Evidence map›Paper›PMID 33617411›Full record

ArticleThe journal of spinal cord medicine2022

MRI evaluation of shoulder pathologies in wheelchair users with spinal cord injury and the relation to shoulder pain.

Ursina Arnet, Wiebe H de Vries, Inge Eriks-Hoogland, Christian Wisianowsky, Lucas H V van der Woude, DirkJan H E J Veeger, Markus Berger, SwiSCI Study Group

Open access · greenAbstract read
In one paragraph

Article in The journal of spinal cord medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Are paraplegic wheelchair users vulnerable to overuse syndromes?Turkish journal of medical sciences · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 2 countries.

Ursina ArnetSwiss Paraplegic Research, Nottwil, Switzerland.ORCID 0000-0003-1101-4267
Wiebe H de VriesSwiss Paraplegic Research, Nottwil, Switzerland.ORCID 0000-0001-6369-583X
Inge Eriks-HooglandSwiss Paraplegic Center, Nottwil, Switzerland.ORCID 0000-0001-7388-6656
Christian WisianowskySwiss Paraplegic Center, Nottwil, Switzerland.
Lucas H V van der WoudeCenter for Human Movement Sciences, University Medical Center Groningen, Groningen, Netherlands.ORCID 0000-0002-8472-334X
DirkJan H E J VeegerDepartment of Human Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, Netherlands.ORCID 0000-0003-0292-6520
Markus BergerSwiss Paraplegic Research, Nottwil, Switzerland.ORCID 0000-0002-1634-3783
SwiSCI Study Group
Swiss Paraplegic Center · CHUniversity of Lucerne · CHSwiss Paraplegic Research · CHUniversity Medical Center Groningen · NLVrije Universiteit Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe the number, specifics and co-occurrence of shoulder pathologies detected by MRI in manual wheelchair users with spinal cord injury and to evaluate the association between shoulder pathologies and presence of shoulder pain.

designCross-sectional observation study.

settingCommunity.

participantsFifty-one wheelchair-dependent persons with spinal cord injury (44 males, 7 females, median age 50 years (IQR 14), median time since injury 24 years (IQR 16)) were allocated to pain or no-pain group based on the Wheelchair User Shoulder Pain Index.

interventionsNot applicable. OUTCOME MEASURES: All persons underwent shoulder MRI. Pathologies were scored blinded by two experienced radiologists. Participant characteristics, number and severity of shoulder pathologies were analyzed descriptively. Logistic regression was performed to evaluate the association between MRI findings and shoulder pain.

resultsThe median number of co-occurring MRI findings per person ranged from 0 to 19 (out of 31 possible findings). The cluster of MRI findings occurring most often together were tendon tears of supraspinatus (present in 84%), subscapularis (69%) and biceps (67%) and osteoarthritis of acromioclavicular joint (80%). When correcting for age and time since injury, the logistic regression showed no statistically significant correlation between the individual pathologies and shoulder pain.

conclusionMRI findings of shoulder pathology are very frequent in persons with and without shoulder pain. Therefore, when diagnosing the cause of shoulder pain and planning interventions, health care professionals should keep this finding in mind and MRI should not be interpreted without careful consideration of clinical history and functional testing.

Indexed as

Spinal Cord InjuriesWheelchairsCross-Sectional StudiesFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedShoulderShoulder PainRotator cuff tearShoulder painShoulder pathology

Identifiers

PMID33617411
PMCPMC9661987
OpenAlexW3132683756

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.