Upper Extremity Pathologies in Spinal Cord Injuries

NCT06278740 | Completed

• 1 other identifier: SCIUSG24
• Study Type: observational
• Target: 80
• Locations: 1 country
• Sites: 2

Brief Summary

This study aims to determine the relationship between upper extremity pathologies and demographic data, duration of manual wheelchair use, duration of injury, physical examination and musculoskeletal ultrasound measurements in patients with spinal cord injuries.

Conditions

Upper Extremity Problem; Musculoskeletal Pain; Spinal Cord Injuries

Outcome Measures

Primary Outcomes (1)

• Comparison of US findings among participants

  Ultrasonographic evaluation of upper extremity shoulder, elbow and wrist pathologies and examination of their relationship with clinical parameters.

  1 day (a single point in time)

Secondary Outcomes (5)

• Visual Analog Scale (VAS)

  1 day (a single point in time)

• The Physical Examination of the Shoulder Scale (PESS)

  1 day (a single point in time)

• The Quick Disability of the Arm, Shoulder, and Hand (Quick DASH)

  1 day (a single point in time)

• American Spinal Injury Association (ASIA) Impairment Scale

  1 day (a single point in time)

• The Spinal Cord Independence Measure (SCIM-III)

  1 day (a single point in time)

Study Arms (2)

SCI with Manual Wheelchair Usage

Patients with spinal cord injuries who use manual wheelchairs

Diagnostic Test: Musculoskeletal Ultrasound

SCI without Manual Wheelchair Usage

Patients with spinal cord injuries who do not use manual wheelchairs

Diagnostic Test: Musculoskeletal Ultrasound

Interventions

Musculoskeletal Ultrasound DIAGNOSTIC_TEST

Upper extremity pathologies of participants with ultrasound

SCI with Manual Wheelchair Usage; SCI without Manual Wheelchair Usage

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Spinal cord injuries who use manual wheelchairs and spinal cord injuries who do not use manual wheelchairs, aged between 18-65 years who applied to our clinic will be included in the study.

You may qualify if:

• Patients who have experienced spinal cord injury, can comply with two-stage verbal commands, voluntarily agree to participate in the study and are medically stable.

You may not qualify if:

• Tetraplegia
• A significant comorbid condition such as severe heart disease and uncontrolled hypertension.
• Cognitive dysfunction
• Active infection
• Malignancy
• History of trauma to the upper extremity
• Brachial plexus and peripheral nerve injury
• History of surgery on the upper extremity

Sponsors & Collaborators

• Afyonkarahisar Health Sciences University: lead

Study Sites (2)

Afyonkarahisar

Afyonkarahisar, Afyonkarahisar, 0300, Turkey (Türkiye)

Location

Afyonkarahisar Health Sciences University

Afyonkarahisar, Afyonkarahisar, 03100, Turkey (Türkiye)

Location

Related Publications (3)

• Ata AM, Mete Civelek G, Kara O. Relationship Between Manual Wheelchair Using Skills and Upper Limb Musculoskeletal Disorders in Patients With Spinal Cord Injury: A Musculoskeletal Ultrasonography Study. Am J Phys Med Rehabil. 2023 Nov 1;102(11):959-964. doi: 10.1097/PHM.0000000000002296. Epub 2023 May 23.

  PMID: 37256679 BACKGROUND

• Collinger JL, Fullerton B, Impink BG, Koontz AM, Boninger ML. Validation of grayscale-based quantitative ultrasound in manual wheelchair users: relationship to established clinical measures of shoulder pathology. Am J Phys Med Rehabil. 2010 May;89(5):390-400. doi: 10.1097/PHM.0b013e3181d8a238.

  PMID: 20407304 BACKGROUND

• Vives Alvarado JR, Felix ER, Gater DR Jr. Upper Extremity Overuse Injuries and Obesity After Spinal Cord Injury. Top Spinal Cord Inj Rehabil. 2021;27(1):68-74. doi: 10.46292/sci20-00061.

  PMID: 33814884 BACKGROUND

Related Links

• Relationship Between Manual Wheelchair Using Skills and Upper Limb Musculoskeletal Disorders in Patients With Spinal Cord Injury: A Musculoskeletal Ultrasonography Study
• Validation of Greyscale-Based Quantitative Ultrasound in Manual Wheelchair Users
• Upper Extremity Overuse Injuries and Obesity After Spinal Cord Injury

MeSH Terms

Conditions

Spinal Cord Injuries; Musculoskeletal Pain

Condition Hierarchy (Ancestors)

Spinal Cord Diseases; Central Nervous System Diseases; Nervous System Diseases; Trauma, Nervous System; Wounds and Injuries; Muscular Diseases; Musculoskeletal Diseases; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Mahmut Sami DOĞANLAR, MD

  Afyonkarahisar Health Sciences University

  PRINCIPAL INVESTIGATOR

• Nuran EYVAZ, MD

  Afyonkarahisar Health Sciences University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Medical Doctor

Study Record Dates

• First Submitted: February 19, 2024
• First Posted: February 26, 2024
• Study Start: August 5, 2024
• Primary Completion: October 4, 2025
• Study Completion: October 4, 2025
• Last Updated: December 8, 2025

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will not share

Locations

TU (2)