Salisbury S K, Nitz J, Souvlis T
Division of Physiotherapy, University of Queensland, Queensland, Australia.
Spinal Cord. 2006 Dec;44(12):723-8. doi: 10.1038/sj.sc.3101908. Epub 2006 Feb 28.
To investigate (1) the characteristics of shoulder pain following discharge from rehabilitation for tetraplegia, (2) the relationship between pain and any associated risk factors and (3) the relationship between pain and functional activities, and pain and quality of life.
Longitudinal study.
Spinal Injuries Unit, Australia.
Participants (n=27) were surveyed between 2 and 4 years postinjury. Prospective data on shoulder pain during rehabilitation had been collected previously and allowed comparison with the follow-up data. Data collected included pain intensity and quality, the Wheelchair User's Shoulder Pain Index (WUSPI) and perceived effect of pain on quality of life.
Shoulder pain prevalence was 70%. Pain was associated with discharge motor level of C6-T1 (P=0.003). Pain was most commonly located in the shoulder joint. Pain was primarily aggravated by movement and cold weather and relieved by rest. The most painful activity was lifting an object from overhead. Quality of life was affected by pain in 68.4% of participants.
Shoulder pain is common following rehabilitation for tetraplegia and is associated with injury level. Pain is reported during daily tasks and adversely affects quality of life. Areas for further research are identified.
调查（1）四肢瘫痪康复出院后肩部疼痛的特征，（2）疼痛与任何相关危险因素之间的关系，以及（3）疼痛与功能活动、疼痛与生活质量之间的关系。
纵向研究。
澳大利亚脊髓损伤科。
对受伤后2至4年的参与者（n = 27）进行调查。先前已收集了康复期间肩部疼痛的前瞻性数据，以便与随访数据进行比较。收集的数据包括疼痛强度和性质、轮椅使用者肩部疼痛指数（WUSPI）以及疼痛对生活质量的感知影响。
肩部疼痛患病率为70%。疼痛与C6 - T1的出院运动水平相关（P = 0.003）。疼痛最常位于肩关节。疼痛主要因运动和寒冷天气而加重，休息后缓解。最疼痛的活动是从头顶上方举起物体。68.4%的参与者生活质量受到疼痛影响。
四肢瘫痪康复后肩部疼痛很常见，且与损伤水平相关。日常任务中会出现疼痛，对生活质量产生不利影响。确定了进一步研究的领域。
