Semin Neurol 2000; 20(2): 201-208
DOI: 10.1055/s-2000-9829
Copyright © 2000 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Neuromusculoskeletal Syndromes in Wheelchair Athletes

Suzanne L. Groah1 , Indira S. Lanig2,3
  • 1Physical Medicine and Rehabilitation, Santa Clara Valley Medical Center, San Jose, California
  • 2Craig Hospital, Englewood, Colorado
  • 3Department of Rehabilitation, University of Colorado Health Sciences Center, Denver, Colorado
Further Information

Publication History

Publication Date:
31 December 2000 (online)

ABSTRACT

With the growth of wheelchair athletics at both grassroots and national levels, there has been an increased incidence of sports-related and overuse syndromes in the wheelchair-user population. This article provides an overview of the available literature on the incidence, prevalence, evaluation, prevention, and rehabilitative management of these types of clinical syndromes.

REFERENCES

  • 1 Http://olympic-usa.org. Accessed May 16, 2000
  • 2 Snow L. Wheelchair sports.  AAPMR Academy Meeting . 1998;  379-394
  • 3 Http://www.wsusa.org/about.htm. Accessed May 16, 2000 . 
  • 4 Gatts G C, Camp E M. Physiological characteristics of trained Australian paraplegic and tetraplegic subjects.  Med Sci Sports . 1979;  11 256-259
  • 5 Jochheim K A, Strohkendl H. Value of particular sports of wheelchair-disabled in maintaining health of paraplegic.  Paraplegia . 1973;  11 173-178
  • 6 Pachalski A, Mekarski T. Effect of swimming on increasing of cardiorespiratory capacity in paraplegics.  Paraplegia . 1980;  18 190-196
  • 7 Stotts K M, Warren C G. Look at wheelchair sports and what's happening in northwest.  Model Syst SCI Dig . 1982;  4 13-18
  • 8 Curtis K A, McClanahan S, Hall K M, Dillon D, Brown K F. Health, vocational, and functional status in spinal cord injured athletes and nonathletes.  Arch Phys Med Rehabil . 1986;  67 862-865
  • 9 Curtis K A, Dillon D A. Survey of wheelchair athletic injuries: common patterns and prevention.  Paraplegia . 1985;  23 170-175
  • 10 Ferrara M S, Davis R W. Injuries to elite wheelchair athletes.  Paraplegia . 1990;  28 335-341
  • 11 Ferrara M S. The injury experiences of the competitive athlete with a disability: prevention implications.  Med Sci Sports Exerc . 1992;  24 184-188
  • 12 McCormack D AR, Reid D C, Steadward R D, Syrotuik D G. Injury profiles in wheelchair athletes: results of a retrospective survey.  Clin J Sport Med . 1991;  1 35-40
  • 13 Taylor D, Williams T. Sports injuries in athletes with disabilities: wheelchair racing.  Paraplegia . 1995;  33 296-299
  • 14 Wilson P, Washington R L. Pediatric wheelchair athletics: sports injuries and prevention.  Paraplegia . 1993;  31 330-337
  • 15 Nilsen R, Nygaard P, Bjorholt P. Complications that occur in those with spinal cord injuries who participate in sport.  Paraplegia . 1985;  23 152-158
  • 16 Jackson R, Fredrickson A. Sports for the physically disabled: the 1976 Olympiad (Toronto).  Am J Sports Med . 1979;  7 293-296
  • 17 Madorsky J G, Curtis K A. Wheelchair sports medicine.  Am J Sports Med . 1984;  12 128-132
  • 18 Davidoff G, Werner R, Waring W. Compressive mononeuropathies in the upper extremities in chronic paraplegia.  Paraplegia . 1991;  29 17-24
