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1 * Downloaded from ijwph.ir at 9: on Friday September st : 7 : : * Pegah.rahmani87@gmail.com : 40 ( ) 40. :. ( ). ) (r=0.99) WUSPI ( ). (. (p 0.05) t :. 77.(p 0.05).(p 0.05).(p 0.05) :. : 39//: 39/4/30: (39 ) -

2 50 Downloaded from ijwph.ir at 9: on Friday September st (8).(9) VIII.(0).(). IX.(0) X (998).(38) (988) (3).(8).(04)..() (ROM) I. II.().(3) 73 3.(4)..(4) III V IV.(65) (99)....(7) VII VI (988). VIII- Shoulder Pathology IX- Scapular Protraction X- Lal I- Rotator Cuff II- Athletic Wheelchair III- Muscular Imbalance IV- Pentland V- Twomey VI- Wylie VII- Chakera (39 ) -

3 5 Downloaded from ijwph.ir at 9: on Friday September st 8 t ( 8 SPSS ( ).( ).() (p 0.05).(p 0.05). (p 0.05).(4 ).(p 0.05) (39 ) ( ) ( ).. I.(543) 0.99 WUSPI 5. II (0 0) 0 VAS. ( 5 ) 50 III PC-WUSPI.. PC WUSPI= 5 IV ( ). V.(64) ) I-Wheelchair Users Shoulder Pain Index II-Visual Analog Scale III- Performance-Corrected WUSPI Score IV- Nicolas Handheld Dynamometry V- Supine

4 5.(p 0.05) 5.(4 ) Downloaded from ijwph.ir at 9: on Friday September st 8 (n=) 35.38± ± ± ± ±6.4 : / ( ± ) : (n=) 34.54± ± ± ± ± ±9. (n=) 5 3 (n=) 37.9± ±.38.48± ± ±5.74 (n=) 36.79± ± ± ± ±.6 3.5±8.5 (± ) :3 (n=) 4 3 (n=) (n=) 5 WUSPI PC- WUSPI 45 PC-WUSPI n=5 n=7 n=7 n=9 n= n=4 n=6 n=7 n=5 n=7 n=6 n=9 0 : (39 ) -

5 53 6 Downloaded from ijwph.ir at 9: on Friday September st 8 : r=0.5 r =0.384 r=0.6) (r =0. r=0.45 r =0.50 r=0.50 r =0.60 r=0.6 r =0.34 r =0.336 r=0.57.(p 0.05) r=0.58) r =0.33 r=0.56 (r =0.30 r =0.37 r=0.48.(p 0.05) I II (06) (08) III.(9-7) (04) (08) (06) I- Erol II- Drongelen III- Macdermid.(7) (PC-WUSPI) : * * * * * (PC-WUSPI) : * * * * * * * * * n= n=4 n=6 n=7 (39 ) -

6 54 Downloaded from ijwph.ir at 9: on Friday September st 8.(5)...() VI. VII VIII..(3).. VI- Glenohumeral VII- Dynamic Outlet Stenosis VIII- Thoracoscapular.(9). I () II ().() (p 0.05).(p 0.05)..(4). III. (03). 8 IV.() (04).(4) V (0) I- Eccentric II- Concentric III- Fullerton IV- Finley V- Yildirim (39 ) -

