Adhesive Capsulitis of Shoulder (Frozen Shoulder) among the Diabetic Patients with Rheumatic Complaints

Introduction: Adhesive capsulitis of shoulder is the most common soft tissue rheumatism among the diabetes patients with rheumatic complaints but the etiology is still unknown. To detect the incidence of adhesive capsulitis (frozen shoulder) among diabetic patients with rheumatic complaints. Materials and Methods: All patients having diabetes with rheumatic complaints attended in the department of Physical Medicine and Rehabilitation, BIRDEM and BSMMU, Dhaka during the period June 2003 to November 2003 were included in this study. Results: After discarding unsatisfactory samples, 273 samples were assayed for study. Out of 1665 patients 273 (16.40%) had adhesive capsulitis. Out of 273 patients 145 (53.12%) were female and 141 (51.65%) were housewives and of 206 (75.45%) patients was in age group 41-60 years. Conclusion: The incidence of adhesive capsulits of shoulder among diabetic patients female is more than male. It is found that housewives and elderly people are mostly sufferer with this disease. Medicine Today 2020 Vol.32(1): 67-69

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Pattern of Musculoskeletal Disorders in Adult Diabetics patient

Bangladesh Medical Journal ◽

10.3329/bmj.v48i1.50185 ◽

2019 ◽

Vol 48 (1) ◽

pp. 5-12

Author(s):

Shaila Sharmin ◽

Fatema Newaz ◽

Syed Mozaffor Ahmed ◽

Abu Shahin ◽

Md Israt Hasan ◽

...

Keyword(s):

Diabetes Mellitus ◽

Musculoskeletal Disorders ◽

Frozen Shoulder ◽

Diabetic Patients ◽

Physical Medicine ◽

Osteoarthritis Of Knee ◽

Physical Medicine And Rehabilitation ◽

Group A ◽

Group B ◽

Flexor Tenosynovitis

Diabetes mellitus is associated with several musculoskeletal (MSK) disorders. Due to increased incidence and life expectancy causes increased prevalence and clinical importance of MSK alterations in diabetic subjects. It is difficult to find out the direct relation with metabolic control. This study was conducted to explore the pattern of musculoskeletal disorders in the diabetic patients. A cross-sectional study was conducted from January' 2016 to June' 2016 at Department of Physical Medicine and Rehabilitation, Bangabandhu Sheikh Mujib Medical University, Dhaka with 190 cases divided in two groups. Patients aged 40-70 years with musculoskeletal disorder with diabetes mellitus (type 2) for five years attending in the department of Physical Medicine and Rehabilitation were included in group A. Patients with MSK disorder without diabetes aged 40- 70 years were included in group B. Main outcome measures were done by Chi square test and unpaired t test were calculated by using SPSS-20. Out of 190 patients, more than half (53.68%) patients were belonged to age 51- 60 years in group A and 49(51.58%) in group B. Majority (56.84%) patients were female in group A and 43(45.26%) in group B. Twenty three (24.21%) patients were house wives in group A and 25(26.32%) in group B. Fifty two (54.73%) patients had osteoarthritis of knee in group A and 26(27.36%) in group B. Twenty one (22.11%) patients had frozen shoulder in group A and 9(9.47%) in group B. Sixteen (16.84%) patients had Flexor tenosynovitis in group A and 04(4.21%) in group B. Fifteen (15.78%) patients had Fibromyalgia in group A and 05(5.26%) in group B. Twelve (12.63%) patients had Planter fascities in group A and 03(3.16%) in group B. Which were statistically significant (p<0.05) but other musculoskeletal disorders were not statistically significant (p>0.05) between two groups. More than half patients were belonged to age 51-60 years and female were predominate in both groups. Common musculoskeletal disorders in diabetic patients were osteoarthritis of knee, frozen shoulder, Flexor tenosynovitis, Fibromyalgia, Planter fascities, Rheumatoid arthritis, Carpel tunnel syndrome, Lumbar spondylosis, Cervicalspondylosis and DISH. This study will also be helpful for different organizations working in this area including physiatrist in their program for delivering a comprehensive treatment service. As a result patients were more benefited. Bangladesh Med J. 2019 Jan; 48 (1): 5-12

