A Profile Study of Patients with Periarthritis Shoulder
Journal Title: Journal of Medical Science And clinical Research - Year 2014, Vol 2, Issue 6
Abstract
Background: Periarthritis (PA) shoulder is a common disabling condition of shoulder. The clinical presentation of illness and factors influencing this condition need to be studied meticulously. This evaluation is pre-requisite for effective planning and implementation of rehabilitation program. Objective: To examine the profile of patients with PA shoulder and to identify the possible factors influencing this disabling condition. Methods: The study was conducted in the Division of PM&R, RMMCH at Annamalai University. Evaluation of pain and shoulder abduction active range of motion (AROM) was performed. Further, the presence of comorbid conditions, type of occupation, duration of illness and demographic factors were examined by collecting history and through basic investigation procedure. Results: Total number of patients was 78 (Male-49, Female-29). 52.6% (N=41) of patients had age range of 46-55 years. The majority of women patients were housewives 75.9% (N=22) and about 30.6% (N=15) of men were agricultural workers. 35.9% (N=28) of patients had diabetes mellitus and 17.9% (N=14) of www.jmscr.igmpublication.org Impact Factor 1.1147 ISSN (e)-2347-176x Arul Pragassame S, Mohandas Kurup V K JMSCR Volume 2 Issue 6 June 2014 Page 1407 JMSCR Volume||2||Issue||6||Page 1406-1415 ||June 2014||ISSN: 2347-176X 2014 patients had cervical spondylosis. The other finding is that 23.1% (N=18) of patients had more than one associated comorbidities. 55.1% (N=43) experienced moderate level of pain and 32.1% (N=25) of the study patients had shoulder abduction AROM of 140°-159°. Further, it is observed that there was significant association observed for duration of illness Vs severity of pain (P=0.001) and shoulder abduction AROM Vs severity of pain (P=0.009). Conclusion: The common age of occurrence of PA shoulder is between 46-55 years. Male patients were higher in number. Dominant shoulder was more commonly involved. Majority of patients were agricultural workers, manual labours and house wives. Patients are commonly associated with Diabetes Mellitus. Most of the patients are experiencing moderate level of pain and shoulder abduction AROM is between 120°- 159° for majority of patients. There is positive association for duration of illness Vs severity of pain which further states that pain is higher in early stage of PA shoulder. Similarly there is positive association for shoulder abduction AROM Vs severity of pain that is shoulder AROM is limited when pain is higher and vice versa.
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Arul Pragassame S
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