Endocrine Abstracts

Introduction: Adhesive capsulitis (AC) is a condition characterized by spontaneous onset of shoulder pain and gradual loss of active and passive shoulder motion. This condition is more common in people with diabetes. The aim of this study was to appreciate the contribution of different therapeutic means used in physical medicine and rehabilitation (PMR) in the management of AC in Diabetic patients.

Patients and Methods: A retrospective study was conducted during the period from January 2015 to January 2018. Diabetic patients diagnosed with AC in PMR department were included. All patients’ demographic data, dominant hand, affected hand and history of relevant co-morbidities were noted. Passive flexion, abduction, and external and internal rotation range of motion (ROM) were reported. Pain was evaluated using Visual Analog Scale (VAS). Therapeutic protocol was noted and assessments were made at baseline (before the first treatment session) and after 3 months of physical therapy.

Results: Forty diabetic patients with AC were included. The mean age was 51.2 ± 9 years with a sex ratio of 1.6. All patients benefited from rehabilitation sessions: 1 daily session for a month followed by 3 weekly sessions with an average of 36 sessions. Intra articular corticoid injection was done in 37.5% of cases and 3 patients benefited from guided capsular distension. We noted a statistically significant improvement in pain and ROM in all sectors (P < 0.05).

Conclusion: Rehabilitation care is beneficial among Diabetic population suffering from AC.