Rotator Cuff Tear Progression at 2-year Follow-up in Manual Wheelchair Users with Spinal Cord Injury
Archives of Physical Medicine and Rehabilitation(2022)
摘要
Research ObjectivesTo investigate rotator cuff tear progression in manual wheelchair (MWC) users with spinal cord injury (SCI) and matched able-bodied individuals.DesignLongitudinal cohort study, 2-year follow-up.SettingOutpatient clinic at a tertiary medical center.ParticipantsThirty-three adult MWC users with SCI (26 men) with an average age (SD) of 42 (12) years and 33 age/sex-matched able-bodied individuals participated in this study. Median time since injury (interquartile ratio) for the SCI participants was 7 (19) years.InterventionsNot applicable.Main Outcome MeasuresMagnetic resonance imaging (MRI) abnormalities of rotator cuff tendons (dominant side) including partial tears (low, intermediate, and high grade) and full tears at baseline and 2-year follow-up visits were graded by a board-certified musculoskeletal radiologist. Presence of shoulder pain was collected.ResultsFifty-two percent of the MWC users reported shoulder pain at baseline which was significantly higher than able-bodied cohort (10%, P=0.004). The prevalence of any tendon tears across the rotator cuff in MWC users was 61% and 67% at baseline and year 2 visits, respectively, and for able-bodied participants was 45%, and 52%. The MWC users experienced a significant (P=0.001) rotator cuff tear progression from baseline to year 2 (15 participants with worsening score and 2 with improving score). MRI findings did not change significantly for the able-bodied cohort. The MWC user cohort had 3 times (relative risk; 95% CI: 1.23 to 7.30, P = 0.007) higher risk of experiencing rotator cuff tear progression over 2 years in comparison to the able-bodied cohort.ConclusionsThe findings of this study indicate the significantly accelerated rate of rotator cuff degeneration in MWC users with SCI in comparison to able-bodied individuals.Author(s) DisclosuresNational Institutes of Health Funding (grant no. R01 HD84423).
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关键词
manual wheelchair users,injury
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