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Incidence of Different Variant of Focal Soft Tissue Rheumatism Patients with Their Socio-demographic Profiles at a Tertiary Care Hospital in Dhaka City

Journal of Science Foundation ◽

10.3329/jsf.v16i1.38173 ◽

2018 ◽

Vol 16 (1) ◽

pp. 8-12

Author(s):

Taslima Hoq Moonmoon ◽

Jebun Nesa ◽

Ehsanul Haque Khan ◽

Jahidul Islam ◽

Md Ziaul Haque

Keyword(s):

Soft Tissue ◽

Tennis Elbow ◽

Tertiary Care ◽

Demographic Characteristics ◽

Care Hospital ◽

Physical Medicine ◽

Cross Sectional ◽

Socioeconomic Condition ◽

Physical Medicine And Rehabilitation ◽

Soft Tissue Rheumatism

Background: Focal soft tissue rheumatism occurs in varied incidence with difference socio-demographic group of patients.Objective: The purpose of the present study was to see the incidence of focal soft tissue rheumatism with the socio-demographic characteristics of the patients.Methodology: This descriptive type of cross-sectional study was carried out in the Department of Physical Medicine and Rehabilitation at Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh from March 2006 to August 2006 for a period of 6(six) months. The patients having focal soft tissue rheumatism were selected from the dept. of Physical medicine and Rehabilitation who were referred from other outpatient department of BSMMU and also from general practitioners outside the hospital. The details of socioeconomic condition and the demographic characteristics were recorded.Result: During the study period a total of 2350 patients were examined. Among them 44 patients presented with different focal soft tissue rheumatism. The incidence of the patients presented with focal soft tissue rheumatism was 1.87%. Among 2350 patients, the incidence of different soft tissue rheumatism cases were Tennis elbow 20(85%), De-Quervain`s disease 12(51%), Trigger fingers 8(34%) and Golfers elbow 4(17%). The most common age group suffering from soft tissue rheumatism was the 31 to 40 years which was 20(46.0%) cases. Housewife was suffering most commonly with focal soft tissue rheumatism which was 14(32.0%) cases.Conclusion: In conclusion focal soft tissue rheumatism occurs most commonly among the young housewife presented with the tennis elbowJournal of Science Foundation 2018;16(1):8-12

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Associated Disease Profiles among the Patients Presented with Focal Soft Tissue Rheumatism

Journal of Current and Advance Medical Research ◽

10.3329/jcamr.v5i1.36541 ◽

2018 ◽

Vol 5 (1) ◽

pp. 19-22

Author(s):

Taslima Hoq Moonmoon ◽

Monjur Ahmed ◽

Sanjida Parvin ◽

Hashina Bilkish Banu ◽

Md Ziaul Haque ◽

...

Keyword(s):

Diabetes Mellitus ◽

Peptic Ulcer ◽

Soft Tissue ◽

Peptic Ulcer Disease ◽

Physical Medicine ◽

Ulcer Disease ◽

Physical Medicine And Rehabilitation ◽

Associated Diseases ◽

Soft Tissue Rheumatism ◽

Medical University

Background: There are several diseases related with the patients suffering from focal soft tissue rheumatism.Objective: The purpose of the present study was to observe the associated diseases among the patients suffering from focal soft tissue rheumatism.Methodology: This descriptive type of cross-sectional study was carried out in the Department of Physical Medicine and Rehabilitation at Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh from March 2006 to August 2006 for a period of 6(six) months. The patients presented with focal soft tissue rheumatism were selected from the Department of Physical Medicine and Rehabilitation who were referred from other outpatient department of Bangabandhu Sheikh Mujib Medical University, Dhaka and also from general practitioners outside the hospital. The different associated diseases were recorded during the data collection.Result: A total of 44 patients were recruited who were presented with different focal soft tissue rheumatism. The incidence of different soft tissue rheumatism cases were Tennis elbow 20(85.0%), De-Quervain`s disease 12(51.0%), Trigger fingers 8(34.0%) and Golfers elbow 4(17.0%). Diabetes mellitus was found in 8(18.0%) cases. Hypertension was detected in 10(23.0%) cases. Patients presented with hypertension and diabetes mellitus were found in 6(14.0%) cases. Peptic ulcer disease was found in 12(27.0%) cases. However, others diseases were found in 8(18.0%) cases.Conclusion: In conclusion diabetes mellitus, hypertension and peptic ulcer disease are the most common diseases found among the focal soft tissue rheumatism patients.Journal of Current and Advance Medical Research 2018;5(1):19-22

