Relationship between self-reported impairments and clinical examination of upper extremity in subjects with type 2 diabetes mellitus

• Published in: Journal of bodywork and movement therapies 2024-10, Vol.40, p.1761-1768
• Main Authors: Rosita, Rachel, Eapen, Charu, Patel, Vivek D., Prabhakar, Ashish J.
• Format: Article
• Language: English
• Subjects: Adult; Aged; Diabetes mellitus; Diabetes Mellitus, Type 2 - complications; Diabetes Mellitus, Type 2 - physiopathology; Female; Hand - physiopathology; Humans; Male; Middle Aged; Physical Examination - methods; Self Report; Self-reported impairments; Shoulder Pain - physiopathology; Type 2 Diabetes mellitus; Upper Extremity - physiopathology; Upper extremity dysfunction; Upper limb disorders
• ISSN: 1360-8592; 1532-9283; 1532-9283
• DOI: 10.1016/j.jbmt.2024.10.019

Upper Extremity Impairments (UEIs) in type 2 DM(Diabetes Mellitus) usually occur after other complications of DM have occurred and can lead to disability and severely impact the quality of life. This study aimed to identify the UEIs by self-reported questionnaire and clinical findings and to investigate whether self-reported impairments conform to clinical findings and whether any vital questions about UEIs can be identified to screen the UEIs quickly in type 2 DM comprehensive assessment. 91 medically diagnosed type 2 DM subjects were enlisted at a tertiary care hospital per the inclusion and exclusion criteria to participate in the study. Participants were asked to fill out a self-reported questionnaire regarding UEIs, following which a clinical examination of the upper extremity was performed to identify the UEIs. 85% of the participants self-reported UEIs. Self-reported shoulder pain was reported by n = 34 (37.3%), stiffness by n = 21(23.1%), and hand weakness by n = 24 (26.4%). Clinical examination of shoulder and hand revealed impairments such as hands against the back in n = 30(33%), lift-off sign in 22(24.1%), decreased finger extension in 11(12.1%), and thenar strength in 9(9.9%). Self-reported shoulder pain and hand stiffness were associated with clinically examined decreased shoulder mobility and rotator cuff (RC) tests (p