COMPARISON OF SHOULDER PAIN, DISABILITY AND RANGE OF MOTION IN DIABETIC AND NON-DIABETIC PATIENTS WITH FROZEN SHOULDER

OBJECTIVE: To compare the shoulder pain, disability, and range of motion in diabetic and non-diabetic frozen shoulder (FS) patients. METHODS: This cross-sectional study was conducted from December 2018 to June 2019 on 210 clinically diagnosed patients of FS. Study included equal number (n = 105) of diabetes mellitus (DM) patients and non-diabetic patients, ranging in age from 35 to 65 years. Non-probability purposive sampling was used to assemble the data from various private and government hospitals of Lahore. A plastic goniometer and shoulder pain and disability index (SPADI) tool was used to extract data. Data was analyzed through SPSS v.21.0. RESULTS: In 210 patients with frozen shoulder, the mean age was 53 +/- 10.3 years & 48 +/- 9.9 years in DM & non-diabetic patients respectively (p = 0.94). Frequency of male & female patients was 43 (40.95%) and 62 (59.05%) in diabetic group (n = 105) & 38 (36.19%) and 67(63.81%) in non-diabetic group (n = 105) respectively. Mean body mass index was 25.61 +/- 2.14 & 25.39 +/- 2.16 in diabetic & non-diabetic patients respectively (p = 0.32). Mean SPADI score was 66.69 +/- 13.20 in diabetic and 63.34 +/- 15.01 in non-diabetic group (p = 0.191). Regarding motion range at shoulder, mean degrees of flexion, external rotation, internal rotation and abduction were 103 +/- 23.07, 30 +/- 11.20, 34 +/- 11.970 & 101 +/- 25.55 in diabetic patients as compared to 113 +/- 29.61, 39 +/- 14.34, 40 +/- 15.77 & 109 +/- 33.80 in non-diabetic patients respectively (p = <= 0.05). CONCLUSION: There is no significant difference in severity of pain and disability in diabetic & non-diabetic patients with frozen shoulder. However, range of motion was significantly better in non-diabetic patients as compared to diabetic patients having frozen shoulder.