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Pattern of Musculoskeletal Disorders among Diabetic Patients Attending The Department of Physical Medicine and Rehabilitation in a Tertiary Care Hospital

KYAMC Journal ◽

10.3329/kyamcj.v12i1.53367 ◽

2021 ◽

Vol 12 (1) ◽

pp. 41-43

Author(s):

Ferdousur Rahman Al Mahmud ◽

Muhammad Alamgir Mandal ◽

AKM Masudur Rahman ◽

Mst Shamina Khatun ◽

Mohammad Azizur Rahman

Keyword(s):

Tertiary Care ◽

Cross Sectional Study ◽

Diabetic Patients ◽

Care Hospital ◽

Physical Medicine ◽

College Hospital ◽

Cross Sectional ◽

Medical College ◽

Physical Medicine And Rehabilitation ◽

Soft Tissue Rheumatism

Background: Disorders of musculo-skeletal (MSK) system are very common scenario watched in diabetic patients and is a major cause of morbidity, mortality and hospitalization. Objective: The present study to see the pattern of MSK disorders among the Bangladeshi diabetic patients. Materials & Methods: This is a cross-sectional study carried out at the department of Physical Medicine and Rehabilitation in Thengamara Mohila Sabuj Sangha (TMSS) Medical College Hospital, Bogura for the period of one year from February 2019 to January 2020. A total of 450 diabetic patients with MSK disorders were included in this study. Results: A total of 450 patients with MSK disorders were studied. Out of them 208 (46%) were males and 242(54%) were females.31.5% were between the age group of 41-50 years and 28.9% was between 51-60years.Majority were housewives (51.2%) followed by cultivator(16.2%).Degenerative joint diseases were more common (31.4%) than inflammatory arthropathies (19.3%).Lumbar and cervical spondylosis constituted about 31.4% of all disorders& 22.7% presented with OA knee whereas 15.6% presented with rheumatoid arthritis. Conclusion: Degenerative disorders of the MSK system are more common than the inflammatory ones amongst the diabetics.Maximum patients were having OA of knee, lumbar spondylosisand soft tissue rheumatism. KYAMC Journal.2021;12(1): 41-43

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Immediate Effect of Muscle Energy Technique and Kalternborn Mobilisation Technique on Pain in Diabetic Patients with Periarthritis of Shoulder

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i42a32758 ◽

2021 ◽

pp. 220-228

Author(s):

Kamya Somaiya ◽

G. D. Vishnu Vardhan ◽

Ashish Bele

Keyword(s):

Quality Of Life ◽

Adhesive Capsulitis ◽

Frozen Shoulder ◽

Diabetic Patients ◽

Tissue Degeneration ◽

Muscle Energy Technique ◽

Group A ◽

Muscle Energy ◽

Group B

Background: Periarthritis Shoulder, also known as adhesive capsulitis, is a condition that results in tissue degeneration, thickening of the joint capsule, and a narrowing of the glenoid cavity. Diabetes mellitus is linked to many debilitating musculoskeletal disorders of the hand and shoulder. Prevalence of adhesive capsulitis or frozen shoulder is estimated to be 11-30 percent in people with diabetes. Various interventions have already been used to prevent pain and improve quality of life. Both Muscle Energy Technique and Kalternborn Mobilization Technique are thought to have a pain-relieving effect. Aim & Objective: The study's aim is to compare the effects of both techniques on pain in diabetic patients. Methods/Design: In this study experimental study, the participants will be divided into two groups: Kalternborn Mobilization Technique Group (A) and Muscle Energy Technique Group (B) based on inclusion and exclusion criteria. Both interventions include 30-45 min session which will be carried out for duration of four days. Outcome will be Pain and Quality of Life and outcome measures will be evaluated at beginning and at the end of intervention period. Result: Successful Completion of trial of Muscle Energy Technique and Kalternborn Mobilisation Technique will provide evidence for best strategy targeting Pain and quality of life in diabetic patients with Periarthritis of Shoulder. Conclusion: The study will be concluded with the significant effect of Muscle Energy Technique and Kalternborn Mobilisation Technique on Periarthritis shoulder of diabetic patients.

