Shoulder Kinematics and Acute Ultrasonographic Changes in Four Different Stroke Patterns in Manual Wheelchair Users With Spinal Cord Injury
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Supraspinatus tendon thickness
Study Overview
Brief Summary
People who lose function of the lower limb due to spinal cord injury (SCI) need to use their arms for activities of daily life especially during weight-bearing tasks, such as transfers, and manual wheelchair (MWC) propulsion in order to maintain mobility. Persistent use of the upper limbs constitutes biomechanical difficulties, especially in the shoulder joint. The most commonly affected area in the shoulder is supraspinatus and biceps tendon. Four different stoke patterns have been classified in MWC users. Distinct amounts of force may be applied to the shoulder joint during propulsion with different stroke patterns and this can affect the shoulder tendons in different rates. In this study, investigators aimed to evaluate and compare the acute sonographic changes in supraspinatus and biceps tendons after a wheelchair propelling test in MWC users with SCI with different stroke patterns. Also, it is intended to determine the risk factors related to the stroke patterns that may be associated with these sonographic changes.
Detailed Description
Fourty male MWC users with SCI were will be divided into 4 groups according to their stroke patterns (arcing, semicirculer, single loop, and double loop). Participants will use their own wheelchairs with their preferred stroke pattern for 20 minutes at a speed of 1 m / s on a motorized treadmill for a wheelchair propelling test. Wheelchair propelling videos will be recorded during the test. Shoulder kinematics will be analyzed using Kinovea motion analysis software and stoke pattern will be confirmed. Ultrasonographic assesment of participants' nondominant shoulder will be performed before and after testing procedure.
Study Design
- Study Type
- Observational
- Observational Model
- Other
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- Male
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •People with traumatic spinal cord injury
- •Age between 18 to 65 years,
- •Neurologic injury level at T2 or below, with AIS grade A or B,
- •Time since injury at least 6 months,
- •Using manual wheelchair as their primary mobility tools
Exclusion Criteria
- •Fractures in nondominant upper limb at any time,
- •Shoulder surgery within the past 5 years or corticosteroid injections within the past 3 months to the nondominant shoulder,
- •Upper limb pain that restricts propulsion of a manual wheelchair,
- •A history of cardiopulmonary problems and degenerative joint diseases
Outcomes
Primary Outcomes
Supraspinatus tendon thickness
Time Frame: Through study completion, an average of 1 month
Transverse images of the suprasinatus tendon will be performed by using musculoskeletal ultrasonography before and after the wheelchair propelling test
Long head of the biceps tendon thickness
Time Frame: Through study completion, an average of 1 month
Longitudinal images of the long head of the biceps tendon will be performed by using musculoskeletal ultrasonography before and after the wheelchair propelling test
Acromio-humeral distance
Time Frame: Through study completion, an average of 1 month
Acromio-humeral distance measurements will be performed by using musculoskeletal ultrasonography before and after the wheelchair propelling test
Secondary Outcomes
- Push phase(Through study completion, an average of 1 month)
- Shoulder range of motion in the sagittal plane(Through study completion, an average of 1 month)
- Cadence(Through study completion, an average of 1 month)
- Contact angle(Through study completion, an average of 1 month)
- Recovery phase(Through study completion, an average of 1 month)
Investigators
Yasin Demir
Physical Medicine and Rehabilitation Specialist
Gaziler Physical Medicine and Rehabilitation Education and Research Hospital