Very High Prevalence of Frozen Shoulder in Patients With Type 1 Diabetes of ≥45 Years' Duration: The Dialong Shoulder Study.
Arch Phys Med Rehabil
; 98(8): 1551-1559, 2017 08.
Article
em En
| MEDLINE
| ID: mdl-28219686
ABSTRACT
OBJECTIVES:
To compare the prevalence of shoulder disorders and self-reported shoulder disability in patients with long-term type 1 diabetes mellitus and diabetes-free subjects; and to explore the association between the long-term glycemic burden and shoulder disability in the diabetes group.DESIGN:
Cross-sectional study of shoulder diagnoses with 30 years' historical data on glycemic burden in patients with diabetes.SETTING:
Diabetics center and a university hospital.PARTICIPANTS:
Subjects attending the Norwegian Diabetics Center in 2015 with type 1 diabetes since 1970 or earlier were eligible (N=136). One hundred and five patients were included, and 102 (50% women; mean age, 61.9y) completed the study together with 73 diabetes-free subjects (55% women; mean age, 62.5y).INTERVENTIONS:
Not applicable. MAIN OUTCOMEMEASURE:
Shoulder diagnoses decided through clinical examination according to scientific diagnostic criteria.RESULTS:
Frozen shoulder was diagnosed in 60 (59%) patients with diabetes and 0 diabetes-free subjects, with a lifetime prevalence of 76% in the diabetes group versus 14% in the diabetes-free subjects. Patients with diabetes had higher disability and higher mean QuickDASH scores (23.0±19.9) than diabetes-free subjects (8.9±12.0), with a mean difference of -14.2 (95% confidence interval, -19.3 to -9.0) points (P<.001). We found an association between chronic hyperglycemia and QuickDASH scores, with a 6.16-point increase in QuickDASH scores per unit increase in glycated hemoglobin A1c (HbA1c) (P=.014).CONCLUSIONS:
The point prevalence of frozen shoulder in patients with long-lasting type 1 diabetes was 59%, and the lifetime prevalence was 76%. The diabetes group had more shoulder disability than diabetes-free subjects. The historical HbA1c level was associated with increased shoulder disability.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Bursite
/
Diabetes Mellitus Tipo 1
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article