Article

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 OUTCOME MEASURE: 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.
CI - Copyright (c) 2017 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS