Factors affecting therapeutic response of adhesive capsulitis in type II diabetes mellitus

Article type: Research Article

Authors: Aydogan, Aliye^a | Karan, Ayse^{a; *} | Ketenci, Aysegul^a | Salman, Serpil^b | Salman, Fatih^b | Yilmaz, M. Temel^b | Berker, Ender^a

Affiliations: [a] Istanbul University, Istanbul Medical Faculty, Department of Physical Medicine and Rehabilitation, Istanbul, Turkey | [b] Istanbul University, Istanbul Medical Faculty, Diabetes Research and Application Unit, Institute for Experimental Medicine, Istanbul, Turkey

Correspondence: [*] Address for correspondence: Ayse Karan, Istanbul University, Istanbul Medical Faculty, Department of Physical Medicine and Rehabilitation, 34390 Sehremini, Istanbul, Turkey. Tel.: +90 212 635 11 85; Fax: +90 212 631 11 67; E-mail: makifkaran@ihlas.net.tr

Abstract: Forty-eight patients with type II diabetes mellitus were recruited for the study. Fifty-one shoulder joints with adhesive capsulitis were treated in this population. A physical therapy protocol including Transcutaneous Electrical Nerve Stimulation, pulsed ultrasound and exercises was applied to each patient. The patients were assessed on entry and termination of treatment and at 3 months post-treatment by Visual Analogue Scale for rest and activity pain intensity, active and passive range of motion of shoulder and Constant scores. The scores were compared between 18 patients with good glycemic control and no neuropathy and 30 patients with insufficient glycemic control and neuropathy. The results indicate that glycemia levels and neuropathy have no effect on response to physical therapy.

Keywords: type II diabetes mellitus, glycemic regulation, adhesive capsulitis, physical therapy, exercise

DOI: 10.3233/BMR-2004-17102

Journal: Journal of Back and Musculoskeletal Rehabilitation, vol. 17, no. 1, pp. 3-7, 2004