Managing shoulder pain in manual wheelchair users:a scoping review of conservative treatment interventions

Objective:To review the literature that has explored conservative treatments for the management of shoulder pain in manual wheelchair users.Methods:Five databases were systematically searched in february 2020 for terms related to shoulder pain and manual wheelchair use. Articles were screened and included if they investigated the conservative treatment of shoulder pain in wheelchair users. Participants’ physical characteristics, experimental design and primary and secondary outcome measures were extracted from studies. Studies were grouped according to treatment type to identify gaps in the literature and guide future research.Results:The initial search identified 407 articles, of which 21 studies met the inclusion criteria. Exercise-based treatment interventions were most prevalent (n = 12). A variety of exercise modalities were employed such as strengthening and stretching (n = 7), ergometer training (n = 3), Pilates classes (n = 1) and functional electrical stimulation (n = 1). Only three studies supplemented exercise with an additional treatment type. The Wheelchair Users Shoulder Pain Index was used by 18 studies as the primary measure of shoulder pain. Only seven of these included an objective measure of shoulder function. Participant characteristics varied among studies, and physical activity levels were frequently not reported.Conclusions:Despite the high prevalence of shoulder pain in manual wheelchair users, the number of studies to have explored conservative treatment types is low. Exercise is the most commonly used treatment, which is encouraging as physical inactivity can exacerbate other health conditions. Few studies have adopted interdisciplinary treatment strategies or included objective secondary measures to better understand the mechanisms of pain.<br

The validity and reliability of a novel indoor player tracking system for use within wheelchair court sports

The aim of the current study was to investigate the validity and reliability of a radio- frequency based system for accurately tracking athlete movement within the wheelchair court sports. Four wheelchair specific tests were devised to assess the system during i) static measurements ii) incremental fixed speeds iii) peak speeds, and iv) multi-directional movements. During each test, three sampling frequencies (4, 8 & 16 Hz) were compared to a criterion method for distance, mean and peak speeds. Absolute static error remained between 0.19-0.32 m across the session. Distance values (test ii) showed greatest relative error in 4 Hz tags (1.3%), with significantly lower errors seen in higher frequency tags (< 1.0%). Relative peak speed errors of < 2.0% (test iii) were revealed across all sampling frequencies in relation to the criterion (4.00 ± 0.09 m·sˉ¹). Results showed 8 and 16 Hz sampling frequencies displayed the closest to criterion values, whilst intra-tag reliability never exceeded 2.0% coefficient of variation (% CV) during peak speed detection. Minimal relative distance errors (< 0.2%) were also seen across sampling frequencies (test iv). To conclude, the indoor tracking system is deemed an acceptable tool for tracking wheelchair court match-play using a tag frequency of 8 or 16 Hz

Alterations in shoulder kinematics are associated with shoulder pain during wheelchair propulsion sprints

The study purpose was to examine the biomechanical characteristics of sports wheelchair propulsion and determine biomechanical associations with shoulder pain in wheelchair athletes. Twenty wheelchair court-sport athletes (age: 32 +/- 11 years old) performed one submaximal propulsion trial in their sports-specific wheelchair at 1.67 m/s for 3 min and two 10 s sprints on a dual-roller ergometer. The Performance Corrected Wheelchair User's Shoulder Pain Index (PC-WUSPI) assessed shoulder pain. During the acceleration phase of wheelchair sprinting, participants propelled with significantly longer push times, larger forces, and thorax flexion range of motion (ROM) than both the maximal velocity phase of sprinting and submaximal propulsion. Participants displayed significantly greater peak glenohumeral abduction and scapular internal rotation during the acceleration phase (20 +/- 9 degrees and 45 +/- 7 degrees) and maximal velocity phase (14 +/- 4 degrees and 44 +/- 7 degrees) of sprinting, compared to submaximal propulsion (12 +/- 6 degrees and 39 +/- 8 degrees). Greater shoulder pain severity was associated with larger glenohumeral abduction ROM (r = 0.59, p = 0.007) and scapular internal rotation ROM (r = 0.53, p = 0.017) during the acceleration phase of wheelchair sprinting, but with lower peak glenohumeral flexion (r = -0.49, p = 0.030), peak abduction (r = -0.48, p = 0.034), and abduction ROM (r = -0.44, p = 0.049) during the maximal velocity phase. Biomechanical characteristics of wheelchair sprinting suggest this activity imposes greater mechanical stress than submaximal propulsion. Kinematic associations with shoulder pain during acceleration are in shoulder orientations linked to a reduced subacromial space, potentially increasing tissue stress

