{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T02:21:38Z","timestamp":1790821298717,"version":"4.1.0"},"reference-count":56,"publisher":"American Spinal Injury Association","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021]]},"abstract":"\n Background:<\/jats:title>\n Individuals with spinal cord injury (SCI) who use manual wheelchairs (MWCs) have a higher rate of rotator cuff pathology progression than able-bodied individuals.<\/jats:p>\n <\/jats:sec>\n \n Objectives:<\/jats:title>\n This study aimed to test the ability of risk and recovery metrics of arm use to differentiate between (1) MWC users with SCI and matched able-bodied participants (cross-sectional matched-sample study) and (2) MWC users with rotator cuff pathology progression over 1 year from those without pathology progression (longitudinal study).<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n Thirty-four MWC users and 34 age- and sex-matched able-bodied individuals were recruited. Upper arm risk (humeral elevation >60\u00b0) and recovery (static \u22655 seconds and humeral elevation <40\u00b0) metrics were calculated from wireless inertial measurement units (IMUs) worn on the upper arms and torso in the free-living environment. Two separate magnetic resonance imaging studies were completed and assessed for a subset of 16 MWC users approximately 1 year apart.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n The frequency of risk events (\n p<\/jats:italic>\n = .019), summated duration of recovery events (\n p<\/jats:italic>\n = .025), and duration of each recovery event (\n p<\/jats:italic>\n = .003) were higher for MWC users than able-bodied participants. The summated duration of risk events (\n p<\/jats:italic>\n = .047), frequency of risk events (\n p<\/jats:italic>\n = .027), and risk to recovery ratio (\n p<\/jats:italic>\n = .02) were higher and the summated duration of recovery events (\n p<\/jats:italic>\n = .036) and frequency of recovery events (\n p<\/jats:italic>\n = .047) were lower for MWC users with rotator cuff pathology progression (\n n<\/jats:italic>\n = 5) compared to those without progression (\n n<\/jats:italic>\n = 11).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n IMU-derived metrics quantifying arm use at postures >60\u00b0 and risk to recovery ratios may provide insights of potential risk factors for rotator cuff pathology progression.<\/jats:p>\n <\/jats:sec>","DOI":"10.46292\/sci20-00059","type":"journal-article","created":{"date-parts":[[2021,8,13]],"date-time":"2021-08-13T17:07:50Z","timestamp":1628874470000},"page":"12-25","source":"Crossref","is-referenced-by-count":5,"title":["Inertial Measurement Unit\u2013Derived Ergonomic Metrics for Assessing Arm Use in Manual Wheelchair Users With Spinal Cord Injury: A Preliminary Report"],"prefix":"10.46292","volume":"27","author":[{"given":"Omid","family":"Jahanian","sequence":"first","affiliation":[{"name":"Division of Health Care Delivery Research, Mayo Clinic, Rochester, Minnesota"},{"name":"Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meegan G.","family":"Van Straaten","sequence":"additional","affiliation":[{"name":"Division of Health Care Delivery Research, Mayo Clinic, Rochester, Minnesota"},{"name":"Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brianna M.","family":"Goodwin","sequence":"additional","affiliation":[{"name":"Division of Health Care Delivery Research, Mayo Clinic, Rochester, Minnesota"},{"name":"Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen M.","family":"Cain","sequence":"additional","affiliation":[{"name":"Department of Mechanical Engineering, University of Michigan, Ann Arbor, Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan J.","family":"Lennon","sequence":"additional","affiliation":[{"name":"Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan D.","family":"Barlow","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naveen S.","family":"Murthy","sequence":"additional","affiliation":[{"name":"Department of Radiology, Mayo Clinic, Rochester, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa M. B.","family":"Morrow","sequence":"additional","affiliation":[{"name":"Division of Health Care Delivery Research, Mayo Clinic, Rochester, Minnesota"},{"name":"Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"25425","reference":[{"issue":"6","key":"i1082-0744-27-3-12-b1","series-title":"Br J Sports Med","first-page":"409","article-title":"Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy","volume":"43","year":"2009","unstructured":"Cook\n J,\n \n \n Purdam\n CR.\n \n \n Is tendon pathology a continuum? 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occupational shoulder exposures: Study protocol for a cluster-randomised controlled study (The Shoulder-Caf\u00e9 Study)","volume":"20","year":"2019","unstructured":"Tr\u00f8strup\n J,\n \n \n Mikkelsen\n LR,\n \n \n Frost\n P,\n \n \n .\n\t\t\t\t\tReducing shoulder complaints in employees with high occupational shoulder exposures: Study protocol for a cluster-randomised controlled study (The Shoulder-Caf\u00e9 Study).\n\t\t\t\t\tTrials.\n\t\t\t\t\t2019;\n\t\t\t\t\t20(\n\t\t\t\t\t1):\n\t\t\t\t\t627."},{"issue":"4","key":"i1082-0744-27-3-12-b11","series-title":"PloS One","first-page":"e0248978","article-title":"Humeral elevation workspace during daily life of adults with spinal cord injury who use a manual wheelchair compared to age and sex matched able-bodied controls","volume":"16","year":"2021","unstructured":"Goodwin\n BM,\n \n \n Cain\n SM,\n \n \n Van Straaten\n MG,\n \n \n .\n\t\t\t\t\tHumeral elevation workspace during daily life of adults with spinal cord injury who use a 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A pathology model to explain the clinical presentation of load-induced tendinopathy","volume":"43","year":"2009","unstructured":"Cook\n J,\n \n \n Purdam\n CR.\n \n \n Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy.\n\t\t\t\t\tBr J Sports Med.\n\t\t\t\t\t2009;\n\t\t\t\t\t43(\n\t\t\t\t\t6):\n\t\t\t\t\t409\u2013\n\t\t\t\t\t416."},{"issue":"13","key":"i1082-0744-27-3-12-b2","series-title":"Br J Sports Med","first-page":"918","article-title":"Rotator cuff tendinopathy: A model for the continuum of pathology and related management","volume":"44","year":"2010","unstructured":"Lewis\n JS.\n \n \n Rotator cuff tendinopathy: A model for the continuum of pathology and related management.\n\t\t\t\t\tBr J Sports Med.\n\t\t\t\t\t2010;\n\t\t\t\t\t44(\n\t\t\t\t\t13):\n\t\t\t\t\t918\u2013\n\t\t\t\t\t923."},{"issue":"12","key":"i1082-0744-27-3-12-b3","series-title":"J Shoulder Elbow Surg","first-page":"1913","article-title":"A systematic review and pooled analysis of the prevalence of rotator cuff disease with increasing age","volume":"23","year":"2014","unstructured":"Teunis\n T,\n \n \n Lubberts\n B,\n \n \n Reilly\n BT,\n \n \n 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