Burden of Musculoskeletal Disorders among Diabetics and Their Functional Capacity in Southwest, Nig
Keywords:
Diabetes, emotional, musculoskeletalAbstract
Introduction: The complications associated with diabetes manifest in a systemic fashion including the musculoskeletal (MSS) system where it leads to a reduction in the quality of life and impacts the mental health of the patient. A study to determine the extent of the musculoskeletal and emotional burden it imposes on the patient may help ascertain the extent of support needed in their care. We thus set out to determine the rate and the clinical factors that are predictive of MSS and emotional disorders in them. Materials and Methods: Self‑administered questionnaires which consist of the short MSS functional assessment were given out to diabetic patients at the Endocrinology Clinic of the hospital. Results: The rate of presence of MSS disorder in our series was 66.4%, while the presence of increasing age, presence of MSS disorders, previous bones, and joints surgeries were significantly associated with poor physical, functional, mobility, emotional, and bother index. Conclusion: This study has further shown the huge burden diabetes places on the musculoskeletal system and by extension the mind of the patients. Routine assessment as a form of surveillance for the presence of musculoskeletal and emotional disorders should be incorporated into the clinical management protocol for diabetes.
References
1. Smith LL, Burnet SP, McNeil JD. Musculoskeletal manifestations ofdiabetes mellitus. Br J Sports Med 2003;37:30‑5.
2. Power AC. Diabetes mellitus. In: Kasper DL, Braunwald E, Fauci A,Hauser S, Longo D, Jameson JL, editors. Harrison’s Principle of InternalMedicine. 16th ed. New York: McGraw‑Hill; 2004. p. 3779‑829.
3. International Diabetes Federation. IDF Diabetes Atlas. 9th ed. Brussels: International Diabetes Federation; 2019.
4. Lebiedz‑Odrobina D, Kay J. Rheumatic manifestation of diabetesmellitus. Rheum Dis Clin North Am 2010;36:681‑99.
5. Savaş S, Köroğlu BK, Koyuncuoğlu HR, Uzar E, Celik H, Tamer NM. The effects of the diabetes related soft tissue hand lesions and thereduced hand strength on functional disability of hand in type 2 diabeticpatients. Diabetes Res Clin Pract 2007;77:77‑83.
6. Arkkila PE, Gautier JF. Musculoskeletal disorders in diabetes mellitus:An update. Best Pract Res Clin Rheumatol 2003;17:945‑70.
7. Swiontkowski MF, Engelberg R, Martin DP, Agel J. Shortmusculoskeletal function assessment questionnaire: Validity, reliability,and responsiveness. J Bone Joint Surg Am 1999;81:1245‑60.
8. Mathew AJ, Nair JB, Pillai SS. Rheumatic‑musculoskeletalmanifestations in type 2 diabetes mellitus patients in south India. Int JRheum Dis 2011;14:55‑60.
9. Kumar S, Maiya AG, Hande HM, Gannamananeni VK. Estimationof hospital‑based prevalence of musculoskeletal complications intype 2 diabetes mellitus: A cross‑sectional study. Wounds Middle East2018;5:6‑10.
10. Idowu OA, Adeniyi AF, Babatunde OA, Atijosan OJ, Ogwumike OO,Fawole HO. Prevalence of self‑reported low back pain among patientswith type 2 diabetes mellitus: A preliminary survey. East Afr Orthop J2015;9:6‑11.
11. Mody G, Wolf A. A Report on the global burden of musculoskeletaldisorders. Bus Pharmacother Assoc 2003;1:6‑12.
12. Veronese N, Cooper C, Reginster JY, Hochberg M, Branco J, Bruyère O,et al. Type 2 diabetes mellitus and osteoarthritis. Semin Arthritis Rheum2019;49:9‑19.
13. Strain WD, Hope SV, Green A, Kar P, Valabhji J, Sinclair AJ. Type 2diabetes mellitus in older people: A brief statement of key principles ofmodern day management including the assessment of frailty. A nationalcollaborative stakeholder initiative. Diabet Med 2018;35:838‑45.
14. Gregg EW, Mangione CM, Cauley JA, Thompson TJ, Schwartz AV,Ensrud KE, et al. Diabetes and incidence of functional disability in olderwomen. Diabetes Care 2002;25:61‑7.
15. Schmidt T, Simske NM, Audet MA, Benedick A, Kim CY, Vallier HA. Effects of diabetes mellitus on functional outcomes and complicationsafter torsional ankle fracture. J Am Acad Orthop Surg 2020;28:661‑70.
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Copyright (c) 2021 Oluwadare Esan, Idowu O. Akinwande, Oluwaseun Taiwo Esan, David O. Soyoye (Author)
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