https://matteocampagna.com/en/registry/health/wheelchair-archers-shoulder Changes to this claim in Matteo Campagna's evidence registry: its status, its year-by-year history, revisions of the page. en-gb https://matteocampagna.com/en/registry/health/wheelchair-archers-shoulderThere is a single study, small and described as a pilot: in 2016 a group of Korean rehabilitation physicians examined both shoulders of 16 paraplegic wheelchair archers and 19 table tennis players by ultrasound, all of them in regular training at two centres for disabled athletes. The archers are 45 on average, with twelve years in the sport and almost twenty-four in a wheelchair, and they train 27 hours a week. Tendon changes are frequent on both sides, 2.29 per shoulder in the bow arm and 2.35 in the string arm, with no difference between the two; what changes is their distribution. In the string arm the most common is tendinopathy of the long head of the biceps, 35 per cent of the changes found, and the pattern differs from that of the free arm in the table tennis players; in the bow arm subscapularis and supraspinatus predominate, at 27 per cent each. So something that may depend on shooting does show, but shoulder pain in daily life is the same as in the table tennis players, 54.7 against 44.4 points out of 150 with no significant difference, and the type of disability does not change the picture. There is no group of standing archers and none of wheelchair users who do not shoot: today it is impossible to tell how much comes from shooting and how much from more than twenty years of pushing a wheelchair and transferring, which load the same shoulders. The study also excluded anyone who had had surgery on the upper limb or had seen a doctor for shoulder pain in the previous six months, so the most serious cases are left out of the count. And a change on ultrasound is not necessarily a problem.claim:spalla-arcieri-carrozzina:revision:2026-06-05:2Fri, 05 Jun 2026 08:00:00 GMT https://matteocampagna.com/en/registry/health/wheelchair-archers-shoulderclaim:spalla-arcieri-carrozzina:new_claim:2026-04-17:riportatoFri, 17 Apr 2026 08:00:00 GMT