TY - JOUR
T1 - Effect of a shoulder movement intervention on joint mobility, pain, and disability in people with diabetes
T2 - A randomized controlled trial
AU - Mueller, Michael J.
AU - Sorensen, Christopher J.
AU - McGill, Janet B.
AU - Clark, B. Ruth
AU - Lang, Catherine E.
AU - Chen, Ling
AU - Bohnert, Kathryn L.
AU - Hastings, Mary K.
N1 - Funding Information:
This research was funded by NIH Grant R21 DK100793 (M.J.M.), and the Diabetes Research Center at Washing ton University School of Medicine (NIH P30 DK020579). The funder played no role in the design, conduct, or reporting of this study.
Funding Information:
This research was funded by a National Institutes of Health (NIH) grant (R21 DK100793) (M.J.M.) and the Diabetes Research Center at Washington University School of Medicine in St Louis (NIH P30 DK020579).
Publisher Copyright:
© 2018 American Physical Therapy Association.
PY - 2018
Y1 - 2018
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85054838963&partnerID=8YFLogxK
U2 - 10.1093/PTJ/PZY070
DO - 10.1093/PTJ/PZY070
M3 - Article
C2 - 29893977
AN - SCOPUS:85054838963
SN - 0031-9023
VL - 98
SP - 745
EP - 753
JO - Physical Therapy
JF - Physical Therapy
IS - 9
ER -