Prevalence of Coccydynia Among Wheelchair Users Due to Prolonged Sitting
Coccydynia in Wheelchair Users
DOI:
https://doi.org/10.61919/jhrr.v4i1.370Keywords:
Coccydynia, Wheelchair Users, Prolonged Sitting, Tailbone Pain, Ergonomic Wheelchair DesignAbstract
Background: Coccydynia, characterized by pain around the coccyx, is a common issue among wheelchair users due to prolonged sitting. Despite its impact on quality of life, it remains under-researched in populations with mobility restrictions.
Objective: This study aimed to determine the prevalence of coccydynia among wheelchair users and identify key risk factors such as sitting duration, gender, and cushion use.
Methods: A cross-sectional study was conducted involving 250 wheelchair users aged 15–60 years in South Punjab. Data were collected through a self-structured questionnaire, Numeric Pain Rating Scale (NPRS), and Visual Analog Scale (VAS). Participants using wheelchairs for at least one year were included, while those with spinal cord injuries, fractures, or postpartum conditions were excluded. Statistical analysis was performed using SPSS version 25, with Chi-square tests to assess associations between variables.
Results: Coccydynia was prevalent in 76% of participants, with 72.4% reporting tenderness. Females were more affected (63.6%) than males (36.4%). Prolonged sitting (>5 hours) significantly increased tenderness (P < 0.001). Most participants (85.2%) did not use cushions despite the pain being predominantly chronic (85.2%) and dull/aching (89.6%).
Conclusion: Coccydynia is prevalent among wheelchair users, driven by prolonged sitting and lack of ergonomic support. Interventions such as cushion use and ergonomic education are recommended.
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