Rheumatic‐musculoskeletal manifestations in type 2 diabetes mellitus patients in south India

Mathew, Ashish Jacob; Nair, Jayakumar B.; Pillai, Saran S.

doi:10.1111/j.1756-185x.2010.01587.x

Cited by 43 publications

(61 citation statements)

References 16 publications

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“…A study conducted in USA [3] showed only longer duration of DM had association with the presence of shoulder and hand complication. Similarly a study done in Kerala, India identified a higher frequency (52.9%) of DM of more than 5 years duration [16]. In contrast to previous studies that found duration of diabetes to be significant, this study showed no significant association between the occurrence of shoulder and hand complications and duration of DM in a multivariate logistic regression model.…”

Section: Doi: 107243/2050-0866-2-8contrasting

confidence: 97%

The prevalence of shoulder and hand complications and associated factors among diabetic patients at University of Gondar Teaching Referral Hospital in Northwest Ethiopia

Fasika¹,

Abebe²,

Kebede³

2013

J Diab Res Clin Met

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Background: Diabetes mellitus (DM) and associated long term complications have become increasingly prevalent in developing countries. However, there is little evidence on the extent of shoulder and hand musculoskeletal complications in Ethiopia.Objective: This study aimed to assess the prevalence of shoulder and hand musculoskeletal complications and their associations among diabetic patients. Method: An institution based cross-sectional study was conducted from March to June, 2012 at the University of Gondar Teaching Referral Hospital. The systematic sampling technique was used to select 301 DM patients. To collect the data interviews and examination on hands and shoulders were conducted. Results: Out of the total 301 subjects, 163 (54.2%) were female. The mean age (±SD) of the subjects was 45.9 (±15.9) years. The cumulative prevalence of shoulder and hand complications was 16.6% and the majority of them in females 36 (20.1%). The prevalence was higher 37 (21.3%) in type 2 DM patients. The bivariate logistic regression analysis showed that shoulder and hand complication was significantly associated with sex, type of diabetes, age and duration of DM illness; (p<0.05). However, in multivariate logistic regression analysis, only sex had a significant association with shoulder and hand complications (p=0.04). Conclusion:The prevalence of shoulder and hand musculoskeletal complications was high in the Ethiopian DM population, and was higher in female and in older patients. Examination of the shoulder and the hand should then be included as an integral part of the care for diabetic patients.

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Section: Doi: 107243/2050-0866-2-8contrasting

confidence: 97%

The prevalence of shoulder and hand complications and associated factors among diabetic patients at University of Gondar Teaching Referral Hospital in Northwest Ethiopia

Fasika¹,

Abebe²,

Kebede³

2013

J Diab Res Clin Met

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“…In contrast, Aydeniz and cols. (13) found a prevalence of 14.7% in 102 diabetic frozen shoulder; Mathew and cols., reported a similar finding in 16.4% (14) of their patients; and Ramchurn and cols. (15), in 25% of their 96 patients.…”