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P214: Study of sympathetic skin response in diabetic patients with soft tissue rheumatism of the hand

Clinical Neurophysiology ◽

10.1016/s1388-2457(14)50348-3 ◽

2014 ◽

Vol 125 ◽

pp. S105

Author(s):

S.N. Fargaly ◽

H. Al-moghazy ◽

D. Mohasseb

Keyword(s):

Soft Tissue ◽

Sympathetic Skin Response ◽

Diabetic Patients ◽

Soft Tissue Rheumatism ◽

Skin Response

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Diseases Pattern in The Department of Physical Medicine & Rehabilitation in A Tertiary Care Hospital

KYAMC Journal ◽

10.3329/kyamcj.v8i1.33870 ◽

2017 ◽

Vol 8 (1) ◽

pp. 33-37

Author(s):

Muhammad Alamgir Mandal ◽

Mohammad Moniruzzaman ◽

Khurshid Mahmood ◽

Md Jahidul Islam ◽

Kazi Shihab Uddin

Keyword(s):

Cervical Spondylosis ◽

Tertiary Care ◽

Frozen Shoulder ◽

Medical Rehabilitation ◽

Care Hospital ◽

Physical Medicine ◽

Lumbar Spondylosis ◽

Physical Medicine And Rehabilitation ◽

Neck Sprain ◽

Disease Pattern

Background: The field of Physical Medicine and Rehabilitation focuses on the restoration of health and function and reintegration of the patient into the community, Providing services (outdoor & indoor patients) of physical medicine & rehabilitation (PMR) department was started in 2015. Since establishment, department of Physical Medicine is providing services as outdoor basis regularly.Aim & Objectives: The purpose of the study was to observe the disease pattern and demographic characteristics of patients attending the department of Physical Medicine and Rehabilitation in a tertiary care hospital.Methods: This is a retrospective study carried out at the department of Physical Medicine and Rehabilitation in Khwaja Yunus Ali Medical College Hospital (KYAMCH), Sirajganj for the period of one year from 1st January, 2016 to 31st December, 2016.Results: Total eighteen hundred sixty five (n = 1865) patients were studied, of which 46.21% were male and 53.78% were female. The mean age was 34.64 ± 5.36 years; maximum patients (25.14%) belong to 31-40 years of age. Maximum patients (78%) were come from out of Sirajgonj District specially North Bengal. Regarding disease pattern, 21.60% were PLID, 10.99% stroke, cervical spondylosis 11.15%, lumbar spondylosis 11.52%, frozen shoulder 10.83%, low back pain 9.49%, osteoarthritis 8.25%, facial palsy 0.43% rheumatoid arthritis 5.47%, seronegetavive Spondyloarthopathy 0.26%, GBS 0.10% acute neck sprain/strain 5.68% and others 4.18%.Conclusion: A large scale multi-centered study should be performed in the country. A uniform data system should be constructed for Medical rehabilitation in Bangladesh. Maximum patients were having PLID, Cervical spondylosis, lumbar spondylosis, Stroke & Frozen shoulder.KYAMC Journal Vol. 8, No.-1, Jul 2017, Page 33-37

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Role of Phonophoresis in Management of Adhesive Capsulitis (Frozen Shoulder)

Chattagram Maa-O-Shishu Hospital Medical College Journal ◽

10.3329/cmoshmcj.v13i2.21057 ◽

2014 ◽

Vol 13 (2) ◽

pp. 21-27

Author(s):

Sunam Kumar Barua ◽

Sohely Rahman ◽

Prashanta Kumar Chakrabarti ◽

Zahangir Alam

Keyword(s):

