title: Correlation of shoulder range of motion limitations at discharge with limitations in activities and participation one year later in persons with spinal cord injury.
abstract: OBJECTIVE
  To study the correlation between limited shoulder range of motion in persons with spinal cord injury at discharge and the performance of activities, wheeling performance, transfers and participation one year later.
  
  
  METHODS
  Multicentre prospective cohort study.
  
  
  METHODS
  A total of 146 newly injured subjects with spinal cord injury.
  
  
  METHODS
  Shoulder range of motion was measured at discharge. One year later, Functional Independence Measure (FIM), transfer ability, wheelchair circuit and Physical Activity Scale for Individuals with Physical Disabilities (PASIPD) were assessed. Corrections were made for possible confounding factors (age, gender, level and completeness of injury, time since injury and shoulder pain).
  
  
  RESULTS
  All subjects with limited shoulder range of motion at discharge had a lower FIM motor score and were less likely (total group 5 times, and subjects with tetraplegia 10 times less likely) to be able to perform an independent transfer one year later. Subjects with limited shoulder range of motion in the total group needed more time to complete the wheelchair circuit. No significant associations with the PASIPD were found in either group.
  
  
  CONCLUSIONS
  Persons with spinal cord injury and limited shoulder range of motion at discharge are more limited in their activities one year later than those without limited shoulder range of motion.
authors.affiliation: Swiss Paraplegic Research, CH-6207 Nottwil, Switzerland. inge.eriks@paranet.ch
authors.forename: Inge E
authors.initials: IE
authors.lastname: Eriks-Hoogland
authors.forename: Sonja
authors.initials: S
authors.lastname: de Groot
authors.forename: Marcel W M
authors.initials: MW
authors.lastname: Post
authors.forename: Lucas H V
authors.initials: LH
authors.lastname: van der Woude
mesh_terms: D000203:Activities of Daily Living; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D008297:Male; D009043:Motor Activity / Q000502:physiology; D010264:Paraplegia / Q000503:physiopathology; D011446:Prospective Studies; D011782:Quadriplegia / Q000503:physiopathology; D016059:Range of Motion, Articular / Q000502:physiology*; D012785:Shoulder Joint / Q000503:physiopathology*; D020069:Shoulder Pain / Q000503:physiopathology; D013119:Spinal Cord Injuries / Q000503:physiopathology* / Q000534:rehabilitation; D013997:Time Factors; D014910:Wheelchairs