Section: Referencessupporting

confidence: 59%

Shoulder pain and dysfunction in 150 type 2 diabetes mellitus patients

Czelusniak

Walczak

Skare

2012

Arq Bras Endocrinol Metab

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Objective: To study the prevalence of shoulder pain and dysfunction in patients from Southern Brazil with diabetes mellitus (DM) and to evaluate the association of pain and dysfunction with diabetes control and epidemiological factors. Subjects and methods: We studied 150 patients with type 2 DM for pain and shoulder dysfunction with the UCLA-m (modified University of California at Los Angeles Shoulder Rating Scale); for epidemiological and treatment data, values of Hb A 1C and plasma glucose were analyzed. Results: Pain was present in 63.4%, and dysfunction in 53.4% of the studied sample; 26.6% of the patients rated shoulder performance as bad. No association was found between Hb A 1C or plasma glucose and joint function, except for active flexion of the shoulder and fasting glucose (p = 0.026). Women had worse shoulder performance (p = 0.0043), as did elderly patients (p < 0.0001). Conclusions: Shoulder pain and dysfunction is highly prevalent in patients with type 2 diabetes; these disorders affect more women and the elderly. Arq Bras Endocrinol Metab. 2012;56(4):233-7 Keywords Diabetes mellitus; shoulder; pain; periarthritis ReSUMOObjetivo: Estudar a prevalência de dor e disfunção do ombro em pacientes com diabetes melito (DM) do sul do Brasil e verificar a possível associação com controle glicêmico e fatores epidemiológicos. Sujeitos e métodos: Estudaram-se 150 pacientes com DM tipo 2 para dor e disfunção do ombro pelo instrumento UCLAm (University of California at Los Angeles Shoulder Rating Scale modificada), dados epidemiológicos e de tratamento, valores de Hb A 1C e glicemia de jejum. Resultados: Verificou-se que havia dor em 63,4% e disfunção em 53,4% da amostra estudada. Em 26,6% dos pacientes, o desempenho do ombro foi considerado ruim. Não se encontrou associação de Hb A 1C e glicemia de jejum com dor e disfunção do ombro salvo pela associação entre flexão ativa dessa articulação com glicemia de jejum (p = 0,026). As mulheres tinham pior desempenho do ombro (p = 0,0043), assim como os mais idosos (p < 0,0001). Conclusões: Existe uma prevalência muito alta de dor e disfunção do ombro em pacientes com DM tipo 2, sendo maior em mulheres e idosos. Arq Bras Endocrinol Metab. 2012;56(4):233-7

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“…8 Other studies suggest an association between diabetes and musculoskeletal disease. 9 Statin use has been implicated as a possible risk factor for tendon disease, including tendon rupture and tendinitis, and shoulder stiffness. 10,11 The extent of this risk and the influence of gender is not clear.…”

Section: Discussionmentioning

confidence: 99%

Shoulder Symptoms and Function in Geriatric Patients

Burner

Abbott

Huber

et al. 2014

Journal of Geriatric Physical Therapy

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Background and Purpose Musculoskeletal problems including shoulder pain are common in the general population and are often cited as reasons for physician visits. Although many risk factors for shoulder pain are postulated, the effects of shoulder pain on functional level and perceived quality of life are poorly characterized in older adults. In this study, we set out to determine the prevalence and impact of shoulder symptoms and dysfunction in an older adult veteran population. Methods A chart review, cross-sectional survey, and examination were performed. A sample of 93 individuals, age >60, were recruited from a primary clinic outpatient waiting room at the Clement J. Zablocki VA Medical Center in Milwaukee, WI. Patients were asked about shoulder symptoms and self-assessed health (SAH), and completed the Stanford Modified Health Assessment Questionnaire (MHAQ). A series of 3 shoulder maneuvers were used to assess shoulder mobility and pain. The presence of diabetes and statin use was documented. A more thorough chart review was performed on individuals who reported shoulder pain and disability. Results Severe shoulder pain was common in the study group, reported by 31% of all participants. Functional limitation measured by the MHAQ and answering “yes” to greater difficulty performing daily tasks was associated with reduced internal rotation, which was present in almost 36% of all participants. Symptoms were often bilateral. No statistically significant risk factors emerged in this small sample, but suggestive trends were apparent. Interestingly, few patients reported discussing these problems with their providers, and shoulder-related problems were documented in only 10% of corresponding problem lists of symptomatic patients. Conclusions With an aging population, the high prevalence of shoulder pain may have considerable impact on public health. It will become increasingly important to define risk factors, delineate etiologies, and devise new management strategies for patients with symptomatic shoulder disease.

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Rheumatic‐musculoskeletal manifestations in type 2 diabetes mellitus patients in south India

Abstract: Thorough RMS examination should be included as an integral part of care in T2DM patients.

Cited by 43 publications

References 16 publications

The prevalence of shoulder and hand complications and associated factors among diabetic patients at University of Gondar Teaching Referral Hospital in Northwest Ethiopia

The prevalence of shoulder and hand complications and associated factors among diabetic patients at University of Gondar Teaching Referral Hospital in Northwest Ethiopia

Shoulder pain and dysfunction in 150 type 2 diabetes mellitus patients

Shoulder Symptoms and Function in Geriatric Patients

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