The prevalence of XXXX among long-term manual wheelchair users with @entity1566 : A cross-sectional study.

@entity923 @entity1 @entity130 @entity1566
CONTEXT: Use of a handrim wheelchair could force the wrist into extreme excursions and encroachment of the median nerve. OBJECTIVE: We performed a study of the prevalence of @entity923 in prolonged wheelchair users. DESIGN AND SETTING: A cross-sectional study was conducted for one year in an outpatient clinic of @entity1566 . @entity1 : @entity1 had @entity130 at the first thoracic level and below, with time since injury of at least 5 years. OUTCOME MEASURE: The prevalence of @entity923 by history taking, clinical examinations and motor and sensory nerve conduction studies of median nerve performed for both hands. RESULTS: @entity1 (N   =   297) were all male. Mean (SD) age and duration since injury were 48 (8.5) and 23 (6.6) years, respectively. A significant difference in median duration of injury based on the severity of the syndrome (P   <   0.001), and a significant trend in time since injury for the severity (P (one tailed)   <   0.001) were seen. There was a significant difference in the median age among the groups (P   =   0.009), and the median increased with the severity (P (one tailed)   =   0.001). CONCLUSIONS: @entity923 is a common side effect of the long time use of wheelchair, and its severity is associated with duration of wheelchair use and age. Alternative methods for wheelchair propulsion should be developed to diminish the likelihood of the syndrome.