  • 19 Jackson D, Hynninen B, Caborn D, McLean J. Electrodiagnostic study of carpal tunnel syndrome in wheelchair basketball players.  Clin J Sports Med . 1996;  6 27-31
  • 20 Dozono K, Hachisuka K, Hatada K, Ogata H. Peripheral neuropathies in the upper extremities of paraplegic wheelchair marathon racers.  Paraplegia . 1995;  33 208-211
  • 21 Burnham R, Steadward R. Upper extremity peripheral nerve entrapments among wheelchair athletes: prevalence, location, and risk factors.  Arch Phys Med Rehabil . 1994;  75 519-524
  • 22 Dorfman L J, Jayram A R. Handcuff neuropathy.  JAMA . 1978;  239 957
  • 23 Rettig A C. Neurovascular injuries in the wrists and hands of athletes.  Clin Sports Med . 1990;  9 389-416
  • 24 Aljure J. Carpal tunnel syndrome in paraplegic patients.  Paraplegia . 1985;  23 182-186
  • 25 Gellman H. Carpal tunnel syndrome in paraplegic patients.  J Bone Joint Surg Am . 1988;  70 517-519
  • 26 Kellner W S, Felsenthal G, Anderson J M. Carpal tunnel syndrome in the nonparetic hands of hemiplegics: stress induced by ambulatory assistive devices.  Orthop Rev . 1986;  15 87-90
  • 27 Tun C G, Upton J. The paraplegic hand: electrodiagnostic studies and clinical findings.  J Hand Surg . 1988;  13 716-719
  • 28 Werner C O, Elmquist O, Ohlin P. Pressure and nerve lesion in the carpal tunnel.  Acta Orthop Scand . 1983;  54 312-316
  • 29 Martinez S F, Medical concerns among wheelchair road racers. Phys Sport Med .  1989;  17 63-68
  • 30 Gelberman R H, Hergenroeder P T, Hargens A R, Lundborg G N, Akeson W H. The carpal tunnel syndrome-a study of carpal canal pressures.  J Bone Joint Surg . 1981;  63 380-383
  • 31 Collins K, Storey M, Peterson K, Nutter P. Nerve injuries in athletes.  Phys Sports Med . 1988;  16 92-96
  • 32 Howse C. Wrist injuries in sport.  Sports Med . 1994;  17 163-175
  • 33 Kulund D N, McCue F C. Tennis injuries, prevention and treatment.  Am J Sports Med . 1979;  7 249-253
  • 34 Lundborg G, Gelberman R H, Minteer-Convery M, Lee Y F, Harg A R. Median nerve compression in the carpal tunnel-functional response to experimentally induced controlled pressure.  J Hand Surg . 1982;  7 252-259
  • 35 Burnham R, Chan M, Hazlett C, Laskin J, Steadward R. Acute median nerve dysfunction from wheelchair propulsion: the development of a model and study of the effect of hand protection.  Arch Phys Med Rehabil . 1994;  75 513-518
  • 36 Marras W S, Schoenmarklin R W. Wrist motions in industry.  Ergonomics . 1993;  36 341-351
  • 37 Sjogaard G, Sjogaard K. Muscle Injury in repetitive motion disorders.  Clin Orthop Relat Res . 1998;  351 21-31
  • 38 Wu J S, Morris J D, Hogan G R. Ulnar neuropathy at the wrist: case report and review of literature, Arch Phys Med Rehabil .  1985;  66 785-788
  • 39 Jennings J F, Peimer C A. Ligamentous injuries of the wrist. In: Nicholas JA, Hershman EB, eds. The Upper Extremity in Sports Medicine St. Louis: CV Mosby 1990: 457-482
  • 40 Mayfield J K. Patterns of injury to carpal ligaments: a spectrum.  Clin Orthop Relat Res . 1984;  187 36-42
  • 41 Schroer W, Lacey S, Frost F S, Keith M W. Carpal instability in the weight-bearing upper extremity.  J Bone Joint Surg Am . 1996;  78 1838-1843
