Shoulder impairment in persons with a spinal cord injury & associations with activities and participation

Inge Hoogland-Eriks

    Research output: ThesisThesis fully internal (DIV)

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    Abstract

    Most people with a spinal cord injury (SCI) are not able to walk and depend on their arms for many activities, like wheelchair propulsion and getting in and out the wheelchair. It is therefore not surprising that many people with a SCI suffer from shoulder problems.

    In this thesis we studied: 1) the prevalence of shoulder problems, especially shoulder pain and shoulder joint range of motion in persons with as SCI, and 2) the relation between shoulder problems and performance of daily activities and participation in work.

    This thesis shows that people with an SCI develop shoulder problems shortly after the injury and it is not solely a “late complication” as often assumed. In a study on shoulder arthrosis in people with shoulder pain we found that, although arthrosis is found as often in people with and without an SCI, severity in people with an SCI is more outspoken.

    Shoulder problems showed to appear mostly in people with a tetraplegia (people with limited arm function). People with a limited motion of their shoulder range are on the long-term more likely to become dependent on help, and less often have a paid job.

    The old saying “prevention is better than cure” applies here too. People with an SCI should train their upper body, and the provision of optimal devises, such as a wheelchair, should be warranted to facilitate an independent life without shoulder pain.
    Translated title of the contributionSchouderproblemen bij Personen met een dwaslaesie en het verband met beperkingen in activiteiten en participatie
    Original languageEnglish
    QualificationDoctor of Philosophy
    Awarding Institution
    • University of Groningen
    Supervisors/Advisors
    • van der Woude, Lucas, Supervisor
    • Stucki, Gerold, Supervisor, External person
    • Post, Marcel, Supervisor
    • de Groot, Sonja, Co-supervisor
    Award date8-Sep-2014
    Place of Publication[S.l.]
    Publisher
    Print ISBNs978-90-367-7001-9
    Electronic ISBNs978-90-367-7002-6
    Publication statusPublished - 2014

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