Prevalence and factors associated with a higher risk of neck and back pain among permanent wheelchair users: a cross-sectional study

Spinal Cord
Francisco M KovacsJavier Zamora

Abstract

Cross-sectional study. To determine the prevalence of, and factors associated with, spinal pain among wheelchair users. Four Spanish hospitals specialized in providing care for wheelchair users. Persons who had used a wheelchair for a median (IRQ) of 10 (5;19) years, 27% of them due to reasons other than spinal cord injury, were recruited consecutively (n = 750). Data on 43 demographic, psychosocial, ergonomic, and clinical variables were collected, and analyzed. Main outcome measures were: point prevalence of neck (NP), thoracic (TP), low back pain (LBP), and pain at any spinal level (PASL); and factors associated with them. Point prevalence was 56% for NP, 54% for TP, 45% for LBP, and 76% for PSAL. PASL was associated with a lower quality of life (OR (95% CI) 0.91 (0.86; 0.97)). Multivariable regression models showed that the main factors associated with significant pain (≥1.5 VAS points) were: (a) For NP: cervical spinal injury and wheelchair seat cushion thickness, (b) For TP: thoracic spinal injury and sagittal index, (c) For LBP: thoracic or lumbar spinal injury, with some sensitivity remaining, (d) For PASL: being female, living alone, and using a non-power wheelchair. Discrimination (AUC) of these models ranged between ...Continue Reading

References

Feb 1, 1978·Journal of Chronic Diseases·F de Waard
Dec 1, 1991·Scandinavian Journal of Work, Environment & Health·E Johanning
Nov 9, 1974·Lancet·E C Huskisson
Apr 1, 1984·Statistics in Medicine·F E HarrellR A Rosati
Mar 1, 1994·Archives of Physical Medicine and Rehabilitation·R L WatersI Sie
Feb 1, 1997·The Australian Journal of Rural Health·S ScutterR Hall
Feb 15, 2001·Occupational and Environmental Medicine·G A AriënsW van Mechelen
Apr 17, 2001·Occupational and Environmental Medicine·E Viikari-JunturaH Riihimäki
Nov 27, 2001·Disability and Rehabilitation·K SamuelssonB Gerdle
Jan 16, 2002·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·L A May, S Warren
Feb 22, 2003·American Journal of Physical Medicine & Rehabilitation·Michael L BoningerBetty Liu
Dec 9, 2003·Disability and Rehabilitation·R Lee KirbyDonald A Macleod
May 13, 2004·Assistive Technology : the Official Journal of RESNA·Carmen P DiGiovineMichael L Boninger
Jan 15, 2005·The Journal of Spinal Cord Medicine·Rory A CooperRosemarie Cooper
Sep 9, 2005·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·Jeremy Gibson, Andrew Frank
Jan 1, 2008·The Spine Journal : Official Journal of the North American Spine Society·Simon DagenaisScott Haldeman
Apr 12, 2008·BMC Musculoskeletal Disorders·Francisco M KovacsUNKNOWN Spanish Back Pain Research Network
Jul 1, 2009·Disability and Rehabilitation. Assistive Technology·Kersti SamuelssonBirgitta Rustner
Dec 17, 2009·Spinal Cord·N GuptaK Raja
Jul 12, 2013·Disability and Rehabilitation·Christina MichailidouIan Sutherland
May 11, 2016·Spinal Cord·J TranA L J Burke

❮ Previous
Next ❯

Citations

Aug 14, 2021·Pain and Therapy·Andreas LiampasPanagiotis Zis
Jan 15, 2021·American Journal of Physical Medicine & Rehabilitation·Stephanie Nogan BaileyRonald J Triolo

❮ Previous
Next ❯

Software Mentioned

Stata
SPSS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

© 2022 Meta ULC. All rights reserved