  • 42 Black K P, Schultz T K, Cheung N L. Compartment syndromes in athletes.  Clin Sports Med . 1990;  9 471-487
  • 43 Weinstein S M, Herring S A. Nerve problems and compartment syndromes in the hand, wrist, and forearm.  Clin Sports Med . 1992;  11 161-188
  • 44 Feindel W, Stratford J. The role of the cubital tunnel in tardy ulnar palsy.  Can J Surg . 1958;  1 287-300
  • 45 Parkes, J C. Overuse injuries of the elbow. In: Nicholas JA, Hershman EB, eds. The Upper Extremity in Sports Medicine St. Louis: CV Mosby 1990: 335-346
  • 46 Sobel J, Pettrone F, Nirschl R. Prevention and rehabilitation of racquet sports injuries. In: Nicholas JA, Hershman EB, eds. The Upper Extremity in Sports Medicine St. Louis: CV Mosby 1990: 843-860
  • 47 Nemchausky B, Ubilluz R. Upper extremity neuropathies in patients with spinal cord injuries.  J Spinal Cord Med . 1995;  18 95-97
  • 48 Lister G D, Belsole R B, Kleinert H E. The radial tunnel syndrome.  J Hand Surg . 1979;  4 52-59
  • 49 Roles N, Maudsley R. Radial tunnel syndrome: resistant tennis elbow as nerve entrapment.  J Bone Joint Surg Br . 1972;  54 499-508
  • 50 Bayley J C, Cochran R P, Sledge C B. The weight-bearing shoulder: the impingement syndrome in paraplegics.  J Bone Joint Surg Am . 1987;  69 676-678
  • 51 Nichols P J, Norman P A, Ennis J R. Wheelchair user's shoulder?.  <~>Shoulder pain in patients with spinal cord lesions. Scand J Rehabil Med . 1979;  11 29-32
  • 52 Sie I, Waters R, Adkins R, Gellman H. Upper extremity pain in the postrehabilitation spinal cord injured patient.  Arch Phys Med Rehabil . 1992;  73 44-48
  • 53 Subbarao J, Klopfstein J, Turpin R. Prevalence and impact of wrist and shoulder pain in patients with spinal cord injury.  J Spinal Cord Med . 1995;  18 9-13
  • 54 Gellman H, Sie I, Waters R. Late complications of the weight-bearing upper extremity in the paraplegic patient.  Clin Orthop . 1988;  233 132-135
  • 55 Wylie E, Chakera T. Degenerative joint abnormalities in patients with paraplegia of duration greater than 20 years.  Paraplegia . 1988;  26 101-106
  • 56 Wing P, Tredwell S. The weightbearing shoulder.  Paraplegia . 1983;  21 107-113
  • 57 Silfverskiold J, Waters R L. Shoulder pain and functional disability in spinal cord injury patients.  Clin Orthop Relat Res . 1991;  272 141-145
  • 58 Perry J. Shoulder anatomy and biomechanics.  Clin Sports Med . 1983;  2 247-270
  • 59 Burnham R S, May L, Nelson E, Steadward R, Reid D C. Shoulder pain in wheelchair athletes: the role of muscle imbalance.  Am J Sports Med . 1993;  21 238-242
  • 60 Vanlandewijck Y C, Spaepen A J, Lysens R J. Wheelchair propulsion efficiency: movement pattern adaptations to speed changes.  Med Sci Sports Exerc . 1994;  26 1373-1381
  • 61 Yarkony G, Chen D. Rehabilitation of patients with spinal cord injuries. In: Braddom R, ed. Physical Medicine and Rehabilitation Philadelphia: WB Saunders Co 1996: 1149-1179
  • 62 Burnham R, Wheeler G D, Bhambhani Y. Intentional induction of autonomic dysreflexia for performance enhancement in wheelchair athletes.  Clin J Sport Med . 1994;  4 1-10
  • 63 Harris P. Self-induced autonomic dysreflexia (``boosting'') practiced by some tetraplegic athletes to enhance their athletic performance (Editorial).  Paraplegia . 1994;  32 289-291