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Assessment of limited joint mobility of the hand in Black Africans with diabetes mellitus and in non-diabetics / Evaluación de la limitación de la movilidad articular de la mano en africanos negros que padecen de diabetes mellitus y en los no diabéticos
Ikem, IC; Ikem, RT; Olaogun, MOB; Owoyemi, A; Ola, BA.
  • Ikem, IC; Obafemi Awolowo University. College of Health Sciences. Department of Medical Rehabilitation. Ile-Ife. NG
  • Ikem, RT; Obafemi Awolowo University. College of Health Sciences. Department of Medical Rehabilitation. Ile-Ife. NG
  • Olaogun, MOB; Obafemi Awolowo University. College of Health Sciences. Department of Medical Rehabilitation. Ile-Ife. NG
  • Owoyemi, A; Obafemi Awolowo University. College of Health Sciences. Department of Medical Rehabilitation. Ile-Ife. NG
  • Ola, BA; Obafemi Awolowo University. College of Health Sciences. Department of Medical Rehabilitation. Ile-Ife. NG
West Indian med. j ; 58(6): 506-511, Dec. 2009. tab
Article in English | LILACS | ID: lil-672533
ABSTRACT

OBJECTIVE:

This study is designed to further characterize Limited Joint Mobility (LJM) of the hand using quantitative goniometric measurements among Black Africans with Type 2 diabetes mellitus and non-diabetes.

METHODS:

Seventy-six patients with Type 2 diabetes and 63 normal controls matched for age and gender were purposively selected. Visual clinical examination and quantitative goniometric assessment of patients with DM and non-DM controls were done. The LJM was graded using the criteria of Silverstein et al. Glycaemic control and proteinuria were also assessed.

RESULTS:

Prevalence of LJM among Type 2 DM patients was 26.3% compared with 4.8% in normal controls. Subjects with LJM within the control group were significantly older than those with LJM within the DM group (p < 0.05). Prayer sign was 11.8% in DM patients compared with 4.8% of control. The flattening sign demonstrated by the inability to flatten their hands on a flat surface was more in patients with DM (10.5%) compared with 4.8% in the control group. Stage II LJM with 18.4% prevalence was the commonest followed by Stage III (7.9%) among patients with DM. Poor glycaemic control was found in 85%, using fasting plasma glucose and 70%, using 2-hour postprandial blood glucose (2 hpp).

CONCLUSION:

We conclude that Black Africans with Type 2 DM only have moderately severe cases of LJM.
RESUMEN

OBJETIVO:

Este estudio fue diseñado para caracterizar más a fondo la limitación de la movilidad articular (LMA) de la mano, usando mediciones goniométricas entre africanos.

MÉTODOS:

Setenta y seis pacientes con diabetes mellitus tipo 2 y 63 controles normales pareados por edad y género fueron seleccionados para este propósito. Se realizó un examen clínico visual y una evaluación goniométrica cuantitativa de los pacientes con DM y controles no DM. La LMA fue graduada usando los criterios de Silverstein et al. También se evaluaron el control glicérico y la proteinuria.

RESULTADOS:

La prevalencia de LMA entre pacientes con DM tipo 2 fue de 26.3% comparada con 4.8% en los controles normales. Los sujetos con LMA en el grupo de control fueron significativamente mayores en edad que aquellos con LMA en el grupo con DM (p < 0.05). La signo de las manos en oración fue 11.8% en los pacientes con DM comparado con el 4.8% del control. El signo de aplanamiento demostrado por la incapacidad de los pacientes de poner sus manos totalmente planas sobre una superficie, fue mayor en aquellos con DM (10.5%) en comparación con el 4.8% del grupo control. La LMA de la segunda etapa con una prevalencia de 18.4%, fue la más común seguida por la de etapa III (7.9%) entre pacientes con DM. Un control glicémico pobre fue hallado en 85%, usando glucosa plasmática en ayunas.

CONCLUSIÓN:

Concluimos que los africanos negros con DM tipo 2 presentan sólo casos moderadamente severos de LMA.
Subject(s)
Full text: Available Index: LILACS (Americas) Main subject: Range of Motion, Articular / Black People / Joint Diseases Type of study: Observational study / Risk factors Limits: Adult / Aged / Aged80 / Humans / Male Country/Region as subject: Africa Language: English Journal: West Indian med. j Journal subject: Medicine Year: 2009 Type: Article Affiliation country: Nigeria Institution/Affiliation country: Obafemi Awolowo University/NG

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Full text: Available Index: LILACS (Americas) Main subject: Range of Motion, Articular / Black People / Joint Diseases Type of study: Observational study / Risk factors Limits: Adult / Aged / Aged80 / Humans / Male Country/Region as subject: Africa Language: English Journal: West Indian med. j Journal subject: Medicine Year: 2009 Type: Article Affiliation country: Nigeria Institution/Affiliation country: Obafemi Awolowo University/NG