A cross-sectional study to assess the prevalence of frozen shoulder among patients with diabetes mellitus

Abstract

Purpose: Adhesive capsulitis (AC), is also known as frozen shoulder an insidious painful condition of the shoulder persisting more than 3 months. This inflammatory condition that causes fibrosis of the glenohumeral joint capsule is accompanied by gradually progressive stiffness and significant restriction of range of motion (typically external rotation).this study focusses on identifying frozen shoulder among diabetic patients as glycosylation process causes collagen in the shoulder to get stick which leads to frozen shoulder among type 2 diabetes patients. Methods: This was a cross-sectional study with total of 501 participants with the diagnosis of Diabetic Mellitus (DM).The participants underwent range of motion testing and shoulder strength assessment and Pain assessment using Emoji based Visual Analogue Pain scale. Results: Among 501 patients male were 49.9% and female were 50.9%. the value of HbA1c is categorized as uncontrolled diabetes with HbA1c value as >7 is 6.60% and controlled diabetes with Hba1c value as <7 is 93.4%. Through the preliminary assessment, the mean score for risk assessment is >4 , where 62.7% falls under high risk of frozen shoulder. Conclusion: The study concluded that participants with uncontrolled diabetes have high risk towards developing frozen shoulder. Duration of pain in DM was directly proportional to the high risk of frozen shoulder and females were more affected than males.