Keywords
Frozen shoulder
musculoskeletal disorder
SPADI
Physiotherapy
Abstract
Objective: This study aimed to evaluate the functional consequences and associated MSK complications in diabetic patients with frozen shoulder in relation to age, demographic characteristics, and physiotherapy interventions
Study Design: A cross-sectional study was conducted.
Place and duration of study: This cross-sectional study was conducted in hospitals of Abbottabad, from June to November, 2024.
Material and Methods:This cross-sectional study was conducted in hospitals of Abbottabad, from June to November, 2024. Participant was selected using Raosoft, with an estimated of 377 patient, including adults over 20 years old diagnosed with diabetes and frozen shoulder complain, however patients with paralysis or other health complications were excluded. Data was collected through a structured questionnaire (demographic characteristics, SPADI, MSK and physiotherapy sessions). Chi-square test and spearman’s correlation were used to determine the association between categorical variables at P value<0.05 statistically significant.
Results: Demographic data reveals that the majority of participants were over 40 years old, with a higher proportion of females, married and housewives. Most participants had 6 to 10 years since diabetic diagnosed. Only 14.25% participants reported a family history of diabetes. More, single/divorce, housewives and type 2 diabetes significantly (P<0.05) increase pain and disability. Co-occurrence of lower back, knee, hips, ankle and wrist increased pain and disability in the studied participants. Patients with severe pain were more likely receiving combined therapies (electro-, manual and exercise).
Conclusion: This study found that frozen shoulder with other MSK disorders significantly impact daily activities and functional independence. The study emphasizes early screening, comprehensive physiotherapy and tailored rehabilitation for diabetic patients with frozen shoulder.
Keywords: Diabetes, Frozen shoulder, musculoskeletal disorder, SPADI, Physiotherapy
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