Evidence map›Paper›PMID 34387846›Full record

ReviewPain and therapy2021

Musculoskeletal Pain Due to Wheelchair Use: A Systematic Review and Meta-Analysis.

Andreas Liampas, Panayiota Neophytou, Maria Sokratous, Giustino Varrassi, Christiana Ioannou, Georgios M Hadjigeorgiou, Panagiotis Zis

Open access · goldAbstract readReview
In one paragraph

Review in Pain and therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.9field-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

19 citing papers in PubMed, 42 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Real-Life Wheelchair Mobility Metrics from IMUs.Sensors (Basel, Switzerland) · 2023
    Article
  14. Article
  15. Benefits of Cycling Wheelchair Training for Elderly with Physical Disability: A Prospective Cohort Study.International journal of environmental research and public health · 2022
    Article
  16. Article
  17. Article
  18. Review
  19. Review
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

7 authors at 3 institutions in 2 countries.

Andreas LiampasMedical School, University of Cyprus, Nicosia, Cyprus.
Panayiota NeophytouMedical School, University of Cyprus, Nicosia, Cyprus.
Maria SokratousDepartment of Neurology, Nicosia General Hospital, Nicosia, Cyprus.
Giustino VarrassiPaolo Procacci Foundation, Rome, Italy.
Christiana IoannouMedical School, University of Cyprus, Nicosia, Cyprus.
Georgios M HadjigeorgiouMedical School, University of Cyprus, Nicosia, Cyprus.
Panagiotis ZisMedical School, University of Cyprus, Nicosia, Cyprus. takiszis@gmail.com.ORCID http://orcid.org/0000-0001-8567-3092
University of Cyprus · CYNicosia General Hospital · CYFondazione Roma · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWheelchair users are at a high risk of experiencing non-neuropathic pain of musculoskeletal origin as a result of being wheelchair-bound. The aim of this systematic review was to establish the prevalence of musculoskeletal pain in wheelchair users that is attributable to wheelchair use, and to describe the different pain syndromes and discuss risk factors and management options.

methodsAfter a systematic MEDLINE search, we identified 40 papers eligible for inclusion.

resultsThe pooled prevalence of musculoskeletal pain at any location was 50% (95% CI 33-67%). The most common pain syndrome was shoulder pain (pooled prevalence 44%, 95% CI 36-52%). Wheelchair users were 5.8 times as likely to suffer from shoulder pain as controls (95% CI 2.7-12.2, p < 0.0001). Other pain syndromes included neck, elbow, wrist, hand and low back pain. Older age and increased duration of wheelchair use were the most significant determinants of pain in wheelchair users.

conclusionsMusculoskeletal pain as a result of wheelchair use is very common amongst wheelchair users. Management of pain should follow national and international guidelines. Optimal adjustment of seating position may prevent pain, and is important to be taken into consideration.

Indexed as

ManagementMusculoskeletal painRisk factorsWheelchair

Identifiers

PMID34387846
PMCPMC8586284
OpenAlexW3187363012

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.