The Prevalence of Neuromuscular and Musculoskeletal Complications among Diabetics
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Abstract
Background: Diabetes mellitus is a global health concern that significantly impacts the quality of life due to its systemic and wide-ranging complications. Among these, neuromuscular and musculoskeletal disorders are increasingly recognized for their debilitating effects on individuals with chronic diabetes, contributing to decreased mobility, pain, and overall functional impairment.
Objective: The aim of this study was to determine the prevalence of neuromuscular and musculoskeletal complications among chronic diabetic patients in Gujranwala and to elucidate the nature and frequency of these complications.
Methods: This observational cross-sectional study employed a non-probability convenient sampling technique to recruit 260 chronic diabetic patients from the District Head Quarters (DHQ) in Gujranwala. Inclusion criteria comprised both genders with a minimum diabetes duration of 10 years and the presence of chronic diabetes alongside neuromuscular and musculoskeletal complications. Exclusion criteria included patients with systemic diseases or any form of disability unrelated to diabetes. Data were collected through a self-administered questionnaire, focusing on demographic information and the presence of musculoskeletal disorders. SPSS version 25 was utilized for data analysis, presenting findings through descriptive statistics and bar charts.
Results: Among the participants, 63.08% were female and 36.92% male, with a significant portion (68.46%) having a positive family history of diabetes mellitus. The most prevalent musculoskeletal complications observed were adhesive capsulitis (77.31%), fibromyalgia and osteoarthritis (each affecting 60% of the patients), and flexor tenosynovitis (57.31%). Other noted complications included carpal tunnel syndrome, Dupuytren’s contracture, and peripheral neuropathies, highlighting a diverse range of musculoskeletal issues affecting the diabetic population.
Conclusion: The study underscores a high prevalence of neuromuscular and musculoskeletal complications among chronic diabetic patients, with adhesive capsulitis, fibromyalgia, and osteoarthritis being the most common. These findings highlight the need for healthcare professionals to adopt a multidisciplinary approach in managing diabetic patients, considering the significant impact of these complications on their quality of life.
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References
Alkhatatbeh MJ, Abdul‑Razzak KK, Khasawneh LQ, Saadeh NAJBr. Prevalence of musculoskeletal pain in association with serum 25‑hydroxyvitamin D concentrations in patients with type 2 diabetes mellitus. 2018;8(6):571-7.
Reddy SSK, Tan M. Diabetes mellitus and its many complications. Diabetes Mellitus: Elsevier; 2020. p. 1-18.
Kidwai SS, Wahid L, Siddiqi SA, Khan RM, Ghauri I, Sheikh I. Upper limb musculoskeletal abnormalities in type 2 diabetic patients in low socioeconomic strata in Pakistan. BMC Res Notes [Internet]. 2013 2013/01//; 6:[16 p.]. Available from: http://europepmc.org/abstract/MED/23327429
Carvalho-e-Silva AP, Ferreira ML, Ferreira PH, Harmer AR, editors. Does type 2 diabetes increase the risk of musculoskeletal pain? Cross-sectional and longitudinal analyses of UK biobank data. Seminars in Arthritis and Rheumatism; 2020: Elsevier.
Sözen T, Başaran NÇ, Tınazlı M, Özışık LJEjor. Musculoskeletal problems in diabetes mellitus. 2018;5(4):258.
Singla R, Gupta Y, Kalra S. Musculoskeletal effects of diabetes mellitus. JPMA The Journal of the Pakistan Medical Association. 2015;65(9):1024-7.
Kaka B, Maharaj SS, Fatoye FJJoB, Rehabilitation M. Prevalence of musculoskeletal disorders in patients with diabetes mellitus: A systematic review and meta-analysis. 2019;32(2):223-35.
Majjad A, Errahali Y, Toufik H, J HD, Ghassem MA, Kasouati J, et al. Musculoskeletal Disorders in Patients with Diabetes Mellitus: A Cross-Sectional Study. Int J Rheumatol. 2018;2018:3839872.
Bellary VS, Shetty SN, Bellary SO, Rao NUJJoD. A study of musculoskeletal manifestations of diabetes mellitus and their association with HbA1C among diabetic patients. 2022;13(4):353-62.
Edis P, Ozdemir N, Hekimsoy ZJAP. The Musculoskeletal Disorders in Diabetic Patients and the Evaluation of Their Relationship With Metabolic Parameters and Microvascular Complications. 2021.
Kermani ZH, Bazzaz SMM, Farahmand SK, Raoof AA. The comparison of frequency of the upper limb musculoskeletal disorders among patients with diabetes type II with normal cases. Electronic physician. 2017;9(11):5848-53.
Gupta V, Santhi SSE, Ravi S, Ramanan EAJJoE, Metabolism. Rheumatological and Musculoskeletal Complications in Diabetes Patients. 2022;12(4-5):117-24.
Larkin ME, Barnie A, Braffett BH, Cleary PA, Diminick L, Harth J, et al. Musculoskeletal Complications in Type 1 Diabetes. Diabetes Care. 2014;37(7):1863-9.
Cannata F, Vadalà G, Ambrosio L, Napoli N, Papalia R, Denaro V, et al. The impact of type 2 diabetes on the development of tendinopathy. 2021;37(6):e3417.
Alabdali LAS, Jaeken J, Dinant GJ, van den Akker M, Winkens B, Ottenheijm RPG. Prevalence of Upper Extremity Musculoskeletal Disorders in Patients with Type 2 Diabetes in General Practice. Medicines (Basel, Switzerland). 2021;8(2).
Bhat TA, Dhar SA, Dar TA, Naikoo MA, Naqqash MA, Bhat A, et al. The Musculoskeletal Manifestations of Type 2 Diabetes Mellitus in a Kashmiri Population. International journal of health sciences. 2016;10(1):57-68.
Zahid-Al-Quadir A, Zaman MM, Ahmed S, Bhuiyan MR, Rahman MM, Patwary I, et al. Prevalence of musculoskeletal conditions and related disabilities in Bangladeshi adults: a cross-sectional national survey. 2020;4(1):1-14.
Olaosebikan H, Azenabor A, Akintayo R, Adelowo O, Ogbera A, Brodie-Mends A. Spectrum of musculoskeletal disorders in Nigerians with types 2 diabetes mellitus: prevalence and predictors. 2020.
Rehling T, Bjørkman A-SD, Andersen MB, Ekholm O, Molsted SJJodr. Diabetes is associated with musculoskeletal pain, osteoarthritis, osteoporosis, and rheumatoid arthritis. 2019;2019.
Cagliero E, Apruzzese W, Perlmutter GS, Nathan DM. Musculoskeletal disorders of the hand and shoulder in patients with diabetes mellitus. The American journal of medicine. 2002;112(6):487-90.