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  4. Effectiveness of Home Exercise on Pain, Function, and Strength of Manual Wheelchair Users With Spinal Cord Injury: A High-Dose Shoulder Program With Telerehabilitation

Effectiveness of Home Exercise on Pain, Function, and Strength of Manual Wheelchair Users With Spinal Cord Injury: A High-Dose Shoulder Program With Telerehabilitation

Arch Phys Med Rehabil, 2014 · DOI: 10.1016/j.apmr.2014.05.004 · Published: October 1, 2014

Spinal Cord InjuryRehabilitationTelehealth & Digital Health

Simple Explanation

This study investigates if a home exercise program combined with remote supervision can help manual wheelchair users with spinal cord injuries reduce shoulder pain and improve function. The program involved high repetitions of exercises targeting shoulder muscles, with physical therapists monitoring technique and progression through video calls. The results showed that participants experienced less pain and improved shoulder function after the exercise program.

Study Duration
12 weeks intervention, 24+ weeks follow-up
Participants
16 manual wheelchair users with SCI
Evidence Level
Not specified

Key Findings

  • 1
    Participants reported a statistically significant reduction in shoulder pain after the intervention.
  • 2
    Shoulder function also significantly improved among the participants following the exercise program.
  • 3
    Isometric strength of the serratus anterior and scapular retractors increased significantly.

Research Summary

This study tested a high-dose home exercise program with telerehabilitation for manual wheelchair users with spinal cord injury, focusing on shoulder pain, function, and strength. The results indicated a significant reduction in shoulder pain and improvement in function following the intervention, which was sustained at the follow-up. The study suggests that this telerehabilitation-supported exercise program is a viable option for managing shoulder pain in this population.

Practical Implications

Clinical Practice

Telerehabilitation can be used to deliver effective shoulder pain management programs to manual wheelchair users.

Rehabilitation Programs

High-dose exercise programs targeting scapular stabilizers and rotator cuff muscles show promise for reducing shoulder pain.

Future Research

Further research should compare this intervention with other approaches and explore earlier interventions to prevent shoulder pain.

Study Limitations

  • 1
    Small sample size
  • 2
    Lack of a control group
  • 3
    Potential experimenter-effect bias

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