Relationship of shoulder activity and skin intrinsic fluorescence with low level shoulder pain and disability in people with type 2 diabetes

Abstract

Aim People with type 2 diabetes (T2DM) have a high incidence of musculoskeletal disorders thought to be influenced by high non-enzymatic advanced glycated end-products (AGEs). The goals of this study were to determine differences in shoulder activity level and AGEs in people with T2DM compared to matched controls, and to determine factors associated with shoulder pain and disability. METHODS Eighty-one participants, T2DM (n=52) and controls (n=29), were examined for magnitude and duration of shoulder activity (measured using accelerometers), skin intrinsic florescence (SIF) as a surrogate measure of AGE level, and the Shoulder Pain and Disability Index (SPADI) as a self-report of shoulder pain and disability. RESULTS Compared with controls, T2DM participants had 23% less shoulder activity (p=0.01), greater SIF level (3.6 ± 1.7 vs 2.7 ± 0.6 AU, p=0.01), less shoulder strength (p<0.05), and the duration of their shoulder activity was moderately associated (r = 0.40; p<0.01) with reported shoulder pain and disability. Shoulder pain and disability were not related to SIF level. CONCLUSIONS Persons with T2DM have higher SIF levels and shoulder symptoms and disability indices than controls. Research is needed to determine if a shoulder mobility intervention to increase strength and mobility can help decrease shoulder pain and disability.

Sensor Technologies to Manage the Physiological Traits of Chronic Pain: A Review

“…This scenario justifies current efforts for the development of objective physical activity evaluation systems for the identification of pain-related activities (breast pain, headache, etc.) [137,138], for the evaluation of pain intensity [139][140][141][142][143][144][145][146][147], for the detection of postures, movements or activities that can produce pain [148][149][150][151][152][153], or for the improvement of quality of life and a reduction of pain intensity [154][155][156][157][158].…”

“…The intensity of physical activity evaluated through accelerometry has also been applied to the assessment of the intensity of chronic or recurrent sub-acute lumbar pain in adolescents [141], in patients with hip or knee osteoarthritis [142], shoulder pain in persons with type-2 diabetes [143], the detection of walking impairments after abdominal surgery [144], juvenile idiopathic arthritis [145], or chronic pain of musculo-skeletal origin in patients and workers [146,147].…”

Efeito crônico do alongamento estático ativo sobre a glicemia em diabéticos tipo 2

“…A desordem metabólica acarreta grandes problemas, agrava todo o sistema do corpo por uma condição de estresse oxidativo, levando a complicações severas (GOMES et al, 2019;HIRAKAW et al, 2019;IGHODARO, 2018). RISTOLAINEN;VASTAMÄKI, 2016;SORENSEN et al, 2017).…”

“…Nota se que a grande maioria dessas articulações são de grandes amplitudes, sendo de maior prejuízo no diabetes, de modo geral, todas as articulações sofrem prejuízos de função (LUCENA et al, 2010;ALMURDHI et al, 2016;SORENSEN et al, 2017;COX et al, 2020).…”

“…A rigidez articular é a grande causadora de dores articulares, musculares e tendíneas, prejudicando de modo geral todo o corpo, principalmente partes de amplo grau de movimento (LUCENA et al, 2010;ACKERMAN et al;SORENSEN et al, 2017;COX et al, 2020).…”