{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T07:23:06Z","timestamp":1782544986937,"version":"3.54.5"},"reference-count":60,"publisher":"American Spinal Injury Association","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Shoulder pain is a common occurrence after spinal cord injury (SCI) and can have significant negative effects on health and function as many individuals with SCI are reliant on their upper extremities for mobility and self-care activities. Shoulder pain after SCI can be caused by acute injury or chronic pathology, but it is most often related to overuse injuries of the rotator cuff. Both acute strain and chronic overuse shoulder injuries in persons with SCI typically result from increased weight bearing on the upper extremities during transfers, weight-relief raises, and wheelchair propulsion, which are often performed in poor postural alignment owing to strength deficits. This article discusses management of patients with SCI who present with shoulder pain from the perspective of primary care physicians including evaluation and diagnostic procedures, interventions appropriate for both acute and chronic shoulder pain, and strategies for prevention.<\/jats:p>","DOI":"10.46292\/sci2603-186","type":"journal-article","created":{"date-parts":[[2020,11,2]],"date-time":"2020-11-02T13:59:40Z","timestamp":1604325580000},"page":"186-196","source":"Crossref","is-referenced-by-count":9,"title":["A Primary Care Provider\u2019s Guide to Shoulder Pain After Spinal Cord Injury"],"prefix":"10.46292","volume":"26","author":[{"given":"Sara J.","family":"Mulroy","sequence":"first","affiliation":[{"name":"Rancho Los Amigos National Rehabilitation Center, Downey, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luke","family":"Hafdahl","sequence":"additional","affiliation":[{"name":"Division of Community Internal Medicine, Mayo Clinic, Rochester, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trevor","family":"Dyson-Hudson","sequence":"additional","affiliation":[{"name":"Kessler Foundation, West Orange, New Jersey"},{"name":"Department of Physical Medicine & Rehabilitation, Rutgers New Jersey Medical School, Newark, New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"25425","reference":[{"issue":"1","key":"i1082-0744-26-3-186-b1","series-title":"J Spinal Cord Med","first-page":"4","article-title":"Shoulder pain in chronic spinal cord injury, Part I: Epidemiology, etiology, and pathomechanics","volume":"27","year":"2004","unstructured":"Dyson-Hudson\n              TA\n            ,\n\t\t\t\t\t\tKirshblumSC.\n          Shoulder pain in chronic spinal cord injury, Part I: Epidemiology, etiology, and pathomechanics.\n\t\t\t\t\tJ Spinal Cord Med.\n\t\t\t\t\t2004;\n\t\t\t\t\t27(\n\t\t\t\t\t1):\n\t\t\t\t\t4\u2013\n\t\t\t\t\t17."},{"issue":"5","key":"i1082-0744-26-3-186-b2","series-title":"J Spinal Cord Med","first-page":"434","article-title":"Preservation of upper limb function following spinal cord injury: A clinical practice guideline for health-care professionals","volume":"28","year":"2005","unstructured":"Paralyzed Veterans of America Consortium for Spinal Cord Medicine.\n          \n          Preservation of upper limb function following spinal cord injury: A clinical practice guideline for health-care professionals.\n\t\t\t\t\tJ Spinal Cord Med.\n\t\t\t\t\t2005;\n\t\t\t\t\t28(\n\t\t\t\t\t5):\n\t\t\t\t\t434\u2013\n\t\t\t\t\t470."},{"key":"i1082-0744-26-3-186-b3","series-title":"Spinal Cord","first-page":"191","article-title":"Upper extremity pain after spinal cord injury","volume":"37","year":"1999","unstructured":"Dalyan\n              M\n            ,\n\t\t\t\t\t\tCardenasD,\n\t\t\t\t\t\tGerardB.\n          Upper extremity pain after spinal cord injury.\n\t\t\t\t\tSpinal Cord.\n\t\t\t\t\t1999;\n\t\t\t\t\t37:\n\t\t\t\t\t191\u2013\n\t\t\t\t\t195."},{"issue":"5","key":"i1082-0744-26-3-186-b4","series-title":"J Spinal Cord Med","first-page":"587","article-title":"The influence of shoulder pain on functional limitation, perceived health, and depressive mood in patients with traumatic paraplegia","volume":"38","year":"2015","unstructured":"Wang\n              J\n            ,\n\t\t\t\t\t\tChanR,\n\t\t\t\t\t\tTsaiY,\n\t\t\t\t\t\tet al.\n\t\t\t\t\tThe influence of shoulder pain on functional limitation, perceived health, and depressive mood in patients with traumatic paraplegia.\n\t\t\t\t\tJ Spinal Cord Med.\n\t\t\t\t\t2015;\n\t\t\t\t\t38(\n\t\t\t\t\t5):\n\t\t\t\t\t587\u2013\n\t\t\t\t\t592."