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首页> 外文期刊>Spinal cord: the official journal of the International Medical Society of Paraplegia >Upper extremity musculoskeletal pain during and after rehabilitation in wheelchair-using persons with a spinal cord injury.
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Upper extremity musculoskeletal pain during and after rehabilitation in wheelchair-using persons with a spinal cord injury.

机译：使用轮椅的脊髓损伤患者康复期间和康复后的上肢肌肉骨骼疼痛。

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摘要

STUDY DESIGN: Prospective cohort study. OBJECTIVES: To study upper extremity musculoskeletal pain during and after rehabilitation in wheelchair-using subjects with a spinal cord injury (SCI) and its relation with lesion characteristics, muscle strength and functional outcome. SETTING: Eight rehabilitation centers with an SCI unit in the Netherlands. METHODS: Using a questionnaire, number, frequency and seriousness of musculoskeletal pain complaints of the upper extremity were measured. A pain score for the wrist, elbow and shoulder joints was calculated by multiplying the seriousness by the frequency of pain complaints. An overall score was obtained by adding the scores of the three joints of both upper extremities. Muscle strength was determined by manual muscle testing. The motor score of the functional independence measure provided a functional outcome. All outcomes were obtained at four test occasions during and 1 year after rehabilitation. RESULTS: Upper extremity pain and shoulder pain decreased over time (30%) during the latter part of in-patient rehabilitation (P<0.001). Subjects with tetraplegia (TP) showed more musculoskeletal pain than subjects with paraplegia (PP) (P<0.001). Upper extremity pain and shoulder pain were significantly inversely related to functional outcome (P<0.001). Muscle strength was significantly inversely related to shoulder pain (P<0.001). Musculoskeletal pain at the beginning of rehabilitation and BMI were strong predictors for pain 1 year after in-patient rehabilitation (P<0.001). CONCLUSIONS: Subjects with TP are at a higher risk for upper extremity musculoskeletal pain and for shoulder pain than subjects with PP. Higher muscle strength and higher functional outcome are related to fewer upper extremity complaints.
机译：研究设计：前瞻性队列研究。目的：研究使用轮椅的脊髓损伤（SCI）患者在康复期间和康复后的上肢肌肉骨骼疼痛及其与病变特征，肌肉力量和功能结局的关系。地点：荷兰设有8个康复中心，并设有SCI部门。方法：使用问卷调查法，测量上肢肌肉骨骼疼痛症状的数量，频率和严重性。腕部，肘部和肩部关节的疼痛评分是通过将严重程度乘以疼痛投诉的频率来计算的。通过将两个上肢的三个关节的得分相加获得总体得分。肌肉强度通过手动肌肉测试确定。功能独立性测量的运动评分提供了功能结果。所有结果均在康复期间和康复后的一年中的四个测试时机获得。结果：在住院康复的后期，上肢疼痛和肩部疼痛随时间减少（30％）（P <0.001）。与截瘫（PP）相比，四肢瘫痪（TP）的患者显示出更多的肌肉骨骼疼痛（P <0.001）。上肢疼痛和肩部疼痛与功能预后显着负相关（P <0.001）。肌肉力量与肩部疼痛显着负相关（P <0.001）。康复开始时的肌肉骨骼疼痛和BMI是住院康复后1年疼痛的有力预测指标（P <0.001）。结论TP受试者比PP受试者患上肢肌肉骨骼疼痛和肩痛的风险更高。较高的肌肉力量和较高的功能结局与较少的上肢不适有关。

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