TY - JOUR
T1 - Prevalence of lateral epicondylosis in veteran manual wheelchair users participating in adaptive sports
AU - Cyr, Andrea K.
AU - Colorado, Berdale S.
AU - Uihlein, Michael J.
AU - Garlanger, Kristin L.
AU - Tarima, Sergey S.
AU - Lee, Kenneth
N1 - Funding Information:
Funding The funding was provided by the Research Administration Committee (RAC) in the Department of Physical Medicine and Rehabilitation at the Medical College of Wisconsin.
Publisher Copyright:
© The Academy of Spinal Cord Injury Professionals, Inc. 2020.
PY - 2022
Y1 - 2022
N2 - Objective: Determine the prevalence of lateral epicondylosis (LE) of the dominant elbow in manual wheelchair users based on ultrasound assessment and physical exam. Design: Prospective, cross-sectional. Setting: National Veteran Wheelchair Games 2018 and 2019 (event medical services). Participants: Manual wheelchair users who attended the National Veteran Wheelchair Games (n = 87). Interventions: Participants completed a questionnaire then underwent an ultrasound assessment and a physical exam of their dominant arm evaluating for common extensor tendinopathy (CET) or clinically LE. Main Outcome Measure: Prevalence of CET diagnosed by ultrasound criteria was compared with other diagnostic criteria with MaNemar test for paired binary data. Results: Forty-six percent (N = 40) of participants met diagnostic criteria for CET by ultrasound assessment and 17% (N = 15) of participants met criteria for LE based on physical exam. These values are dramatically higher than what has been reported in the able-bodied population where the prevalence is estimated to be <2%. Age and number of years of wheelchair use were significant predictors of ultrasound diagnosis of LE (P = 0.02, 95% confidence interval [CI] 1.01–1.11) and (P = 0.05, 95% CI 1.00–1.09), respectively. Association analysis based on odds ratio and CI found no association between ultrasound findings suggestive of LE with regular adaptive sport participation greater than 1.5 h per week. Conclusion: Compared to able-bodied population, there is an increased prevalence of both CET and LE in manual wheelchair users based on either ultrasound assessment or physical exam. CET is associated with increased age and increased years using a manual wheelchair. There is no association between the diagnosis of LE and participation in adaptive sport.
AB - Objective: Determine the prevalence of lateral epicondylosis (LE) of the dominant elbow in manual wheelchair users based on ultrasound assessment and physical exam. Design: Prospective, cross-sectional. Setting: National Veteran Wheelchair Games 2018 and 2019 (event medical services). Participants: Manual wheelchair users who attended the National Veteran Wheelchair Games (n = 87). Interventions: Participants completed a questionnaire then underwent an ultrasound assessment and a physical exam of their dominant arm evaluating for common extensor tendinopathy (CET) or clinically LE. Main Outcome Measure: Prevalence of CET diagnosed by ultrasound criteria was compared with other diagnostic criteria with MaNemar test for paired binary data. Results: Forty-six percent (N = 40) of participants met diagnostic criteria for CET by ultrasound assessment and 17% (N = 15) of participants met criteria for LE based on physical exam. These values are dramatically higher than what has been reported in the able-bodied population where the prevalence is estimated to be <2%. Age and number of years of wheelchair use were significant predictors of ultrasound diagnosis of LE (P = 0.02, 95% confidence interval [CI] 1.01–1.11) and (P = 0.05, 95% CI 1.00–1.09), respectively. Association analysis based on odds ratio and CI found no association between ultrasound findings suggestive of LE with regular adaptive sport participation greater than 1.5 h per week. Conclusion: Compared to able-bodied population, there is an increased prevalence of both CET and LE in manual wheelchair users based on either ultrasound assessment or physical exam. CET is associated with increased age and increased years using a manual wheelchair. There is no association between the diagnosis of LE and participation in adaptive sport.
KW - Adaptive sport
KW - Lateral epicondylosis
KW - Ultrasound
KW - Wheelchair user
UR - http://www.scopus.com/inward/record.url?scp=85087116440&partnerID=8YFLogxK
U2 - 10.1080/10790268.2020.1771243
DO - 10.1080/10790268.2020.1771243
M3 - Article
C2 - 32527209
AN - SCOPUS:85087116440
SN - 1079-0268
VL - 45
SP - 238
EP - 244
JO - Journal of Spinal Cord Medicine
JF - Journal of Spinal Cord Medicine
IS - 2
ER -