Comparison of Shoulder Pain, Disability and Range of Motion in Diabetic and Non-Diabetic Patients With Frozen Shoulder

Abstract

To compare the shoulder pain, disability, and range of motion in diabetic and non-diabetic frozen shoulder (FS) patients. METHODS: This cross-sectional study was conducted from December 2018 to June 2019 on 210 clinically diagnosed patients of FS. Study included equal number (n=105) of diabetes mellitus (DM) patients and non-diabetic patients, ranging in age from 35 to 65 years. Non-probability purposive sampling was used to assemble the data from various private and government hospitals of Lahore. A plastic goniometer and shoulder pain and disability index (SPADI) tool was used to extract data. Data was analyzed through SPSS v.21.0. RESULTS: In 210 patients with frozen shoulder, the mean age was 53±10.3 years & 48±9.9 years in DM & non-diabetic patients respectively (p=0.94). Frequency of male & female patients was 43 (40.95%) and 62 (59.05%) in diabetic group (n=105) & 38 (36.19%) and 67(63.81%) in non-diabetic group (n=105) respectively. Mean body mass index was 25.61±2.14 & 25.39±2.16 in diabetic & non-diabetic patients respectively (p=0.32). Mean SPADI score was 66.69±13.20 in diabetic and 63.34±15.01 in non-diabetic group (p=0.191). Regarding motion range at shoulder, mean degrees of flexion, external rotation, internal rotation and abduction were 103±23.07, 30±11.20, 34±11.970 & 101±25.55 in diabetic patients as compared to 113±29.61, 39±14.34, 40±15.77 & 109±33.80 in non-diabetic patients respectively (p=≤0.05). CONCLUSION: There is no significant difference in severity of pain and disability in diabetic & non-diabetic patients with frozen shoulder. However, range of motion was significantly better in non-diabetic patients as compared to diabetic patients having frozen shoulder.