain conditions appears to increase over time, the associations among age, duration of wheelchair use, and UL pain were evaluated. Methods: A group of 1,675 individuals between the ages of 18 and 65 with a lesion between T2 and L2 and a mailing address on file were selected randomly from the Veterans Affairs Spinal Cord Dysfunction Registry and mailed a survey packet. Of the deliverable packets, approximately 46% were completed and returned. Results: Approximately 81% of the respondents reported at least a minimal level of ongoing unspecified pain and 69% experienced current UL pain. Shoulder pain intensity was most severe during the performance of wheelchair-related mobility and transportation activities, suggesting that UL pain may have a significant impact on functional independence. Duration of wheelchair use modestly predicted shoulder pain prevalence and intensity, but age and the interaction between age and duration of wheelchair use did not.

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