},{"issue":"3","key":"i1082-0744-26-3-186-b5","series-title":"J Spinal Cord Med","first-page":"251","article-title":"The relationship of shoulder pain intensity to quality of life, physical activity, and community participation in persons with paraplegia","volume":"30","year":"2007","unstructured":"Gutierrez\n              DD\n            ,\n\t\t\t\t\t\tThompsonL,\n\t\t\t\t\t\tKempB,\n\t\t\t\t\t\tMulroySJ,\n\t\t\t\t\t\n          The relationship of shoulder pain intensity to quality of life, physical activity, and community participation in persons with paraplegia.\n\t\t\t\t\tJ Spinal Cord Med.\n\t\t\t\t\t2007;\n\t\t\t\t\t30(\n\t\t\t\t\t3):\n\t\t\t\t\t251\u2013\n\t\t\t\t\t255."},{"issue":"354","key":"i1082-0744-26-3-186-b6","series-title":"Clin Orthop Relat Res","first-page":"132","article-title":"Shoulder joint kinetics during the push phase of wheelchair propulsion","year":"1998","unstructured":"Kulig\n              K\n            ,\n\t\t\t\t\t\tRaoSS,\n\t\t\t\t\t\tMulroySJ,\n\t\t\t\t\t\tet al.\n\t\t\t\t\tShoulder joint kinetics during the push phase of wheelchair propulsion.\n\t\t\t\t\tClin Orthop Relat Res.\n\t\t\t\t\t1998;(\n\t\t\t\t\t354):\n\t\t\t\t\t132\u2013\n\t\t\t\t\t143."},{"issue":"1","key":"i1082-0744-26-3-186-b7","series-title":"J Electromyogr Kinesiol","first-page":"61","article-title":"Shoulder demands in manual wheelchair users across a spectrum of activities","volume":"20","year":"2010","unstructured":"Morrow\n              MM\n            ,\n\t\t\t\t\t\tHurdWJ,\n\t\t\t\t\t\tKaufmanKR,\n\t\t\t\t\t\tAnKN.\n          Shoulder demands in manual wheelchair users across a spectrum of activities.\n\t\t\t\t\tJ Electromyogr Kinesiol.\n\t\t\t\t\t2010;\n\t\t\t\t\t20(\n\t\t\t\t\t1):\n\t\t\t\t\t61\u2013\n\t\t\t\t\t67."},{"issue":"4","key":"i1082-0744-26-3-186-b8","series-title":"J Spinal Cord Med","first-page":"485","article-title":"Upper limb joint kinetics of three sitting pivot wheelchair transfer techniques in individuals with spinal cord injury","volume":"38","year":"2015","unstructured":"Kankipati\n              P\n            ,\n\t\t\t\t\t\tBoningerML,\n\t\t\t\t\t\tGagnonD,\n\t\t\t\t\t\tCooperRA,\n\t\t\t\t\t\tKoontzAM.\n          Upper limb joint kinetics of three sitting pivot wheelchair transfer techniques in individuals with spinal cord injury.\n\t\t\t\t\tJ Spinal Cord Med.\n\t\t\t\t\t2015;\n\t\t\t\t\t38(\n\t\t\t\t\t4):\n\t\t\t\t\t485\u2013\n\t\t\t\t\t497."},{"issue":"3","key":"i1082-0744-26-3-186-b9","series-title":"Spinal Cord","first-page":"186","article-title":"Premature degenerative shoulder changes in spinal cord injury patients","volume":"36","year":"1998","unstructured":"Lal\n              S.\n            \n          \n          Premature degenerative shoulder changes in spinal cord injury patients.\n\t\t\t\t\tSpinal Cord.\n\t\t\t\t\t1998;\n\t\t\t\t\t36(\n\t\t\t\t\t3):\n\t\t\t\t\t186\u2013\n\t\t\t\t\t189."},{"issue":"Suppl 1","key":"i1082-0744-26-3-186-b10","series-title":"Musculoskelet Surg","first-page":"S53","article-title":"Risk factors for shoulder pain in patients with spinal cord injury: A multicenter study","volume":"99","year":"2015","unstructured":"Ferrero\n              G\n            ,\n\t\t\t\t\t\tMijnoE,\n\t\t\t\t\t\tActisM,\n\t\t\t\t\t\tet al.\n\t\t\t\t\tRisk factors for shoulder pain in patients with spinal cord injury: A multicenter study.\n\t\t\t\t\tMusculoskelet Surg.\n\t\t\t\t\t2015;\n\t\t\t\t\t99(\n\t\t\t\t\tSuppl 1):\n\t\t\t\t\tS53\u2013\n\t\t\t\t\tS56."},{"key":"i1082-0744-26-3-186-b11","series-title":"Clin Biomech (Bristol, Avon)","first-page":"1","article-title":"Predictors of shoulder pain in manual wheelchair users","volume":"65","year":"2019","unstructured":"Walford\n              S\n            ,\n\t\t\t\t\t\tRequejoP,\n\t\t\t\t\t\tMulroyS,\n\t\t\t\t\t\tNeptuneRR.\n          Predictors of shoulder pain in manual wheelchair users.\n\t\t\t\t\tClin Biomech (Bristol, Avon).\n\t\t\t\t\t2019;\n\t\t\t\t\t65:\n\t\t\t\t\t1\u2013\n\t\t\t\t\t12."},{"issue":"8","key":"i1082-0744-26-3-186-b12","series-title":"Ann Biomed Eng","first-page":"1057","article-title":"Rotator cuff tendinosis in an animal model: role of extrinsic and overuse factors","volume":"30","year":"2002","unstructured":"Soslowsky\n              LJ\n            ,\n\t\t\t\t\t\tThomopoulosS,\n\t\t\t\t\t\tEsmailA,\n\t\t\t\t\t\tet al.\n\t\t\t\t\tRotator cuff tendinosis in an animal model: role of extrinsic and overuse factors.\n\t\t\t\t\tAnn Biomed Eng.\n\t\t\t\t\t2002;\n\t\t\t\t\t30(\n\t\t\t\t\t8):\n\t\t\t\t\t1057\u2013\n\t\t\t\t\t1063."},{"issue":"2","key":"i1082-0744-26-3-186-b13","series-title":"Orthop Clin North Am","first-page":"285","article-title":"Shoulder impingement","volume":"31","year":"2000","unstructured":"Morrision\n              D\n            ,\n\t\t\t\t\t\tGreenbaumB,\n\t\t\t\t\t\tEinhornA.\n          Shoulder impingement.\n\t\t\t\t\tOrthop Clin North Am.\n\t\t\t\t\t2000;\n\t\t\t\t\t31(\n\t\t\t\t\t2):\n\t\t\t\t\t285\u2013\n\t\t\t\t\t293."