Predictors of shoulder pain and shoulder disability after one year in diabetic outpatients

Rheumatology
Laura L LaslettJ D McNeil

Abstract

To investigate factors associated with changes in shoulder pain and disability in diabetic outpatients over 1 yr. Cross-sectional study with 12-month follow-up in diabetic outpatients (n = 179) using the shoulder pain and disability index (SPADI) and SF-36 version 2. Patients with diabetes and shoulder pain or disability are more likely to be older and female. After 12 months of follow-up, one-quarter of participants without pre-existing symptoms at baseline developed clinically significant pain (28%) or disability (25%). Of the patients with pre-existing shoulder pain or disability, half reported clinically significant worsening (10 percentage points) in shoulder pain (58%) or disability (45%) over 12 months. Few patients demonstrated clinically significant improvement in pain (11%) or disability scores (19%). The remaining one-third of the patients reported no change in symptoms (30% pain; 35% disability). Increasing intensity of pain scores between baseline and 12 months was associated with older age, higher HbA(1c) and less pain at baseline. Increasing disability score between baseline and 12 months was associated with having had eye laser surgery, greater pain at baseline and less disability at baseline. Shoulder pain and ...Continue Reading

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Citations

May 20, 2015·Journal of Clinical Orthopaedics and Trauma·Mohammad Moin UddinMohammad Kafil Uddin
Nov 28, 2012·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Umut CelikyurtDilek Ural
Oct 13, 2009·European Journal of Internal Medicine·Navdha RamchurnClive Kelly
Mar 20, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Yoshihiro HagiwaraEiji Itoi
Mar 24, 2016·Journal of Back and Musculoskeletal Rehabilitation·Ayşe Aydemir EkimHikmet Orhan
Jul 14, 2012·Arquivos brasileiros de endocrinologia e metabologia·Patrícia CzelusniakThelma L Skare
May 24, 2012·The Journal of Bone and Joint Surgery. American Volume·Edward H YianJeffrey F Sodl
Jan 21, 2017·Scandinavian Journal of Medicine & Science in Sports·P P Y Lui

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