External Rotation ◽

Adhesive Capsulitis ◽

Frozen Shoulder ◽

Medical College Hospital ◽

Physical Medicine ◽

College Hospital ◽

Female Ratio ◽

Medical College ◽

Group A ◽

Group B

This prospective study was performed in the department of Physical Medicine, Dhaka Medical College Hospital (DMCH), Dhaka for a period of 6 months to see the effect of phonophoresis (Ultrasound therapy with Naproxen gel) on adhesive capsulitis. During this period 240 (4% of total patients) patients were diagnosed as adhesive capsulitis of shoulder in outpatient department, Physical Medicine, Dhaka Medical College Hospital. Sixty patients were selected for the study and divided them into two groups. In group A, patients were treated with phonophoresis and exercises in contrast with group B patients who were treated with same exercises without phonophoresis for same duration. Patients in both groups were followed up weekly for consecutive six weeks. The mean age of the patients in this study was 51.73 ± 10.01 year, with a range of 35 to 70 years. Out of sixty patients 31 (51.7%) were male and 29 (48.3%) were female. The male: female ratio was 1.07: 1. Among 60 patients, 27 (45%) were housewives, 20 (33.3%) service holders (official job), 4 (6.7%) businessmen, 1 (1.7%) teacher and 8 (13.3%) retired persons. In this study 53.3% patients had right shoulder involvement and rest of them (46.7%) had left sided involvement. Pain was improved just after initiation of treatment and it was completely alleviated in group A patients after 6th week, on the contrary although pain was increased after 1st week of treatment thereafter it was gradually decreased but it was not completely alleviated in group B patients at the end of the study. All sorts of range of motions (abduction, internal rotation on abduction, external rotation on abduction) of affected shoulder were improved more rapidly in group A compared to group B patients. Shoulder pain and disability index (SPADI) were significantly reduced in group A compared to group B patients.DOI: http://dx.doi.org/10.3329/cmoshmcj.v13i2.21057

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The epidemiology and etiology of adhesive capsulitis in the U.S. Medicare population

BMC Musculoskeletal Disorders ◽

10.1186/s12891-021-04704-9 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Sara M. Sarasua ◽

Sarah Floyd ◽

William C. Bridges ◽

Stephan G. Pill

Keyword(s):

Risk Factors ◽

Adhesive Capsulitis ◽

Frozen Shoulder ◽

The Elderly ◽

The United States ◽

Case Control ◽

World Health ◽

Health Conditions ◽

Age Group ◽

Synovial Joint

Abstract Background Adhesive capsulitis (AC) of the shoulder, also known as frozen shoulder, causes substantial pain and disability. In cases of secondary AC, the inflammation and fibrosis of the synovial joint can be triggered by trauma or surgery to the joint followed by extended immobility. However, for primary AC the inciting trigger is unknown. The burden of the disorder among the elderly is also unknown leading to this age group being left out of therapeutic research studies, potentially receiving delayed diagnoses, and unknown financial costs to the Medicare system. The purpose of this analysis was to describe the epidemiology of AC in individuals over the age of 65, an age group little studied for this disorder. The second purpose was to investigate whether specific medications, co-morbidities, infections, and traumas are risk factors or triggers for primary AC in this population. Methods We used Medicare claims data from 2010–2012 to investigate the prevalence of AC and assess comorbid risk factors and seasonality. Selected medications, distal trauma, and classes of infections as potential inflammatory triggers for primary AC were investigated using a case–control study design with patients with rotator cuff tears as the comparison group. Medications were identified from National Drug codes and translated to World Health Organization ATC codes for analysis. Health conditions were identified using ICD9-CM codes. Results We found a one-year prevalence rate of AC of approximately 0.35% among adults aged 65 years and older which translates to approximately 142,000 older adults in the United States having frozen shoulder syndrome. Diabetes and Parkinson’s disease were significantly associated with the diagnosis of AC in the elderly. Cases were somewhat more common from August through December, although a clear seasonal trend was not observed. Medications, traumas, and infections were similar for cases and controls. Conclusions This investigation identified the burden of AC in the US elderly population and applied case–control methodology to identify triggers for its onset in this population. Efforts to reduce chronic health conditions such as diabetes may reduce seemingly unrelated conditions such as AC. The inciting trigger for this idiopathic condition remains elusive.

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