Effects of moderate physical activity on diabetic adhesive capsulitis: a randomized clinical trial.

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS ACS Applied Bio Materials Pub Date : 2024-09-18 eCollection Date: 2024-01-01 DOI:10.7717/peerj.18030

Raheela Kanwal Sheikh, Amna Toseef, Aadil Omer, Anam Aftab, Muhammad Manan Haider Khan, Saeed Bin Ayaz, Omar Althomli, Aisha Razzaq, Samra Khokhar, Nazia Jabbar, Waqar Ahmed Awan

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Abstract

Background: Moderate physical activity (MPA) has proven advantages for glycemic control, cardiovascular health, and functional independence. However, physical activity is not part of routine conventional physical therapy (CPT) in managing diabetic adhesive capsulitis patients.

Objective: To determine the effects of moderate MPA on diabetic adhesive capsulitis (AC).

Methodology: A randomized control trial was conducted at the Combined Military Hospital (CMH), Muzaffarabad, Pakistan from March 2022 to October 2022. A total of n = 44 patients with diabetic AC, aged 40 to 65 years, HbA1c > 6.5% were enrolled. Group A received MPA and CPT, while Group B only received CPT for six weeks. The upper extremity function, pain, and range of motion were assessed at baseline, third week, and sixth week through the disability of arm, shoulder, and hand (DASH) questionnaire, numeric pain rating scale (NPRSS), and goniometer respectively.

Results: The NPRS score and ROMs showed significant improvement (p < 0.05) in group A compared to group B with a large effect size. When comparing the mean difference of the DASH score (73 + 7.21 vs. 57.9 + 12.64, p < 0.001, Cohen's d = 1.46) was significantly improved with large effect size in group A as compared to group B.

Conclusion: MPA along with CPT has positive effects on patient pain, range of motion, and disability in patients with diabetic adhesive capsulitis.

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适度体育锻炼对糖尿病粘连性囊炎的影响：随机临床试验。

背景：适度的体育锻炼（MPA）已被证明对血糖控制、心血管健康和功能独立性有好处。然而，体育锻炼并不是糖尿病粘连性囊炎患者常规物理治疗（CPT）的一部分：目的：确定适度的 MPA 对糖尿病粘连性囊炎（AC）的影响：2022年3月至2022年10月，在巴基斯坦穆扎法拉巴德联合军事医院（CMH）进行了一项随机对照试验。共纳入 n = 44 名糖尿病粘连性骨关节炎患者，年龄在 40 岁至 65 岁之间，HbA1c > 6.5%。A 组接受 MPA 和 CPT 治疗，B 组仅接受为期六周的 CPT 治疗。分别在基线、第三周和第六周通过手臂、肩部和手部残疾（DASH）问卷、数字疼痛评分量表（NPRSS）和动态关节角度计评估上肢功能、疼痛和活动范围：结果：与 B 组相比，A 组的 NPRS 评分和 ROMs 有明显改善（P < 0.05），且影响范围较大。A组与B组相比，DASH评分的平均差（73 + 7.21 vs. 57.9 + 12.64，P < 0.001，Cohen's d = 1.46）有明显改善，且效应大小较大：结论：MPA 与 CPT 对糖尿病粘连性关节囊炎患者的疼痛、活动范围和残疾有积极影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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