Dyson-Hudson Trevor A, Sisto Sue Ann, Bond Quin, Emmons Racine, Kirshblum Steven C
Kessler Medical Rehabilitation Research and Education Center, West Orange, NJ 07052, USA.
Arch Phys Med Rehabil. 2007 Dec;88(12):1727-9. doi: 10.1016/j.apmr.2007.07.043.
To determine whether a primary fitness program utilizing arm crank ergometry would cause increased shoulder pain in persons with spinal cord injury (SCI).
Cohort study.
Clinical research center.
People (N=23) with chronic SCI (>1 y) who were participating in a weight loss study to compare the effectiveness of diet only (1000 kcal/d for 12 wk) versus diet with arm crank ergometry (1000 kcal/d and arm crank ergometry 3 times a week for 12 wk).
Arm crank ergometry.
Changes in shoulder pain intensity using the Wheelchair User's Shoulder Pain Index (WUSPI).
After adjusting for baseline scores, there was no significant difference between the 2 groups on postintervention WUSPI scores (F(1,20)=.85, P=.37, partial eta2=.04). The strength of the relationship between group assignment (diet only vs diet and arm crank ergometry) and final WUSPI score was weak, as assessed by a partial eta2, with group assignment accounting for 4% of the variance on the WUSPI. The adjusted means were lower in the diet and arm crank ergometry group (mean, 7.84) than in the diet only group (mean, 12.22); however, these differences did not appear to be clinically significant.
A primary fitness program using arm crank ergometry does not increase shoulder pain in people with SCI who use wheelchairs. Further investigation with a larger group and what constitutes clinically significant changes on the WUSPI is warranted to confirm our results.
确定使用手臂曲柄测力计的初级健身计划是否会导致脊髓损伤（SCI）患者的肩部疼痛加剧。
队列研究。
临床研究中心。
23名患有慢性SCI（超过1年）的人，他们正在参与一项减肥研究，以比较仅饮食（12周内每天1000千卡）与饮食结合手臂曲柄测力计（12周内每天1000千卡且每周进行3次手臂曲柄测力计训练）的效果。
手臂曲柄测力计训练。
使用轮椅使用者肩部疼痛指数（WUSPI）评估肩部疼痛强度的变化。
在对基线分数进行调整后，两组干预后的WUSPI分数无显著差异（F(1,20)=.85，P=.37，偏η²=.04）。通过偏η²评估，组间分配（仅饮食组与饮食加手臂曲柄测力计训练组）与最终WUSPI分数之间的关系强度较弱，组间分配仅占WUSPI分数方差的4%。饮食加手臂曲柄测力计训练组的调整后均值（均值为7.84）低于仅饮食组（均值为12.22）；然而，这些差异似乎并无临床意义。
对于使用轮椅的SCI患者，使用手臂曲柄测力计的初级健身计划不会增加肩部疼痛。有必要对更大规模的人群进行进一步研究，并明确WUSPI上具有临床意义的变化，以证实我们的结果。
