Objective: To determine the prevalence of shoulder pain in spinal cord injury patient using manual wheelchairs
in Khyber Pakhtunkhwa.
Study Design: Cross sectional.
st Place and Duration of Study: The study was carried out at Paraplegic Center Peshawar from 1 January 2014 to
th 30 June 2014.
Materials and Methods: A cross sectional survey using convenience sampling method was used to determine
the prevalence of shoulder pain in spinal cord injury patients using manual wheelchair at Paraplegic Center
Hayatabad Peshawar. A total of one hundred and fifty traumatic paraplegic and tetraplegic patients using
manual wheelchair post two weeks were included in this study. Wheelchair user shoulder pain index (WUSPI)
was used as data collection tool. Descriptive statistic was applied. Frequencies and percentages were
calculated for identifying the responses of patients to different questions, for level of injury, and identifying the
Results: A total of one hundred and fifty (150) manual wheelchair user tetraplegic and paraplegic spinal cord
injury patients were included in this study. Among them 84% were male while 16% were female. The
prevalence of shoulder pain was 34.7% while performing different activities in manual wheelchair users. From
patient's responses, it was declared that shoulder pain was most common while pushing on inclined surfaces
and ramps, pushing the wheelchair for 10 minutes or more, sleeping on the shoulder and transferring from bed
into wheelchair. While at rest 89.3% of the subjects were free of pain.
Conclusion: Most of the traumatic spinal cord injury (SCI) manual wheelchair users (MWUs) complain of
shoulder pain during the course of their rehabilitation program. Shoulder pain restricts most important
activities of daily living like pushing wheelchair on inclined surfaces, ramps and transferring from bed to
wheelchair and wheelchair to bed.
Manual Wheelchair User, Spinal Cord Injury, Shoulder Pain, Wheelchair User Shoulder Pain Index.