},{"key":"i1082-0744-26-3-186-b14","series-title":"Scand J Rehab Med","first-page":"153","article-title":"A narrative review on classification of pain conditions of the upper extremities","volume":"31","year":"1999","unstructured":"Norregaard\n              J\n            ,\n\t\t\t\t\t\tJacobsenS,\n\t\t\t\t\t\tKristensen.\n\t\t\t\t\t\n          A narrative review on classification of pain conditions of the upper extremities.\n\t\t\t\t\tScand J Rehab Med.\n\t\t\t\t\t1999;\n\t\t\t\t\t31:\n\t\t\t\t\t153\u2013\n\t\t\t\t\t164."},{"issue":"10","key":"i1082-0744-26-3-186-b15","series-title":"Am Fam Physician","first-page":"3079","article-title":"The painful shoulder: Part I. Clinical evaluation","volume":"61","year":"2000","unstructured":"Woodward\n              T\n            ,\n\t\t\t\t\t\tBestT.\n          The painful shoulder: Part I. Clinical evaluation.\n\t\t\t\t\tAm Fam Physician.\n\t\t\t\t\t2000;\n\t\t\t\t\t61(\n\t\t\t\t\t10):\n\t\t\t\t\t3079\u2013\n\t\t\t\t\t3088."},{"issue":"6","key":"i1082-0744-26-3-186-b16","series-title":"J Gen Intern Med","first-page":"733","article-title":"Development and initial validation of the PEG, a three-item scale assessing pain intensity and interference","volume":"24","year":"2009","unstructured":"Krebs\n              E\n            ,\n\t\t\t\t\t\tLorenzK,\n\t\t\t\t\t\tBairM,\n\t\t\t\t\t\tet al.\n\t\t\t\t\tDevelopment and initial validation of the PEG, a three-item scale assessing pain intensity and interference.\n\t\t\t\t\tJ Gen Intern Med.\n\t\t\t\t\t2009;\n\t\t\t\t\t24(\n\t\t\t\t\t6):\n\t\t\t\t\t733\u2013\n\t\t\t\t\t738."},{"issue":"10","key":"i1082-0744-26-3-186-b17","series-title":"Paraplegia","first-page":"595","article-title":"Reliability and validity of the Wheelchair User\u2019s Shoulder Pain Index (WUSPI)","volume":"33","year":"1995","unstructured":"Curtis\n              KA\n            ,\n\t\t\t\t\t\tRoachKE,\n\t\t\t\t\t\tApplegateEB,\n\t\t\t\t\t\tet al.\n\t\t\t\t\tReliability and validity of the Wheelchair User\u2019s Shoulder Pain Index (WUSPI).\n\t\t\t\t\tParaplegia.\n\t\t\t\t\t1995;\n\t\t\t\t\t33(\n\t\t\t\t\t10):\n\t\t\t\t\t595\u2013\n\t\t\t\t\t601."},{"issue":"3","key":"i1082-0744-26-3-186-b18","series-title":"Phys Ther","first-page":"305","article-title":"Strengthening and Optimal Movements for Painful Shoulders (STOMPS) in chronic spinal cord injury: A randomized controlled trial","volume":"91","year":"2011","unstructured":"Mulroy\n              SJ\n            ,\n\t\t\t\t\t\tThompsonL,\n\t\t\t\t\t\tKempB,\n\t\t\t\t\t\tet al.\n\t\t\t\t\tStrengthening and Optimal Movements for Painful Shoulders (STOMPS) in chronic spinal cord injury: A randomized controlled trial.\n\t\t\t\t\tPhys Ther.\n\t\t\t\t\t2011;\n\t\t\t\t\t91(\n\t\t\t\t\t3):\n\t\t\t\t\t305\u2013\n\t\t\t\t\t324."},{"issue":"4","key":"i1082-0744-26-3-186-b19","series-title":"Am J Phys Med Rehabil","first-page":"316","article-title":"Rotator cuff repairs in individuals with paraplegia","volume":"76","year":"1997","unstructured":"Goldstein\n              B\n            ,\n\t\t\t\t\t\tYoungJ,\n\t\t\t\t\t\tEscobedoEM.\n          Rotator cuff repairs in individuals with paraplegia.\n\t\t\t\t\tAm J Phys Med Rehabil.\n\t\t\t\t\t1997;\n\t\t\t\t\t76(\n\t\t\t\t\t4):\n\t\t\t\t\t316\u2013\n\t\t\t\t\t322."},{"issue":"9","key":"i1082-0744-26-3-186-b20","series-title":"J Shoulder Elb Surg","first-page":"1263","article-title":"Rotator cuff surgery in persons with spinal cord injury: Relevance of a multidisciplinary approach","volume":"23","year":"2014","unstructured":"Fattal\n              C\n            ,\n\t\t\t\t\t\tCouletB,\n\t\t\t\t\t\tGelisA,\n\t\t\t\t\t\tet al.\n\t\t\t\t\tRotator cuff surgery in persons with spinal cord injury: Relevance of a multidisciplinary approach.\n\t\t\t\t\tJ Shoulder Elb Surg.\n\t\t\t\t\t2014;\n\t\t\t\t\t23(\n\t\t\t\t\t9):\n\t\t\t\t\t1263\u2013\n\t\t\t\t\t1271."},{"issue":"12","key":"i1082-0744-26-3-186-b21","series-title":"Arch Phys Med Rehabil","first-page":"e174","article-title":"Effectiveness of two intervention programs to prevent shoulder pain after spinal cord injury","volume":"98","year":"2017","unstructured":"Mulroy\n              SJ\n            ,\n\t\t\t\t\t\tHaubertLL,\n\t\t\t\t\t\tEberlyVJ,\n\t\t\t\t\t\tConnersS W.\n          Effectiveness of two intervention programs to prevent shoulder pain after spinal cord injury.\n\t\t\t\t\tArch Phys Med Rehabil.\n\t\t\t\t\t2017;\n\t\t\t\t\t98(\n\t\t\t\t\t12):\n\t\t\t\t\te174."},{"key":"i1082-0744-26-3-186-b22","series-title":"Spinal Cord","first-page":"308","article-title":"Evidence-based scientific exercise guidelines for adults with spinal cord injury: An update and a new guideline","volume":"56","year":"2018","unstructured":"Martin Ginis\n              K\n            ,\n\t\t\t\t\t\tJW van derS,\n\t\t\t\t\t\tLatimer-CheungA,\n\t\t\t\t\t\tet al.