Shoulder pain and dysfunction in 150 type 2 diabetes mellitus patients.
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.


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 A(1C) 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 A(1C) 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.
Serviço de Reumatologia, Hospital Universitário Evangélico de Curitiba, PR, Brazil.
Patrícia
P
Czelusniak
Talissa Gabrielle Ritter
TG
Walczak
Thelma L
TL
Skare
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001786:Blood Glucose / Q000032:analysis; D001938:Brazil / Q000453:epidemiology; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000503:physiopathology*; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement / Q000379:methods*; D015995:Prevalence; D016059:Range of Motion, Articular / Q000502:physiology; D020069:Shoulder Pain / Q000097:blood / Q000453:epidemiology / Q000503:physiopathology*; D018709:Statistics, Nonparametric; D013997:Time Factors
D001786:Blood Glucose; D006442:Glycated Hemoglobin