Do overhead sports increase risk for rotator cuff tears in wheelchair users

摘要: Abstract Objective To analyze whether frequent overhead-sports activity increases the risk for rotator cuff disease in patients with spinal cord injuries (SCIs) who are wheelchair dependent. Design Cross-sectional study, analysis. Setting Department of Orthopaedic Surgery, Trauma Surgery and Spinal Cord Injury. Participants Patients (N=296) SCI requiring full-time use a manual were recruited this study. The total population was divided into 2 groups (sports vs no sports), among them 103 playing overhead sports on regular basis (at least 1–2 times/wk) 193 involved less than once week or at all. mean age group 49.1 years. duration dependence 26.5 no-sports 48 25.2 Each individual completed questionnaire designed to identify asked about shoulder problems. Magnetic resonance imaging scans both shoulders performed each patient analyzed standardized fashion. Interventions None. Main Outcome Measures Possible differences continuous data between without tear evaluated. relative suffering from those not calculated. Results One hundred three played regularly did not. There difference regarding age, sex, level SCI, dependence. body mass index significantly lower ( P Conclusions Overhead-sports activities have been identified as an additional factor, along dependence, developing paraplegia. A high frequency shows physiological benefits well improves psychological status quality life SCI. dilemma is how increase physical gain health further increasing overuse upper extremities, particularly shoulder, study may be helpful elucidating etiology athletes paraplegia counseling extremity provide support preventive strategies.