Blue carbon benefits from global saltmarsh restoration

Coastal saltmarshes are found globally, yet are 25%–50% reduced compared with their historical cover. Restoration is incentivised by the promise that marshes are efficient storers of ‘blue’ carbon, although the claim lacks substantiation across global contexts. We synthesised data from 431 studies to quantify the benefits of saltmarsh restoration to carbon accumulation and greenhouse gas uptake. The results showed global marshes store approximately 1.41–2.44 Pg carbon. Restored marshes had very low greenhouse gas (GHG) fluxes and rapid carbon accumulation, resulting in a mean net accumulation rate of 64.70 t CO2e ha−1 year−1. Using this estimate and potential restoration rates, we find saltmarsh regeneration could result in 12.93–207.03 Mt CO2e accumulation per year, offsetting the equivalent of up to 0.51% global energy-related CO2 emissions—a substantial amount, considering marshes represent <1% of Earth's surface. Carbon accumulation rates and GHG fluxes varied contextually with temperature, rainfall and dominant vegetation, with the eastern coasts of the USA and Australia particular hotspots for carbon storage. While the study reveals paucity of data for some variables and continents, suggesting need for further research, the potential for saltmarsh restoration to offset carbon emissions is clear. The ability to facilitate natural carbon accumulation by saltmarshes now rests principally on the action of the management-policy community and on financial opportunities for supporting restoration

Comparing the Activity Profiles of Wheelchair Rugby Using a Miniaturised Data Logger and Radio-Frequency Tracking System

Copyright © 2014 Barry Mason et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited

Subgroup characteristics of marine methane-oxidizing ANME-2 archaea and their syntrophic partners revealed by integrated multimodal analytical microscopy

Phylogenetically diverse environmental ANME archaea and sulfate-reducing bacteria cooperatively catalyze the anaerobic oxidation of methane oxidation (AOM) in multicelled consortia within methane seep environments. To better understand these cells and their symbiotic associations, we applied a suite of electron microscopy approaches, including correlative fluorescence in situ hybridization-electron microscopy (FISH-EM), transmission electron microscopy (TEM), and serial block face scanning electron microscopy (SBEM) three-dimensional (3D) reconstructions. FISH-EM of methane seep-derived consortia revealed phylogenetic variability in terms of cell morphology, ultrastructure, and storage granules. Representatives of the ANME-2b clade, but not other ANME-2 groups, contained polyphosphate-like granules, while some bacteria associated with ANME-2a/2c contained two distinct phases of iron mineral chains resembling magnetosomes. 3D segmentation of two ANME-2 consortium types revealed cellular volumes of ANME and their symbiotic partners that were larger than previous estimates based on light microscopy. Polyphosphate-like granule-containing ANME (tentatively termed ANME-2b) were larger than both ANME with no granules and partner bacteria. This cell type was observed with up to 4 granules per cell, and the volume of the cell was larger in proportion to the number of granules inside it, but the percentage of the cell occupied by these granules did not vary with granule number. These results illuminate distinctions between ANME-2 archaeal lineages and partnering bacterial populations that are apparently unified in their ability to perform anaerobic methane oxidation

A Comparison of Speed Profiles During Training and Competition in Elite Wheelchair Rugby Players