\n\t\t\t\t\tEvidence-based scientific exercise guidelines for adults with spinal cord injury: An update and a new guideline.\n\t\t\t\t\tSpinal Cord.\n\t\t\t\t\t2018;\n\t\t\t\t\t56:\n\t\t\t\t\t308\u2013\n\t\t\t\t\t321"},{"issue":"2","key":"i1082-0744-26-3-186-b23","series-title":"J Musculoskelet Disord Treat","first-page":"049","article-title":"Oral ibuprofen interferes with cellular healing responses in a murine model of achilles tendinopathy","volume":"4","year":"2018","unstructured":"Bittermann\n              A\n            ,\n\t\t\t\t\t\tGaoS,\n\t\t\t\t\t\tRezvaniS,\n\t\t\t\t\t\tet al.\n\t\t\t\t\tOral ibuprofen interferes with cellular healing responses in a murine model of achilles tendinopathy.\n\t\t\t\t\tJ Musculoskelet Disord Treat.\n\t\t\t\t\t2018;\n\t\t\t\t\t4(\n\t\t\t\t\t2):\n\t\t\t\t\t049."},{"issue":"1","key":"i1082-0744-26-3-186-b24","series-title":"JSES Open Access","first-page":"54","article-title":"Do corticosteroid injections compromise rotator cuff tendon healing after arthroscopic repair?","volume":"2","year":"2017","unstructured":"Baverel\n              L\n            ,\n\t\t\t\t\t\tBoutsiadisA,\n\t\t\t\t\t\tReynoldsR,\n\t\t\t\t\t\tSaffariniM,\n\t\t\t\t\t\tBarthelemyR,\n\t\t\t\t\t\tBarthJ.\n          Do corticosteroid injections compromise rotator cuff tendon healing after arthroscopic repair?\n          JSES Open Access.\n\t\t\t\t\t2017;\n\t\t\t\t\t2(\n\t\t\t\t\t1):\n\t\t\t\t\t54\u2013\n\t\t\t\t\t59."},{"issue":"6","key":"i1082-0744-26-3-186-b25","series-title":"Cochran Database Syst Rev","first-page":"CD012225","article-title":"Electrotherapy modalities for rotator cuff disease","volume":"10","year":"2016","unstructured":"Page\n              M\n            ,\n\t\t\t\t\t\tGreenS,\n\t\t\t\t\t\tMrockiM,\n\t\t\t\t\t\tet al.\n\t\t\t\t\tElectrotherapy modalities for rotator cuff disease.\n\t\t\t\t\tCochran Database Syst Rev.\n\t\t\t\t\t2016;\n\t\t\t\t\t10(\n\t\t\t\t\t6):\n\t\t\t\t\tCD012225."},{"issue":"8","key":"i1082-0744-26-3-186-b26","series-title":"Arch Phys Med Rehabil","first-page":"1038","article-title":"Acupuncture and Trager psychophysical integration in the treatment of wheelchair user\u2019s shoulder pain in individuals with spinal cord injury","volume":"82","year":"2001","unstructured":"Dyson-Hudson\n              TA\n            ,\n\t\t\t\t\t\tShifflettS,\n\t\t\t\t\t\tKirshblumSC,\n\t\t\t\t\t\tBowenJ,\n\t\t\t\t\t\tDruinE.\n          Acupuncture and Trager psychophysical integration in the treatment of wheelchair user\u2019s shoulder pain in individuals with spinal cord injury.\n\t\t\t\t\tArch Phys Med Rehabil.\n\t\t\t\t\t2001;\n\t\t\t\t\t82(\n\t\t\t\t\t8):\n\t\t\t\t\t1038\u2013\n\t\t\t\t\t1046."},{"issue":"5","key":"i1082-0744-26-3-186-b27","series-title":"J Spinal Cord Med","first-page":"598","article-title":"Regenerative treatments for chronic shoulder pain in spinal cord injury","volume":"40","year":"2017","unstructured":"Dyson-Hudson\n              T\n            ,\n\t\t\t\t\t\tNakamuraR,\n\t\t\t\t\t\tTerryA,\n\t\t\t\t\t\tKirshblumS,\n\t\t\t\t\t\tMalangaG.\n          Regenerative treatments for chronic shoulder pain in spinal cord injury.\n\t\t\t\t\tJ Spinal Cord Med.\n\t\t\t\t\t2017;\n\t\t\t\t\t40(\n\t\t\t\t\t5):\n\t\t\t\t\t598."},{"key":"i1082-0744-26-3-186-b28","series-title":"Spinal Cord Case Ser","first-page":"46","article-title":"Autologous, micro-fragmented adipose tissue as a treatment for chronic shoulder pain in a wheelchair using individual with spinal cord injury: A case report","volume":"5","year":"2019","unstructured":"Cherian\n              C\n            ,\n\t\t\t\t\t\tMalangaG,\n\t\t\t\t\t\tHogaboomN,\n\t\t\t\t\t\tPollackM,\n\t\t\t\t\t\tDyson-HudsonT.\n          Autologous, micro-fragmented adipose tissue as a treatment for chronic shoulder pain in a wheelchair using individual with spinal cord injury: A case report.\n\t\t\t\t\tSpinal Cord Case Ser.\n\t\t\t\t\t2019;\n\t\t\t\t\t5:\n\t\t\t\t\t46."},{"issue":"8","key":"i1082-0744-26-3-186-b29","series-title":"Arch Phys Med Rehabil","first-page":"625","article-title":"Use of power assist wheels results in increased distance traveled compared with conventional manual wheeling","volume":"89","year":"2010","unstructured":"Levy\n              C\n            ,\n\t\t\t\t\t\tBumanM,\n\t\t\t\t\t\tChowJ,\n\t\t\t\t\t\tTilmanM,\n\t\t\t\t\t\tFournierK,\n\t\t\t\t\t\tGiacobbiPJ.\n          Use of power assist wheels results in increased distance traveled compared with conventional manual wheeling.\n\t\t\t\t\tArch Phys Med Rehabil.\n\t\t\t\t\t2010;\n\t\t\t\t\t89(\n\t\t\t\t\t8):\n\t\t\t\t\t625\u2013\n\t\t\t\t\t634."