The Influence of Age at Pediatric-Onset Spinal Cord Injury and Years of Wheelchair Use on Shoulder Complex Joint Dynamics During Manual Wheelchair Propulsion
Objective: To assess the association of age at pediatric-onset spinal cord injury (SCI) and years of manual wheelchair use with shoulder dynamics. Design: Upper extremity kinematics and hand-rim kinetics were obtained during manual wheelchair propulsion. An inverse dynamics model computed three-dime...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-12-01
|
| Series: | Archives of Rehabilitation Research and Clinical Translation |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590109522000672 |
| _version_ | 1811206882687188992 |
|---|---|
| author | Joshua M. Leonardis, PhD Alyssa J. Schnorenberg, MS Lawrence C. Vogel, MD Gerald F. Harris, PhD Brooke A. Slavens, PhD |
| author_facet | Joshua M. Leonardis, PhD Alyssa J. Schnorenberg, MS Lawrence C. Vogel, MD Gerald F. Harris, PhD Brooke A. Slavens, PhD |
| author_sort | Joshua M. Leonardis, PhD |
| collection | DOAJ |
| description | Objective: To assess the association of age at pediatric-onset spinal cord injury (SCI) and years of manual wheelchair use with shoulder dynamics. Design: Upper extremity kinematics and hand-rim kinetics were obtained during manual wheelchair propulsion. An inverse dynamics model computed three-dimensional acromioclavicular, sternoclavicular, and glenohumeral joint dynamics. Linear mixed effects models evaluated the association of age at injury onset and years of wheelchair use with shoulder dynamics. Setting: Motion laboratory within a children's hospital. Participants: Seventeen manual wheelchair users (N=17; 6 female, 11 male; mean age: 17.2 years, mean age at SCI onset: 11.5 years) with pediatric-onset SCI (levels: C4-T11) and International Standards for Neurological Classification of SCI grades: A (11), B (3), C (2), and N/A (2). Interventions: Not applicable. Main Outcome Measures: Acromioclavicular, sternoclavicular, and glenohumeral angles and ranges of motion, and glenohumeral forces and moments. Results: We observed a decrease in maximum acromioclavicular upward rotation (ß [95% confidence interval {CI}]=3.02 [0.15,5.89], P=.039) and an increase in acromioclavicular downward/upward rotation range of motion (ß [95% CI]=0.44 [0.08,0.80], P=.016) with increasing age at SCI onset. We found interactions between age at onset and years of use for maximum glenohumeral abduction (ß [95% CI]=0.16 [0.03,0.29], P=.017), acromioclavicular downward/upward rotation range of motion (ß [95% CI]=-0.05 [-0.09,-0.01], P=.008), minimum acromioclavicular upward rotation (ß [95% CI]=-0.34 [-0.64,-0.04], P=.026). A decrease in glenohumeral internal rotation moment (ß [95% CI]=-0.09 [-0.17,-0.009], P=.029) with increasing years of use was found. Conclusions: Age at injury and the years of wheelchair use are associated with shoulder complex biomechanics during wheelchair propulsion. These results are noteworthy, as both age at SCI onset and years of wheelchair use are considered important factors in the incidence of shoulder pain. These results suggest that investigations of biomechanical changes over the lifespan are critical. |
| first_indexed | 2024-04-12T03:54:21Z |
| format | Article |
| id | doaj.art-bf20006b5e074071933f76e74d6b2b40 |
| institution | Directory Open Access Journal |
| issn | 2590-1095 |
| language | English |
| last_indexed | 2024-04-12T03:54:21Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Archives of Rehabilitation Research and Clinical Translation |
| spelling | doaj.art-bf20006b5e074071933f76e74d6b2b402022-12-22T03:48:53ZengElsevierArchives of Rehabilitation Research and Clinical Translation2590-10952022-12-0144100235The Influence of Age at Pediatric-Onset Spinal Cord Injury and Years of Wheelchair Use on Shoulder Complex Joint Dynamics During Manual Wheelchair PropulsionJoshua M. Leonardis, PhD0Alyssa J. Schnorenberg, MS1Lawrence C. Vogel, MD2Gerald F. Harris, PhD3Brooke A. Slavens, PhD4Department of Rehabilitation Sciences and Technology, University of Wisconsin-Milwaukee, Milwaukee, WI; Corresponding author Joshua Leonardis, PhD, 1225 Discovery Parkway, Suite 131, Wauwatosa, WI 53226Department of Rehabilitation Sciences and Technology, University of Wisconsin-Milwaukee, Milwaukee, WIShriners Hospitals for Children, Chicago, ILOrthopaedic and Rehabilitation Engineering Center, Marquette University, Milwaukee, WI; Department of Biomedical Engineering, Marquette University, Milwaukee, WIDepartment of Rehabilitation Sciences and Technology, University of Wisconsin-Milwaukee, Milwaukee, WI; Orthopaedic and Rehabilitation Engineering Center, Marquette University, Milwaukee, WIObjective: To assess the association of age at pediatric-onset spinal cord injury (SCI) and years of manual wheelchair use with shoulder dynamics. Design: Upper extremity kinematics and hand-rim kinetics were obtained during manual wheelchair propulsion. An inverse dynamics model computed three-dimensional acromioclavicular, sternoclavicular, and