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Shoulder pain and dysfunction in 150 type 2 diabetes mellitus patients / Dor e disfunção do ombro em 150 pacientes com diabetes melito tipo 2
Czelusniak, Patrícia; Walczak, Talissa Gabrielle Ritter; Skare, Thelma L..
  • Czelusniak, Patrícia; Hospital Universitário Evangélico de Curitiba. Curitiba. BR
  • Walczak, Talissa Gabrielle Ritter; Hospital Universitário Evangélico de Curitiba. Curitiba. BR
  • Skare, Thelma L.; Hospital Universitário Evangélico de Curitiba. Curitiba. BR
Arq. bras. endocrinol. metab ; 56(4): 233-237, June 2012. ilus
Article in English | LILACS | ID: lil-640697
ABSTRACT

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 A1C 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 A1C 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.
RESUMO

OBJETIVO:

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 A1C 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 A1C 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.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Pain Measurement / Shoulder Pain Type of study: Observational study / Prevalence study / Risk factors Limits: Adult / Aged / Aged80 / Female / Humans / Male Country/Region as subject: South America / Brazil Language: English Journal: Arq. bras. endocrinol. metab Journal subject: Endocrinology / Metabolism Year: 2012 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital Universitário Evangélico de Curitiba/BR

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Full text: Available Index: LILACS (Americas) Main subject: Pain Measurement / Shoulder Pain Type of study: Observational study / Prevalence study / Risk factors Limits: Adult / Aged / Aged80 / Female / Humans / Male Country/Region as subject: South America / Brazil Language: English Journal: Arq. bras. endocrinol. metab Journal subject: Endocrinology / Metabolism Year: 2012 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital Universitário Evangélico de Curitiba/BR