},{"issue":"6","key":"i1082-0744-26-3-186-b30","series-title":"Nawoczenski, DA","first-page":"861","article-title":"How \u201chealthy\u201d is circuit resistance training following paraplegia? Kinematic analysis associated with shoulder mechanical impingement risk","volume":"50","year":"2013","unstructured":"Riek\n              L\n            ,\n\t\t\t\t\t\tLudewigPM.\n          How \u201chealthy\u201d is circuit resistance training following paraplegia? Kinematic analysis associated with shoulder mechanical impingement risk.\n\t\t\t\t\tNawoczenski, DA.\n\t\t\t\t\t2013;\n\t\t\t\t\t50(\n\t\t\t\t\t6):\n\t\t\t\t\t861\u2013\n\t\t\t\t\t874."},{"issue":"1","key":"i1082-0744-26-3-186-b1","series-title":"J Spinal Cord Med","first-page":"4","article-title":"Shoulder pain in chronic spinal cord injury, Part I: Epidemiology, etiology, and pathomechanics","volume":"27","year":"2004","unstructured":"Dyson-Hudson\n              TA\n            ,\n\t\t\t\t\t\tKirshblumSC.\n          Shoulder pain in chronic spinal cord injury, Part I: Epidemiology, etiology, and pathomechanics.\n\t\t\t\t\tJ Spinal Cord Med.\n\t\t\t\t\t2004;\n\t\t\t\t\t27(\n\t\t\t\t\t1):\n\t\t\t\t\t4\u2013\n\t\t\t\t\t17."},{"issue":"5","key":"i1082-0744-26-3-186-b2","series-title":"J Spinal Cord Med","first-page":"434","article-title":"Preservation of upper limb function following spinal cord injury: A clinical practice guideline for health-care professionals","volume":"28","year":"2005","unstructured":"Paralyzed Veterans of America Consortium for Spinal Cord Medicine.\n          \n          Preservation of upper limb function following spinal cord injury: A clinical practice guideline for health-care professionals.\n\t\t\t\t\tJ Spinal Cord Med.\n\t\t\t\t\t2005;\n\t\t\t\t\t28(\n\t\t\t\t\t5):\n\t\t\t\t\t434\u2013\n\t\t\t\t\t470."},{"key":"i1082-0744-26-3-186-b3","series-title":"Spinal Cord","first-page":"191","article-title":"Upper extremity pain after spinal cord injury","volume":"37","year":"1999","unstructured":"Dalyan\n              M\n            ,\n\t\t\t\t\t\tCardenasD,\n\t\t\t\t\t\tGerardB.\n          Upper extremity pain after spinal cord injury.\n\t\t\t\t\tSpinal Cord.\n\t\t\t\t\t1999;\n\t\t\t\t\t37:\n\t\t\t\t\t191\u2013\n\t\t\t\t\t195."},{"issue":"5","key":"i1082-0744-26-3-186-b4","series-title":"J Spinal Cord Med","first-page":"587","article-title":"The influence of shoulder pain on functional limitation, perceived health, and depressive mood in patients with traumatic paraplegia","volume":"38","year":"2015","unstructured":"Wang\n              J\n            ,\n\t\t\t\t\t\tChanR,\n\t\t\t\t\t\tTsaiY,\n\t\t\t\t\t\tet al.\n\t\t\t\t\tThe influence of shoulder pain on functional limitation, perceived health, and depressive mood in patients with traumatic paraplegia.\n\t\t\t\t\tJ Spinal Cord Med.\n\t\t\t\t\t2015;\n\t\t\t\t\t38(\n\t\t\t\t\t5):\n\t\t\t\t\t587\u2013\n\t\t\t\t\t592."},{"issue":"3","key":"i1082-0744-26-3-186-b5","series-title":"J Spinal Cord Med","first-page":"251","article-title":"The relationship of shoulder pain intensity to quality of life, physical activity, and community participation in persons with paraplegia","volume":"30","year":"2007","unstructured":"Gutierrez\n              DD\n            ,\n\t\t\t\t\t\tThompsonL,\n\t\t\t\t\t\tKempB,\n\t\t\t\t\t\tMulroySJ,\n\t\t\t\t\t\n          The relationship of shoulder pain intensity to quality of life, physical activity, and community participation in persons with paraplegia.\n\t\t\t\t\tJ Spinal Cord Med.\n\t\t\t\t\t2007;\n\t\t\t\t\t30(\n\t\t\t\t\t3):\n\t\t\t\t\t251\u2013\n\t\t\t\t\t255."},{"issue":"354","key":"i1082-0744-26-3-186-b6","series-title":"Clin Orthop Relat Res","first-page":"132","article-title":"Shoulder joint kinetics during the push phase of wheelchair propulsion","year":"1998","unstructured":"Kulig\n              K\n            ,\n\t\t\t\t\t\tRaoSS,\n\t\t\t\t\t\tMulroySJ,\n\t\t\t\t\t\tet al.\n\t\t\t\t\tShoulder joint kinetics during the push phase of wheelchair propulsion.\n\t\t\t\t\tClin Orthop Relat Res.\n\t\t\t\t\t1998;(\n\t\t\t\t\t354):\n\t\t\t\t\t132\u2013\n\t\t\t\t\t143."},{"issue":"1","key":"i1082-0744-26-3-186-b7","series-title":"J Electromyogr Kinesiol","first-page":"61","article-title":"Shoulder demands in manual wheelchair users across a spectrum of activities","volume":"20","year":"2010","unstructured":"Morrow\n              MM\n            ,\n\t\t\t\t\t\tHurdWJ,\n\t\t\t\t\t\tKaufmanKR,\n\t\t\t\t\t\tAnKN.\n          Shoulder demands in manual wheelchair users across a spectrum of activities.\n\t\t\t\t\tJ Electromyogr Kinesiol.\n\t\t\t\t\t2010;\n\t\t\t\t\t20(\n\t\t\t\t\t1):\n\t\t\t\t\t61\u2013\n\t\t\t\t\t67."