glenohumeral joint dynamics. Linear mixed effects models evaluated the association of age at injury onset and years of wheelchair use with shoulder dynamics. Setting: Motion laboratory within a children's hospital. Participants: Seventeen manual wheelchair users (N=17; 6 female, 11 male; mean age: 17.2 years, mean age at SCI onset: 11.5 years) with pediatric-onset SCI (levels: C4-T11) and International Standards for Neurological Classification of SCI grades: A (11), B (3), C (2), and N/A (2). Interventions: Not applicable. Main Outcome Measures: Acromioclavicular, sternoclavicular, and glenohumeral angles and ranges of motion, and glenohumeral forces and moments. Results: We observed a decrease in maximum acromioclavicular upward rotation (ß [95% confidence interval {CI}]=3.02 [0.15,5.89], P=.039) and an increase in acromioclavicular downward/upward rotation range of motion (ß [95% CI]=0.44 [0.08,0.80], P=.016) with increasing age at SCI onset. We found interactions between age at onset and years of use for maximum glenohumeral abduction (ß [95% CI]=0.16 [0.03,0.29], P=.017), acromioclavicular downward/upward rotation range of motion (ß [95% CI]=-0.05 [-0.09,-0.01], P=.008), minimum acromioclavicular upward rotation (ß [95% CI]=-0.34 [-0.64,-0.04], P=.026). A decrease in glenohumeral internal rotation moment (ß [95% CI]=-0.09 [-0.17,-0.009], P=.029) with increasing years of use was found. Conclusions: Age at injury and the years of wheelchair use are associated with shoulder complex biomechanics during wheelchair propulsion. These results are noteworthy, as both age at SCI onset and years of wheelchair use are considered important factors in the incidence of shoulder pain. These results suggest that investigations of biomechanical changes over the lifespan are critical.http://www.sciencedirect.com/science/article/pii/S2590109522000672AgingPediatricsRehabilitationScapula |
| spellingShingle | Joshua M. Leonardis, PhD Alyssa J. Schnorenberg, MS Lawrence C. Vogel, MD Gerald F. Harris, PhD Brooke A. Slavens, PhD The Influence of Age at Pediatric-Onset Spinal Cord Injury and Years of Wheelchair Use on Shoulder Complex Joint Dynamics During Manual Wheelchair Propulsion Archives of Rehabilitation Research and Clinical Translation Aging Pediatrics Rehabilitation Scapula |
| title | The Influence of Age at Pediatric-Onset Spinal Cord Injury and Years of Wheelchair Use on Shoulder Complex Joint Dynamics During Manual Wheelchair Propulsion |
| title_full | The Influence of Age at Pediatric-Onset Spinal Cord Injury and Years of Wheelchair Use on Shoulder Complex Joint Dynamics During Manual Wheelchair Propulsion |
| title_fullStr | The Influence of Age at Pediatric-Onset Spinal Cord Injury and Years of Wheelchair Use on Shoulder Complex Joint Dynamics During Manual Wheelchair Propulsion |
| title_full_unstemmed | The Influence of Age at Pediatric-Onset Spinal Cord Injury and Years of Wheelchair Use on Shoulder Complex Joint Dynamics During Manual Wheelchair Propulsion |
| title_short | The Influence of Age at Pediatric-Onset Spinal Cord Injury and Years of Wheelchair Use on Shoulder Complex Joint Dynamics During Manual Wheelchair Propulsion |
| title_sort | influence of age at pediatric onset spinal cord injury and years of wheelchair use on shoulder complex joint dynamics during manual wheelchair propulsion |
| topic | Aging Pediatrics Rehabilitation Scapula |
| url | http://www.sciencedirect.com/science/article/pii/S2590109522000672 |
| work_keys_str_mv | AT joshuamleonardisphd theinfluenceofageatpediatriconsetspinalcordinjuryandyearsofwheelchairuseonshouldercomplexjointdynamicsduringmanualwheelchairpropulsion AT alyssajschnorenbergms theinfluenceofageatpediatriconsetspinalcordinjuryandyearsofwheelchairuseonshouldercomplexjointdynamicsduringmanualwheelchairpropulsion AT lawrencecvogelmd theinfluenceofageatpediatriconsetspinalcordinjuryandyearsofwheelchairuseonshouldercomplexjointdynamicsduringmanualwheelchairpropulsion AT geraldfharrisphd theinfluenceofageatpediatriconsetspinalcordinjuryandyearsofwheelchairuseonshouldercomplexjointdynamicsduringmanualwheelchairpropulsion AT brookeaslavensphd theinfluenceofageatpediatriconsetspinalcordinjuryandyearsofwheelchairuseonshouldercomplexjointdynamicsduringmanualwheelchairpropulsion AT joshuamleonardisphd influenceofageatpediatriconsetspinalcordinjuryandyearsofwheelchairuseonshouldercomplexjointdynamicsduringmanualwheelchairpropulsion AT alyssajschnorenbergms influenceofageatpediatriconsetspinalcordinjuryandyearsofwheelchairuseonshouldercomplexjointdynamicsduringmanualwheelchairpropulsion AT lawrencecvogelmd influenceofageatpediatriconsetspinalcordinjuryandyearsofwheelchairuseonshouldercomplexjointdynamicsduringmanualwheelchairpropulsion AT geraldfharrisphd influenceofageatpediatriconsetspinalcordinjuryandyearsofwheelchairuseonshouldercomplexjointdynamicsduringmanualwheelchairpropulsion AT brookeaslavensphd influenceofageatpediatriconsetspinalcordinjuryandyearsofwheelchairuseonshouldercomplexjointdynamicsduringmanualwheelchairpropulsion |