Article

OBJECTIVE: To study the correlation between limited shoulder range of motion in
persons with spinal cord injury at discharge and the performance of activities,
wheeling performance, transfers and participation one year later. DESIGN:
Multicentre prospective cohort study. SUBJECTS: A total of 146 newly injured
subjects with spinal cord injury. METHODS: Shoulder range of motion was measured
at discharge. One year later, Functional Independence Measure (FIM), transfer
ability, wheelchair circuit and Physical Activity Scale for Individuals with
Physical Disabilities (PASIPD) were assessed. Corrections were made for possible
confounding factors (age, gender, level and completeness of injury, time since
injury and shoulder pain). RESULTS: All subjects with limited shoulder range of
motion at discharge had a lower FIM motor score and were less likely (total group
5 times, and subjects with tetraplegia 10 times less likely) to be able to
perform an independent transfer one year later. Subjects with limited shoulder
range of motion in the total group needed more time to complete the wheelchair
circuit. No significant associations with the PASIPD were found in either group.
CONCLUSION: Persons with spinal cord injury and limited shoulder range of motion
at discharge are more limited in their activities one year later than those
without limited shoulder range of motion.

Langue : ANGLAIS