Manual Therapy for the Treatment of Shoulder Pain for Overuse Syndrome Wheelchair Dependent Persons
Completed · Not applicable
Conditions studied: Spinal Cord Injuries, Pain, Musculoskeletal Manipulations
In brief
Shoulder pain is a common, debilitating problem for persons with Spinal cord injuries (SCI). Shoulder pain affects approximately 40-50% of the total population of persons with paraplegia (those with SCI with full use of their upper extremities and no or limited use of their lower extremities). Among the etiologies of shoulder pain in persons with paraplegia, overuse syndrome is the most common. Shoulder overuse syndrome in a person with paraplegia is the result of high activity demands and high mechanical load on the upper extremity during activities such as wheelchair propulsion, transferring with the arms, and performing activities of daily living from a wheelchair height, resulting in increased overhead activity. The pain as a result of overuse syndrome can limit the patient's participation in occupational and physical therapy as well as limit performance of activities of daily living and participation in usual life activities. An alternative treatment for shoulder pain with evidence to support efficacy in the able bodied population is Manual Therapy (MT). Unfortunately, there have been no prior research studies published examining the therapeutic efficacy of MT for overuse injuries of the shoulder in patients with paraplegia. This study will determine if MT, is efficacious to reduce pain in this population. A total of 20 patients with paraplegia identified in the outpatient clinic at Craig Hospital with overuse syndrome of the shoulder will be enrolled in the study.
Key facts
- Study ID
- NCT04991415
- Run by
- Craig Hospital
- People needed
- 12
- Starts
- 2014-12-01
- Expected to finish
- 2021-07-01
- Last updated by the study team
- 2021-08-05
Who can join
Age: 18 and older, up to 65. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Age 18-65,
- Spinal cord injury, non-ambulatory, wheelchair user,
- Pain in shoulder from overuse injury,
- Pain interference on the WUSPI of at least 6/10 on at least 2 of the transfer items and any one of the remaining items,
- English-speaking,
- Stable spine,
- Full weight-bearing status in bilateral upper extremities (i.e. no orthopedic precautions on UE weight-bearing activities)
- Greater than 3 months post initial spinal cord injury
- Diagnosis of overuse syndrome of the shoulder
You may not qualify if…
- Concomitant moderate to severe Traumatic Brain Injury
- Fractures in upper limbs.
- Concurrent diagnosis of Fibromyalgia.
- Cervical radiculopathy.
- Previous shoulder pathology
- Neuromuscular junction disorders (such as myasthenia gravis),
- Psychiatric disorder.
- Lack capacity to provide informed consent.
Where it is running
- Craig Hospital — Englewood, Colorado, United States
Full record on ClinicalTrials.gov
Trial information comes from ClinicalTrials.gov and is refreshed daily. TrialsForMe does not provide medical care and does not run the studies it lists.