Evidence map›Paper›PMID 40323261›Full record

ArticleThe journal of spinal cord medicine2026

Self-reported shoulder pain assessment in adults with spinal cord injury who use a manual wheelchair: A scoping review.

Wendy Hurd, Meegan Van Straaten, Saloni Patel, Alison Hansen, Omid Jahanian, Stephen Cain, Ryan Pontiff, Chih-Ying Li, Melissa Morrow

Abstract readScoping Review
In one paragraph

Article in The journal of spinal cord medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

9 authors.

Wendy HurdDepartment of Physical Therapy and Rehabilitation Sciences, University of Texas Medical Branch, Galveston, Texas, USA.
Meegan Van StraatenKern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0002-8954-5415
Saloni PatelDepartment of Physical Therapy and Rehabilitation Sciences, University of Texas Medical Branch, Galveston, Texas, USA.
Alison HansenMoody Medical Library, University of Texas Medical Branch, Galveston, Texas, USA.ORCID 0000-0001-7151-5288
Omid JahanianRehabilitation Medicine Research Center, Department of Physical Medicine & Rehabilitation, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0002-5379-1462
Stephen CainDepartment of Chemical and Biomedical Engineering, West Virginia University, Morgantown, West Virginia, USA.ORCID 0000-0003-1961-4195
Ryan PontiffDepartment of Physical Therapy and Rehabilitation Sciences, University of Texas Medical Branch, Galveston, Texas, USA.ORCID 0009-0005-5498-2550
Chih-Ying LiDepartment of Occupational Therapy, University of Texas Medical Branch, Galveston, Texas, USA.ORCID 0000-0003-4817-554X
Melissa MorrowDepartment of Physical Therapy and Rehabilitation Sciences, University of Texas Medical Branch, Galveston, Texas, USA.ORCID 0000-0002-6500-6572

Funding

UTMB OAIC Research Education Component (REC)P30AG024832 · NIA · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI JAMES S. GOODWIN, MD, MELISSA M. MORROW · 2005 to 2026
$26.7M
University of Michigan (UM) HEAL Initiative National K12 Clinical Pain Career Development Program (UM-HCPDP)K12NS130673 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Daniel J Clauw, Steven Edward Harte · 2022 to 2026
$12.5M
Natural History of Shoulder Pathology in Wheelchair UsersR01HD084423 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI MELISSA M. MORROW · 2015 to 2026
$4.7M
Standardized Patient Assessment across Post-Acute Care: Opportunities and ChallengesK01HD101589 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI LI, CHIH-YING · 2020 to 2024
$632k
NIA NIH HHS P30 AG024832NICHD NIH HHS K01 HD101589NICHD NIH HHS R01 HD084423NINDS NIH HHS K12 NS130673
6 · The paper itself

Abstract

contextFor individuals living with spinal cord injury (SCI), a deep understanding of their shoulder pain experience is crucial to guide equipment prescription/design, mobility training, exercise, recreation, and pain education. Standardization in pain assessment methods is necessary for cross-study comparisons and meta-analyses. No previous studies describe the spectrum of shoulder pain assessment measures applied to adults with SCI who use MWCs for mobility.

objectiveThis scoping review aimed to determine the measurement instruments and methods of shoulder pain assessment used in peer-reviewed, published literature in studies focused on individuals with SCI who use MWCs.

methodsA literature search was performed using multiple databases on February 23, 2023. Data extraction elements included study design type, inclusion/exclusion criteria, sample size, and pain measurement instrument. Participant characteristics were also extracted including age, sex, time since SCI, level of SCI, and MWC use.

resultsThis scoping review identified over 20 instruments used in 133 studies that focused on reported shoulder pain in studies of this population. Thirty percent of the studies performed shoulder pain assessment for more than one purpose (screening, baseline, outcome), and 56% used more than one assessment measurement. The Wheelchair Users Shoulder Pain Index was the most commonly used instrument.

conclusionAn in-depth understanding of pain requires measurement within a biopsychosocial framework and likely involves multiple instruments. Overall, investigators are challenged to select valid, reliable instruments that fulfill the demands of study design and questions of interest. Guiding questions are provided to assist investigators in their choice of pain instruments.

Indexed as

Pain MeasurementSelf ReportShoulder PainSpinal Cord InjuriesWheelchairsAdultHumansManual wheelchairPain assessmentPatient-reported outcome measuresShoulder painSpinal cord injury

Identifiers

PMID40323261
PMCPMC13123076

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.