7 55 Downloaded from ijwph.ir at 9: on Friday September st 8.(4)..... Ferretti A, Decarli A, Fontana M, Injury of Suprascapular Nerve at the Spinoglenoid Notch,Am J Sport Med,(997),6: David F.A, RaydenJ.r, Anne C.A, Overuse Syndrome of the Upper Limb in People with Spinal Cord Injury, RRDS Physical Fitness: A Guide for Individuals with Spinal Cord Injury, (07), Curtis K.A, Black K, Shoulder Pain in Female Wheelchair Basketball Players, Journal of Orthopaedic& Sports Physical Therapy, (999), 9(4): Finley M.A, Mary M.R, Prevalence and identification of shoulder pathology in athletic and nonathletic wheelchair users with shoulder pain: A pilot study, Journal of Rehabilitation Research & Development, (04), 4(38): Gil-Agudo A, Ama-Espinosa A.D, Crespo- Ruiz B, Wheelchair Basketball Quantification, Physical Medicine and Rehabilitation Clinics of North America, (0), (): Howell S.M, Galinar B.J, The glenoidlabralsocket: a constrained articular surface, ClinOrthop, (986), 43: Pentland W.E, Twomey L.T, The weightbearing upper extremity in women with long-term paraplegia, Paraplegia, (99), 9: Wylie E.J, Chakera T.M, Degenerative joint abnormailities in patients with paraplegia of duration greater than years, Paraplegia,(988),6: ReaganK.M, Meister K, Horodyski M.B, (03)..(). (99)..(7) (04). Werner D.W, CarruthersC, WilkK, Humeral Retroversion and Its Relationship to Glenohumeral Rotation in the Shoulder of College Baseball Players,Am J SportsMed,(0), Burnham R.S, Curtis K.A, Reid D.C, Shoulder problems in the wheelchair athlete, In: Petrone, F.A. (Ed). The Athlete's Shoulder, New York: McGraw Hill,(l994), Burnham R.S, May L, Nelson E.l,Steadward, R, Reid D.C, Shoulder pain in wheelchair athletes: The role of muscle imbalance, Am J Sports Med,(993),: Kendall P.F, Kendall M, Provance P.G, Rodgers M.M, Romani W.A, Muscle testing andfunction with posture and pain,lippincott Williams & Wilkins, (05). 5Th edition. 3. Lal S, Premature degenerative shoulder changes in spinal cord injury patients, Spinal Cord, (998), 36(3): Salisbury S.K, NitzJ, Souvlis T, Shoulder pain following tetraplegia: a follow-up study -4 years after injury, Spinal Cord, (06), 44: Yildirim N.U, Comert E, Ozengin N, Shoulder pain: A comparison of wheelchair basketball players with trunk control and without trunk control, Journal of Back and Musculoskeletal Rehabilitation, (0), 3(): Williams A, Michael W.T, Richard W.B, Normative Values for Isometric Muscle Force Measurements Obtained With Hand-held Dynamometers, Physical Therapy,(996), 76(3). 7. ErolO, Ozçakar L, CelikerR, Shoulder rotator (39 ) -

8 Downloaded from ijwph.ir at 9: on Friday September st 8 56 strength in patients with stage I-II subacromial impingement: relationship to pain, disability, and quality of life,j Shoulder Elbow Surg,(08), 7(6): MacDermid J.C, Ramos J,Drosdowech D, FaberK, Patterson S, The impact of rotator cuff pathology on isometric and isokinetic strength, function, and quality of life, J Shoulder Elbow Surg,(04),3: Van Drongelen S, De Groot S, Veeger H.E, Angenot E.L, Dallmeijer A.J, Post M.W,et al, Upper extremity musculoskeletal pain during and after rehabilitation in wheelchair-using persons with a spinal cord injury, Spinal Cord, (06),44(3):5-9.. Stuelcken M.C, Ginn K.A, Sinclair P.J, Shoulder strength and range of motion in elite female cricket fast bowlers with and without a history of shoulder pain, Journal of Science and Medicine in Sport, (08), : Heather D.F, Jeffrey J.B, Alan P.A, Shoulder Pain: A Comparison of Wheelchair Athletes and Nonathletic Wheelchair Users, Medicine & Science in Sports & Exercise, (03), 35(): Kibler, W.B. (995). Biomechanical analysis of the shoulder during tennis activities. Clin Sports Med. 4(): Harburn, K.L.; Spaulding, S.J. (983). Muscle activity in the spinal cord injured during wheelchair ambulation. Am J OccupTher. 40: (39 ) -