Research has shown that diabetic patients have an increased risk for developing limited joint mobility (LJM). In this study LJM is used as an umbrella term for several musculoskeletal disorders such as adhesive capsulitis, carpal tunnel syndrome, dupuytren contracture and trigger finger. The exact pathophysiology of shoulder disorders in diabetes patients remains uncertain, but there is evidence that the shoulder can be affected through two pathophysiological pathways: connective tissue damage a
Conditions
Interventions
Phase one: Nurse practitioners, employed by the diabetes care group Meditta in The Netherlands, approach T2DM patients during the regular diabetes check up to fill in a questionnaire. These nurses are
Sponsors
Dept. of Family Medicine, Maastricht University
Eligibility
Inclusion criteria
Inclusion criteria: Phase 1: Patients with type 2 diabetes, men and women aged between 30 and 70 years. Phase 2: Patients from phase one with shoulder pain for at least four weeks. For matched control subjects, non-diabetes patients with unilateral shoulder pain will be included.
Exclusion criteria
Exclusion criteria: Patients who meet any of the following criteria will be excluded from participation 1- Inability to complete a questionnaire independently 2- Unable to give informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The three primary outcomes of this study are the following: 1.The prevalence of upper extremity LJM in patients with T2DM; 2.The prevalence of specific shoulder disorders in T2DM patients with shoulder pain; 3.The presence of muscle denervation, as a sign of diabetic neuropathy, in T2DM patients with shoulder pain. | — |
Secondary
| Measure | Time frame |
|---|---|
| The association between muscle denervation and shoulder disorders in patients with and without T2DM. | — |
Contacts
Public ContactRamon Ottenheijm
PO Box 616
Outcome results
None listed