Diabetic Retinopathy and its Association with Limited Joint Mobility

Haitas, B; Db, Jones; Ting, A.; Rc, Turner

doi:10.1055/s-2007-1012430

Cited by 8 publications

(8 citation statements)

References 8 publications

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“…34 Some reports demonstrated a link between long-term hyperglycemia and various diabetic hand changes, 13,19 while other reports failed to demonstrate such associations. 4,24,35,36 In our report, HgA1c was not found to be linked to any of the hand disorders, similar to other reports. 2,6,18,23 This is conceivable since a single or a mean HgA1c over a short period of time does not reflect long-term glycemic control.…”

Section: Discussionsupporting

confidence: 92%

“…Tight glycemic control is linked to reduced microvascular complications in DM . Some reports demonstrated a link between long‐term hyperglycemia and various diabetic hand changes, while other reports failed to demonstrate such associations . In our report, HgA1c was not found to be linked to any of the hand disorders, similar to other reports .…”

Section: Discussionsupporting

confidence: 87%

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Musculoskeletal disorders of the hand in type 2 diabetes mellitus: prevalence and its associated factors

et al. 2015

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Aim: To assess the prevalence of musculoskeletal disorders of the hand among adult patients with type 2 diabetes mellitus (T2DM) and their relation to disease duration, glycemic control and microvascular complications.Methods: A cross-sectional study was conducted at the National Center for Diabetes, Endocrinology and Genetics in Amman, Jordan.Results: One thousand patients with T2DM were included in this study (mean age 57.8 AE 9.5 years, 52.2% females and 47.8% males). Hand disorders were seen in 69.5% of patients, limited joint mobility (LJM) was the most prevalent (63.1%) condition followed by Dupuytren's contracture (DC) (18.6%). Trigger finger, thick skin and carpal tunnel syndrome (CTS) were found in 7.2%, 6.2% and 5.5% of patients, respectively. One disorder was seen in 45.4% of patients, two in18.2%, three in 4.9%, four in 0.9%, while only 0.1% of patients had all disorders. Female gender, age over 60 years and long duration of diabetes were associated with hand abnormalities. Hypertension was significantly associated with DC while retinopathy was associated with increased odds of thick skin, DC and CTS with P-values 0.037, < 0.005 and 0.002, respectively. Conclusion:Hand disorders are very common in T2DM. Female gender, old age, duration of diabetes, retinopathy and hypertension were significantly associated with hand disorders in T2DM.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 87%

Musculoskeletal disorders of the hand in type 2 diabetes mellitus: prevalence and its associated factors

et al. 2015

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“…The association of limited joint mobility with demographic variables was informative. This study confirms previous reports that limited joint mobility is associated with age (16,18,22,26,32). Although this was a cross-sectional study, there is little reason to suspect that the difference in mobility seen across patients of different age groups is related to anything but the aging process, especially since the general pattern is seen in both diabetic and control subjects.…”

Section: Discussionsupporting

confidence: 89%

“…Limitation of motion may also occur secondary to microangiopathy or neuropathy (13). The reported prevalence of limited joint mobility ranges from 11% to 55% in patients with insulin-dependent diabetes mellitus (IDDM) (3-5, [14][15][16][17][18][19][20][21][22][23][24], from 30% to 70% in patients with non-insulindependent diabetes mellitus (18,21,23-25), and from 1% to 20% in nondiabetic subjects (3,17,19,21,23,24). These wide ranges in reported prevalence are due to differences among the studies in terms of population selection, assessment methodology, and definition of limited joint mobility.…”

mentioning

confidence: 99%

A quantitative assessment of limited joint mobility in patients with diabetes

Schulte

Roberts

Zimmerman

et al. 1993

Arthritis & Rheumatism

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Objective. The syndrome of limited joint mobility is a common but not widely recognized musculoskeletal complication of diabetes. The purpose of this study was to further characterize this syndrome using quantitative goniometric measures.Methods. Cross-sectional analysis of a sample population was performed to establish the prevalence, location, and severity of limited joint mobility and to determine its relationship to extraarticular manifestations and complications of diabetes. Passive range of motion of both upper extremities was measured by goniometry in 70 adult patients with insulin-dependent diabetes mellitus and 70 nondiabetic controls who were group-matched for age, sex, and general activity level. Joint mobility was assessed by both individual joint motions and a composite scoring technique. Results. Analysis of individual joints and composite scores revealed significant differences between dominant and nondominant extremities in both the control and the diabetic groups. Diabetic patients were generally less flexible than nondiabetic subjects throughout the arm, especially in shoulder and finger joints. In the full study population, multivariate analysis revealed that advanced age, male sex, and the presence of diabetes were associated with decreased passive range of motion for a majority of joints (P < 0.05). In the diabetes group, passive range of motion was significantly correlated (P < 0.05) with age, sex, duration of diabetes, and to a variable extent, glucose control, but was not correlated with the presence of clinically significant neuropathy, retinopathy, nephropathy, or peripheral vascular disease, with activity level, or with hand dominance. Stepwise regression analysis failed to identify single key joint motion(s) to serve as possible screening tests in predicting generalized limited joint mobility of the upper extremity. Finally, the effect of limb usage on range of motion in flexion may differ in diabetic and nondiabetic subjects.Conclusion. Limited joint mobility is a generalized phenomenon occurring throughout the upper extremities of many diabetic patients. It is significantly related to age, sex, and to a variable extent duration of diabetes and glucose control. It is not related to the standard complications of diabetes as defined in this study.

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“…However, the metabolic control did not correlate with the hand abnormalities. This perhaps somewhat unexpected finding is also reported by other authors [16,171 and also observed in patients with retinopathy [13, 181 but not in patients with nephropathy [15, 171. Our result might have been different if the metabolic control over a longer period of time had been investigated.…”

Section: Discussionsupporting

confidence: 79%