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  4. Dynamic Three-Dimensional Ultrasound to Evaluate Scapular Movement Among Manual Wheelchair Users and Healthy Controls

Dynamic Three-Dimensional Ultrasound to Evaluate Scapular Movement Among Manual Wheelchair Users and Healthy Controls

Top Spinal Cord Inj Rehabil, 2015 · DOI: 10.1310/sci2104-303 · Published: January 1, 2015

Spinal Cord InjuryRehabilitationBiomechanics

Simple Explanation

This study investigates a new way to use 3D ultrasound to watch how the shoulder blade moves during arm motion. Researchers compared shoulder blade movements between manual wheelchair users and people without disabilities. They also looked at how extra weight affects these movements and how shoulder issues, age, injury time, and body size relate to shoulder blade position.

Study Duration
Not specified
Participants
16 manual wheelchair users (MWUs) and 16 age- and gender-matched able-bodied controls
Evidence Level
Not specified

Key Findings

  • 1
    The study found that as the arm goes up, the shoulder blade moves in specific ways, like turning outward, rotating upward, and tilting backward.
  • 2
    Manual wheelchair users showed more outward turning and forward tilting of the shoulder blade than the control group.
  • 3
    Increased age, clinical pathology, years since injury and BMI were correlated with scapular rotations associated with impingement.

Research Summary

This study explored the feasibility of using 3D ultrasound to assess dynamic scapular movement, comparing manual wheelchair users (MWUs) with able-bodied controls (ABs). The results showed incremental increases in scapular rotations with arm elevation and differences between the MWU and AB groups, particularly in external rotation and anterior tilting. The study also found correlations between demographic factors and scapular positioning, suggesting that factors such as age, BMI, and years since injury can influence shoulder mechanics.

Practical Implications

Improved Evaluation

The study suggests a noninvasive method to evaluate scapular positioning.

Targeted Therapy

Findings can help target therapeutic interventions for those with shoulder pathology.

Preventative Measures

The research highlights the importance of weight management and preventative exercise.

Study Limitations

  • 1
    The reliability and validity of the ultrasound method need further validation.
  • 2
    The study had a limited sampling frequency, which affected the data available for analysis.
  • 3
    The study's range of arm elevation did not consistently reach 90 degrees, limiting comparisons to other studies.

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