Uddin Mohammad Moin, Khan Aminuddin A, Haig Andrew J, Uddin Mohammad Kafil
Consultant, Physical Medicine and Rehabilitation, Chittagong Medical College & Hospital, Bangladesh.
Professor and Head, Physical Medicine and Rehabilitation, Chittagong Medical College & Hospital, Bangladesh.
J Clin Orthop Trauma. 2014 Dec;5(4):193-8. doi: 10.1016/j.jcot.2014.09.008. Epub 2014 Oct 7.
The literature is inconsistent regarding the level of pain and disability in frozen shoulder patients with or without diabetes mellitus. The aim of this study is to evaluate some demographic features of frozen shoulder patients and to look into the disparity of information by comparing the level of pain and disability due to frozen shoulder between diabetic and non-diabetic people.
This is a prospective comparative study. People with frozen shoulder attending an outpatient department were selected by consecutive sampling. Disability levels were assessed by the Shoulder Pain & Disability Index (SPADI). Means of pain and disability scores were compared using unpaired t-test.
Among 140 persons with shoulder pain 99 (71.4%) had frozen shoulder. From the participating 40 frozen shoulder patients, 26 (65%) were males and 14 (35%) were females. Seventeen participants (42.5%) were diabetic, two (5%) had impaired glucose tolerance and 21 (52.5%) patients were non-diabetic. Mean disability scores (SPADI) were 51 ± 15.5 in diabetic and 57 ± 16 in non-diabetic persons. The differences in pain and disability level were not statistically significance (respectively, p = 0.24 and p = 0.13 at 95% confidence interval).
No difference was found in level of pain and disability level between frozen shoulder patients with and without diabetes.
关于患有或未患有糖尿病的肩周炎患者的疼痛程度和残疾情况,文献报道并不一致。本研究的目的是评估肩周炎患者的一些人口统计学特征,并通过比较糖尿病患者和非糖尿病患者因肩周炎导致的疼痛程度和残疾情况来探究信息差异。
这是一项前瞻性比较研究。通过连续抽样选取在门诊就诊的肩周炎患者。使用肩痛与残疾指数(SPADI)评估残疾水平。采用非配对t检验比较疼痛和残疾评分的均值。
在140例肩部疼痛患者中,99例(71.4%)患有肩周炎。在参与研究的40例肩周炎患者中,26例(65%)为男性,14例(35%)为女性。17例参与者(42.5%)患有糖尿病,2例(5%)糖耐量受损,21例(52.5%)患者无糖尿病。糖尿病患者的平均残疾评分(SPADI)为51±15.5,非糖尿病患者为57±16。疼痛和残疾水平的差异无统计学意义(在95%置信区间,p分别为0.24和0.13)。
患有和未患有糖尿病的肩周炎患者在疼痛程度和残疾水平上未发现差异。