Relationship between limited joint mobility syndrome and duration, metabolic control, complications of diabetes as well as effects of the syndrome on quality of life

2011 ◽  
Vol 31 (4) ◽  
pp. 207-215 ◽  
Author(s):  
Ebru Umay ◽  
Alev Cevıkol ◽  
Ozlem Avluk ◽  
Ece Unlu ◽  
Aytul Cakcı
2020 ◽  
Vol 22 (3) ◽  
pp. 19-26
Author(s):  
Taras S. Panevin ◽  
Lyudmila I. Alekseeva ◽  
Elena A. Taskina ◽  
Natalia G. Kashevarova

Diabetes mellitus (DM) can lead to the development of late complications. In addition to the traditional late complications, a high prevalence of damage to the musculoskeletal system in diabetes was noted. The most appropriate term that reflects the defeat of the musculoskeletal system in diabetes is limited joints mobility syndrome (LJM). Damage to the hands in the presence of open painless stiffness of the joints, fixed flexion contractures, impaired fine motor skills of the hands and grip forces. Subsequently, it became clear that, over time, the restriction of joint mobility develops not only in the small joints of the hands, but also in other large and small joints of the limbs. Traditionally, LJM syndrome pays low attention on the part of practitioners in comparison with other micro- and macrovascular complications of diabetes, even though LJM can significantly impair functional activity, self-care, and impair the quality of life. It is assumed that damage to the periarticular tissues and joints in DM is caused by the accumulation of end glycation products. A decisive place in the diagnosis of LJM is the clinical examination. In the presence of LJM syndrome, the osteoarticular structures of the feet can be affected, timely diagnosis can lead to the development of diabetic foot syndrome.


2014 ◽  
Vol 8 (1) ◽  
pp. 22-25
Author(s):  
IWONA WILK

Introduction: The chronic painful shoulder syndrome comprises the set of symptoms located in the area of the shoulder girdle and all the structures which make this complex, namely, the scapula, the clavicle and the arm. The complexity of the structures, which make up for the shoulder girdle, results in frequent dysfunctions as the abnormality in functioning of only one element can lead to the problems with the whole structure. Pain and limited joint mobility are the most frequent symptoms. The dysfunctions of the shoulder girdle limit the patient’s independence and evoke mental and physical discomfort which decrease the quality of life. The syndrome often occurs as a main disorder but in many cases its symptoms coexist with other diseases. The purposeof the work was to present the possibility of application of therapeutic (tensegrity) massage in the chronic pain shoulder syndrome.Material and methods: This article presents the process of massage application to different muscles of the shoulder in the appropriate order, which is called the therapeutic (tensegrity) massage. The purpose of the massage is to decrease the tonus of the muscle and increase the blood flow which ought to result in restoring the shoulder function. Six 45–minute-long massage sessions were performed and repeated every three days.Results: After the therapy, the decrease of painful shoulder was observed along with the vanish of the shoulder and the arm lifting habit. After this massage period, when the pain was smaller, the patient immediately wanted to continue physiotherapy.Conclusions: Massage is one of the forms of therapy, which can be used in the painful shoulder syndrome. It might often constitute the introductory stage to the rehabilitation aimed at mobilization of the patient.


2012 ◽  
Vol 19 (4) ◽  
pp. 441-444
Author(s):  
László Barkai ◽  
Nicolae Hâncu ◽  
György Jermendy ◽  
Maya Konstantinova ◽  
Radu Lichiardopol ◽  
...  

AbstractThe objective of this position paper is to review the current medical evidence andguidelines regarding the treatment of type 2 diabetes (T2DM) and to issue medicalrecommendations strengthening the timely use of insulin in patients with T2DMuncontrolled on noninsulin therapy. When noninsulin therapy fails to achieve or tomaintain HbA1c targets, insulin therapy is required. Timely insulin therapy couldprovide proper metabolic control that might prevent complications, lead toimprovement of life expectancy and quality of life.


2010 ◽  
Vol 25 ◽  
pp. 1484
Author(s):  
A. Butwicka ◽  
A. Zalepa ◽  
W. Fendler ◽  
A. Szadkowska ◽  
M. Zawodniak-Szalapska ◽  
...  

Author(s):  
Jayanta Paul ◽  
Ambalathu Veettil Hussain SHIHAZ

The incidence and prevalence of diabetes mellitus and its complications are increasing. Like other complications, most of the diabetes patients have gastrointestinal (GI) symptoms but in majority of cases GI complications are under diagnosed and not treated properly, resulting in impairment of the quality of daily life. GI system including liver and pancreas are involved in diabetes mellitus. These GI complications of diabetes mellitus need proper diagnosis and treatment to get a quality of life and clinician needs clinical suspicion to identify and proper knowledge to treat.


2018 ◽  
Vol 6 (9) ◽  
pp. 1762-1767 ◽  
Author(s):  
Rina Amelia

BACKGROUND: Diabetes is a type of chronic disease with exceptional medical care for a patient's lifetime, which ultimately requires lifestyle and behavioural adjustments to prevent complications to death. Patients with good self-care behaviour will cause diabetes to be controlled to avoid complications to death and make patients have a better quality of life. AIM: This study aims (1) to determine the model of self-care behaviour in Type 2 diabetes patients in Binjai City (2) to analyse the effect of self-care behaviour on quality of life, metabolic control and lipid control of Type 2 diabetes patients in Binjai City. METHODS: This type of research is survey-based and explanatory using a cross-sectional approach. The study population was Type 2 Diabetes Mellitus (T2DM) patients who remained patients in 8 primary health centres in Binjai City. The consecutive sampling yielded a sample size of 115 people. Data analysis method uses descriptive statistics and Structural Equation Modeling (SEM) using SPSS and Amos 16.0. RESULTS: The results showed that all factors that build T2DM patient self-care behaviour were able to be predictors that shape the patient's self-care behaviour. The self-care behaviour model consists of knowledge, attitudes, communication, financing, family support, motivation, and self-efficacy. Motivation is the most significant predictor of its contribution to the self-care behaviour of Type 2 diabetes patients. Self-care behaviour was also known to be significantly related to the quality of life, metabolic control and lipid control of T2DM patients (p < 0.05). CONCLUSION: Self-care behaviour in T2DM patients can have a substantial and significant impact on quality of life, metabolic control and lipid control possessed by Type 2 Diabetes patients.


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