},{"issue":"4","key":"i1082-0744-26-3-186-b8","series-title":"J Spinal Cord Med","first-page":"485","article-title":"Upper limb joint kinetics of three sitting pivot wheelchair transfer techniques in individuals with spinal cord injury","volume":"38","year":"2015","unstructured":"Kankipati\n              P\n            ,\n\t\t\t\t\t\tBoningerML,\n\t\t\t\t\t\tGagnonD,\n\t\t\t\t\t\tCooperRA,\n\t\t\t\t\t\tKoontzAM.\n          Upper limb joint kinetics of three sitting pivot wheelchair transfer techniques in individuals with spinal cord injury.\n\t\t\t\t\tJ Spinal Cord Med.\n\t\t\t\t\t2015;\n\t\t\t\t\t38(\n\t\t\t\t\t4):\n\t\t\t\t\t485\u2013\n\t\t\t\t\t497."},{"issue":"3","key":"i1082-0744-26-3-186-b9","series-title":"Spinal Cord","first-page":"186","article-title":"Premature degenerative shoulder changes in spinal cord injury patients","volume":"36","year":"1998","unstructured":"Lal\n              S.\n            \n          \n          Premature degenerative shoulder changes in spinal cord injury patients.\n\t\t\t\t\tSpinal Cord.\n\t\t\t\t\t1998;\n\t\t\t\t\t36(\n\t\t\t\t\t3):\n\t\t\t\t\t186\u2013\n\t\t\t\t\t189."},{"issue":"Suppl 1","key":"i1082-0744-26-3-186-b10","series-title":"Musculoskelet Surg","first-page":"S53","article-title":"Risk factors for shoulder pain in patients with spinal cord injury: A multicenter study","volume":"99","year":"2015","unstructured":"Ferrero\n              G\n            ,\n\t\t\t\t\t\tMijnoE,\n\t\t\t\t\t\tActisM,\n\t\t\t\t\t\tet al.\n\t\t\t\t\tRisk factors for shoulder pain in patients with spinal cord injury: A multicenter study.\n\t\t\t\t\tMusculoskelet Surg.\n\t\t\t\t\t2015;\n\t\t\t\t\t99(\n\t\t\t\t\tSuppl 1):\n\t\t\t\t\tS53\u2013\n\t\t\t\t\tS56."},{"key":"i1082-0744-26-3-186-b11","series-title":"Clin Biomech (Bristol, Avon)","first-page":"1","article-title":"Predictors of shoulder pain in manual wheelchair users","volume":"65","year":"2019","unstructured":"Walford\n              S\n            ,\n\t\t\t\t\t\tRequejoP,\n\t\t\t\t\t\tMulroyS,\n\t\t\t\t\t\tNeptuneRR.\n          Predictors of shoulder pain in manual wheelchair users.\n\t\t\t\t\tClin Biomech (Bristol, Avon).\n\t\t\t\t\t2019;\n\t\t\t\t\t65:\n\t\t\t\t\t1\u2013\n\t\t\t\t\t12."},{"issue":"8","key":"i1082-0744-26-3-186-b12","series-title":"Ann Biomed Eng","first-page":"1057","article-title":"Rotator cuff tendinosis in an animal model: role of extrinsic and overuse factors","volume":"30","year":"2002","unstructured":"Soslowsky\n              LJ\n            ,\n\t\t\t\t\t\tThomopoulosS,\n\t\t\t\t\t\tEsmailA,\n\t\t\t\t\t\tet al.\n\t\t\t\t\tRotator cuff tendinosis in an animal model: role of extrinsic and overuse factors.\n\t\t\t\t\tAnn Biomed Eng.\n\t\t\t\t\t2002;\n\t\t\t\t\t30(\n\t\t\t\t\t8):\n\t\t\t\t\t1057\u2013\n\t\t\t\t\t1063."},{"issue":"2","key":"i1082-0744-26-3-186-b13","series-title":"Orthop Clin North Am","first-page":"285","article-title":"Shoulder impingement","volume":"31","year":"2000","unstructured":"Morrision\n              D\n            ,\n\t\t\t\t\t\tGreenbaumB,\n\t\t\t\t\t\tEinhornA.\n          Shoulder impingement.\n\t\t\t\t\tOrthop Clin North Am.\n\t\t\t\t\t2000;\n\t\t\t\t\t31(\n\t\t\t\t\t2):\n\t\t\t\t\t285\u2013\n\t\t\t\t\t293."},{"key":"i1082-0744-26-3-186-b14","series-title":"Scand J Rehab Med","first-page":"153","article-title":"A narrative review on classification of pain conditions of the upper extremities","volume":"31","year":"1999","unstructured":"Norregaard\n              J\n            ,\n\t\t\t\t\t\tJacobsenS,\n\t\t\t\t\t\tKristensen.\n\t\t\t\t\t\n          A narrative review on classification of pain conditions of the upper extremities.\n\t\t\t\t\tScand J Rehab Med.\n\t\t\t\t\t1999;\n\t\t\t\t\t31:\n\t\t\t\t\t153\u2013\n\t\t\t\t\t164."},{"issue":"10","key":"i1082-0744-26-3-186-b15","series-title":"Am Fam Physician","first-page":"3079","article-title":"The painful shoulder: Part I. Clinical evaluation","volume":"61","year":"2000","unstructured":"Woodward\n              T\n            ,\n\t\t\t\t\t\tBestT.\n          The painful shoulder: Part I. Clinical evaluation.\n\t\t\t\t\tAm Fam Physician.\n\t\t\t\t\t2000;\n\t\t\t\t\t61(\n\t\t\t\t\t10):\n\t\t\t\t\t3079\u2013\n\t\t\t\t\t3088."},{"issue":"6","key":"i1082-0744-26-3-186-b16","series-title":"J Gen Intern Med","first-page":"733","article-title":"Development and initial validation of the PEG, a three-item scale assessing pain intensity and interference","volume":"24","year":"2009","unstructured":"Krebs\n              E\n            ,\n\t\t\t\t\t\tLorenzK,\n\t\t\t\t\t\tBairM,\n\t\t\t\t\t\tet al.\n\t\t\t\t\tDevelopment and initial validation of the PEG, a three-item scale assessing pain intensity and interference.\n\t\t\t\t\tJ Gen Intern Med.\n\t\t\t\t\t2009;\n\t\t\t\t\t24(\n\t\t\t\t\t6):\n\t\t\t\t\t733\u2013\n\t\t\t\t\t738."