Abstract:
Background: Frozen Shoulder (FS), or adhesive capsulitis, is a common
musculoskeletal complication among individuals with diabetes mellitus, characterized
by pain and progressive restriction of shoulder joint mobility. Despite its high
prevalence, especially in diabetic populations, region-specific data on its determinants
and manifestations remain scarce, particularly in Bangladesh. Objective:
This study aimed to investigate the manifestation and determinants of frozen shoulder
in diabetic patients attending a tertiary care center in Bangladesh. Methods:
A cross-sectional study was conducted among 96 diabetic patients at CRP, Savar,
Dhaka. Data were collected through face-to-face interviews using a semi-structured
questionnaire and the Shoulder Pain and Disability Index (SPADI). Chi-square tests
were applied to assess associations between frozen shoulder and potential risk factors.
Results: The prevalence of frozen shoulder in the diabetic population was 41.3%. A
statistically significant association was found between frozen shoulder and the
following variables: sex (p=0.027), duration of diabetes (p=0.037), type of diabetic
treatment (p=0.010), regular physical activity (p=0.007), family history of shoulder
disorders (p=0.010), and past shoulder injury (p=0.017). However, age (p=0.542) and
cardiovascular disease (p=0.437) did not show significant associations. The mean
SPADI pain and disability scores were 48.33% and 44.03%, respectively, indicating
moderate functional impairment. Conclusion: Frozen shoulder is highly prevalent
among diabetic patients and is influenced by several modifiable and non-modifiable
factors. Early screening, regular exercise, and proper glycemic control could help
mitigate the risk. These findings highlight the need to incorporate musculoskeletal
assessments into routine diabetes management in Bangladesh.
Keywords: Frozen shoulder, adhesive capsulitis, diabetes mellitus, SPADI,
musculoskeletal disorder, Bangladesh, physiotherapy, risk factors, cross-sectional study
Description:
This dissertation is submitted in partial fulfillment of the requirements for the Degree of Bachelor of Science in Physiotherapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.
