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How to Promote Lifelong Shoulder Health for Wheelchair Users

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1.  Shoulder pain is present in up to ____% of manual wheelchair users
  1. 10
  2. 20
  3. 50
  4. 80
2.  Which of the following tasks is most likely to cause shoulder pain?
  1. Typing
  2. Reaching for drinking glasses in an overhead cabinet
  3. Using a cellphone
  4. Reading
3.  Which of the following should be included in a shoulder pain assessment:
  1. Provocative special tests
  2. Functional status to include sleep position(s) and ADL routines
  3. Scapular mobility, ROM, and strength
  4. All of the above
4.  Which of the following factors is the LEAST LIKELY potential wheelchair modification to reduce shoulder pain?
  1. Obtain a new cushion
  2. Providing additional trunk support
  3. Modify axle position
  4. Introduce power assist technology
5.  Jane comes to your clinic for shoulder pain. She has been using a manual wheelchair for 12 years due to multiple sclerosis.
Which of the following would be your first initial intervention plan?
  1. Order Jane a power wheelchair to reduce shoulder strain.
  2. Educate Jane on selecting more sedentary activities to reduce the frequency of high-intensity tasks throughout the day.
  3. Use ultrasound to address rotator cuff pain.
  4. Discuss Jane’s daily routines and identify high strain activities for task analysis in therapy. Educate Jane on shoulder biomechanics and initiate a stretching and strengthening program.

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