Frequency and pattern of upper limb musculoskeletal disorders in type 2-diabetes mellitus patients
Subject Areas :
علوم پزشکی
Sahar Ghare
1
,
Kamila Hashem zadeh
2
,
Anahita Masum
3
1 - استادیار، دانشکده پزشکی، دانشگاه آزاد اسلامی مشهد، مشهد، ایران.
2 - استادیار، دانشکده پزشکی، دانشگاه آزاد اسلامی مشهد، مشهد، ایران.
3 - دانشجوی رشته پزشکی، دانشکده پزشکی، دانشگاه آزاد اسلامی مشهد، مشهد، ایران.
Received: 2017-06-06
Accepted : 2017-06-06
Published : 2012-05-21
Keywords:
Epidemiology,
Diabetes mellitus,
musculoskeletal disorders,
Abstract :
Background: Diabetes mellitus include of common metabolic disorder, which have at least prevalence of 7.7% in 25-64 years old adults. There are multi factors in the etiology of diabetes such as genetic, environmental, social, psychiatrically and personality factors. In otherwise, complication of diabetes found some ofmusculoskeletal disorders in person. Due to, the purpose of the present study was Frequency and pattern of upper limb musculoskeletal disorders in type 2-diabetes mellitus patients.
Method and material: We studied 80 diabetic patients. Refer to clinic of diabetes in 22 bahman hospital and PARSIAN Diabetes Clinic in Mashhad with theupper limb musculoskeletal checklist, using statistical software and chi-square and fisher test.
Result: finding show that there was statistically relationship between sex and
Carp tunnel syndrome in diabetic patients. Also there was statistically relationship between HbA1C under 7 and upper limb musculoskeletal disorders in diabetic patients (p<0.05)
Conclusion: in better self-controlling of diabetes may reduction of morbidity upper limb musculoskeletal disorders in type 2-diabetes mellitus patients and aware patients from upper limb musculoskeletal disorders could decrease these disorders.
References:
Foster DW. Diabetes Mellitus. In: Fauci AS, Braunwald E, Isselbacher KJ, editors. Harrison’s principles of internal medicine. 15th ed. New York: McGraw-Hill; 2002.p. 2060-2080.
Gamstedt A, Holm-Glad J, Ohlson CG, Sundstrom M. Hand abnormalities are strongly associated with the duration of diabetes mellitus. J Intern Med 1993; 234(2): 189-93.
Forgacs S. Diabetes mellitus. In: Klippel JH, Dieppe PA, editors. Rheumatology. 2nd ed. St. Louis: Mosby; 1997:2301-6.
Azimi-Nezhad M, Ghayour-Mobarhan M, Parizadeh M R, Safarian M, et al. Prevalence of type 2 diabetes mellitus in Iran and its relationship with gender, rbanization, education, marital status and occupation. Singapore Med J 2008; 49(7): 571.
Dan L. Longo, Anthony S. Fauci, Dennis L. Kasper, et al. Harrison’s principles of internal medicine. 17th ed. Columbus(OH): McGraw-Hill’s; 2008. P. 349-50.
مژده ذبیحی یگانه، سارا قربانپور، سید عادل جاهد، فاطمه گل گیری. فراوانی عوارض عضلانی اسکلتی اندام فوقانی در 188 بیمار مبتلا به دیابت نوع 2 مراجعه کننده به کلینیک دیابت بیمارستان فیروزگر سال 1389. مجلة دانشگاه علوم پزشکی بابل، سال اول، ش 1 (زمستان 1392): 105-99.
محمدرضا شکیبی، جمیله عطاپور، بهجت کلانتری، بتول نامجو. بررسی فراوانی و عوامل خطر روماتیسم بافت نرم اندام فوقانی در بیماران مبتلا به دیابت شهر کرمان در سال ١٣٨٠. مجله علمی دانشگاه علوم پزشکی و خدمات بهداشتی درمانی همدان، سال دهم، ش ٣ (پائیز ١٣٨٢): 26-20.
Kiani J, Goharifar H, Moghimbeigi A, Azizkhani H. Prevalence and risk factors of five most common upper extremity disorders in diabetics. J Res Health Sci. 2014;14(1):92-5.
Ramchurn N, et al. Upper limb musculoskeletal abnormalities and poor metabolic control in diabetes. Eur J Intern Med 2009; 20(7):718-21.
Ravindran Rajendran S, et al. Prevalence and pattern of hand soft-tissue changes in type 2 diabetes mellitus. Diabetes Metab 2011; 37(4):312-7.
Yian EH, Contreras R, Sodl JF. Effects of glycemic control on prevalence of diabetic frozen shoulder. J Bone Joint Surg Am. 2012 May 16;94(10):919-23.
Kidwai SS, Wahid L, Siddiqi SA, Khan RM, Ghauri I, Sheikh I. Upper limb musculoskeletal abnormalities in type 2 diabetic patients in low socioeconomic strata in Pakistan. BMC Res Notes. 2013 Jan 17;6:16.
Akulwar AS, Ghugare BW, Singh R, Kanchankar N, Joshi M, Ramavat M. Clinical and electrophysiological evaluation of carpel tunnel syndrome in diabetes mellitus to assess association of age, gender and duration of diabetes on median neuropathy at wrist. The Health Agenda 2013 July; 1(3): 71-76.
Singh R1, Gamble G, Cundy T. Lifetime risk of symptomatic carpal tunnel syndrome in Type 1 diabetes. Diabet Med. 2005 May;22(5):625-30.
_||_