RT info:eu-repo/semantics/article
T1 Prevalence and factors associated with a higher risk of neck and back pain among permanent wheelchair users: a cross-sectional study
A1 Kovacs, Francisco M.
A1 Seco Calvo, Jesús Ángel
A1 Royuela Vicente, Ana
A1 Barriga Martín, Andrés
A1 Zamora Romero, Javier
A2 Fisioterapia
K1 Medicina. Salud
K1 Neck pain
K1 Wheelchair users
K1 Cross-sectional study
K1 Spinal pain
K1 Spanish hospitals
AB [EN] Study design: Cross-sectional study. Objectives: To determine the prevalence of, and factors associated with, spinal pain among wheelchair users. Setting: Four Spanish hospitals specialized in providing care for wheelchair users. Methods: Persons who had used a wheelchair for a median (IRQ) of 10 (5;19) years, 27% of them due to reasons other than spinal cord injury, were recruited consecutively (n = 750). Data on 43 demographic, psychosocial, ergonomic, and clinical variables were collected, and analyzed. Main outcome measures were: Point prevalence of neck (NP), thoracic (TP), low back pain (LBP), and pain at any spinal level (PASL); and factors associated with them. Results: Point prevalence was 56% for NP, 54% for TP, 45% for LBP, and 76% for PSAL. PASL was associated with a lower quality of life (OR (95% CI) 0.91 (0.86; 0.97)). Multivariable regression models showed that the main factors associated with significant pain (≥1.5 VAS points) were: (a) For NP: Cervical spinal injury and wheelchair seat cushion thickness, (b) For TP: Thoracic spinal injury and sagittal index, (c) For LBP: Thoracic or lumbar spinal injury, with some sensitivity remaining, (d) For PASL: Being female, living alone, and using a non-power wheelchair. Discrimination (AUC) of these models ranged between 0.638 and 0.818. p-values in the Hosmer-Lemeshow test ranged between 0.420 and 0.701. Conclusions: Prevalence of spinal pain among wheelchair users is high. It is associated with a lower quality of life. Future studies should assess whether using a power wheelchair affects PASL, and if the thickness of seat cushion affects NP. Sponsorship: Spanish Back Pain Research Network
PB Springer Nature
SN 1362-4393
LK https://hdl.handle.net/10612/19640
UL https://hdl.handle.net/10612/19640
NO Kovacs, F. M., Seco, J., Royuela, A., Barriga, A., & Zamora, J. (2018). Prevalence and factors associated with a higher risk of neck and back pain among permanent wheelchair users: A cross-sectional study. Spinal Cord, 56(4), 392-405. https://doi.org/10.1038/S41393-017-0029-Z
DS BULERIA. Repositorio Institucional de la Universidad de León
RD 02-jun-2024