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This article and any supplementary material should be cited as follows: Wessles KK, Brown JL, Ebersole KT, Sosnoff JJ. Sex, shoulder pain, and range of.

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Presentation on theme: "This article and any supplementary material should be cited as follows: Wessles KK, Brown JL, Ebersole KT, Sosnoff JJ. Sex, shoulder pain, and range of."— Presentation transcript:

1 This article and any supplementary material should be cited as follows: Wessles KK, Brown JL, Ebersole KT, Sosnoff JJ. Sex, shoulder pain, and range of motion in manual wheelchair users. J Rehabil Res Dev. 2013;50(3):351–56. http://dx.doi.org/10.1682/JRRD.2011.02.0025 Slideshow Project DOI:10.1682/JRRD.2011.02.0025JSP Sex, shoulder pain, and range of motion in manual wheelchair users Karla K. Wessels, MS, ATC; Jennifer L. Brown, MS, ATC; Kyle T. Ebersole, PhD, ATC; Jacob J. Sosnoff, PhD

2 This article and any supplementary material should be cited as follows: Wessles KK, Brown JL, Ebersole KT, Sosnoff JJ. Sex, shoulder pain, and range of motion in manual wheelchair users. J Rehabil Res Dev. 2013;50(3):351–56. http://dx.doi.org/10.1682/JRRD.2011.02.0025 Slideshow Project DOI:10.1682/JRRD.2011.02.0025JSP Aim – In manual wheelchair users (MWUs), examine relationship between: Sex. Range of motion (ROM). Shoulder pain. Relevance – Up to 70% of MWUs experience shoulder pain. – Pain more prevalent in females than males. Causes of this sex discrepancy not understood, but decreased ROM suggested as major contributor.

3 This article and any supplementary material should be cited as follows: Wessles KK, Brown JL, Ebersole KT, Sosnoff JJ. Sex, shoulder pain, and range of motion in manual wheelchair users. J Rehabil Res Dev. 2013;50(3):351–56. http://dx.doi.org/10.1682/JRRD.2011.02.0025 Slideshow Project DOI:10.1682/JRRD.2011.02.0025JSP Method Divided 30 MWUs (18 males, 12 females) into 2 groups based on self-reported shoulder pain. Digital goniometer assessed shoulder active and passive ROMs bilaterally on: – Flexion/extension. – Abduction/adduction. – Internal rotation/external rotation. Visual analog scale assessed shoulder pain.

4 This article and any supplementary material should be cited as follows: Wessles KK, Brown JL, Ebersole KT, Sosnoff JJ. Sex, shoulder pain, and range of motion in manual wheelchair users. J Rehabil Res Dev. 2013;50(3):351–56. http://dx.doi.org/10.1682/JRRD.2011.02.0025 Slideshow Project DOI:10.1682/JRRD.2011.02.0025JSP Results 47% of participants reported shoulder pain. Overall, no-pain group had greater ROM than pain group. – Further analysis revealed this was only significant in females during extension.

5 This article and any supplementary material should be cited as follows: Wessles KK, Brown JL, Ebersole KT, Sosnoff JJ. Sex, shoulder pain, and range of motion in manual wheelchair users. J Rehabil Res Dev. 2013;50(3):351–56. http://dx.doi.org/10.1682/JRRD.2011.02.0025 Slideshow Project DOI:10.1682/JRRD.2011.02.0025JSP Conclusion ROM impairments were only present in extension in females with shoulder pain. Mechanism underlying this sex difference is not clear.


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