J Korean Acad Rehabil Med.  2003 Oct;27(5):782-789.

Limited Joint Motion in Type II Diabetic Patients; Association with Diabetic Complications and Related Disease

• Ahn KH
• Kim HS
• Oh JJ
• Yun DH

Abstract

OBJECTIVE
This research aimed to evaluate the relationship of limited joint motion (LJM) and shoulder adhesive capsulitis with diabetic complications and related diseases in type II diabetic patients. METHOD: A cross sectional study in 155 type II diabetic patients was done. The presence of LJM and shoulder adhesive capsulitis was sought. The diseases closely related to diabetes were recorded. The patients were assessed for retinopathy, nephropathy, and neuropathy. RESULTS: The prevalence of LJM and shoulder adhesive capsulitis in type II diabetic patients was 32.3% and 29.7%, respectively. Development of LJM and shoulder adhesive capsulitis was correlated with age and duration of diabetes. Higher blood HbA1c level was noticed in mild and moderate degree of LJM. The prevalence of shoulder adhesive capsulitis was shown association with LJM. The prevalence of LJM was associated with a history of myocardial infarction and chronic diabetic complications. The prevalence of shoulder adhesive capsulitis was associated with retinopathy, carpal tunnel syndrome, and autonomic neuropathy. CONCLUSION: According to the results, around 30% of type II DM patients could have hand LJM and should adhesive capsulitis, which suggested more attention and effort to prevent the LJM and shoulder adhesive capsulitis were needed.

Keyword

Limited joint motion; Shoulder adhesive capsulitis; Type II diabetes; Diabetic complication

MeSH Terms

Bursitis
Carpal Tunnel Syndrome
Diabetes Complications*
Hand
Humans
Joints*
Myocardial Infarction
Prevalence
Shoulder