Effect of a Shoulder Movement Intervention on Joint Mobility, Pain, and Disability in People With Diabetes : A Randomized Controlled Trial
Background: People with diabetes are at high risk for shoulder pain, limited joint mobility, and adhesive capsulitis.
Objective: The objective of this study was to evaluate the effects of a shoulder movement intervention (ShoMo) compared to a wellness intervention on the primary outcomes of active shoulder flexion and reported Shoulder Pain and Disability Index (SPADI) measured after intervention and 9 months later.
Design: The design was a prospective, randomized, controlled clinical trial.
Setting: The setting was a research center at an academic medical center.
Participants: Fifty-two participants with type 2 diabetes and shoulder pain or limited motion were randomized to a group receiving ShoMo (N = 27; mean age = 59.3; SD = 7.0) or a group receiving wellness activities (N = 25; mean age = 57.9; SD = 7.7).
Intervention: The ShoMo group received instruction in a progressive, active shoulder movement program. The wellness group received instruction in diabetes management.
Measurements: Measurements were made at baseline, after 3 months of intervention, and at 6, 9, and 12 months after baseline.
Results: After intervention, the ShoMo group had a 7.2-degree increase in active shoulder flexion compared with the wellness group (95% CI = 0.9-13.5°), but there was no difference at subsequent follow-ups. The ShoMo group showed a 12.7-point improvement in the SPADI score compared to the wellness group after intervention (95% CI = 1.1-24.3), which remained better than the wellness group 9 months later.
Limitations: The number of participants and duration of follow-up were inadequate to determine if intervention can help to prevent future severe shoulder problems.
Conclusions: A progressive shoulder movement program can have meaningful effects on active motion and symptoms in people with type 2 diabetes and mild-to-moderate shoulder symptoms, with symptom improvement lasting at least 9 months.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2018 |
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| Erschienen: |
2018 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:98 |
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| Enthalten in: |
Physical therapy - 98(2018), 9 vom: 01. Sept., Seite 745-753 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Mueller, Michael J [VerfasserIn] |
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| Links: |
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| Themen: |
Journal Article |
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| Anmerkungen: |
Date Completed 06.06.2019 Date Revised 25.02.2020 published: Print ClinicalTrials.gov: NCT02162212 Citation Status MEDLINE |
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| doi: |
10.1093/ptj/pzy070 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM285384252 |
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| 245 | 1 | 0 | |a Effect of a Shoulder Movement Intervention on Joint Mobility, Pain, and Disability in People With Diabetes |b A Randomized Controlled Trial |
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| 500 | |a published: Print | ||
| 500 | |a ClinicalTrials.gov: NCT02162212 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Background: People with diabetes are at high risk for shoulder pain, limited joint mobility, and adhesive capsulitis | ||
| 520 | |a Objective: The objective of this study was to evaluate the effects of a shoulder movement intervention (ShoMo) compared to a wellness intervention on the primary outcomes of active shoulder flexion and reported Shoulder Pain and Disability Index (SPADI) measured after intervention and 9 months later | ||
| 520 | |a Design: The design was a prospective, randomized, controlled clinical trial | ||
| 520 | |a Setting: The setting was a research center at an academic medical center | ||
| 520 | |a Participants: Fifty-two participants with type 2 diabetes and shoulder pain or limited motion were randomized to a group receiving ShoMo (N = 27; mean age = 59.3; SD = 7.0) or a group receiving wellness activities (N = 25; mean age = 57.9; SD = 7.7) | ||
| 520 | |a Intervention: The ShoMo group received instruction in a progressive, active shoulder movement program. The wellness group received instruction in diabetes management | ||
| 520 | |a Measurements: Measurements were made at baseline, after 3 months of intervention, and at 6, 9, and 12 months after baseline | ||
| 520 | |a Results: After intervention, the ShoMo group had a 7.2-degree increase in active shoulder flexion compared with the wellness group (95% CI = 0.9-13.5°), but there was no difference at subsequent follow-ups. The ShoMo group showed a 12.7-point improvement in the SPADI score compared to the wellness group after intervention (95% CI = 1.1-24.3), which remained better than the wellness group 9 months later | ||
| 520 | |a Limitations: The number of participants and duration of follow-up were inadequate to determine if intervention can help to prevent future severe shoulder problems | ||
| 520 | |a Conclusions: A progressive shoulder movement program can have meaningful effects on active motion and symptoms in people with type 2 diabetes and mild-to-moderate shoulder symptoms, with symptom improvement lasting at least 9 months | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Randomized Controlled Trial | |
| 650 | 4 | |a Research Support, N.I.H., Extramural | |
| 700 | 1 | |a Sorensen, Christopher J |e verfasserin |4 aut | |
| 700 | 1 | |a McGill, Janet B |e verfasserin |4 aut | |
| 700 | 1 | |a Clark, B Ruth |e verfasserin |4 aut | |
| 700 | 1 | |a Lang, Catherine E |e verfasserin |4 aut | |
| 700 | 1 | |a Chen, Ling |e verfasserin |4 aut | |
| 700 | 1 | |a Bohnert, Kathryn L |e verfasserin |4 aut | |
| 700 | 1 | |a Hastings, Mary K |e verfasserin |4 aut | |
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