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Thread: New Consumer Guide on Prevention of Shoulder Problems in SCI

  1. #1

    New Consumer Guide on Prevention of Shoulder Problems in SCI

    New Consumer Guide Released: Preservation of Upper Limb Function

    People with spinal cord injuries and their caregivers have a new resource to help with improving the quality of their lives: Preservation of Upper Limb Function: What You Should Know, new from the Consortium for Spinal Cord Medicine.

    Strain on the upper limbs is prevalent among wheelchair users, with the impending risk of experiencing a painful and potentially disabling injury.

    This expert guide offers:
    • Recommendations on selecting and setting up equipment
    • Exercise routines to maintain strong and healthy arms and shoulders
    • Tips on arranging your environment to lessen stress on arms
    • Guidance and positive tips on staying healthy

    This consumer guide is a companion to the clinical practice guideline, Preservation of Upper Limb Function Following SCI. Published by Paralyzed Veterans of America (PVA) on behalf of the Consortium for Spinal Cord Medicine.

    Download the Upper Limb consumer guide at no cost today:

    You can access all of the Consortium's clinical practice guidelines for health-care professionals and companion consumer guides on PVA's website. Download free of charge at


  2. #2
    Thanks, KLD!
    - Richard

  3. #3
    Two useful articles for shoulder management and how the main muscles of shoulders work together, from the deltoids to rotator cuffs,..

  4. #4
    The PVA website has changed. Here is the new URL for the clinical practice guideline on Upper Extremity Management for professionals, and the one for consumers.


  5. #5
    How about using ski poles or hiking poles for propelling a wheelchair?
    When I had a wheelchair and elbow crutches, I had to carry both, so I used the crutches to propel the chair. Felt more natural and I could do good speed. On steeper uphills I pushed on the rims.
    Using poles is different movement so you would use muscles differently.

  6. #6
    ski poles are way to weak to propel a wheelchair for any length. I used to skate ski and ha $200 carbon poles, they were the strongest as log as the push was straight, meaning a side way blow would break them. At the start of any race you would always see a couple people behind the pack skating with out poles as one was missing the bottom portion. The rules allow the skier to have a pole handed to him/her from the side lines, so they would work their way over there and listen for a friend or kind hearted person that would hand them a pole so they could get back in the race.
    The aluminum poles, which are much cheaper, and not as stiff, would bend like a C under heavy polling, or snap. which may happen if the snow had a lot of moisture or water. I remember in some places where puddles would form on the downhill section, it created suction on the skis, and you would be screaming down the hill , hit the puddle, feet would do a dead stop and perfect face plant. With experience you learned to spot the hazard and find ways to prevent the suction.
    using arm crutches, you could definitively get a different workout in.
    cauda equina

  7. #7
    Junior Member
    Join Date
    Feb 2012
    Pensacola, Florida
    Chiroweb shoulder very helpful reading...I am trying to regain range without injury...thanks

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