},{"issue":"10","key":"i1082-0744-26-3-186-b17","series-title":"Paraplegia","first-page":"595","article-title":"Reliability and validity of the Wheelchair User\u2019s Shoulder Pain Index (WUSPI)","volume":"33","year":"1995","unstructured":"Curtis\n              KA\n            ,\n\t\t\t\t\t\tRoachKE,\n\t\t\t\t\t\tApplegateEB,\n\t\t\t\t\t\tet al.\n\t\t\t\t\tReliability and validity of the Wheelchair User\u2019s Shoulder Pain Index (WUSPI).\n\t\t\t\t\tParaplegia.\n\t\t\t\t\t1995;\n\t\t\t\t\t33(\n\t\t\t\t\t10):\n\t\t\t\t\t595\u2013\n\t\t\t\t\t601."},{"issue":"3","key":"i1082-0744-26-3-186-b18","series-title":"Phys Ther","first-page":"305","article-title":"Strengthening and Optimal Movements for Painful Shoulders (STOMPS) in chronic spinal cord injury: A randomized controlled trial","volume":"91","year":"2011","unstructured":"Mulroy\n              SJ\n            ,\n\t\t\t\t\t\tThompsonL,\n\t\t\t\t\t\tKempB,\n\t\t\t\t\t\tet al.\n\t\t\t\t\tStrengthening and Optimal Movements for Painful Shoulders (STOMPS) in chronic spinal cord injury: A randomized controlled trial.\n\t\t\t\t\tPhys Ther.\n\t\t\t\t\t2011;\n\t\t\t\t\t91(\n\t\t\t\t\t3):\n\t\t\t\t\t305\u2013\n\t\t\t\t\t324."},{"issue":"4","key":"i1082-0744-26-3-186-b19","series-title":"Am J Phys Med Rehabil","first-page":"316","article-title":"Rotator cuff repairs in individuals with paraplegia","volume":"76","year":"1997","unstructured":"Goldstein\n              B\n            ,\n\t\t\t\t\t\tYoungJ,\n\t\t\t\t\t\tEscobedoEM.\n          Rotator cuff repairs in individuals with paraplegia.\n\t\t\t\t\tAm J Phys Med Rehabil.\n\t\t\t\t\t1997;\n\t\t\t\t\t76(\n\t\t\t\t\t4):\n\t\t\t\t\t316\u2013\n\t\t\t\t\t322."},{"issue":"9","key":"i1082-0744-26-3-186-b20","series-title":"J Shoulder Elb Surg","first-page":"1263","article-title":"Rotator cuff surgery in persons with spinal cord injury: Relevance of a multidisciplinary approach","volume":"23","year":"2014","unstructured":"Fattal\n              C\n            ,\n\t\t\t\t\t\tCouletB,\n\t\t\t\t\t\tGelisA,\n\t\t\t\t\t\tet al.\n\t\t\t\t\tRotator cuff surgery in persons with spinal cord injury: Relevance of a multidisciplinary approach.\n\t\t\t\t\tJ Shoulder Elb Surg.\n\t\t\t\t\t2014;\n\t\t\t\t\t23(\n\t\t\t\t\t9):\n\t\t\t\t\t1263\u2013\n\t\t\t\t\t1271."},{"issue":"12","key":"i1082-0744-26-3-186-b21","series-title":"Arch Phys Med Rehabil","first-page":"e174","article-title":"Effectiveness of two intervention programs to prevent shoulder pain after spinal cord injury","volume":"98","year":"2017","unstructured":"Mulroy\n              SJ\n            ,\n\t\t\t\t\t\tHaubertLL,\n\t\t\t\t\t\tEberlyVJ,\n\t\t\t\t\t\tConnersS W.\n          Effectiveness of two intervention programs to prevent shoulder pain after spinal cord injury.\n\t\t\t\t\tArch Phys Med Rehabil.\n\t\t\t\t\t2017;\n\t\t\t\t\t98(\n\t\t\t\t\t12):\n\t\t\t\t\te174."},{"key":"i1082-0744-26-3-186-b22","series-title":"Spinal Cord","first-page":"308","article-title":"Evidence-based scientific exercise guidelines for adults with spinal cord injury: An update and a new guideline","volume":"56","year":"2018","unstructured":"Martin Ginis\n              K\n            ,\n\t\t\t\t\t\tJW van derS,\n\t\t\t\t\t\tLatimer-CheungA,\n\t\t\t\t\t\tet al.\n\t\t\t\t\tEvidence-based scientific exercise guidelines for adults with spinal cord injury: An update and a new guideline.\n\t\t\t\t\tSpinal Cord.\n\t\t\t\t\t2018;\n\t\t\t\t\t56:\n\t\t\t\t\t308\u2013\n\t\t\t\t\t321"},{"issue":"2","key":"i1082-0744-26-3-186-b23","series-title":"J Musculoskelet Disord Treat","first-page":"049","article-title":"Oral ibuprofen interferes with cellular healing responses in a murine model of achilles tendinopathy","volume":"4","year":"2018","unstructured":"Bittermann\n              A\n            ,\n\t\t\t\t\t\tGaoS,\n\t\t\t\t\t\tRezvaniS,\n\t\t\t\t\t\tet al.\n\t\t\t\t\tOral ibuprofen interferes with cellular healing responses in a murine model of achilles tendinopathy.\n\t\t\t\t\tJ Musculoskelet Disord Treat.\n\t\t\t\t\t2018;\n\t\t\t\t\t4(\n\t\t\t\t\t2):\n\t\t\t\t\t049."},{"issue":"1","key":"i1082-0744-26-3-186-b24","series-title":"JSES Open Access","first-page":"54","article-title":"Do corticosteroid injections compromise rotator cuff tendon healing after arthroscopic repair?","volume":"2","year":"2017","unstructured":"Baverel\n              L\n            ,\n\t\t\t\t\t\tBoutsiadisA,\n\t\t\t\t\t\tReynoldsR,\n\t\t\t\t\t\tSaffariniM,\n\t\t\t\t\t\tBarthelemyR,\n\t\t\t\t\t\tBarthJ.\n          Do corticosteroid injections compromise rotator cuff tendon healing after arthroscopic repair?\n          JSES Open Access.\n\t\t\t\t\t2017;\n\t\t\t\t\t2(\n\t\t\t\t\t1):\n\t\t\t\t\t54\u2013\n\t\t\t\t\t59."