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Paraplegia and the shoulder.

Jennifer Hastings1, Barry Goldstein

  • 1School of Nursing, University of Washington, 5719 18th Avenue NE, Seattle, WA 98105, USA. hastij@u.washington.edu

Physical Medicine and Rehabilitation Clinics of North America
|June 29, 2004
PubMed
Summary

Shoulder pain is a growing concern for individuals with spinal cord injury (SCI). This review covers its causes, diagnosis, and management strategies for SCI patients.

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Area of Science:

  • Rehabilitation Medicine
  • Neurology
  • Orthopedics

Background:

  • Increasing prevalence of shoulder pain among spinal cord injury (SCI) patients.
  • Commonly affects soft tissues like tendons, muscles, and bursae.
  • Bone and joint disorders, including osteoarthritis, are also relevant.

Purpose of the Study:

  • To provide a comprehensive overview of shoulder pain in SCI.
  • To address historical context, epidemiology, and pathophysiology.
  • To detail diagnosis, prevention, and treatment options.

Main Methods:

  • Literature review and synthesis of existing research.
  • Analysis of epidemiological data related to SCI and shoulder pain.
  • Examination of diagnostic criteria and therapeutic interventions.

Main Results:

  • Shoulder pain in SCI is multifactorial, involving soft tissue and joint pathologies.
  • Early diagnosis and targeted interventions are crucial for effective management.
  • Prevention strategies can mitigate the incidence and severity of shoulder pain.

Conclusions:

  • Shoulder pain is a significantcomorbidity in spinal cord injury.
  • A multidisciplinary approach is essential for managing shoulder pain in SCI.
  • Further research is needed to optimize prevention and treatment protocols.

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