Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign , Urbana, IL , USA.
Department of Mechanical Engineering and Sciences, University of Illinois at Urbana-Champaign , Urbana, IL , USA.
Front Bioeng Biotechnol. 2015 Jul 27;3:105. doi: 10.3389/fbioe.2015.00105. eCollection 2015.
Manual wheelchair users are at great risk for the development of upper extremity injury and pain. Any loss of upper limb function due to pain adversely impacts the independence and mobility of manual wheelchair users. There is growing theoretical and empirical evidence that fluctuations in movement (i.e., motor variability) are related to musculoskeletal pain. This perspectives paper discusses a local review on several investigations examining the association between variability in wheelchair propulsion and shoulder pain in manual wheelchair users. The experimental data reviewed highlights that the variability of wheelchair propulsion is impacted by shoulder pain in manual wheelchair users. We maintain that inclusion of these metrics in future research on wheelchair propulsion and upper limb pain may yield novel data. Several promising avenues for future research based on this collective work are discussed.
手动轮椅使用者发生上肢损伤和疼痛的风险很大。由于疼痛导致上肢功能丧失，会对手动轮椅使用者的独立性和移动能力产生不利影响。越来越多的理论和实证证据表明，运动的波动（即运动变异性）与肌肉骨骼疼痛有关。本文讨论了对几项研究的局部综述，这些研究检查了手动轮椅使用者中轮椅推进的变异性与肩部疼痛之间的关联。综述的实验数据强调了手动轮椅使用者的肩部疼痛会影响轮椅推进的可变性。我们认为，在未来关于轮椅推进和上肢疼痛的研究中纳入这些指标可能会产生新的数据。根据这项集体工作，讨论了未来研究的几个有前途的方向。
