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Titre : | Very High Prevalence of Frozen Shoulder in Patients With Type 1 Diabetes of ≥45 Years' Duration: The Dialong Shoulder Study (2017) |
Auteurs : | Niels Gunnar Juel ; Jens Ivar Brox ; Cathrine Brunborg |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2017/8, 2017) |
Article en page(s) : | pp. 15511559 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Diabète de type 1 ; Douleur ; Epaule ; Hémoglobine A glycosylée ; Pain ; Rééducation et réadaptation |
Mots-clés: | Diabetes mellitus ; type 1 ; Hemoglobin A ; glycosylated ; Shoulder |
Résumé : |
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 increase in per unit glycated hemoglobin a1c> 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. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999317300850 |