},{"issue":"6","key":"i1082-0744-26-3-186-b25","series-title":"Cochran Database Syst Rev","first-page":"CD012225","article-title":"Electrotherapy modalities for rotator cuff disease","volume":"10","year":"2016","unstructured":"Page\n              M\n            ,\n\t\t\t\t\t\tGreenS,\n\t\t\t\t\t\tMrockiM,\n\t\t\t\t\t\tet al.\n\t\t\t\t\tElectrotherapy modalities for rotator cuff disease.\n\t\t\t\t\tCochran Database Syst Rev.\n\t\t\t\t\t2016;\n\t\t\t\t\t10(\n\t\t\t\t\t6):\n\t\t\t\t\tCD012225."},{"issue":"8","key":"i1082-0744-26-3-186-b26","series-title":"Arch Phys Med Rehabil","first-page":"1038","article-title":"Acupuncture and Trager psychophysical integration in the treatment of wheelchair user\u2019s shoulder pain in individuals with spinal cord injury","volume":"82","year":"2001","unstructured":"Dyson-Hudson\n              TA\n            ,\n\t\t\t\t\t\tShifflettS,\n\t\t\t\t\t\tKirshblumSC,\n\t\t\t\t\t\tBowenJ,\n\t\t\t\t\t\tDruinE.\n          Acupuncture and Trager psychophysical integration in the treatment of wheelchair user\u2019s shoulder pain in individuals with spinal cord injury.\n\t\t\t\t\tArch Phys Med Rehabil.\n\t\t\t\t\t2001;\n\t\t\t\t\t82(\n\t\t\t\t\t8):\n\t\t\t\t\t1038\u2013\n\t\t\t\t\t1046."},{"issue":"5","key":"i1082-0744-26-3-186-b27","series-title":"J Spinal Cord Med","first-page":"598","article-title":"Regenerative treatments for chronic shoulder pain in spinal cord injury","volume":"40","year":"2017","unstructured":"Dyson-Hudson\n              T\n            ,\n\t\t\t\t\t\tNakamuraR,\n\t\t\t\t\t\tTerryA,\n\t\t\t\t\t\tKirshblumS,\n\t\t\t\t\t\tMalangaG.\n          Regenerative treatments for chronic shoulder pain in spinal cord injury.\n\t\t\t\t\tJ Spinal Cord Med.\n\t\t\t\t\t2017;\n\t\t\t\t\t40(\n\t\t\t\t\t5):\n\t\t\t\t\t598."},{"key":"i1082-0744-26-3-186-b28","series-title":"Spinal Cord Case Ser","first-page":"46","article-title":"Autologous, micro-fragmented adipose tissue as a treatment for chronic shoulder pain in a wheelchair using individual with spinal cord injury: A case report","volume":"5","year":"2019","unstructured":"Cherian\n              C\n            ,\n\t\t\t\t\t\tMalangaG,\n\t\t\t\t\t\tHogaboomN,\n\t\t\t\t\t\tPollackM,\n\t\t\t\t\t\tDyson-HudsonT.\n          Autologous, micro-fragmented adipose tissue as a treatment for chronic shoulder pain in a wheelchair using individual with spinal cord injury: A case report.\n\t\t\t\t\tSpinal Cord Case Ser.\n\t\t\t\t\t2019;\n\t\t\t\t\t5:\n\t\t\t\t\t46."},{"issue":"8","key":"i1082-0744-26-3-186-b29","series-title":"Arch Phys Med Rehabil","first-page":"625","article-title":"Use of power assist wheels results in increased distance traveled compared with conventional manual wheeling","volume":"89","year":"2010","unstructured":"Levy\n              C\n            ,\n\t\t\t\t\t\tBumanM,\n\t\t\t\t\t\tChowJ,\n\t\t\t\t\t\tTilmanM,\n\t\t\t\t\t\tFournierK,\n\t\t\t\t\t\tGiacobbiPJ.\n          Use of power assist wheels results in increased distance traveled compared with conventional manual wheeling.\n\t\t\t\t\tArch Phys Med Rehabil.\n\t\t\t\t\t2010;\n\t\t\t\t\t89(\n\t\t\t\t\t8):\n\t\t\t\t\t625\u2013\n\t\t\t\t\t634."},{"issue":"6","key":"i1082-0744-26-3-186-b30","series-title":"Nawoczenski, DA","first-page":"861","article-title":"How \u201chealthy\u201d is circuit resistance training following paraplegia? Kinematic analysis associated with shoulder mechanical impingement risk","volume":"50","year":"2013","unstructured":"Riek\n              L\n            ,\n\t\t\t\t\t\tLudewigPM.\n          How \u201chealthy\u201d is circuit resistance training following paraplegia? Kinematic analysis associated with shoulder mechanical impingement risk.\n\t\t\t\t\tNawoczenski, DA.\n\t\t\t\t\t2013;\n\t\t\t\t\t50(\n\t\t\t\t\t6):\n\t\t\t\t\t861\u2013\n\t\t\t\t\t874."}],"container-title":["Topics in Spinal Cord Injury Rehabilitation"],"original-title":[],"link":[{"URL":"https:\/\/tscir.kglmeridian.com\/view\/journals\/tscr\/26\/3\/article-p186.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/meridian.allenpress.com\/tscir\/article-pdf\/26\/3\/186\/3068874\/sci2603-186.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/tscir.kglmeridian.com\/downloadpdf\/journals\/tscr\/26\/3\/article-p186.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/tscir.kglmeridian.com\/downloadpdf\/journals\/tscr\/26\/3\/article-p186.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T15:50:15Z","timestamp":1775145015000},"score":1,"resource":{"primary":{"URL":"https:\/\/tscir.kglmeridian.com\/view\/journals\/tscr\/26\/3\/article-p186.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020]]},"references-count":60,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.46292\/sci2603-186","relation":{},"ISSN":["1082-0744"],"issn-type":[{"value":"1082-0744","type":"print"}],"subject":[],"published":{"date-parts":[[2020]]}}}