This paper was accepted for publication in the journal International Journal of Sports Physiology and Performance and the definitive published version is available at http://dx.doi.org/10.1123/ijspp.2016-0218Purpose: To investigate the speed profiles of individual training modes in comparison to wheelchair rugby (WCR) competition across player classifications. Methods: Speed profiles of fifteen international WCR players were determined using a radio-frequency based indoor tracking system. Mean and peak speed (m∙s-1), work-rest ratios, the relative time spent (%)and the number of high speed activities performed were measured across training sessions (n = 464) and international competition (n = 34). Training was classified into one of four modes: conditioning (n = 71), skill-based (n = 133), game related (n = 151) and game-simulation drills (n = 109). Game-simulation drills were further categorised by the structured duration, which were 3-minute game-clock (n = 44), 8-minute game-clock (n = 39), and 10-minute running-clock (n = 26). Players were grouped by their International Wheelchair Rugby Federation classification as either low-point (≤ 1.5; n = 8) or high-point players (≥ 2.0; n = 7). Results: Conditioning drills were shown to exceed the demands of competition, irrespective of classification (P ≤ 0.005; effect size [ES] = 0.6-2.0). Skill-based and game related drills under-represented the speed profiles of competition (P ≤ 0.005; ES = 0.5-1.1). Mean speed and work-rest ratios were significantly lower during 3- and 8-minute game simulation drills in relation to competition (P ≤ 0.039; ES = 0.5-0.7). However, no significant differences were identified between the 10-minute running-clock and competition. Conclusions: Although game-simulation drills provided the closest representation of competition, the structured duration appeared important since the 10-minute running-clock increased training specificity. Coaches can therefore modify the desired training response by making subtle changes to the format of game-simulation drills

The archival discovery of a strong Lyman-α\alpha and [CII] emitter at z = 7.677

We report the archival discovery of Lyman-$\alpha$ emission from the bright ultraviolet galaxy Y002 at $z=7.677$, spectroscopically confirmed by its ionized carbon [CII] 158$\mu$m emission line. The Ly$\alpha$ line is spatially associated with the rest-frame UV stellar emission ($M_{\rm UV}$~-22, 2x brighter than $M^\star_{\rm UV}$) and it appears offset from the peak of the extended [CII] emission at the current ~1" spatial resolution. We derive an estimate of the unobscured SFR(UV)=$(22\pm1)\,M_\odot$ yr$^{-1}$ and set an upper limit of SFR(IR)$<15\,M_\odot$ yr$^{-1}$ from the far-infrared wavelength range, which globally place Y002 on the SFR(UV+IR)-L([CII]) correlation observed at lower redshifts. In terms of velocity, the peak of the Ly$\alpha$ emission is redshifted by $\Delta v$(Ly$\alpha$)~500 km s$^{-1}$ from the systemic redshift set by [CII] and a high-velocity tail extends to up to ~1000 km s$^{-1}$. The velocity offset is up to ~3.5x higher than the average estimate for similarly UV-bright emitters at z~6-7, which might suggest that we are witnessing the merging of two clumps. A combination of strong outflows and the possible presence of an extended ionized bubble surrounding Y002 would likely facilitate the escape of copious Ly$\alpha$ light, as indicated by the large equivalent width EW(Ly$\alpha$)=$24^{+5}_{-6}$ \r{A}. Assuming that [CII] traces the neutral hydrogen, we estimate a HI gas fraction of $M({\rm HI})/M_\star\gtrsim8$ for Y002 as a system and speculate that patches of high HI column densities could contribute to explain the observed spatial offsets between Ly$\alpha$ and [CII] emitting regions. The low dust content, implied by the non-detection of the far-infrared continuum emission at rest-frame ~160 $\mu$m, would be sufficient to absorb any potential Ly$\alpha$ photons produced within the [CII] clump as a result of large HI column densities.Comment: 10 pages, 4 figures. Accepted for publication in The Astrophysical Journal Letter