Gerrits Esther G, Landman Gijs W, Nijenhuis-Rosien Leonie, Bilo Henk J
Esther G Gerrits, Department of Internal Medicine, Maastricht University Medical Center, 6229 HX Maastricht, The Netherlands.
World J Diabetes. 2015 Aug 10;6(9):1108-12. doi: 10.4239/wjd.v6.i9.1108.
Limited joint mobility syndrome (LJMS) or diabetic cheiroarthropathy is a long term complication of diabetes mellitus. The diagnosis of LJMS is based on clinical features: progression of painless stiffness of hands and fingers, fixed flexion contractures of the small hand and foot joints, impairment of fine motion and impaired grip strength in the hands. As the syndrome progresses, it can also affect other joints. It is important to properly diagnose such a complication as LJMS. Moreover, it is important to diagnose LJMS because it is known that the presence of LJMS is associated with micro- and macrovascular complications of diabetes. Due to the lack of curative treatment options, the suggested method to prevent or decelerate the development of LJMS is improving or maintaining good glycemic control. Daily stretching excercises of joints aim to prevent or delay progression of joint stiffness, may reduce the risk of inadvertent falls and will add to maintain quality of life.
关节活动受限综合征(LJMS)或糖尿病性手部关节病是糖尿病的一种长期并发症。LJMS的诊断基于临床特征:手部和手指无痛性僵硬的进展、手部和足部小关节的固定屈曲挛缩、精细动作受损以及手部握力减弱。随着该综合征的进展,它也可能影响其他关节。正确诊断LJMS这样的并发症很重要。此外,诊断LJMS很重要,因为已知LJMS的存在与糖尿病的微血管和大血管并发症有关。由于缺乏治愈性治疗方案,预防或减缓LJMS发展的建议方法是改善或维持良好的血糖控制。关节的日常伸展运动旨在预防或延缓关节僵硬的进展,可能降低意外跌倒的风险,并有助于维持生活质量。